Covid-19: Test Results
Lord Fowler Excerpts(4 years, 1 month ago)
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Lord Bethell (Con)
I am extremely grateful to the noble Lord—I am never embarrassed—for giving me the opportunity to say a massive thanks to those tens of thousands involved. They take a huge amount of heat from the criticism targeted at test and trace, but many of them are working through the night to hit our targets, because people often take their tests during the morning or the afternoon. A lot of them work at the weekend and during holidays, when people often want their test results. It is arduous, tough, technical work and we are enormously grateful to those concerned. On local testing, we have in place 100 local test partnerships between local authorities and the national test and trace system which are proving extremely valuable, particularly in targeting hard-to-reach communities. We are putting an enormous amount of resources into them and they are proving extremely successful.
The Lord Speaker (Lord Fowler)
My Lords, the time allowed for this Question has elapsed. That brings Question Time to an end.
Cancer Task Force
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
I thank the noble and learned Lord for sharing that moving testimony. The broad point that he makes is entirely right—that Covid has an impact on our healthcare system that goes way beyond those who have Covid. It has an impact on the care and outcomes of all sorts of people who need important places in the healthcare system. That is why this Government are committed to the suppression of the virus and to protecting the NHS, and it is why, on behalf of everyone, we wish both the noble and learned Lord and his grandson well.
The Lord Speaker (Lord Fowler)
My Lords, the time allowed for this Question has elapsed.
Covid-19: Information Sharing with Police Forces
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
I am grateful for that important question. At no point would I ever wish to cast any aspersions or slur at the noble Lord, Lord Hunt, who I count as a close colleague and someone whose opinion I respect enormously. However, I was replying in response to his question about BAME communities. We are deeply involved in talking to a large number of those communities, which have traditionally been hard to reach. We are engaged with them on many levels to talk to them about how we can address the marketing challenge of getting our messages to them, how we can shape our messages so that they are fully understood, and how we can address any concerns they may have about the test and trace programme.
I can report to the noble Baroness that we have been extremely pleased by the very encouraging responses that we have had from those communities, which is why I do not think it is reasonable to assume that any particular community would be more or less suspicious of this programme than another.
The Lord Speaker (Lord Fowler)
My Lords, all supplementary questions have been asked, and that brings the Private Notice Question to an end.
Covid-19: Great Barrington Declaration
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Robathan (Con)
My Lords, the scientists from Oxford, Stanford and Harvard who are behind this declaration should surely be listened to as much as, for instance, the discredited Professor Ferguson or indeed SAGE. We know that NHS waiting lists are at an all-time high and that 3 million cancer screenings have been missed. We know that the average age of those dying from Covid is 82.4 years—higher than from other causes—and that a total of 313 people under the age of 60 and without comorbidities have died in English hospitals from Covid. Current policies are not working. Will the Government stop digging, get out of their hole and go back to first principles to determine the objective of their Covid policy, and then change tack to achieve that objective?
The Lord Speaker (Lord Fowler)
My Lords, I remind noble Lords to keep supplementary questions brief.
Lord Bethell (Con)
My Lords, I note that the 16,000 scientists supporting the Great Barrington declaration include “Dr Brian Blessed; doctor in winged flight, Z-cars and booming laughter”, “Dr Johnny Fartpants” and “Dr Johnny Bananas”. The serious point, however, is that the idea of “focused protection” is both unethical and impractical. Even if it was not, growing evidence of the impact of long Covid on the fit and young is mounting every day. On herd immunity, we currently have 8% sero-positivity, but we would need 70% for herd immunity, and it is completely improper to ask the young of Britain to suffer the risk of long Covid in order to achieve that. Winter is coming, and cold temperatures and more inside activity will raise prevalence. The great protection is simply not a conscionable option.
Lord Bethell (Con)
The noble Lord is entirely right in his analysis. The briefings from the Vaccine Taskforce to the Prime Minister are encouraging. One of the striking things about the updates is not only the promising nature of the Oxford vaccine, which is progressing very well, but the substantial pipeline of a dozen or more other vaccines that are coming through. Six of those have already been contracted by the Vaccine Taskforce on four different vaccine platforms. I am afraid that I cannot provide a firm schedule as such things are not in the gift of Ministers, but I am informed that progress is substantial.
The Lord Speaker (Lord Fowler)
I call the noble Lord, Lord Faulkner, who I forgot to call before.
Lord Faulkner of Worcester (Lab) [V]
My Lords, is the Minister aware that this so-called declaration is principally the work of the American Institute for Economic Research, a libertarian think tank funded by the Koch foundation and best known for its denial of climate change? As the Minister said in an earlier answer, a large number of the signatories are completely bogus. Does he agree that we should have nothing to do with fake science, which provides cover for a cull of the elderly and the disabled under the guise of herd immunity and promotes an American far-right agenda?
Lord Bethell (Con)
The noble Lord is entirely right: the impact on the economy of a full national lockdown has been learned already. We know what that looks like. It is a very tough decision and it is my hope and expectation that the British public and the health system will respond to the challenge they face and will step up. I would like to guide the noble and gallant Lord to the publication by the Government Actuary’s Department, the Office for National Statistics and the Department for Health and Social Care Direct and Indirect Impacts of COVID-19 on Excess Deaths and Morbidity. It spells out in very clear terms the economic and mortality effects of letting the disease rip. Those costs are simply unconscionable.
Food Hygiene Rating Displays
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
Well, the noble Baroness makes a strong case. I think a lot of consumers would like to see the kind of rating that she describes. I am not sure whether it is rightly the responsibility of food inspectors to provide that complex service, but we are working very closely with the hospitality sector on both tracing and the implementation of Covid-friendly measures. The response from the sector has been extremely strong, but we are maintaining a close analysis of progress.
The Lord Speaker (Lord Fowler)
My Lords, the time allowed for this Question has elapsed. We now come to the fourth Oral Question.
Social Care Workers
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
The noble Baroness makes her point extremely well. We want social care to be a profession that people seek out, where they seek professional development and where they can find a fulfilling lifetime career. That will not be true for everyone, but we need a backbone of people who are committed to social care. That is why we have massively increased the funding to local authorities so that they can address the challenge of social care, and why we have published the adult social care coronavirus winter plan in order to provide short-term support for local authorities to achieve exactly what the noble Baroness has spelled out.
Baroness Pitkeathley (Lab) [V]
My Lords, when there is a shortage of care workers, as there clearly is, the need for care does not go away; it simply falls disproportionately on the families and neighbours—the unpaid carers. Some 70% of these say that they have had to give more care than previously during the pandemic, with an average of 10 hours extra a week. How will these extra burdens on unpaid carers be recognised and supported both in the long-term plan and in social care reform, when we eventually get it?
Lord Bethell (Con)
My Lords, I am extremely grateful for the noble Lord’s recommendation. The project that he describes is incredibly interesting. I am not aware of it today, but I will definitely seek it out and try to find out more. I emphasise the broader point that the noble Lord is making: fresh thinking, digital innovation and the work of entrepreneurs to try to create new ways of working—to pool, for instance, the efforts of teams of people and to use platforms like the one that he describes—can make a massive difference in the area of social care. We are very supportive of digital entrepreneurs bringing fresh thinking to this important area of work.
The Lord Speaker (Lord Fowler)
My Lords, the time allowed for this Question has now elapsed. ‘
Covid-19: People with Learning Difficulties and Autism
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
My Lords, let me clarify with an update on the numbers. As of 25 September 2020, 690 deaths from Covid of people with learning disabilities have been reported to the leader programme since 16 March. We have commissioned Public Health England to carry out additional analysis of the existing data, which will be published as soon as it is completed. We are not trying to hide from this issue. Covid has raised very serious questions about the impact of a pandemic on those with learning difficulties, who are often more susceptible to disease and mortality than others. We absolutely accept the challenge of figuring out how to protect the most vulnerable in our society. Therefore, we will embrace the opportunity to take these learnings and put them into a disability report at some point in the future.
The Lord Speaker (Lord Fowler)
My Lords, I regret that the time allowed for this Question has elapsed.
Covid-19: Adult Social Care Complaints
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
The noble Baroness is entirely right. There are very good arguments for combining the two ombudsmen and that is recognised by both of them. However, the framework and structure for that kind of reform is best conducted when there is an overall reform of social care. The Government made it crystal clear during the election that they are committed to a major and significant overhaul of the social care system. That has been reiterated by the Prime Minister and the Secretary of State for Health and Social Care. When it happens, we will review the combination of those two ombudsmen, as the noble Baroness described.
The Lord Speaker (Lord Fowler)
Baroness Warsi? We will move on to the noble Baroness, Lady Thornton.
Baroness Thornton (Lab) [V]
My Lords, given the pattern and themes of complaints emerging during Covid, what will the role of the Health and Social Care Ombudsman be in the forthcoming inquiry into the pandemic? Will the Minister give a guarantee of full involvement of that ombudsman, given the evidence it can bring to the table?
Lord Bethell (Con)
My Lords, I recognise that the ombudsman’s recent report on adult social care did call for a statutory requirement for signposting. We have worked substantially with the sector to improve signposting of the ombudsman and other routes of complaint. The commitment by CQC and Healthwatch to the “Because we all care” campaign is an important and effective measure to fill the gap and raise awareness of the complaints procedure. It is right to wait until we see the results of that campaign. We acknowledge the possibility of mandatory signposting but would like to see a voluntary and more effective marketing campaign work if it possibly can.
The Lord Speaker (Lord Fowler)
My Lords, all supplementary questions have been asked. We now move to the second Oral Question.
Covid-19: NHS Application
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
My Lords, version 1 does not have an international component to it, but that is something that we would seek to develop. I emphasise that the app in its current form is very much focused on providing a huge amount of personal privacy and is therefore not an appropriate vehicle for putting in place any form of surveillance or quarantine management. That would be in breach of our arrangements with our technical partners, Apple and Google. Therefore, although I cannot give my noble friend Lady McIntosh a complete answer, I would like to hint that perhaps this will not be the vehicle for accelerating airport testing.
The Lord Speaker (Lord Fowler)
My Lords, the time allowed for this Question has elapsed.
Hospitals and Nursing Homes: Do Not Resuscitate Notices
Lord Fowler Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
My Lords, I welcome the testimony of the noble Baroness. We often keep track of Wales’s use of innovative health measures and, while I am not aware of this concept in particular, I will be glad to take the advice back to the department, recommend it and return to the noble Baroness with a response on how we are going to take it forward.
The Lord Speaker (Lord Fowler)
My Lords, the time allowed for this Question has elapsed—my apologies to the noble Lord, Lord Foulkes.