Coronavirus Bill — House of Lords, 2020-03-24
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): My Lords, I draw attention to my interests set out in the register, particularly in health and education. I join other noble Lords in registering my gratitude to and admiration for the NHS and care staff who are at the front line in battling this disease. We know they do an extraordinary job in ordinary times, but these are not ordinary times. Many of them are putting their lives at risk to keep us safe, and they deserve our eternal thanks for doing so. There are other workers whose work will also be important: the police, school teachers, postal workers, bin men and those working in shops and supermarkets. I add to that list my noble friend, other Ministers and the civil servants who are working so hard. Let us not forget the sacrifices that they are making to keep us safe and resolve to do everything we can to lead by example to show that we are listening to the Government’s advice about how we should go about living our lives The purpose and content of the Bill would ordinarily be anathema to a freedom-loving people like the British, but in these circumstances there is something we prize even more than liberty—security, which is what the measures in the Bill will provide. For that reason, and in accordance with other noble Lords, I am very supportive of this legislation, while sincerely hoping that we will not need it for the two years the Bill provides for I have a few specific questions that I would be grateful if my noble friend the Minister could address, if not today in his response, which necessarily will be loaded with content and questions already, then subsequently by letter. The measures to allow for the urgent registration of health and care staff are sensible, necessary and proportionate, but can my noble friend explain how his department is using technology to meet the challenge of registration, credentialing and deployment of staff in the NHS and care systems? He will also know that this will be reliant on very good and fluid data flows within the NHS, which has not always proved possible because of GDPR. I understand that a public health exemption for GDPR has now kicked in, but can he provide reassurance that those exemptions are well understood when it comes to front-line practice and that the GDPR regulations, which are understandable in peacetime, are not being used to provide barriers, however unwilling, to the proper deployment of the staff we desperately need to keep us safe I commend the Government’s idea for emergency volunteering leave. It is an excellent innovation, but the current plan allows for only up to four weeks’ leave. If the pandemic lasts longer than we hope for, are the Government open to extending this leave if there is need in society? In particular, what plans do the Government have to use the labour force, whose wages the state are now subsidising, which the IFS has estimated could be up to 10% of workers, to fill critical gaps in health, care and the wider economy? We do not necessarily want to get to the Ministry of Labour-type approach that we had in the Second World War, but there is nevertheless a moral obligation on those whose wages have been subsidised. We need to make sure that we can make the best of their good will I confess that I am slightly confused about the situation regarding the DBS checks set out in the legislation. There seem to be clauses covering Wales and Scotland, but not England. Making sure that we can safely but urgently redeploy people in the health and care system without suffering from this bureaucratic bottleneck will be critical. Can my noble friend clear up my confusion Clause 10 provides indemnity for those in the NHS and care systems who are moved on to Covid-19 work. That is excellent news. However, the EVL scheme is also likely to raise issues of employer indemnity outside the health and care system. Are the Government open to extending indemnity to the wider economy to cover those under the EVL scheme to reduce the barriers across the entire economy to using this pool of willing labour I would also be specifically grateful to my noble friend if he could provide more clarity on the responsibility of employers. I have just been on the LBC lunchtime programme, where this was raised by many listeners who felt that some employers are not acting responsibly by insisting that people should go to work. What provisions exist to force recalcitrant employers who are posing a health risk to their staff to obey the guidelines? Do the enforcement powers extend to organisations as well as to people? Many people would want to know that Finally, regarding education, schools across the land are managing heroically to provide physical key worker schooling while delivering online education for everyone else. I declare an interest as a parent of three children going through online education at the moment. No doubt we will muddle through to the Easter holidays, but schools simply are not set up for this eventuality in the long run. What plans do the Government have to provide financial and technical support to enable rich, high-quality learning from home? I reassure my noble friend that, notwithstanding the answers to these questions, which I know he will be able to give, the Government have my full support on these measures and I will do whatever I can to support the national effort As my noble friend Lord Bethell pointed out, the Bill is one part of the national response to Covid-19, but it is not the full armoury. Many other interventions are needed besides. That means, for example, making sure that as borders close, we do not interrupt the supply chains of the medicine and medical device industries and that they stay open; mercifully, that seems to be the case at the moment. The Government are ramping up ventilator and ICU capacity, which is extremely welcome, and we have unprecedented financial help for all those families whose livelihoods are at stake. Government should be and are being applauded for their actions, even while we know that much more is needed If my noble friend will allow me, I will make two more suggestions about policy interventions that I believe will be needed. The first is diagnostic testing. We simply are not yet at the capacity that we need to be at; we ought to be aiming for nationwide population-wide testing so that we can understand who is infected and who is not, to be able to redeploy them in the economy as soon as possible. Can my noble friend give me some idea about when that might happen? The cost-benefit analysis is overwhelming. It might cost £5 billion or £10 billion a year to provide such a scheme, which is a lot of money, but that is set against the £330 billion-plus package to keep our economy going through this time. I am sure that all Members of the House will appreciate some information on this. We also need a social policy package that is as ambitious as the economic and health plans we have in place. That is essential if we are to get through this crisis as a stronger and more cohesive society To conclude, we find ourselves, sadly and unexpectedly, in the most difficult of times, but I believe there is cause for hope. On the health side, we see the potential for vaccines and new treatments coming on stream. However, more than that, we will display our real character as a nation. The good news is that, according to the University of Delaware’s Disaster Research Centre, when faced with these crises we become kinder, not more selfish. Let us use this opportunity, which of course nobody wanted, to demonstrate just what the British have in their character.