Long Covid: Impact on the Workforce

Debate between Layla Moran and Andrew Gwynne

Thursday 31st March 2022 Commons Chamber

[Andrew Gwynne (Denton and Reddish) (Lab)]

I sincerely thank the hon. Member for Oxford West and Abingdon (Layla Moran) for all the work she has done on this issue, and for the way she opened this debate. I also thank the Backbench Business Committee for granting it and the Members who have taken part. I thank in particular my hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams), and I sincerely thank my hon. Friend the Member for City of Chester (Christian Matheson) for his kind words. It is nice to know that my experiences have helped somebody else with theirs, and I wish his family member well for the future. I also thank the hon. Member for North East Fife (Wendy Chamberlain), and my hon. Friend the Member for Putney (Fleur Anderson), who is absolutely right to draw parallels with ME both in some of the symptoms and in how that community has been treated over a number of years. I thank my hon. Friend the Member for Strangford (Jim Shannon)—because he is my friend—for his kind words, too.

As colleagues will know, not least because it has been mentioned in this debate, long covid is an issue very close to my heart. Back in March 2020, I first caught covid. That was 107 weeks and four days ago, and I am still struggling with some of the symptoms of long covid all these weeks and days later. Back then, I felt rough with covid, but to my relief I avoided a lot of the more serious symptoms we were seeing on the news and hearing from friends and colleagues at that time. It was not great, but the fact that I was not hospitalised was a blessing.

However, when my self-isolation period ended and in theory I should have been fine to return to work, I found that I could not. I found that I was perpetually exhausted, and I could not catch my breath. I would be talking to my wife, and suddenly the words would vanish. I would try to pick them out, but I could not find the right ones. I would forget things and lose track of why I had come into a room. I would sweat as though I had run the London marathon just doing routine day-to-day things such as making a cup of tea. I felt completely terrified. My symptoms were not going anywhere, but instead evolving into something different and seemingly something permanent.

In May 2020, Elisa Perego coined the term “long covid” to describe these persistent and wide-ranging symptoms, and I felt like a bright light had been shone on what I had been going through. We now know that over 1.5 million people suffer with long covid in the United Kingdom, and that the majority of these—989,000—say it affects their daily activities. It certainly affected mine. I am very fortunate to have a brilliant team across Westminster and in my constituency of Denton and Reddish, and they stepped up on my worst days, when getting out of bed felt like running a marathon. They made sure that my constituents were still well represented, and that I was given sufficient time to rest when needed. Listening to my body was a hard lesson, too.

However, millions of people in this country are not as fortunate as I was. We have some of the worst sick pay provision in the OECD, and we are in an age of precarious work. In that context, long covid becomes an economic as well as a health emergency. The fact of the matter is that there has been an acute failure on the part of Government to take long covid as seriously as perhaps they should, because it is not just a health issue, but an employment and a DWP issue. The Government could and, I believe, should be doing more to encourage workplaces to better support those suffering from long covid and to enable employers to understand precisely what long covid means for their workforce.

For December 2021 to January 2022, the most recent period we have access to, it has been shown that, of the 1.5 million people currently suffering from long covid, only 2,869 had attempted to access the post-covid assessment service. Of that tiny number, 34% had been waiting for longer than 15 weeks. Something is going very wrong. Almost 1 million people are reporting long covid symptoms that are adversely affecting their day-to-day lives, yet just a fraction are attempting to access care and only a fraction of those are actually getting it. I would be grateful if, in his response, the Minister set out what conversations he has had with colleagues in the Department of Health and Social Care about these figures, and what action the Government will be taking to ensure that those who have long covid can actually access the care they desperately need.

This is actually quite crucial because, with the right rehabilitation package, work can become viable again for a proportion of those people. I want to share with the Minister some data I have received from Nuffield Health. Operating a free 12-week programme, it has so far helped over 1,900 people from across the UK to recover from the prolonged effects of covid-19, including breathlessness, anxiety and fatigue, and I am one of the 1,900 who have taken part in that free programme. Its results to date show that for 64% of people the programme improved mental wellbeing, for 39% it improved their functional capacity and for 39% it improved their breathlessness, while 35% saw an improvement in fitness and 30%—not an insubstantial number—were absent from work but felt they could return. This is not a silver bullet for all, because those are still minority figures, but I think that 30% being able to return to work with the right rehabilitation programme is quite encouraging.

As has been pointed out on numerous occasions, 4% of the UK workforce currently have long covid. That is an extraordinarily high number of people, and it will no doubt be having an impact both on workplace productivity and on wider employment outcomes. The Chartered Institute of Personnel and Development has found that a quarter of UK employers cited long covid as one of the main causes of long-term sickness among their staff, yet those living with long covid have had very little in the way of workplace protection.

In my capacity as shadow Minister for public health, I have been inundated with stories of employees facing an uphill battle to have reasonable adjustments implemented in their workplaces. I have heard from doctors unable to return to work and NHS staff who have been sacked or had contracts terminated because of long covid symptoms. They are the people who carried us through the pandemic—we stood on our doorsteps for them and applauded them. We can do much better than that.

I turn to the help that I had in returning to work. I pay tribute to Mr Speaker and the staff in the Speaker’s Office, because I am lucky enough to work in an environment where reasonable adjustments were made. When I first returned to the House in person after the summer recess, I found that I could not bob in the Chamber without becoming incredibly fatigued, and that would trigger my brain fog. After almost collapsing during a ministerial statement on Afghanistan—I had been bobbing for almost an hour—I arranged for a meeting with Mr Speaker on the basis that I could not do my job and, if I could not do a simple task like bobbing up and down, I might as well pack up and leave. Mr Speaker and his brilliant staff advised me that instead of rising on each occasion, I could simply hold up my Order Paper. That simple solution made a huge difference to my health and wellbeing. I sincerely thank Mr Speaker, and indeed you, Madam Deputy Speaker, and the staff in the Speaker’s Office for being so understanding.

However, reasonable adjustments should not just be made for Members of Parliament. The Government need to do much more to empower employees to approach their bosses and have these conversations. The problem is that, with practically zero workplace protections in place for long covid, they become incredibly difficult to have.

The Opposition recognise the threat that long covid poses both to the health of this nation and to the British workforce. That is why we would end the postcode lottery of long covid care provision, fix the shameful state of sick pay and engage with employers to support those living with long covid. Covid has not gone anywhere, and it is profoundly irresponsible to stick fingers in ears and pretend that 1.5 million people are not still struggling. Free lateral flow testing will end tomorrow and, as a result, covid cases will rise. It will make it much harder to track the level of covid in the UK and, by extension, the number of people who may go on to develop and live with long covid.

[Layla Moran]

I am glad that the hon. Member has brought up that point. He will have heard about the difficulties that people have in accessing benefits and proving that they have long covid. People get long covid from covid, but, if they cannot get a test, how do they know if they have had covid? That makes it so much more difficult for people to prove long covid down the line and access the benefits that they deserve.

[Andrew Gwynne]

The hon. Lady is absolutely right. That is a real concern of mine, not least because I have experienced it. I was in the first wave of covid, having caught it in the weeks when the Government said, “If you develop symptoms, you no longer need to test; just go into self-isolation.” I knew that I had covid, and I know that that led to long covid, but to this day I cannot prove it because there was no routine testing available to show it. That is a real issue.

I am incredibly worried that getting rid of free testing is a short-term decision that will have major financial and public health implications for the foreseeable future. The Government cannot turn a blind eye to a problem that is having a devastating impact on the people of this country. One of the defining lessons of the pandemic is that we do not have the luxury of dithering and delay when it comes to public health. We urgently need a cross-departmental long covid strategy. I would support that, work on it and gladly give my experience and advice to Ministers to help develop it. We need a long covid strategy, we need proper sick pay, and we need the Government to understand that they have an important role in working with business and industry to ensure that reasonable adjustments and support in the workplace become a thing for all, not just for me.

Appointment of Lord Lebedev

Debate between Layla Moran and Andrew Gwynne

Tuesday 29th March 2022 Commons Chamber

[Layla Moran (Oxford West and Abingdon) (LD)]

I have attended almost every debate we have had on an economic crime Bill up until this point. In my role as my party’s spokesperson on foreign affairs when the Navalny list first came out well over a year ago, I started to name some of the names, and I have since done that in a more comprehensive form. Every single time this issue has come to this place, it has generally been discussed in a cross-party spirit. If we possibly can, I really want us to elevate ourselves from where the debate has been so far. It is in everyone’s interest to root out even suggestions of corruption in our politics, in any form and undertaken by any party.

I put it to all Members that this issue is not easy for any party. Parties of all colours, of mixed colours and all the rest of it have at some point floated close to this. It is absolutely right that our free media asks questions and that this House is allowed to scrutinise. That is exactly what unpins the very thing that Putin does not want, which is democracy. I sincerely hope that in all that we are agreed.

Although on the face of it this debate is about process, I believe it to be a debate about questions and the fundamental integrity of those who take their places not just in this Chamber but in the other place. While we have a democracy—a democracy that the Intelligence and Security Committee suggests has been under the threat of Russian interference—it is right to ask questions about how someone may have reached a level at which they have influence and, indeed, the ability to vote on the law of this land.

I point out that the Liberal Democrats have long campaigned on this issue—indeed, every single Liberal Democrat Lord is signed up to losing their own job because we believe we should have an elected House of Lords. That is our proposal. Were that system in place, they would be appointed by their constituents—the voters of this country—and we would not be having these discussions, or at least not in this way. But that is not what currently happens, so let me come back to the process.

The problem with the appointment of Lord Lebedev is that our free media, with its ability to root around in these questions and shine light into the darkness, came across evidence to suggest that the Prime Minister overruled or bent—whatever it may be—the advice of the security services and the commission. The question being asked is why we are focusing on Lord Lebedev; well, because this has not happened in this way before. The advice of the commission was overruled one other time, and that was also by this Prime Minister—indeed, that was the first time—so there is form. That was the first time ever that a Prime Minister did that.

Let me put this all into context. Today, the Metropolitan police have issued fines for parties that the Prime Minister told us categorically from the Dispatch Box never happened. The problem is not the process; I argue that it seems the process is actually working. The commission makes recommendations based on what it heard from the security services. It seems that the problem might be the Prime Minister, which is why this debate is important. We have to separate the wheat from the chaff. To what extent is the process working—actually, I think it is—and to what extent have we had interference in our democracy at a number of levels, of which this is potentially one example? I say “potentially” because we just do not know. The purpose of the motion is to shed light. Let the truth be out.

I hear what the Minister said about the process somehow being denigrated. However, it sounds to me as though the process would be reinforced, because the process said that Lord Lebedev should not be given a peerage, and that therefore reinforces the need for the commission in the first place. It was just doing its job, which it did well, but it seems that the Prime Minister overruled it. He claims that he never did that, and there is a counter-claim by Dominic Cummings—let us all take that with the pinch of salt it absolutely deserves.

I think the Government should welcome the publication of this information. I have spoken to Government Members who want to see this come out. I am proudly in WhatsApp groups with Government Members who, like me, care about our democracy, who are trying to push through the economic crime legislation, who are frustrated that it took six years for part one to come and are desperate for part two, and who have spoken collectively and positively about what the Government are finally doing, for example, on SLAPPs—strategic lawsuits against public participation—and other issues. We are grasping the nettle and it will be difficult for all of us. However, the Government are somehow now standing at the Dispatch Box and twisting this into anything other than what it is, which is a cool-headed look at how our democracy has been functioning for decades and an understanding of how Russian interference has permeated, like a rot, through our economy, society and even our politics.

We all have to admit that this process is going to be difficult. I wish that the Government would admit that and say, “Yes, it will be difficult, but we are going to do this anyway because it is the right thing to do.” By looking into that Pandora’s box, they may well find things that they do not want to know about. The Government seem to be taking an ostrich mentality, and I kind of get it, except we are all here as custodians of our democracy, putting the country first. I genuinely think that any Government who chose to deal with this matter would be rewarded by the public for doing so, because they would be grateful, especially at a time of national crisis, when people and authoritarian regimes are seeking to undermine our democracy. There has never been a better time to root out of the evil of corruption, no matter where that leads.

Fundamentally, this is what needs to happen: we need not only all the information to be published, but an independent inquiry into what happened and how the Prime Minister was involved, or was not. I am genuinely sorry to say this, because it reflects on our whole country when we do not know if our Prime Minister is telling the truth or not, but we just do not know. In the same way that Sue Gray has rooted out what happened after the Prime Minister said that no parties ever took place, and they did—I am afraid that we cannot trust his word at this moment—we need an independent inquiry to verify whether or not he may have inadvertently misled the House previously. That is why this Humble Address is important: it will help, not hinder, the situation.

The other thing that I do not understand is why the Russia report recommendation to investigate and publish fully the extent of Russian interference in our democracy has not been carried out.

I will quote from the Intelligence and Security Committee’s report, because it is so important:

“Several members of the Russian elite who are closely linked to Putin are identified as being involved with charitable and/or political organisations in the UK, having donated to political parties, with a public profile which positions them to assist Russian influence operations. It is notable that a number of Members of the House of Lords have business interests linked to Russia, or work directly for major Russian companies linked to the Russian state—these relationships should be carefully scrutinised, given the potential for the Russian state to exploit them.”

I commend the speech of the hon. Member for Eltham (Clive Efford), who hit the nail on the head. It is not necessarily a question of the words of Lord Lebedev, which other hon. Members have quoted; I fundamentally disagree with him, but there were Members of this House with the same views and it could be said that those views are genuinely held. That is fine, but the point is how the Russian state and particularly the oligarchs have acquired their money. I used to sit on the Public Accounts Committee, and we had a phrase: “Follow the money.” Following the money very often leads to where the power really lies.

The issue in this case is that the money has been used to buy access and influence. We know how these oligarchs operate: they do things that, on the face of it, look great. They quite often fundraise for causes that may publicly be different from what they are being told to do. It is very sophisticated. The face of corruption looks nice—it gives people champagne, it buys them nice things, it lets them have a good time. I am not suggesting straight out that that is what Lord Lebedev has done, but it is right that we ask questions, because that is the modus operandi of the entire oligarch system.

[Andrew Gwynne]

I would argue that the Ukraine invasion by Putin’s forces has brought sharply into view the extent of the involvement of Kremlin-linked people and organisations, not just in this country—although obviously we are concerned about this country—but across the west. As we speak with one voice on Ukraine, is it now time to speak with one voice on cleaning up British politics once and for all? If not now, when?

[Layla Moran]

I absolutely agree: now is the time. It is worth saying that that would not just apply to Russian oligarchs, because we know that other countries have sought to do the same thing. Investigating the extent of the interference in our democracy would set us up for a much stronger future, so I believe that this is the right motion at the right time.

I also argue that we should have rooted out the corruption years ago. In fact, it was a Conservative Prime Minister and a Conservative Chancellor who first suggested that at the Dispatch Box. I have said several times that it should not be this hard to implement a Conservative party manifesto promise. We are getting there, so, please, let us continue the cross-party spirit in how we go about rooting out corruption. That extends, I am afraid, to the dealings of Lord Lebedev as someone who is allowed to vote on this country’s laws—the one oligarch who seems to have been allowed to do that. I urge the House to back the motion.