Coronavirus Vaccine
Lord Rooker Excerpts(3 years, 12 months ago)
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Lord Bethell (Con)
The noble Baroness will probably have noticed earlier today the recent publication of test and trace figures, which showed a dramatic improvement in both the tracing numbers and the testing turnaround numbers. We still have far to go, and improvements are needed, but this is an extremely encouraging set of figures, which demonstrate that our focus on getting this important service right is undiminished.
In relation to getting the vaccine to poorer communities, the noble Baroness is entirely right: there are communities where the Government are not trusted as much as they are elsewhere and where there is suspicion of the vaccine. We are working extremely hard at the department, in the NHS and with Cabinet Office colleagues to reach out to community leaders and think of thoughtful and creative ways of ensuring that the vaccine penetration among these communities is strong and that we have built the confidence and belief necessary for people to step up and take the vaccine as they should.
Lord Rooker (Lab) [V]
My Lords, I echo my noble friend Lord Liddle in applauding the Minister on his approach and attitude. Is it not worth celebrating the involvement and success of Turkey, Germany and Belgium in getting this vaccine to the UK? We did not order all the vaccines so early. During the next few weeks, the Health Secretary has to be the most trusted voice of Government as he rightly seeks to persuade people to take the vaccine. How can he perform this role when he has uttered a string of untruths? The latest is that the medicines regulator could only work fast because of Brexit. This is untrue and everybody knows it. I hope this problem of trust can be restored because the advice given by the Secretary of State will be crucial to the take-up of the vaccine.
Lord Bethell (Con)
I am slightly surprised by the tone of the noble Lord’s question. If there were ever a moment when my right honourable friend the Secretary of State for Health deserved a bit of praise and a thank you, today would be that day. That ad hominem attack was beside the point. On his serious point about trust in the vaccine, it would not be helpful for politicians to lead the charge. Our approach is to put science and the NHS at the forefront of our communications. They are truly engaged with both the expertise and the communities that need to take the vaccine.
Department of Health and Social Care: Unpaid Advisers
Lord Rooker Excerpts(4 years ago)
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Lord Bethell (Con)
My Lords, I am extremely grateful to the noble Baroness for giving me the opportunity to set the record straight. It is worth sharing with the House that the emails to which she referred were sent after George Pascoe-Watson left his role as an adviser to the department. With the greatest respect to Portland and its chairman, the emails contained nothing more than the kind of speculation that one might find in any national newspaper. Therefore, at this stage, I thank those who have served as advisers to me and the department.
Lord Rooker (Lab) [V]
My Lords, given the disclosures in the Sunday Times about the Minister’s three telephone calls with suppliers and lobbyists at the same time, I am surprised that he has not recused himself. Has he complained about the newspaper placing him—the Minister —at the centre of the web of the Covid chumocracy? Does he agree with the chair of the Committee on Standards in Public Life, the noble Lord, Lord Evans, that too many in public life are disregarding the norms, ethics and propriety that have led to Portland Communications being secretly involved in government and then going off to make money?
Lord Bethell (Con)
I am grateful to the noble Lord for highlighting three calls to suppliers. I should like to reassure him that those were absolutely exceptional times, when our supply chains had broken down and we were competing with other Governments for extremely scarce resources. I personally did not make three supplier calls; rather, I made 300. I put out literally hundreds of calls on behalf of the Government to try to find the medicines, supplies, diagnostics, PPE and all manner of medical requirements needed for this country. I could have done that only with the help of the networks, energy, skills and support of those who stepped forward to help us at our time of need. I repeat, I am extremely grateful for that support. It does not warrant a place on the front page of the Sunday Times but the lack of follow-up from that newspaper article speaks for itself.
Covid-19 Update
Lord Rooker Excerpts(4 years ago)
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Lord Bethell (Con)
I can only apologise to my noble friend for the slowness in replying to his Questions. It is not a reasonable excuse, but the Department of Health and Social Care has been overwhelmed by the pandemic. A large amount of our correspondence is behind schedule. I have worked hard to try to catch up on that, but I apologise to him sincerely for the delay. When I get back to the department tomorrow morning, I will chase it up and get him replies to his perfectly reasonable Questions.
Lord Rooker (Lab) [V]
In the fourth paragraph of the Statement, the Secretary of State boasts that over 10 million people were tested at least once through NHS Test and Trace. The figure for the latest week, published by the Minister’s department today, is 10,800,031—a rise of 613,000 last week, or 87,600 a day. The week before, it was 88,200 a day, and the week before that it was 95,153 a day. Why are we going backwards in testing people at least once through NHS Test and Trace?
Lord Bethell (Con)
My Lords, the capacity that we have in track and trace is growing dramatically; the number of tests we have taken is going up. It is true that testing demand does fluctuate. There was a moment when universities had a very large outbreak and there was a huge amount of demand from universities, and there may well be other reasons why testing demand goes up in the future. But I reassure the noble Lord that the capacity, speed and accuracy of testing in this country are making huge progress on a day-by-day basis, and I pay tribute to those involved in the project.
Covid-19: Transparency and Accuracy of Statistics
Lord Rooker Excerpts(4 years ago)
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Lord Bethell (Con)
The noble Lord makes a very good point. We do publish data on excess deaths, which is available on the PHE website, but he is entirely right: we are deeply concerned not just about the Covid deaths but the impact of Covid on others who may be seeking to access the healthcare system. That is why we made the very hard and tough decision to lock down before the NHS was put under too much pressure, and it is why we have made the commitment to keep the NHS open during this lockdown in order to manage down that excess deaths figure to which he refers.
Lord Rooker (Lab) [V]
My Lords, given the leak, there must have been an element of rush for the Saturday press conference: 4 pm became 7 pm; I suspect a degree of panic. The leaker—and Gove, Hancock and Cummings must be suspects—is the cause of this. The refusal to accept supplementary questions at the press conference also contributed, because no sources were given, and the small print showed that the information was from early October. Therefore, in future, please could we have a Spiegelhalter kitemark on graphs at press conferences?
Lord Bethell (Con)
We all respect the word of Professor Spiegelhalter, who is a great man, but we have instead the Office for National Statistics and the publication of the graphs and the data behind them. I would be glad to send to the noble Lord a link, both to the slides and the data behind them, so that he can check them out for himself.
Health Protection (Coronavirus) (Restrictions) (England) (No. 4) Regulations 2020
Lord Rooker Excerpts(4 years ago)
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Lord Rooker (Lab) [V]
My Lords, at Prime Minister’s Questions today, the Prime Minister refused on more than one occasion to say what the Government are going to do with the time the next four weeks gives them. Can the Minister, in winding up, tell us, please?
Will a system for visitors to care homes be implemented? It should be really simple to designate one family member as a key visitor who can be tested like care workers. Will the Serco test and trace be fixed and then handed on to local authorities? The clinical director of the NHS, in his Q&A this afternoon, made it crystal clear that it is not an NHS test and trace.
We have lost a lot of time since the SAGE advice on 21 September. The tier system was not working as planned, so we now have lockdown longer and harder as a result. How can this be avoided again in the future? This is the second lockdown, later than it should have been to be effective and save lives. Surely, we cannot contemplate a third time—so what is the strategy to avoid this?
There are some 11,000 people today in hospital with Covid. We need these regulations to keep within capacity and so keep elective services going, unlike in the spring. I understand that the capacity for Covid is about 20,000, and it reached 17,000 in the spring. That still allows us to do other work, which is absolutely crucial. But compared to many OECD countries, our health capacity is not that good, measured by population against doctors, nurses, beds and intensive care units—and that is before we get to equipment such as scanners. Is anybody in government thinking about increasing our overall capacity?
My final point is that almost exactly a year ago, without warning or planning, I occupied an intensive care unit bed for two weeks while the NHS worked to stop me going over to the dark side. This was followed by another three weeks in the hands of the NHS. I want anybody in the same position as I found myself in to have the same chances of the NHS helping and saving them. This will not happen if Covid gets completely out of control and all the beds are taken. For that reason—to keep within our capacity—I have no hesitation in supporting these regulations.
Health Protection (Coronavirus, Restrictions) (Self-Isolation) (England) Regulations 2020
Lord Rooker Excerpts(4 years, 1 month ago)
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Lord Rooker (Lab) [V]
My Lords, the message was “clarity”; that is a joke. There are no less than five ways to calculate the period of time for self-isolation in the regulations: at Regulation 3(3)(a), Regulation 3(3)(b), Regulation 3(4)(a)i, Regulation 3(4)(a)ii and Regulation 3(4)(b). Who makes the calculation? If you slip up, potentially more than once, as the Minister indicated, there could be a fine of up to £10,000. This is completely unacceptable.
Why is there no mention of exercise as a reason for leaving the place of self-isolation? Exercise is a requirement to maintain physical and mental health. You cannot just isolate away if there is no prospect of exercise at all. Are the BMA and SAGE fully on board with this aspect of the regulations?
I do not accept that the police should be involved in the first place. Environmental health officers are perfectly capable and would have more trust in the locality if they were tasked with this role. In effect, the Government are starting to lose the trust of the people. I repeat: who makes the calculation of the time period for self-isolation?
Covid-19: South Yorkshire
Lord Rooker Excerpts(4 years, 1 month ago)
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Lord Bethell (Con)
My Lords, having worked in the hospitality industry for 10 years, I feel great kinship with restaurant owners but cannot avoid the fact that restaurants represent a major focus for transmission. Sitting opposite someone and having a long meal for a couple of hours, sharing the same air and space, presents a massive risk. There is no question that this is a substantial cause of the introduction of the disease into new households and we stand by the 10 pm curfew as introduced.
Lord Rooker (Lab) [V]
Should not Greater Manchester receive a backlog payment for tier 2 funding for the past two months, now that London has received one after two weeks? Given that the Government have got the UK into the world-leading position of third in most new cases, fifth in most deaths and sixth in deaths per million, why has no scientific adviser or Minister resigned over that appalling killing record?
Lord Bethell (Con)
My Lords, I am glad to reassure the noble Lord that Manchester businesses will be getting a payment to cover the backlog, as he described.
Covid-19
Lord Rooker Excerpts(4 years, 1 month ago)
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Lord Bethell (Con)
The noble Baroness makes her point well, but I will defend the three-tier system. It is an important mechanism to avoid a national lock- down, which is our objective. It was designed in close collaboration with local authorities and stakeholder groups. It has proved effective in a number of areas, and there is evidence of infection rates coming down where local lockdowns have been effective. But I completely agree with her analysis of public opinion. There is a growing sentiment that decisive action may be necessary, and an enormous amount of support, despite what one reads in the newspapers, for decisive action by the Government to restrict the spread of this virus.
Lord Rooker (Lab) [V]
I will change the subject. Early in the Statement yesterday, the Secretary of State referred to the shortening of the wait for cancer treatment since the long waits in July. I support the Secretary of State in thanking all the cancer teams working so hard, and indeed single out the staff of Hereford County Hospital in charge of my treatment, which started in Christmas week last year. Can the Minister confirm that the two-week cancer diagnosis plan is still functioning, and will he do more to encourage people to attend their GP, as I did, not guessing what was wrong? They do not have to be uncertain or have a suspicion, but if they know something might be wrong, the GP and the specialist will find it out. People need to be encouraged to do that and not be put off by the pressures on the NHS from the virus.
Lord Bethell (Con)
My Lords, I am enormously pleased to hear that the noble Lord’s cancer treatment has progressed so well. Like him, I pay tribute to those at the Hereford County Hospital who participated in his treatment, and in fact to all those who have maintained an incredibly high level of cancer treatments through the difficulties of the pandemic. Broadly, cancer treatments were maintained at around 85% of their normal practice during the summer months, and the restart has come on a long way. In July 2020, 87.8% of patients saw a cancer specialist within two weeks following a referral from their GP, and 94.5% of patients received treatment within 31 days of a decision to treat. However, I completely agree with the noble Lord’s analysis: more could be done. That is why we are backing the Help Us, Help You campaign, which is a very high-profile marketing campaign, to try to drive up attendance rates and ensure that no one is put off by fear of hospitals or GP surgeries when they have a tell-tale sign, and that they go and get the referral that they need.
Health Protection (Coronavirus, Local COVID-19 Alert Level) (Medium) (England) Regulations 2020
Lord Rooker Excerpts(4 years, 1 month ago)
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Lord Rooker (Lab) [V]
My Lords, two days ago, the Prime Minister sent us all a circular letter following his Statement. It had two enclosures, one of which was a chart of the local Covid alert levels. It is in three colours, so it is fairly simple. I have one question about one issue. In the description column, it lists “youth clubs and activities”. Under each level—medium, high and very high—it simply says in each column: “permitted”. I would like to know what is permitted and what is the evidence that youth clubs and activities are actually taking place? I get the impression that they are not, yet, clearly, under each of the regulations, they are permitted. Do the Government have any further information about that?
The Minister said in the previous debate that the system of government is such that we have all got to know each other better. I can guarantee that for the first six months of the outbreak of this pandemic, the words “environmental health officer” never crossed the lips of a Minister. Those 3,000-plus people are the unsung heroes of this country. They know how to check on disease control and other matters, but they were never used because they are public sector.
The Minister also said, very interestingly, that it is now superspreading events that are the problem. That puts the kibosh on the approval of the noble Baroness, Lady Harding, of the Cheltenham Festival, does it not? We need to go back and look at that: those events did cause problems. My only question about SAGE and the minutes of 21 September is not about the detail, it is why on earth, when the Prime Minister made his statement on Monday, he never referred to the fact that the SAGE minutes were going to be published. He must have known that. All he had to was mention it and simply say, “We have looked at it, but we are doing this.” That would have stopped all the rows and accusations about his judgment, but he failed to mention it, although he knew all about it.
On local authorities, the previous debate was about tier 2 and this is about the rest. It is true that the city of Birmingham, which I referred to before, is abounded by the local authorities in the West Midlands conurbation. But it is also abounded by Staffordshire, Warwickshire and Worcestershire and all are encompassed in the travel-to-work areas. Looking at the way the tiers have been drawn up, it looks as though the refusal to use travel-to-work areas may be an Achilles heel.
My final question is again to help the Minister because he is the one who raised this, not me. He boasted about 310,000 swabs a day and I asked him how many people were involved in those swabs. He did not answer, or even refer to his own boast. Yet in his own weekly statistics for NHS Test and Trace in England, as published by his department, those for the latest week of 24 to 30 September clearly state on page 41 in Annex A—it is the same annex every week—that the number of people tested totalled 588,895. That is 84,127 a day and the figure was less than the week before, so the testing system is not working. That is why we do not have a trusted system. Until it is working and the boasts of 500,000 being tested are made a reality—and how many people that involves—people will not trust the system or the Government.
Health Protection (Coronavirus, Local COVID-19 Alert Level) (High) (England) Regulations 2020
Lord Rooker Excerpts(4 years, 1 month ago)
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Lord Rooker (Lab) [V]
My Lords, the three-tier system is very seductive and most people could support the general principle; it is the operation that is the problem. As my noble friend Lord Hunt said, Birmingham being in tier 2 will have a devastating impact on local businesses already on their knees following the 10 pm curfew, which is unexplained and has been imposed despite the lack of any scientific evidence to justify it. We have scientific evidence that most of the transmission in Birmingham is due to socialising in private and home settings, not in other areas. The city council and the Greater Birmingham Chambers of Commerce have written again to the Chancellor seeking an informed approach to the implementation of restrictions and for restrictions to be tailored accordingly.
There is a very small rate of infection emanating from bars and restaurants in the city of Birmingham—we have already been given figures for the numbers of jobs involved. Such a move could, of course, save businesses and jobs: the opportunity was missed with these regulations. The city council and the chambers of commerce were supported by the mostly invisible Mayor of the West Midlands, who does not seem to have much clout with the Government. It is his party and we want him to have clout with the Government. I certainly hope that, in this case, the chambers of commerce have more clout.
What we need, above all, is to know what the criteria are for exit from tier 2, either to tier 1 or to tier 3. It looks as though, and the Minister carefully explained this, it is a make-it-up-as-you-go system by central government and Ministers, and that is not good enough. People need to know what is to be done. Where is the package of support? Many businesses, according to Birmingham City Council and the Chambers of Commerce, will not see 2021.
I have a question for the Minister, and if he cannot answer it now, perhaps he can answer it in the next debate. In the previous debate—or in this one, I forget now—he said that there were 310,000 swabs a day. My question is: how many people were swabbed to get the 310,000 swabs? The number of people being tested in England per day is 84,000—that figure is from his own department. He needs to explain the difference between these two figures and how it arises. I would be grateful to hear from him, either now or in the next debate.