Health Protection (Coronavirus, Restrictions) (Blackburn with Darwen and Bradford) Regulations 2020 — House of Lords, 2020-09-24
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, it has always been clear that, once the country emerged from a national lockdown, there would be local outbreaks. Our strategy was to bear down heavily on these outbreaks, in line with best practice from around the world. The complex challenge for government has been to tackle these in a proportionate, locally engaged, evidence-based manner, recognising the impact of the virus on the vulnerable and the NHS while being sensitive to the impact of restrictions on local communities and the economy. An added complication in this instance was that we were looking at increasing infection rates in areas with substantial Muslim populations at the same time as the festival of Eid. This is not something we did lightly, and we were reluctant to disrupt this important moment—but action was imperative There were regulations predating these that imposed restrictions in Blackburn with Darwen—as well as Luton—that came into force on 24 July. These regulations restricted certain businesses in Blackburn with Darwen and large gatherings in both local authorities. The regulations we are discussing today replaced Luton with Bradford Metropolitan District Council. These regulations were reviewed regularly and came into force on 26 August, 2 September and 3 September. Essentially, each amendment reduced the protected area to focus our restrictions to the smallest reasonable area, which in practice meant specified wards only in Blackburn with Darwen Borough Council and the City of Bradford Metropolitan District Council, releasing wards where incidence rates were lower from local restrictions I should stress that the judgment about when to remove restrictions is driven by the evidence, but no single piece of data determines that decision. The infection rate per 100,000 of the population is important, but so is the test positivity rate, acceleration rates, intelligence from local infection teams, hospital data, international comparisons, the national picture, and the robustness of local plans to tackle outbreaks. So, for example, the infection rate in Blackburn with Darwen as of 1 August was over 70 per 100,000 people. By 26 August the rate had fallen to 52, and it fell again to 48 by 2 September. Similarly, at 1 August, the rates in Bradford were around 47 per 100,000, falling to 44 by 26 August and remaining at that level for the following week This was important data. But it is also important to understand the local context, particularly an assessment of how well the local communities were prepared to bear down on the outbreak, so we could judge where restrictions could be safely lifted. This is where the partnership between national and local government comes in. From the centre comes a range of support, including extra testing capacity and mobile testing teams, financial support for businesses and communities, and postcode-level data on cases enabling a more granular understanding of the progress of the virus Funding is essential to effective infection management to support the right behaviours. In Bradford, for example, central government funding was invested in supporting community-level assets, such as the Council for Mosques, voluntary and community networks that already engaged with a wide range of diverse groups, community wardens, youth ambassadors, and in services that already supported hard-to-reach groups in the community. The Council for Mosques led on development and communication of an Eid management plan Similarly, Blackburn with Darwen, responding to rising numbers of cases in July, developed a social movement of guidance, including face coverings in all public spaces and no hugs or handshakes. The local public health team, along with colleagues across Lancashire, has worked with local community leaders and faith networks to spread public health messages These examples demonstrate that successfully tackling Covid requires that partnership of central and local government. The Government have therefore consistently adopted the important principle that, wherever possible, decisions affecting local populations should be reached on a consensual basis and have put in the necessary bridge building to create that consensus. During this period, we began to have access to detailed data on infection rates down to ward level—data which we share with local teams. I note that the process of familiarisation with the new data sources, category terms and trends sometimes has a steep learning curve for all concerned In summary, I reassure noble Lords that the national teams at test and trace and Public Health England have worked incredibly energetically and swiftly to put in the decision-making connections, the financial resources and the data exchange necessary to implement a joint national-local approach. This has been a learning experience for all parties and agendas are not always perfectly aligned, but, during interventions such as this, there has been tremendous good will and lessons have been learned that inform our current system, which works much better. The Government are deeply grateful for the constructive way in which local leaders have engaged in this process, and I am sure the whole House will join me in paying tribute to the huge efforts of local leaders in the affected populations Since these regulations and their amendments have been implemented, the Government have continued to monitor and review the ongoing situation. The incidence rates in both local authority areas have, in fact, risen across most wards. The incidence rate for the seven days from 2 to 8 September in Blackburn with Darwen rose to 110.8 per 100,000 people, and during the same period it rose in Bradford to over 100. While we are only debating these four statutory instruments today, there have been regular reviews since they were made, considering the position in each local authority’s area, and we remain concerned by the continued high levels of the virus in both, driven primarily by community transmission In terms of next steps, we continue to learn from the local outbreaks and we will use the experience of these restrictions in Blackburn with Darwen and Bradford to inform and help us develop our responses to any future outbreaks. Furthermore, we will continue to offer transparency in our future reviews I am grateful to your Lordships for your continued engagement in this challenging process and for the scrutiny of these detailed regulations. I completely recognise that it is a frustrating process to be considering regulations such as these weeks or months after their implementation. I reassure the Chamber that this approach has given us a valuable legislative framework to react promptly to the fast-changing and sometimes unexpected twists and turns of this horrible disease, and that the scrutiny of sessions such as these, even if it is necessarily post hoc, has informed our decision-making on issues such as data sharing and engagement with local authorities Lastly, I thank the people in the protected areas in Blackburn with Darwen and Bradford who continue to respond to the measures put in place. It is unfortunate that the restrictions cannot be lifted at present, but, thanks to their continued efforts, it has not been necessary to impose further restrictions. I beg to move.