My Lords, we are all aware of the rising rate of infection, particular after this morning’s candid briefings, and the risks that it poses. Your Lordships will therefore understand the importance of taking the necessary steps to keep members of the public safe, while continuing to keep the economy running and schools open, and heading off the need for a second national lockdown.
We know that some of the rules put in place have become increasingly complex and difficult to enforce. That is why the Prime Minister has set out—or will set out—how we will further simplify and standardise local rules by introducing a three-tiered system of local Covid alert levels in England. This is not the subject of the debate today, nor does it change the legal requirement to wear face coverings, but it should reassure noble Lords that we continue to work with the local leaders to tackle outbreaks with more targeted restrictions that are simple and constructive.
The regulations being debated today introduced the requirement that members of the public should wear a face covering in taxis and private-hire vehicles. In addition, they should be worn when inside premises that provide hospitality, such as a bar, pub or restaurant, except when eating or drinking, for which people must be seated. This means that people must wear a face covering when entering, leaving and moving around the premises.
I think the Minister will find that we are supposed to be discussing the north-east, rather than the face coverings. It does not make any difference—I am quite happy to do them that way round, but we might get confused.
My Lords, I apologise and give great thanks to the noble Baroness for the polite and kind way in which she brought that to my attention. At this point, we are debating statutory instruments that apply to the north-east of England and were in force on 18 September. As your Lordships may know, a Prime Ministerial Statement in the other place will address these sorts of issues and we will of course keep a careful watch on the progress of that debate.
Over the past few months, local restrictions have allowed us to home in on areas where cases are high and rising, and put targeted measures in place. I understand that the measures we are debating have greatly affected families living in Northumberland, Newcastle, North Tyneside, South Tyneside, Gateshead, County Durham and Sunderland. Families in these areas are no longer able to meet relatives as they used to. I recognise the disruption the measures cause, particularly for those relying on often complex networks of grandparents and friends to help out with childcare. We must celebrate the complex civil communions which underpin so much of our day-to-day regimes.
However, this virus is transmitted by people meeting up with each other and the horrible truth is that the closer our friendships, the more relaxed we are in each other’s company and the harder it is to keep socially distanced. These measures are not taken lightly. They are driven by our public duty to protect the most vulnerable people in our society and do our utmost to ensure that this virus does not adversely affect these groups. What is of concern is that the number of cases in the over-60s is rising; we know that coronavirus symptoms can be more severe for people in this age group. I recognise that the Government are asking many people living in these regions of the north-east to make sacrifices to protect those most vulnerable to this virus. We will need to make adjustments to our daily lives until we have suppressed or eradicated this terrible disease.
My Lords, thank you. Surely, the Minister was right to open by emphasising the gravity of the situation, but here we are again debating regulations that have already been superseded, which serves to underline the unsatisfactory nature of how we are dealing with local Covid lockdown regulations. I do not want to go over the grounds of my PNQ on Friday, but, when Mr Speaker called for the most significant of these regulations to be debated in Parliament at the earliest possible point, I think he spoke for the great majority of parliamentarians.
As the Minister has said, the Government propose to introduce a new tiered system of restrictions for local lockdowns, and, whatever the justifications for them—the noble Lord is right about the evidence that we are facing—they involve a serious reduction of people’s liberties and, of course, put many businesses in jeopardy. I am in no doubt that this House should be asked to approve them before they come into force, just as the Commons is likely to do. My understanding is that that is now likely, and, if so, this is very welcome.
Of course, the relationship between government and local authorities is highly relevant to this and the regulations the noble Lord spoke to today. Right from the start—going back to March—the Government seemed to exclude local bodies from the key part that they could have played in helping to combat and manage the virus. Public health directors were ignored, NHS and university lab capacity was overlooked and, as the Institute for Government has pointed out in its analysis of government decision-making:
“The decisions on lockdown and school closures were taken and introduced swiftly, and with little consultation and planning for how they would work in practice.”
I was very struck by a comment made by the Newcastle City Council leader Nick Forbes a few days ago. He said that confusion over the latest restrictions was deeply unhelpful and that they were very difficult to enforce and had left dangerous conspiracy theories to fill the void. We know that a frequent complaint of many leaders is that local authorities were often given little notice of when local regulations were to be made.
My Lords, I apologise again, particularly to the noble Lord, Lord Hunt, and the noble Baroness, Lady Thornton. I was looking at the list for the next debate. I call the next speaker for this debate, the noble Lord, Lord Greaves.
3:08 pm
Lord Greaves (LD)
My Lords, I support and underline everything that the noble Lord, Lord Hunt of Kings Heath, has just said. This is the latest set of local area statutory instruments that we seem to discuss on almost a daily basis. Yet again, they are out of date—it may be a little known fact, but this is actually now called the Health Protection (Coronavirus, Restrictions) (North East and North West of England) Regulations 2020 as a result of an amendment in another obscure statutory instrument that we received. This illustrates the confusion about the whole thing. If the new initiative that may be announced this afternoon provides more consistency and makes these things easier to understand, that, at least, will not be a bad thing. I will not talk about childcare today; I think we will want to talk about that when we discover what is being proposed today.
I do, however, want to talk about test and trace. I believe it is now generally understood that, whatever restrictions are imposed and whatever the legal background to them, an efficient, well-run and successful system of testing, tracing, tracking contacts and isolating as appropriate is key to tackling the coronavirus problem. It is clear that whatever claims are made about the number of people who have been tested and all the rest of it, the system throughout the country is a shambles. This has to be tackled, and I am sure that everybody wants that. The key to it must be to do it a local level and to involve the skills and knowledge of those who do it week by week as part of their normal jobs—not in the case of coronavirus but in the case of food poisoning and other outbreaks of disease. They are trained people and they know what to do.
As an illustration of how shambolic it has been, I want to go through what has happened in my own patch in Pendle, which of course is in the north-west and not in the north-east. Pendle Borough Council was desperate to get involved and to use its expert staff in setting up a proper system. It is about a month now since the Government, the authorities and the county agreed that we could do this. The first thing that we discovered was that where the local system identified contacts from positive cases—all of which had been sent down from national level, being cases which the so-called NHS Test and Trace system had not been able to reach, so they were the difficult ones; they were coming late but nevertheless quite a few of them were contacted—those contacts had to be sent back to national level to be dealt with by Serco or whoever in their call centres, even if they were in the same families or in the same street or working in the same factories, and even if local people using local knowledge could have contacted and traced them much more quickly. I would like an assurance that this nonsense has now been stopped, and that if there are to be a lot of local councils doing this work locally, they will be able to follow up the people they have found, because, otherwise, it is a nonsense.
My Lords, we all want the Government and this country to win the battle against coronavirus, but what if the present strategy is just plain wrong? What if the strategy of ever tighter restrictions on bigger swathes of the population is not only not containing the virus but will never do so, while causing untold damage to the lives of so many?
I am afraid that the evidence suggests that this is what is happening. People sometimes say that the cure is worse than the disease. Unfortunately, the measures may be no cure at all. As the Minister said, since tighter measures were introduced in many parts of the country, including the north-east, two months ago, we have seen a sharp rise in cases. At the same time, the collateral damage is mounting. The nascent economic recovery has stalled; unemployment is rising, albeit still the tip of the iceberg of what we might yet see. The poverty that will come as a result of those job losses is obviously not far behind. University students, already fearful for their future, are incarcerated in their halls of residence. Mental health issues are clearly arising and worsening. The arts, hospitality and sports sectors are on their knees. Everyone I speak to—I am sure that it is the same for everybody in the House today—is exhausted and dispirited and can see no end in sight.
Instead of doubling down on a flawed strategy, the Government should have a big rethink—after all, a popular definition of insanity is doing the same thing over and again and expecting a different result. The only plausible defence for this would be if it were the only way, but that is not so. We have seen in the past week the publication of the Great Barrington declaration by eminent scientists, now signed by 27,000 medical practitioners and other scientists, which sets out a different way. It recognises that younger, healthy people should be free to live their lives pretty much as normal, while the more vulnerable should be offered—not have imposed—greater, more focused protections.
My Lords, I declare my interests as outlined in the register. I thank the noble Baroness, Lady Morrissey, for her important contribution to this debate; I agree with much of it.
When I put my name down to speak, it was to express my concern that Parliament appeared to be managing rises in Covid-19 rates in different areas of the country through myriad secondary legislation instruments—at least 18, I believe. As a member of the committee that considers SIs in this House, I and other members were becoming concerned that it was increasingly difficult to understand the evidence base on which individual SIs were being developed. In addition, it has become crystal clear over the weekend that the public and local authority elected representatives, particularly in the north-east, Liverpool and Manchester, have begun to lose trust in the way in which we are dealing with local restrictions.
Fortunately, the Prime Minister and his Cabinet accept that we must adopt a more strategic approach to legislation, associated with changes in the number of infections per 100,000 of the population. Currently, different parts of the country have significantly different rates, estimated at between 16 cases per 100,000 where I live, here on Dartmoor, and 600 in Nottingham. However, any three-tier system to manage the virus should be applied in a uniform manner associated with virus increases, and hopefully decreases, over time. The three-tier system that the Prime Minister is expected to announce should be passed into law and applied across England equitably as the virus ebbs and flows. Any legislation should clearly indicate when an area will be enabled to move up or down a tier, associated with the ratio of virus cases to the population. This will ensure that the public can clearly understand the core reason for proposed restrictions.
At the core of managing increases in infections are the test and trace system and the public’s buy-in to restrictions of liberty, be this closing licensed premises or requests to reduce travel and meeting friends and family. In March, care homes were largely closed down in terms of relatives’ and friends’ visits; we know that this caused considerable distress in many cases. Careful consideration must be given to trying to ensure that we avoid transmitting the virus from the community to care homes, but we must also weigh up the devastating effects to people of not being visited by ones they love. What approach do the Government intend to take on this issue?
My Lords, I agree in particular with my noble friend Lord Hunt about the Government’s failure to consult locally and that countries using locally rooted strategies are far more effective than those using centralised ones. The noble Lord, Lord Greaves—a friend from a past political life—made similar points. Ministers are guilty of incompetent centralism, for two central reasons. First, outsourcing to Serco, Deloitte and Boots testing and tracing tasks that they have never undertaken before has not worked. It was an astonishing thing to do when there are ready-made primary health and care systems in place, with one of the most respected local GP networks anywhere in the world. We could have utilised this network and resourced it better, rather than cutting it, as has happened remorselessly over the last 10 years. We could have poured into it all the money that has been given to Deloitte, Serco, Boots and other agencies. They have failed for six months and are still failing in the second wave.
The second major mistake has been imposing decisions on local councils and mayors. In recent days, we have seen an explosion of protest from Andy Burnham, the Mayor of Greater Manchester. We have seen similar sentiments from Steve Rotheram, Metro Mayor of Liverpool City Region. Other leaders of English regions, including some Conservatives, have expressed similar protests that Westminster keeps varying the rules by Whitehall diktat, and that they learn what the Government intend to do, not through Ministers consulting them—the people on the ground who know their areas and communities and what is happening—but from the newspapers.
The other day, the leader of Gateshead Council complained on the BBC that the rules are just dumped on them. He pointed out that in Newcastle and Gateshead, although cases in student populations have soared, Covid cases elsewhere in those communities have actually been falling, so it makes no sense to lock them all down, at great cost, especially to local hospitality businesses and jobs. Manchester City Council’s leader, Sir Richard Leese, told the BBC this morning that it had a much more granular system of local intelligence and information than Whitehall could possibly have, and so is better placed to judge what to do and how to do it. Importantly—I hope that the Minister might respond to this—he also wanted more local powers to enable these to be deployed selectively, for example to close a particular pub if it was transgressing the rules or being responsible for a crowding experience that might spread the virus, not the whole lot in a blanket approach
20 of 41 shown
Unfortunately, as cases have gone up in these areas, we need to introduce more of these local measures. On 18 September, we introduced new restrictions on household mixing, business opening hours and table-only service in pubs, restaurants and other places serving food or alcohol right across Durham, Gateshead, Newcastle, Northumberland, North Tyneside, South Tyneside and Sunderland. Unfortunately, again, despite these measures the number of cases continues to rise sharply. Incidence rates across these parts of the north-east area are now some of the highest in the country, with Newcastle’s rate now more than 534. So, at the request of the local councils, with which we have been working closely, we will introduce legal restrictions on families mixing with other families in their homes and being able to enjoy food or alcohol only if served at a table, and with non-essential businesses being required to close at 10 pm.
These are not steps that we take lightly but we must take them, and that is what we did because we know that swift action is more likely to bring the virus under control. The quicker we can do so, the quicker we can restore the freedoms we all enjoy—in the north-east and right across this country. Targeted measures were needed to tackle the outbreaks in those areas. The council leaderships collectively agreed that a ward-level approach would not be appropriate, as widespread community transmission had been observed in all areas. People move freely through the local authorities for work and leisure; for example, 40% of people who live in County Durham work in other areas.
These regulations prevent gatherings involving more than one household in private homes or gardens. There are exemptions for those in support bubbles, for example, and on compassionate grounds. We listened to feedback from the local leaders and amended these measures so that informal childcare support bubbles are allowed. Before the national restrictions for the same purpose, we tackled the risks of community transmission by allowing table service only in hospitality venues so that people cannot move about and pass on the virus. To reduce riskier behaviours often seen later at night when people have been drinking alcohol, we imposed the restriction on entertainment and leisure venues opening between 10 pm and 5 am.
Noble Lords will be aware that these regulations have since been amended so that they now also prohibit families meeting up with each other in any indoor space in these areas. We revised the guidance for owners and operators of indoor settings, including places of worship, to say that they should not intentionally facilitate indoor gatherings between households. We also advised that care homes should allow visits only in exceptional circumstances to protect their vulnerable residents. No restrictions have been placed on travel, but people have been advised not to travel with people from other households.
The Secretary of State is required to review the need for the restrictions at least every 14 days. The first review was completed on 1 October, and it concluded that the restrictions must stay in place. The next review is due this coming Thursday. I thank the seven local authorities for acting collectively as well as the local resilience forum, Public Health England, the joint biosecurity centre, local council leaders and the local directors of public health. I also thank the people in the protected area in the north-east of England, who have responded so well to the measures put in place. It has been a tough year for many, and these regulations have a serious but necessary impact on how they live their lives. I beg to move.
In parallel to the new regulations that we will debate later this week, it has been reported that the Prime Minister wants local leaders to help shape the package of local lockdown measures. Clearly, as a principle, that is welcome. Does the Minister agree that, generally, evidence shows that, globally, countries that rely on a central approach are not as effective as those that use trusted local bodies? Does he also accept that local authority test and trace services seem to have a much higher rate of contact, both for complex and non-complex cases, than the national scheme, which faces so many problems? Can he also expect to see the ending of decisions on lockdowns being leaked in advance of local leaders being told what is in them?
It is clearly important that the rules are complied with. Will the noble Lord say something about compliance rates? I do not know whether he has studied the recent report of the C19 National Foresight Group, which has been looking at the communications the Government have with the public over these restrictions. It concluded:
“National Integrity and Trust is Being Eroded”
because of the
“style, pace and timings of communications”.
It says:
“This mostly focussed around rhetoric, over-promising and timing (where late night national announcements created negative impacts on the relationship with the public). Apparent conflicting activities (where two announcements seem to contradict) and stating ambitious targets that are then not achieved were aligned to eroding trust with the public.”
Regarding local bodies, the C19 group went on to say:
“The lack of trust in the local structures from ministers and government departments… also impacts on their ability to feel included as part of a greater UK wide management”
of the pandemic. Does the Minister recognise this, and will this be considered as part of the recasting of the relationship between the Government and local authorities?
To have a proper testing and tracing system, it is necessary that there are sufficient testing stations locally. One thing that people in Pendle did was set up four stations. That number is now going down to two because, in the case of the community testing station, the Government are refusing to send out any more testing kits, so it has to close, and of the three that come under the Government, they have closed one. We have gone from four to two despite the fact that our numbers are still going up alarmingly. It needs to be taken seriously; it needs to be done properly. Unless it is, nothing else will succeed.
Since March, when I think we were all frightened—I certainly was—by the spectre of a potential 500,000 deaths hanging over us, we have learned a lot. Lockdown might have seemed an appropriate measure at that point, however extreme. We now know that the fatality rate from this illness is not so severe as that, though it is still a very serious and harmful virus. What we have really learned is that it does not treat people equally. That may be very unfair, but we know that young people are a thousandfold less likely to suffer than people who are over 80. Some 70,000 students from 50 American universities tested positive; three were hospitalised and, fortunately, none has died.
There is no playbook to consult for coronavirus. There would be no shame—in fact, I think we would all applaud it—if the Government took account of the evidence that is mounting and came up with a different, more sophisticated approach that recognised that the restrictions are not necessary for every single person in this country, or if they were at least prepared to consider the evidence. If they do not, it is important that they are absolutely confident that it is the right way forward and only way forward and have the evidence to prove it.
We are reading a lot at present but I want to conclude by reading out a letter that I am sure some of your Lordships have seen already, so forgive me for repeating it. It moved me greatly. It was in the Telegraph last week and was written by an Elizabeth Clarke—she is not from the north-east but from London:
“Does no one in the Government hear the screams and whimpers of this tormented nation, amid the unemployment, the loneliness, the heartbreak, the fear, the poverty, the despair, the cruelty caused by blind deference to unproved theories? … It is as if someone who, to kill a hornet, sets off a bomb in a house—and in the ruins says it was the only way. Covid may be here to stay. There are many unpleasant diseases. Mortality is 100 per cent in the long run. I am 80, and it is no business of the Government to tell me whether or not to kiss my grandchildren, or whom I may invite into my house.”
Minister, what do you say to Elizabeth Clarke? What do you say to those who are lonely, who are scared, who are suffering poverty and who are frightened about their future?
When Governments reduce their populations’ liberties, even for good reason, it is vital that they counterbalance the restrictions with effective leadership. In particular, did the breakdown in recording over 15,000 positive coronavirus tests 10 days ago contribute to the rapid increase in cases in certain parts of the north-west and north-east of England? By this I mean: did a high proportion of those 15,000 cases, where contacts were not traced quickly, occur in this area?
Will the Minister assure the House that, if hospitals in any area of England become overloaded, the Government will ensure that additional test and trace facilities, PPE and other resources required to manage the virus will be made rapidly available from other parts of the country?
Finally, I welcome the honours given this weekend to nurses and other health and social care workers who contributed in the first wave of the pandemic. However, the Government’s recent press conferences have focused heavily on scientific evidence, with little reference to applied, evidence-based public health interventions, which nurses are often involved with. Yet nursing is reportedly the profession that is most trusted by the UK public. Nurses should play an important role in the public health messages we are trying to get across. They can encourage the take-up and delivery of vaccinations, including for flu and tuberculosis, and the mass vaccination for Covid-19 as and when it is developed. Does the Minister agree that now is the right time to more effectively use the voice of nurses, including the Chief Nursing Officer for England, Ruth May, and locally based community, hospital and school nurses, to explain to the public how best to reduce the spread of the virus?
Precisely what has this incompetent centralism achieved? It has pushed us back to where we started: lockdowns, and rising infections and hospital admissions. How many lockdowns are still to come? Are we condemned to continuous lockdowns, lifting them and then reimposing them? There is no clear strategy. The strategy must surely be to localise testing, tracing and isolating and resource them properly, rather than having these failed, centralised diktats sprayed down on local communities by Whitehall, which are having the reverse effect and condemning the country to many more months of misery.