Public Services: Update — House of Lords, 2020-04-29
Topic: Health
Dianne Hayter (Labour, Centre-left): My Lords, I thank the Minister for repeating yesterday’s Statement. He will know that we share the Government’s aim to save lives and rebuild our economy and well-being. In this context, there is much in the Statement that we applaud, particularly its acknowledgment of the role of volunteers, the health service, food growers and retailers, pharmacists, care workers, educators, charities, the police and the military. I would also add the BBC and indeed Ministers and civil servants, who have had to respond to previously unimaginable demands Unlike anything we have ever seen, this crisis has literally involved every single one of us. It is a national challenge like no other. We therefore have a population who are part and parcel of the country’s response and, in return, we owe it to them to be honest and transparent about the risks, the difficult trade-offs, the certainties and uncertainties, the data, and what the Government are actually doing, and planning to do. The Prime Minister, on his return to Downing Street from Chequers, pledged to act with "maximum possible transparency". We therefore hope that we will soon have reliable data on the rate of BAME infections and deaths—an issue of major concern to our Caribbean and Asian communities We very much welcome that, from today, the statistics will include deaths in care homes and in the community, as well as those in hospitals. This is right in itself, but it is particularly important because of the numbers involved—perhaps 19,000 Covid-related deaths; a near tripling of the number of deaths in care homes over three weeks—and because of the failure to ensure that these people in society’s care, and the staff who look after them, were properly protected with equipment and testing. This is no time to look backwards and consider why that was, but it is time to look forward and ensure that the situation is remedied. This is especially true as it looks as if the UK’s overall coronavirus death rate could outstrip that of Italy, France and Spain, and may even be the highest in Europe. We need the Government to take all necessary steps, and that includes heeding the very wise words "to underpromise and overdeliver, rather than overpromise and underdeliver"—as we saw, I am afraid, with PPE and testing. The Cabinet Office has a key role in this, not just on procurement, as mentioned quite rightly by the Minister, but on cross-departmental working and liaison, ensuring that lessons are learned as speedily as they are in the medical world, where advances in treatment of the virus in one week are disseminated around the health service profession by the following Monday. The Cabinet Office has a similar role in ensuring that everyone knows the lessons being learned elsewhere The Cabinet Office also has a role to ensure that all our citizens are fully informed about what is happening and what is being discussed. In that context, could the Minister explain why, if the Welsh, Scottish and indeed other Governments can ensure that signers are available and on-screen in daily press conferences, somehow No. 10 cannot quite arrange this? It can easily be done at a distance and so not break social distancing rules. Our deaf communities feel very strongly that they are being excluded from daily updates Going forward, plans to test and trace will affect all sectors of society, including those with a disability, and we will need every agency to help inform, encourage, test, safeguard and trace. That is a real cross-government task, involving local government, devolved authorities, charities—especially those working with the vulnerable—service providers, civic society, businesses and trade unions Until now, there have been some forgotten groups in all this, such as those who receive care in their own homes and domiciliary care staff. All these people must get the PPE that they need, and social care must be properly funded to deal with the extra costs of the pandemic These are some of the "here and now" issues, but we also need a viable and sustainable national recovery plan, which I assume will be Cabinet Office-led. For these next decisions, involvement across the piece is needed, not simply to help craft those plans, but to ensure that businesses, schools and other organisations have time to prepare, such that the infection rates do not increase again. Transparency and consultation will be vital, so will the Government publish their next- steps framework We stand ready to help—it is in the national interest—to ensure that the NHS, public services, businesses, workers, families and communities recover and become more resilient. But we need to understand, and contribute to, the Government’s thinking, so we ask that there is that involvement. Will the Government agree to hold talks with teachers, trade unions, businesses, charities and local authorities on how their forward strategy can be developed and implemented to rebuild the economy and jobs?