World Health Organization: Pandemics

Lord McColl of Dulwich Excerpts

Tuesday 9th March 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, the Government are extremely committed to pandemic preparedness. We support the principle of a pandemic preparedness treaty, and we have laid out at UNGA a very clear programme for enhancing global pandemic preparedness. We look forward to the publication of the Independent Panel for Pandemic Preparedness and Response report shortly, and I reassure the noble Lord that this is top of the agenda at our G7.

[Lord McColl of Dulwich (Con) [V]]

Does the Minister agree that the WHO could support the management of future pandemics now by organising a worldwide vaccine passport? People are very keen to travel, and this would help the travel industry and could act as an incentive to those who are reluctant to take the vaccine.

[Lord Bethell (Con)]

My Lords, I share the noble Lord’s passion for international travel. Like him, I cannot wait for global travel to restart. I also see the connection between the promise of a vaccine certificate of some kind and taking up the vaccine itself. Plans for vaccine certificates for global travel are emerging as we speak. We have a Cabinet Office programme which is co-ordinating across government initiatives on vaccine certification, and a review is in progress which will pronounce shortly.

Dentists: Covid-19

Lord McColl of Dulwich Excerpts

Thursday 11th February 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I would like to reassure the noble Baroness that officials are working extremely closely with the dental profession on the arrangements for the new practice. It will not be a complete renegotiation of the full contract, but we are looking at what arrangements should be in place for 2021-22. And as I said before, I pay tribute to the hard work of dentists. Activity targets are a useful way of getting a focus on increasing the throughput of dentistry. We have a big backlog, and that is one way we can try to increase the velocity of dental appointments.

[Lord McColl of Dulwich (Con) [V]]

My Lords, in order to deal with this backlog, should we not rely on the good sense of dentists to prioritise their patients—for instance, to treat those with pain and infection with antibiotics, then deal with the less urgent problems? Would the Minister consider the fairer solution adopted by Scotland and Northern Ireland, where new activity targets are half those of England?

[Lord Bethell (Con)]

My Lords, the Chief Dental Officer has looked at the activity targets and done extensive modelling to ensure that they are fair and safe. The noble Lord is entirely right that some dental support can be done in absence through things such as antibiotics. But it is important that face-to-face appointments are increased, otherwise, we will have a generation of people whose teeth are not in great shape, which will cost the country dearly.

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

Lord McColl of Dulwich Excerpts

Thursday 7th January 2021 Lords Chamber

[Lord McColl of Dulwich (Con) [V]]

My Lords, I fully support these regulations to ensure that appropriate steps are taken in the right place to limit the spread of the virus. The places that need especial care are hospitals, particularly intensive care units. What progress has been made to reduce the number of their staff who are very vulnerable to the virus, such as those with type 2 diabetes, high blood pressure and other conditions that are caused by or aggravated by obesity? This measure is difficult with the present staff shortages, which are worsened by illness. Taking the long-term view with the prospect of future pandemics, how much progress has there been with the Prime Minister’s welcome initiative to reduce obesity in the 67% of the population of this country who are in this particular danger?

Medicines and Medical Devices Bill

Lord McColl of Dulwich Excerpts

Committee stage & Committee: 2nd sitting (Hansard) & Committee: 2nd sitting (Hansard): House of Lords
Monday 26th October 2020 Grand Committee

[Lord McColl of Dulwich (Con) [V]]

I fully support the amendments in the name of my noble friend Lady Cumberlege, and pay tribute to her for all the hard work that she put in—and for her coping with such harrowing experiences.

I hope very much that the Bill will prevent any such disaster as the use of mesh in operations in the pelvis. If experts had been consulted, they would almost certainly have warned that putting rigid materials under tension in such a position would run a very serious risk of acting just like a cheese cutter.

I emphasise what my noble friend said about safety, which is of overriding importance. I feel certain that, as many speakers have already said, it must become an essential part of the Bill.

[Baroness Masham of Ilton (CB) [V]]

My Lords, I wholeheartedly support Amendment 74 and similar amendments in this group. Nothing is more important than safety in all medicines and medical devices. First Do No Harm, the excellent report by the noble Baroness, Lady Cumberlege, highlights that patients should be listened to. They are the people taking medicines and using medical devices. In the last few months, coronavirus has cast a shadow over other needs, but safety is paramount for everyone. Masks and all PPE are in demand worldwide. Has the UK got an ongoing adequate supply?

The correct dressings for patients with wounds is an important safety issue. There is a lack of tissue viability nurses to give expert advice in rural areas. If NHS trusts and CCGs had joint working in local areas, this would increase capacity and save resources. If the correct treatment is not given, there can be long-term problems.

Patient safety will be improved if patient experience is listened to. Patient groups, academic researchers and medical research charities should work together to find the best solutions. Some of the technologies for blind people and people with speech problems are amazing. It is essential for the safety of patients that all staff and patients using medical devices should be trained in their use. A medical device turned off when it should be on can cause a disaster; the wrong substance in a drip can be fatal; and not listening to patients or their families about allergic reactions to medication, with doctors ignoring this information and prescribing the wrong medicine, can be a serious safety issue.

I hope that the Minister agrees that safety in everything should be paramount and should be the overriding consideration of this Bill. I hope that the Minister will do his very best to help with this matter.

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

Lord McColl of Dulwich Excerpts

Thursday 22nd October 2020 Lords Chamber

[Lord McColl of Dulwich (Con) [V]]

My Lords, these regulations also stress the importance of personal responsibility. A recent survey indicated low levels of adherence to self-isolation guidance, at 18%. The study was conducted by a range of bodies, including Public Health England and academic institutions. Will the Government publish that figure and emphasise that people must play their part in correcting it?

These regulations are, of course, an essential part of preventive medicine. Many countries with a high incidence of Covid also have a high prevalence of malfunctioning immune systems. Why do the majority of these citizens have immune systems that do not work effectively? It is simply because their immune systems have been poisoned by cytokines, which leak out of the excessive number of fat cells. The majority of people in these countries with a high Covid incidence are obese. Covid and obesity is a dangerous and often fatal combination, and we need an all-out nationwide campaign to reduce the obesity epidemic before we are overwhelmed by the next pandemic. Would the Minister agree?

Cancer Task Force

Lord McColl of Dulwich Excerpts

Tuesday 20th October 2020 Lords Chamber

[Lord Bethell (Con)]

The noble Baroness puts her case extremely well. We have a massive investment in the NHS that spans physical infrastructure and staff, hospitals and investment in nurses. This will have a big impact on the diagnosis of cancer, which we are committed to getting as early as possible, as well as on treatment for cancer. Treatment with radiotherapy will form an important part of that.

[Lord McColl of Dulwich (Con) [V]]

As there has been much more exposure to the sun this summer, there will be a greater incidence of melanoma. Does the Minister agree that screening is essential to detect melanomas before they spread rapidly and are fatal? If they are detected while they are less than 0.6 millimetres deep, they can be cured by a simple removal under local anaesthetic. Does he agree that this ought to be a priority for the task force?

[Lord Bethell (Con)]

My Lords, I completely and utterly agree with my noble friend.

Health Protection (Coronavirus, Collection of Contact Details etc and Related Requirements) Regulations 2020

Lord McColl of Dulwich Excerpts

Wednesday 7th October 2020 Lords Chamber

[Lord McColl of Dulwich (Con) [V]]

My Lords, I approve of the regulations, which came into force on 18 September. As the virus is spreading rapidly, the regulations are essential to collect certain contact details from customers, visitors and staff. Keeping this information for 21 days also seems reasonable and essential to enable NHS Test and Trace and local public health officials to contact vulnerable people and give them advice to help curtail the spread of the virus.

These debates and media discussions have been bedevilled by people who concentrate on destructive criticism but offer no practical solutions. For instance, we hear scientists saying, “There is no scientific evidence for the rule of six”, but is there any scientific evidence that such a rule would be harmful? Why do they not say what number they would suggest? Some of these scientists seem to behave more like party politicians than unbiased scientists. Should those doom and gloom merchants in Parliament and the media not realise that their repeated vitriolic outbursts do nothing but demoralise the public?

Coronavirus Act 2020: Temporary Provisions

Lord McColl of Dulwich Excerpts

Monday 28th September 2020 Lords Chamber

[Lord McColl of Dulwich (Con) [V]]

My Lords, first, I congratulate the noble Baroness, Lady Clark of Kilwinning, on her maiden speech, and am so pleased to know that she is from my favourite island, the Isle of Arran, on which I spent many a happy holiday during the war. I also congratulate my noble and learned friend Lord Clarke of Nottingham on his maiden Speech. I am so glad to have him here. I have always been very grateful to him, because he allowed us to reopen a little hospital in the East End, the Mildmay Mission Hospital. I think his civil servants had told him, “On no account are you to let them have it”, but he did, and for that we are very grateful.

Many of the critics of these measures seem, as has been mentioned, to be unaware that many of them use the powers of the Public Health (Control of Disease) Act 1984, as amended, including local lockdowns, national social distancing rules and travel restrictions. The Coronavirus Act 2020 is a bit different, in that it supports services to do with the public health response to the pandemic, provisions that support the furlough scheme and very successful changes in the Courts & Tribunals Service. The 2020 Act enables Her Majesty’s Government to respond effectively to changes in the pandemic, such as making it easier for people to receive their statutory sick pay. In a recent survey, 63% of the people of the UK considered that these measures did not go far enough.

[The Deputy Speaker (Baroness McIntosh of Hudnall) (Lab)]

The noble Lord, Lord Birt, has withdrawn from the debate, so I call the next speaker, Lord Randall of Uxbridge.

Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 2) Regulations 2020

Lord McColl of Dulwich Excerpts

Friday 18th September 2020 Lords Chamber

[Lord McColl of Dulwich (Con) [V]]

My Lords, these regulations seem reasonable to me, given the need to adapt quickly to control this ever-changing pandemic, the details of which we know so little about. As the last speaker said, Sweden is managing very well indeed; we need to learn from everyone. The restrictions on the size of gatherings seem sensible, as are the exemptions. Inconvenient as they are, we must abide by them, especially as we see the rapid increase in the virus in the north of England.

As a doctor, I am of course very concerned about preventive medicine, and I would like to say a few words about that. Early on in the pandemic, it was clear that the majority of those afflicted had many medical conditions that made them much more vulnerable to Covid. Obesity and Covid is a very dangerous combination, because obesity impairs the immune system. The reason for the high mortality in the UK is that the majority of people are obese, the population is the densest in Europe and, moreover, the UK is the travel hub of Europe.

Blaming the Government for the high mortality is, therefore, one of the most despicable allegations that I have heard in this pandemic. That kind of propaganda simply demoralises the public. Keir Starmer has said that he wants to help the Government fight the pandemic; does the Minister agree that, if he really wants to help the British people, Keir Starmer should join the Prime Minister’s campaign to reduce obesity now in order to reduce the mortality in future pandemics?

Health Protection (Coronavirus, Restrictions) (England) (No. 3) Regulations 2020

Lord McColl of Dulwich Excerpts

Thursday 3rd September 2020 Lords Chamber

[Lord McColl of Dulwich (Con) [V]]

My Lords, I welcome these regulations, because the trouble with the present local arrangements is that they are far too bureaucratic. Sometimes, they even require the participation of the law. It really is so difficult to get things done. Effective local decision-making is what is required, and we should have much more of it, rather than central control.

Perhaps the local authorities could also point out to all and sundry that politicians and the media, with their enormous power, spend so much time in destructive criticism of the Government, which demoralises the public. Blaming the Government for the high mortality rate of Covid-19 is false. The high mortality rate is due to the fact that over 70% of the people in this country are obese. Obesity and Covid-19 is a potentially fatal combination. If politicians and the all-powerful media really want to help the British people, they should support the Prime Minister in his campaign to combat the obesity epidemic.