Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020 — House of Lords, 2020-10-20
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I start by saying a massive hurrah to my noble friend Lady Fox of Buckley. I thank her for a rousing maiden speech, literally the best maiden speech that I have ever heard. She made a very clear case against cancel culture. She has identified herself as a free spirit, something that this Chamber values enormously, and has staked her claim as a champion for the transition from the EU. I know she joins many good friends in that cause here in the House I completely and utterly endorse the strong and heartfelt opinions expressed by the noble Lord, Lord Hunt, the noble Baroness, Lady Barker, and my noble friends Lady Altmann and Lady Neville-Rolfe on the hospitality industry. I have been part of the hospitality industry for a lot of my career. I care about it greatly and the sight of it ailing distresses me. I know those people who depend on casual labour from the hospitality industry to pay the bills; I have been one of them. I have no doubt about the profound impact at every level of society, from those who are poorly paid to those who own the businesses, of the restrictions that put those businesses under massive pressure—for some, maybe even terminal pressure. It would be completely inhuman of me not to address the economic and psychological distress of the result of that. I completely endorse their concerns on that matter However, I have to challenge some of the assumptions that seem to be in the ether. I have clear, positive evidence for the impact of Covid in late-night drinking. I wonder: what is the alternative, the counterfactual, that is being suggested in this debate? Is anyone really suggesting that late-night drinking is in some way conducive to social distancing? If so, they have very different memories from mine of times in the pub. Is anyone suggesting that late-night drinking somehow enhances the rule of six and brings discipline and a strict regime to people’s social lives in the pub after 10 pm? Is anyone suggesting that pubs somehow get cleaner after 10 pm, with the virus somehow evaporating like Cinderella at that time, instead of actually getting dirtier and more contagious? Is anyone really suggesting that post-pub socialising somehow reduces, the more you drink and the later it gets? None of those things was my experience; nor is it the experience of those who have put these regulations together My noble friend Lady Altmann is quite right to ask for an impact assessment. I guide her towards PHE, which has published a really clear assessment on the direct and indirect impacts of Covid-19, written by the ONS, the Department of Health and other government people, and approved by SAGE. It is important reading. It spells out in clear terms the impact on mortality, on the economy and on secondary health outcomes, and I highly recommend it I shall address some of the many worthy and valuable questions asked in this debate. The noble Lord, Lord Adonis, asked, slightly off-topic but very importantly, about schools. He is right: it a source of concern that there is a balance to be struck between the discipline and requirements of keeping infection out of schools and the importance of keeping those schools going full-time. As a father, I can say that two of my children are out of school at the moment and there is a huge amount of pressure on the disciplines. I reassure the noble Lord that we are working intensively with teachers, schools, councils and the Chief Medical Officer’s office to put together guidelines that can accommodate these very difficult situations I applaud my noble friend Lord Blencathra’s commitment to consent but I remind him that we have hardened the legal framework; in fact, we were here discussing that a few hours ago. However, I utterly reject his characterisation of the NHS. Instead, I pay tribute to the doctors, the nurses and indeed the bureaucrats who keep the show on the road under extremely difficult circumstances. I warn everyone that any virus as vicious as Covid will be a huge challenge to any health system. I am extremely proud of the way that the NHS has stood tall in the face of this storm My noble friend Lady Stroud lifted the debate, characteristically, with extremely wise words on prosperity, trust and personal responsibility. These are very much the values that we seek to apply in our response to Covid. However, I remind her that we need to balance personal freedom with the public health imperatives, of which there are two in particular: first, my health affects your health; and, secondly, we can beat this virus only by acting together. It is by balancing those two imperatives—personal freedom and public health—that we go about our business I was extremely surprised by my noble friend Lord Balfe’s comments, coming from someone who is normally such a sensible source of grounded wisdom. He somehow made the case for the thinking classes and the commentariat as if they should be running government policy—God forbid. In fact, I remind him that, as the noble Lord put it, these restrictions are working, they have had an impact on the spread of the disease, they are massively supported by the public and, as he knows, the alternative is a meltdown of our health service, and potentially hundreds of thousands of deaths My noble friend Lord Bourne is right to raise the difference between weddings and funerals. I can explain it briefly but I am happy to write to him in more detail: weddings are considered to be relatively voluntary but funerals are completely involuntary. That is why we allow a larger number of people at a funeral than at a wedding I would like to end on a note of optimism. My noble friend Lord Moynihan asked whether we were still focused on the actual care of people. I reassure him and the Chamber that we have made massive strides in the development of therapeutics to help us treat those with Covid. We understand more and more about the impact of long Covid, which is a terrible threat, and we understand better and better the ways in which we can diagnose this awful disease My noble friend Lord Bourne and the noble Baroness, Lady Jolly, both mentioned Taiwan. I share their respect and admiration for the way in which that small democratic island has gone about its public health challenge. There is a lot to learn for all of us. I reassure the noble Lord, Lord Bilimoria, who has become an even greater evangelist for mass testing surveillance than me, that we are making massive strides. I pay tribute to the innovators around the world, but particularly the British innovators, who are bringing us incredible new testing technologies, and we are applying them at speed Finally, I ask the noble Baroness, Lady Jolly, to weigh heavily the tremendous commitment that we have to working with councils. In response to the noble Baroness, Lady Thornton, I do not think that I ever said that the discussions were easy or wonderful; I said that they were energetic. She has a point—these relationships are difficult and, as we speak, just how difficult some of them are is being played out. However, that does not mean that we do not care or that we have not tried. In fact, I hope that we can build on this engagement to create not only a stronger response to Covid but, ultimately, a stronger democracy. In that spirit, I ask the noble Baroness to withdraw her amendment.