Health Protection (Coronavirus) (Restrictions) (England) (No. 4) Regulations 2020 Debate
Full Debate: Read Full DebateLord Haskel
Main Page: Lord Haskel (Labour - Life peer)Department Debates - View all Lord Haskel's debates with the Department of Health and Social Care
(3 years, 9 months ago)
Lords ChamberMy Lords, I declare an interest in that I am 69 and am definitely entering the danger zone for coronavirus. Actually, I believe I had it in late March after lockdown. It was largely asymptomatic and possibly acquired here in this House. I appreciate that my noble friend the Minister and the Government are in an impossibly difficult position. Nobody doubts that this is an unpleasant, virulent and highly contagious virus that is killing people, especially the old and vulnerable. Beyond that, there is huge disagreement among the public, politicians and scientists.
This morning, I attended a meeting with Sir Jeremy Farrar of SAGE. He was very reasonable, plausible and balanced but not ultimately convincing because of differing and competing views. For instance, Professor Heneghan, of the Oxford Centre for Evidence-Based Medicine—I emphasise “evidence-based”—said that the R rate in Liverpool is falling among the over-60s. Apparently, Covid cases in Liverpool hospitals are falling. King’s College London believes that the R rate in England and Wales now is approximately one and Tim Spector, a professor of epidemiology at King’s, thinks that the peak of the second wave has passed. Professor Gupta at Oxford and many other eminent scientists disagree with the SAGE analysis. We were told on Saturday by Sir Patrick Vallance of a trajectory of 4,000 deaths each day without a lockdown and yesterday, the Chief Medical Officer, under questioning, reduced that number to 1,000.
What I am saying is that nobody really knows, and scientists and doctors disagree. For instance, just over 1 million people have officially had Covid but I think that there are very many more. I suspect that all of us know people who believe that they have had it. We do not know how many cases are hospital-acquired infections; yesterday, Jeremy Hunt said that it is 18%. We do not know when and if a viable and effective vaccine will be produced. We still do not know why people have such totally different responses and symptoms. My son had the virus before the lockdown in mid-March. He recovered but said that he could not taste or smell anything. That was not declared a symptom until late May. This morning, Professor Farrar said that we still do not know much about the long-term effects—so-called long Covid. Of course, respiratory diseases such as pneumonia have a lingering effect that sometimes takes six months or more to recover from. The truth is that nobody knows much about this virus or the epidemic.
However, we now know that one has only a 50% chance of survival if put on a ventilator. We were not told that in April during the panic to get more ventilators, so advice changes. We know that only something like 320 deaths from coronavirus, every one of which is a tragedy, have occurred among those aged under 60 without comorbidities. Among the under-40s, there has been a total of about 250 deaths from the virus during the epidemic, overwhelmingly of people who were already vulnerable with comorbidities.
We know that our young people—our children and our grandchildren—will be saddled with debt for decades, as my parent’s generation spent decades paying off debt from the Second World War. Will our children ever forgive us? We know that unemployment will rocket next year. We know that businesses, large and small, will be closed in their droves. In hospitality, pubs and restaurants will close their doors tonight and many will never reopen. We know that cancer treatment has ground to a halt for hundreds and thousands of patients. We know that domestic abuse and mental health issues have increased dramatically—as, it appears, have suicides. We know that students are locked into halls of residence, ruining their time at university; they are turned into criminals if they leave. They will then face a desolate employment landscape in which to find a job. Therefore, is it not reasonable to ask for a cost-benefit or risk analysis? Yesterday, Robert Jenrick, a Cabinet Minister for whom I have a high regard, said that there had been no impact assessment. Surely we should expect such an assessment before embarking on a serious act of national self-harm, yet the Government do not appear to have done one.
The second part of my amendment calls for an explanation of the Government’s comprehensive long-term strategy. In the last century, when I was in the Army, it was a given that one explained to all one’s soldiers the rationale behind orders if one expected them to follow them. It is called leadership. I ask the Minister to tell the House what the strategy is behind government policy. The country is locked down so infections should fall, but when restrictions are lifted, it seems to me that infections may rise again, meaning a third wave. Then what? An effective and reliable vaccine may appear, or it may not. It may be only 50% reliable anyway, as I read from another expert. As I understand it, a vaccine makes the patient’s body produce antibodies, but now we are told that many recovered patients lose their antibodies within six months. Is that the case?
As a loyal Conservative, I want to believe that the Government have a strategy but my credulity has been strained somewhat. We were originally told, until late August, that face masks were essentially of no use. We have been told to go back to work. It is only two or three weeks since we were told that there would definitely not be a second national lockdown. I regret to say that an enormous amount of good will and trust has evaporated. We are told that the public support a second lockdown. I am not so sure, but the role of leadership is to lead. We need courageous leadership to explain the costs, benefits and risks surrounding this crisis and this measure. We need to a clear strategy to take us through this crisis.
I do not underestimate the extraordinarily difficult choices before the Government; nor do I envy Ministers having to make these decisions. I will listen to the 50 or more contributions and look forward to the Minister’s response, but I currently intend to divide the House on this amendment.
I should inform the House that if the amendment in the name of the noble Lord, Lord Robathan, is agreed to, I cannot call any of the other amendments by reason of pre-emption.
My Lords, I do not envy my right honourable friend the Prime Minister for having to decide where the balance should lie between saving jobs and the economy or saving lives. When I watched his press conference on Saturday, however, I felt immediately sceptical about the data we were shown by his advisers. Part of the reason for the much higher incidence of infections in this second wave is that very many more people are being tested. Therefore, many more people with only mild symptoms, or no symptoms, are appearing in the statistics than was the case in March and April. The proportions of infected people who are dying, and of those who are hospitalised, are also very much lower than was the case in the first phase. In particular, the graph showing scenarios for expected winter deaths—not predictions or forecasts—produced by several modelling groups looked suspicious, as did the graph with an enormous shaded area projecting possible hospital admissions.
I find the arguments put forward by Professor Carl Heneghan and Ross Clark persuasive, and they have not been given enough weight, particularly when there is some evidence that the regional measures were actually working in the areas where they had been introduced and no likelihood whatever that hospital capacity may be threatened in the rest of the country.
It has been argued that immunity provided by antibodies may not last long, and statistics have been presented showing a declining proportion of people possessing antibodies. Having had the virus, without realising it at the time, in late March, I tested positive for antibodies both in early May and at the end of September. I am not aware of anyone who had tested positive for antibodies who has subsequently tested negative. Could the Minister tell the House if he knows what data exists in this area? Without specific data it is clearly misleading to argue definitively that the possession of antibodies offers little mitigation of the risk of being hospitalised or dying as a result of contracting Covid for a second time.
I am no epidemiologist but, based on the evidence I have seen, I do not believe that the state is justified in intervening to deprive citizens of their freedoms in the way that it is doing, particularly if it is using powers granted by an Act of Parliament which was never intended to restrict the activities of healthy people, as was so convincingly argued by Lord Sumption.
I have attended in two cases, and been prevented from attending in one case, the funerals of three close relatives during the period since the pandemic struck. It is welcome that the number who may attend funerals—which had been increased from nine to 30—remains 30 under this current lockdown. However, I think it is most regrettable that the Government have now banned marriages altogether. I have another close relative whose wedding has already been postponed for several months by Covid-induced travel restrictions. He had planned to marry this month, albeit with only 15 people in attendance, but that is not now possible.
The noble Lord, Lord Loomba, has withdrawn, so I now call the noble Lord, Lord Marlesford.
The noble Baroness, Lady Verma, has withdrawn, so I call the noble Baroness, Lady Mallalieu.
My Lords, I shall be voting with the Government tonight, conscious of the many concerns expressed by noble Lords, not least those recently expressed by my noble friends Lord Cormack and Lady Altmann about the complete absence of evidence that the Government can produce for the ban on collective worship. We are at a point where something must be done and this is the only option in front of us, but I will make two points.
First, this has now ceased to be a matter fit for legislation. If you want a law to close pubs or restaurants, that is fine; it is nice and simple. However, when you come to micromanaging the lives of individuals and families, as Part 2 seeks to do, with 10 principal exemptions and numerous sub-paragraphs, it is simply absurd. It will be incomprehensible to families, police and enforcement authorities alike.
Many of these exemptions are common sense, but you cannot legislate for common sense; you can only ask people to exercise it. If any of these measures are to be continued after 2 December, they cannot be in this form; they need to be based on trusting people. That sounds like Sweden—I have never been a vocal advocate, or any advocate at all, for Sweden or its approach, but that is clearly where these regulations are pointing.
My second point is that Covid is a medical problem, requiring medical solutions. However, we have made it the prisoner of statisticians and geeks with models. As the noble Lord, Lord Desai, pointed out, they are geeks who cannot agree on anything significant, except that a line pointing upwards will continue to do so if nothing prevents it. We have no choice, in practice, but to rely on improvements in treatment and care to reduce mortality, as is already happening, as the noble Lord, Lord St John of Bletso, pointed out.
We cannot rely on a silver bullet: a vaccine that may be only partially effective—who knows?—or a test, trace and isolate system, which, even if it tested and traced effectively, cannot persuade people to isolate. Today is the day, and November is a write-off, but we cannot find ourselves in this position again. I urge the Government to use this month to consider a reset in their approach and lead us forward on the basis of trusting people and improving treatment and care.
The noble Baroness, Lady Browning, has withdrawn, so I now call the noble Baroness, Lady Boycott.
My Lords, it has been very interesting listening to noble Lords talking about the way we have blundered into this lockdown, thoughtlessly and without a great deal of evidence.
As many noble Lords will know, my concern is how people are going to eat or, rather, not going to eat. During the first lockdown, Feeding Britain—I declare an interest as its chair—worked with Northumbria University and found that one in four adults across the UK were struggling to access food they could afford. Half of all adults tried to cope by purchasing much less expensive—that is, really unhealthy—food which they would not ordinarily choose to buy. Nearly one in four adults looking after children ate less than they would normally do in order to feed their kids. Some people were going without food for up to three days. Since then, the economic consequences of the pandemic have led to many people, whose earnings from regular or self-employment previously afforded them a decent quality of life, using food banks for the first time. This was widely reported earlier this week.
There is a sense of outrage and injustice attached to each of these developments, and I propose the following four measures to the Minister to prevent these alarming trends worsening during this second lockdown, which is happening in the winter with a huge number of lay-offs. First, benefit sanctions must be suspended for at least the duration of this lockdown, given the lack of jobs which people can apply for. Secondly, the gaps in support schemes for low earners and the self-employed must be plugged so that nobody losing work is forced, in these cold months, to choose between eating or keeping warm. Thirdly, we need a Defra-led taskforce to maintain and improve the supply of affordable food to vulnerable people and those on low incomes. I suggest that money could be diverted to local cafés to feed such people. That also secures employment, rather than trying voucher schemes, which did not work last time. Fourthly, the national food strategy’s recommendations need to be implemented immediately, with a national programme of meals and activities for children over the Christmas and February holidays. We all know what that one is about.
Finally, while we all welcome the £20 increase in the universal credit, can that please be extended to those on legacy benefits such as JSA and ESA to ensure that they can meet any additional costs that crop up in this pandemic? My fear is that, in the absence of any of these reforms, the poorest in our society will be clobbered yet again by the latest social and economic consequences of Covid-19 and this pretty unnecessary shutdown.
The noble Lord, Lord Fairfax, has withdrawn. I call the noble Lord, Lord Trimble.