Long Covid: Impact on the Workforce

Baroness Laing of Elderslie Excerpts

Thursday 31st March 2022 Commons Chamber

[Jim Shannon]

My wife says I am special. I thank the hon. Lady for being most complimentary.

I did not have any symptoms, but I isolated as instructed, because I follow the rules—that is the way to do it. Although I was fortunate and blessed to be asymptomatic and not ill with covid, that is not the case for the many people who did not come through covid unscathed. We have all mentioned that 1.5 million people, 2.4% of the population of this great nation of the United Kingdom of Great Britain and Northern Ireland, have self-reported ongoing covid symptoms that have persisted for more than four weeks, as of 31 January 2022. Forty-five per cent of them, 685,000 people, first had or suspect they first had covid-19 at least one year previously.

I think of the wall outside St Thomas’s Hospital, where some ladies from Manchester, Liverpool and elsewhere met us two or three months ago. I was walking to the hotel one night, many months ago, and passed the wall. It is a wonderful memorial to those who have passed on, and it is good that those ladies and others organised the wall to give people an outlet for their feelings.

Two years after the first lockdown, the long-term effects of covid are becoming clear. We need to put protection in place for employees with this long-term illness that doctors cannot pinpoint. These people struggle daily to live with it, but they are not protected by the Disability Discrimination Act 1995.

This Government should urgently produce guidelines for employers in both the private sector and the public sector on managing the impact of long covid among their workforce. We should also launch a compensation scheme, as the hon. Member for Oxford West and Abingdon mentioned, for all frontline key workers living with long covid. I agree with the APPG that the scheme should mirror the armed forces compensation scheme, which we discussed on Monday night, recognising the relapsing nature of long covid and going beyond the existing pay scheme.

Long covid is a debilitating illness. There is a gentlemen I have known ever since he came to Ards. He is the pastor of a church in my constituency, and he almost lost his life to covid. He is 6 feet 4 inches, and this big, strapping man was brought to his knees. He walked up the hill to Stormont in the “Voice for the Voiceless” protest, and I thought he would have to lie down. Long covid has hit him incredibly hard. He has one day of good and then three days of bad. He has headaches, stomach upsets, blood clots, reduced lung function and chronic fatigue. His church is happy to allow him to rest as he needs. Had he worked for another employer—I will not mention them—he would not have that protection. We must improve the current care pathways for long covid, with a view to ensuring the healthcare system is capable of meeting current and future demand.

In a Westminster Hall debate, I mentioned a constituent who had brain fog. The shadow Minister, the hon. Member for Denton and Reddish (Andrew Gwynne), has lived that. It is important to say that one of our friends and colleagues in this House has lived with long covid and has found it incredibly difficult, as have others, to deal with. You are not far from our thoughts—

[Madam Deputy Speaker (Dame Eleanor Laing)]

He is not far.

[Jim Shannon]

Sorry, Madam Deputy Speaker. I am probably getting carried away in the emotion of the occasion.

Has the Minister’s Department been able to collect the data on those with long covid? I want to see flexibility for those who are in full-time employment and employment guidelines, to which the hon. Member for Putney referred. I think all hon. Members present want to see them.

Perhaps the Minister can confirm whether the lessons have been learned from covid-19. As the hon. Member for North East Fife said, other diseases will come along and we must be prepared. What we learn from this disease will make us smarter for the next one. I put on record, because it is important when we are talking about these things, how well the Government reacted with the compensation schemes for businesses and the covid-19 vaccine. Those are the positives that gave us heart when we were down in the dumps.

Roughly 4% of the UK’s workforce has had long covid and 82 million work days were lost due to long covid absence in NHS England between March 2020 and September 2021. The real figure may be higher as it was not classified as a reason for absence at the start of the pandemic. It is clear that the effect on business is real, which is why we are having this debate, and that there must be structures in place to deal with it.

Again, I thank the hon. Member for Oxford West and Abingdon and all hon. Members for their contributions. I look forward to the contributions from the hon. Member for Motherwell and Wishaw (Marion Fellows) and the hon. Member for Denton and Reddish. The Minister is a friend to us all and I look forward to hearing what he says.

--- Later in debate ---

[Marion Fellows]

I thank the hon. Lady for the intervention. Hon. Members have already spoken about ME, which is non-specific and can sometimes be difficult to diagnose. The main issue that I would raise in that regard is that people should be believed.

Support is already being delivered across Scotland for those suffering from long covid and the Scottish Government are committed to doing more. They recognise and acknowledge the impact that long covid can have on the health and wellbeing of those affected and have encouraged all employers to apply fair work principles and a flexible approach to dealing with the impacts of covid-19 to protect the health and wellbeing of the workforce.

In the event that NHS Scotland staff are absent due to covid, current temporary measures ensure that they are paid as if they are at work and that they are not subject to corresponding sickness absence triggers. The Scottish Government continue to support NHS colleagues with the provision of those temporary sickness absence measures in the event that they contract covid-19.

Again, the Scottish Government have a long covid strategic network that helps to bring together clinical experts, NHS boards and lived experience. For any disease or issue, lived experience can give those who are trying to help a real experience of what needs to be done. Following analysis and planning by the strategic network to identify where additional resource is needed, the first tranche of funding to NHS boards will be given early in the next financial year, which starts tomorrow. The fund will provide additional resource to support NHS boards to develop and deliver the best models of care appropriate for their populations.

This debate is about the effect on the workforce. It is important that the workforce know what may be wrong with them and that employers know what long covid is about. The Scottish Government carried out a marketing campaign in October and November last year to raise awareness of long covid and to signpost people to the appropriate support. The campaign supported the production of posters for display in community pharmacies and GP surgeries across Scotland in different languages, social media posts and a campaign toolkit that was sent to 250 direct partner contacts, with an additional distribution of approximately 3,000-plus places.

I mention the APPG and its good work. It recommended that the UK Government commit £100 million per annum to funding research into diagnostic and treatment pathways for long covid patients. The Scottish chief scientist office is funding patient-led and Scottish-led projects with a total commitment to funding. Again, that work is being done and disseminated widely.

I cannot finish without talking about statutory sick pay and its effect on people with long covid. It has a disproportionate impact on groups that are already disadvantaged in terms of work and health. To limit further health and inequality, the UK Government must ensure a liveable sick pay for all. The SNP is clear that we must have a system fit for the 21st century and we need to look at the people who are earning the least, because someone cannot even get statutory sick pay if they are earning less than £120 a week, which is the case for many.

The fact that the Government have moved away from having statutory sick pay from the first day of sickness has a huge impact on people. The Prime Minister claimed we should be more like the Germans and not go to work when we are sick, which is quite ironic considering that Germany has one of the best sick pay systems in Europe, with laws requiring employers to pay staff 100% of wages for the first six weeks of sickness. By contrast, the UK has one of the lowest. I remember being in this Chamber and listening to a Conservative Member saying that £96.35 a day in statutory sick pay was quite a good benefit. When she was told that it was £96.35 a week, she was quite shocked, and I was quite shocked that she did not know that. It is absolutely appalling. We are one of the richest countries in the world, and people cannot afford to stay off sick. It is just disgraceful, and the fact that people now have to qualify and wait—is it two weeks?—before they can even access it is just absolutely ridiculous.

The Government did not bring in an employment Bill in the last Queen’s Speech, but they should in the next. Flexible working would also help people with long covid, as it would help them on the days when they are better able to work and perhaps do not need to trail into work. Again, there was a BEIS consultation, which ended over three months ago. Can we find out what has happened to that?

In conclusion, while employment law remains reserved to Westminster, the SNP Scottish Government are using their fair work policy to promote fairer working practices across the labour market in Scotland. I really urge the Minister to look at what is happening with low statutory sick pay, and to look at helping such people—and not just people with long covid, but as they are the subject of this debate, that would really be a huge improvement in the lives of those unfortunate enough to have this terrible condition.

[Madam Deputy Speaker (Dame Eleanor Laing)]

I call the shadow Minister.