New Hospitals

Lord Foulkes of Cumnock Excerpts

Thursday 18th November 2021 Lords Chamber

[Lord Kamall (Con)]

On the point about the noble Baroness’s local hospital, I am afraid that I am not aware of where she is situated geographically, but I can tell her that six of the 48 hospitals are already under construction and one is now completed. I hope that the noble Baroness will write to me on the hospital that she referred to so that I can give her an answer.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, will the Minister stop waffling and put on record an answer to the question asked by the noble Lord, Lord Mann, saying precisely what he means by a “new hospital”? I tell him not to waffle back.

[Lord Kamall (Con)]

I thank the noble Lord for his advice just before I was about to answer. Whatever you call it—and we can debate semantics—the important thing is surely that we build new hospitals and upgrade existing infrastructure. Surely we should celebrate the fact that we are building 48 new state-of-the-art hospitals—

Covid-19: Plan B

Lord Foulkes of Cumnock Excerpts

Wednesday 20th October 2021 Lords Chamber

[Lord Kamall (Con)]

May I write to my noble friend on that?

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, can the Minister explain now—and not write to me—how and by whom these decisions are made? Are they made by the chief executive of the NHS or by the Secretary of State for Health and Social Care, or do they have to wait for a decision from the Prime Minister and wait until he returns from his beach holiday?

[Lord Kamall (Con)]

The Government are consulting widely on the measures to be taken, balancing and looking at the trade-offs not only in health but with wider societal factors.

Commonwealth Fund Report: NHS Ranking

Lord Foulkes of Cumnock Excerpts

Tuesday 14th September 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, we are investing a tremendous amount in preventive care, and I agree with the noble Baroness that this is key to the future—to better and longer lives and, on my noble friend’s point, to increasing the productivity of our healthcare system. I have already mentioned the key components of our preventive agenda and I add to that list the £325 million that we have allocated to the diagnostic fund precisely to catch disease earlier, to give people the treatments they need earlier, and to bring down the cost of our healthcare service.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, is one of the reasons for this decline the fact that we have fewer doctors per head than almost any other country in the OECD? When the Prime Minister announced 6,000 new doctors, did he know that it takes six years to train a doctor? In fact, the numbers have gone down rather than up, so what will the Minister and his colleagues do now to improve the position?

[Lord Bethell (Con)]

My Lords, we are grateful to GPs and doctors for the work that they do. Of course, the way to get more GPs is partly by training them, partly by retaining them, and partly by working with GPs from overseas who come and serve in the NHS. That is how we are meeting our commitments on raising the number of GPs in the NHS.

Elderly Social Care (Insurance) Bill [HL]

Lord Foulkes of Cumnock Excerpts

2nd reading
Friday 16th July 2021 Lords Chamber

[Lord Foulkes of Cumnock (Lab Co-op) [V]]

My Lords, I also commend the noble Lord, Lord Lilley, on his extensive work in this area, particularly in preparation for the Bill. However, like others, I cannot support it, however well-meaning it may be, as it is not the right way to deal with a major crisis in social care. It is in danger of letting the Government off from their job to tackle the issue, which they have promised to do in successive election manifestos. This growing crisis has been dodged by successive Governments and needs to be dealt with in a more fundamental way.

As others have said, the National Health Service was created to provide free healthcare when needed, funded through taxation by all of us. Those of us who need medical treatment, however much it costs—and it can run to many hundreds of thousands—are able to get it free when we need it. But those of us who do not need it are both grateful for our good health and happy to cover the costs for those who need it. The same principle should apply to the provision of social care.

Thankfully, many of us will live to a ripe old age without the need for care services, either at home or in an institution. Others who require care should be able to access it for free, without the additional worry of how they will find the money to pay for it. That is why we need a national care service, on the same principle as the NHS, where those of us who are lucky to live without the requirements of care can help support those who do. I am pleased this has already been supported by my noble friends Lord Davies, Lord Sikka and Lord Hendy, and thankfully by the noble Baronesses, Lady Altmann and Lady Wheatcroft.

We can never predict which of us will be struck by dementia, physical incapacity or other conditions requiring care, just as we cannot foresee which of us will get cancer, cardiac arrest or Covid. As many have already said, care is best provided by our excellent local authorities, but they need proper funding. They can then work in collaboration with the good private care homes—they are not all good, but some are—and the voluntary sector. The reduction of local authority funding under the present Government has exacerbated the problem, as we wait and wait for the Government to fulfil their promise. It is now even more vital that we maintain our pressure on the Government to meet that promise, and I fear this Bill will be a distraction.

Covid-19 Update

Lord Foulkes of Cumnock Excerpts

Tuesday 6th July 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, that is an extremely broad question. I reassure the noble Baroness that we have published thousands of pages of guidance, many of which have been across my desk, and it has been a privilege to read it all. We have developed better thinking on how we do guidance: I would like to think that it is now written in clearer English and in more languages, and has been made more accessible to those who have reading challenges. We have developed those important learnings over the pandemic.

[Lord Foulkes of Cumnock (Lab Co-op)]

Does the Minister agree that it would be preferable if the guidance was similar throughout the whole of the United Kingdom, especially for those of us who travel regularly from Scotland to London? What discussions and meetings does he have planned with the Ministers in the devolved authorities to try to achieve that?

Covid-19: Wuhan Institute of Virology

Lord Foulkes of Cumnock Excerpts

Wednesday 30th June 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I entirely agree with the sentiments expressed by my noble friend. We are absolutely calling for a timely, transparent and evidence-based phase 2 study, including further investigation in China, as recommended by the experts’ report. We agree with the Independent Panel for Pandemic Preparedness & Response that member states should give the WHO greater powers to investigate outbreaks of pathogens with pandemic potential within member states.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, I commend the Minister for an excellent reply to the noble Viscount’s Question—a reply obviously informed by the excellent staff at the Department of Health and Social Care. In the light of that, can I gently ask why, as a Minister, did he feel it necessary to have a parliamentary research assistant?

[Lord Bethell (Con)]

My Lords, I have written to the commissioner for standards in response to that precise question and I should be glad to share that correspondence with the noble Lord.

COVID-19 Variant: Travel Guidance for Local Authorities

Lord Foulkes of Cumnock Excerpts

Wednesday 26th May 2021 Lords Chamber

[Lord Bethell (Con)]

We have not banned smoking; lots of smoking is going on among the British public.

This is where the public have a role to play. They have agency, they are able to make their own decisions and they can make the sensible distinction between meeting inside when they could be meeting outside and making unavoidable decisions of the kind the noble Baroness alluded to.

[Lord Foulkes of Cumnock (Lab Co-op)]

I will have a go now. The latest advice to people in these areas is to minimise travel and use their common sense. If a family have booked a trip away for the weekend, how would the Minister advise them?

[Lord Bethell (Con)]

My Lords, I would ask them to use their common sense. I am a parliamentarian; I am not telling them or legislating for them on that particular decision. They can see the rising infection rates around them, they know for themselves how this disease spreads and we are asking them to make a sensible, reasonable, common-sense decision about whether that journey is necessary. That is not something we are legislating for, it is what we are putting in guidelines, and I think that that, at this stage of the pandemic, is a reasonable response.

Covid-19 Internal Review

Lord Foulkes of Cumnock Excerpts

Thursday 20th May 2021 Lords Chamber

[Lord Bethell (Con)]

I am enormously grateful for my noble friend’s kind comments. On his point on vaccines, I emphasise the enormous contribution of the whole union behind the vaccine project. It has been a union project to deploy vaccines to every person in the UK at amazing speed and with consistency right across all parts of the union. For that we should be enormously grateful.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, while we all here respect that health is a devolved responsibility, does the Minister not agree with me that one of the problems that arose was the confusion arising from different rules in different parts of the United Kingdom and different messages throughout the United Kingdom? In the inquiry, will the United Kingdom Government talk with the devolved Administrations to make sure that, in future, there is a more co-ordinated response? The virus knows no boundaries.

[Lord Bethell (Con)]

My Lords, the Prime Minister will define the terms of reference and the chair will define how the inquiry deports itself. On the noble Lord’s point about the rules and the suggestion of confusion, I agree that there was a lot of heat and smoke around differences but the truth is that 99% of everything that we did between the different parts of the union was exactly the same. There was a lot of focus on very small differences, but what I celebrate is how much common ground there was in our responses.

Covid-19: One Year Report

Lord Foulkes of Cumnock Excerpts

Thursday 25th March 2021 Lords Chamber

[Lord Foulkes of Cumnock (Lab Co-op) [V]]

My Lords, I too thank the Minister for his introduction, but I join others in expressing my concern about the way in which Parliament has not been given proper opportunities to scrutinise the provisions to deal with the pandemic, some of which have really major effects and serious implications. I join my own colleagues in expressing real concern at the haphazard way in which this emergency has been dealt with by the Government. I share the view that many lives might have been saved if the plans to deal with the epidemic that were there had been updated and there had been quicker appreciation of the serious danger of the pandemic and the action that needed to be taken by the Government.

We will have an inquiry of some sort, and I hope that it will start soon. I also hope that this inquiry, as well as looking at the detail of how the pandemic has been dealt with, will also consider whether, by declaring a state of emergency, more decisions could have been taken on a UK-wide basis—as the Minister said in his introduction, if we had used the civil contingencies provision instead of the public health provision.

I am a long-standing and very enthusiastic supporter of devolution, and I would have liked more aspects of implementation to have been devolved to local authorities, not just in England but in Scotland and Wales. But there has been confusion resulting from different dates of restrictions and different levels or tiers, as they were called in some places, and above all by different messages in different parts of the United Kingdom, where the media still broadcast principally on a UK-wide basis. In fact, there was little difference in the level of infection or the speed of dealing with it or, most recently, in the mistakes made in different parts of the United Kingdom. There were far too many avoidable deaths in care homes, while there were similar levels of infection and almost the same level of vaccine rollout in each part of the United Kingdom. But it has been regrettable that some have used their power to make political capital out what should have been a united effort to fight the pandemic.

On another matter, I urge the consideration of vaccine passports or certificates to speed up a return to as near normal as possible. But we need to differentiate between passports or certificates for overseas travel and those for access to venues here in the United Kingdom. The issues, both practical and in principle, are different in each case. I hope that the Minister can update the House on progress on consideration of both of these and, again, I hope that they will be implemented on a UK-wide basis.

I express concern and disgust that some wicked people are taking advantage of the epidemic to cheat people, particularly older people. The Action Fraud unit has reported over 6,000 cases, totalling £35 million of losses. What is being done by the police and the cyber- security unit to counter these scams?

Finally, I will ask about pay in the NHS, as did the noble Baroness, Lady Tyler of Enfield. The Minister will have seen that, in Scotland, workers in the health service—not just nurses but all workers—are to receive a 4% pay increase, backdated to the start of the pandemic. Since both the health and financial situations are much the same north and south of the border and since the funds to cover the cost come from the Treasury and ultimately from the same taxpayers, will the United Kingdom Government now think again and agree to give NHS workers in England the same increase? It is totally hypocritical of the Prime Minister and others to stand on their doorsteps and applaud the commitment of the workers in the NHS but not to reward them properly in their pay packets. The Government of the United Kingdom must think again.

Health Protection (Coronavirus, Restrictions) (Self-Isolation and Linked Households) (England) Regulations 2020

Lord Foulkes of Cumnock Excerpts

Thursday 7th January 2021 Lords Chamber

[Lord Foulkes of Cumnock (Lab Co-op) [V]]

My Lords, these statutory instruments deal with protecting us from the virus—an area where the Government have, as others have said, a record of overpromising and underdelivering. An example is the test and trace scheme, which was hailed by Ministers as world beating but has turned out to be a miserable failure—except of course for some of the friends of those Ministers, who have made a fortune out of it. Maybe the Minister can tell us in his reply where the noble Baroness, Lady Harding, is and what she is up to now.

Now, as many others have said, success in defeating the virus depends on the efficient delivery of the vaccine. I fear that this is beginning to look like another government debacle. Therefore, first—a question asked also by the noble Baroness, Lady Ritchie—can the Minister tell us how many vials of each vaccine have been delivered to each of the three devolved nations? Secondly, when does he expect all the vaccination centres to be operational? Thirdly, when does he expect them to achieve the vaccination of 2 million people each week, as promised? Finally, what will the arrangements be for reporting regularly to both Houses on the progress of the rollout? From the reports of what happened when the Health Secretary visited Bloomsbury today, and from the letter from MPs of all parties in Birmingham, I fear that things are not going quite as well as the Government hoped and that we will fall behind on the delivery of this vaccine, in spite of the bombastic claims of the Prime Minister that we are again world beating.