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House of Lords Official Report Vol. 807 Thursday No. 147 19 November 2020 PARLIAMENTARYDEBATES (HANSARD) HOUSE OF LORDS OFFICIAL REPORT ORDEROFBUSINESS Introduction: Lord Bellingham ........................................................................................1525 Questions Face-to-Face Medical Appointments............................................................................1525 Brain Tumour Research................................................................................................1528 Fossil Fuels: Business ...................................................................................................1532 Union Capability: Dunlop Review ...............................................................................1535 Personal Protective Equipment Private Notice Question ................................................................................................1539 Conduct Committee Report Motion to Agree............................................................................................................1543 Northern Ireland Protocol: Implementation Proposals Commons Urgent Question............................................................................................1545 Towns Fund Commons Urgent Question............................................................................................1549 Private International Law (Implementation of Agreements) Bill [HL] Commons Amendments .................................................................................................1553 Law Enforcement and Security (Amendment) (EU Exit) Regulations 2020 Motion to Approve ........................................................................................................1580 Customs Safety, Security and Economic Operators Registration and Identification (Amendment etc.) (EU Exit) Regulations 2020 Motion to Approve ........................................................................................................1591 Grand Committee Medicines and Medical Devices Bill Committee (7th Day)..............................................................................................GC 715 Lords wishing to be supplied with these Daily Reports should give notice to this effect to the Printed Paper Office. No proofs of Daily Reports are provided. Corrections for the bound volume which Lords wish to suggest to the report of their speeches should be clearly indicated in a copy of the Daily Report, which, with the column numbers concerned shown on the front cover, should be sent to the Editor of Debates, House of Lords, within 14 days of the date of the Daily Report. This issue of the Official Report is also available on the Internet at https://handard.parliament.uk/lords/2020-11-19 In Hybrid sittings, [V] after a Member’s name indicates that they contributed by video call. The following abbreviations are used to show a Member’s party affiliation: Abbreviation Party/Group CB Cross Bench Con Conservative DUP Democratic Unionist Party GP Green Party Ind Lab Independent Labour Ind LD Independent Liberal Democrat Ind SD Independent Social Democrat Ind UU Independent Ulster Unionist Lab Labour Lab Co-op Labour and Co-operative Party LD Liberal Democrat LD Ind Liberal Democrat Independent Non-afl Non-affiliated PC Plaid Cymru UKIP UK Independence Party UUP Ulster Unionist Party No party affiliation is given for Members serving the House in a formal capacity, the Lords spiritual, Members on leave of absence or Members who are otherwise disqualified from sitting in the House. © Parliamentary Copyright House of Lords 2020, this publication may be reproduced under the terms of the Open Parliament licence, which is published at www.parliament.uk/site-information/copyright/. 1525 Introduction: Lord Bellingham[19 NOVEMBER 2020] Face-to-Face Medical Appointments 1526 House of Lords medical practice back to normal is a contributory factor in this. Will the department make it a priority to Thursday 19 November 2020 get face-to-face appointments back to the level that they were before? If it cannot, the Government will The House met in a hybrid proceeding. find that trust declines even further. Noon Lord Bethell (Con): My Lords, I thank my noble friend for his comments and reassure him that the Prayers—read by the Lord Bishop of Salisbury. Government are absolutely focused on the restart programme. The chief executive of the NHS has written to GPs,emphasising the absolute and primary importance Introduction: Lord Bellingham of face-to-face appointments, for exactly the reasons that my noble friend knows full well. I also emphasise 12.08 pm the enormous response that we have had from the public, and that we are meeting exacting targets for Sir Henry Campbell Bellingham, Knight, having been those face-to-face meetings. I also emphasise that new created Baron Bellingham, of Congham in the County technologies and techniques have been very much of Norfolk, was introduced and took the oath, supported welcomed by the public. Telemedicine, and telephone by Lord Glenarthur and Lord Garnier, and signed an and video consultations, have proved to be extremely undertaking to abide by the Code of Conduct. popular and helped to increase the number of appointments last month compared with this time last Arrangement of Business year. Announcement Lord Harris of Haringey (Lab): My Lords, nearly three-quarters of GP consultations at the peak of the 12.13 pm pandemic were conducted by telephone or video call. The Deputy Speaker (The Earl of Kinnoull) (Non-Afl): A BMA survey in June found that nine in 10 GPs want My Lords, the Hybrid Sitting of the House will now to continue to deliver consultations remotely, once the begin. Some Members are here in the Chamber and pandemic has ended. Many people are reluctant to others are participating remotely. All Members will discuss their symptoms in this way, or cannot access be treated equally. If the capacity of the Chamber is the necessary technology, and often diagnoses are not exceeded, I will immediately adjourn the House. Oral possible without a physical examination. Is the Minister Questions will now commence. Please can those asking happy with such a change? What guidance does the supplementary questions keep them to no longer than department intend to give on this, and will the GP 30 seconds and confined to two points? I also ask that contract be reviewed to reflect what is happening? Ministers are brief in their answers. Lord Bethell (Con): The noble Lord is entirely right. Without doubt, there are very many circumstances in Face-to-Face Medical Appointments which a face-to-face appointment is absolutely necessary, Question whether that is for a physical analysis, for the comfort of the patient or to check out other symptoms that 12.13 pm may not be apparent from a telephone call. However, there are other people for whom telephone appointments Asked by Lord Balfe are helpful. The Royal College of Physicians found To ask Her Majesty’s Government what progress that 20% of patients over 65 felt worse after an in-person they have made towards the return to face to face appointment because of the stress involved. But the appointments on demand for medical patients. noble Lord is entirely right that guidelines do need to be evolved in order to reflect the changes, and there may be a moment when the GP contract needs to be TheParliamentaryUnder-Secretaryof State,Department revisited. of Health and Social Care (Lord Bethell) (Con): My Lords, face-to-face GP appointments increased from Lord Mann (Non-Afl): Iceland has better survival 10 million in August to 15 million in September. I rates for strokes by using telemedicine for decisions in should like to take this moment to thank those who acute care on thrombolysis. Will the Government not have worked hard to restart primary care and serve take this opportunity to move primary care far more patients in difficult circumstances. But I should also into the modern era by encouraging a far greater use flag that the proportion of consultations by phone and of telemedicine, and not simply hark back to the past video is currently running at around 40% and, for as we learn from the experiences of Covid? many people,this represents a safe,convenient, low-stress, low-cost and hygienic way to get the clinical engagement Lord Bethell (Con): The noble Lord makes an incredibly they need. interesting parallel with Iceland. It is not one that I knew, but I will take care to look into it, because it is Lord Balfe (Con): My Lords, I thank the Minister instructive and informative. He is right to say that for his response and note that public trust in the Covid has demonstrated the power of telemedicine, Government is not rising at the moment, and that and we are keen to learn that lesson. We do not want many people feel that the absence of effort to get the elastic band of old practice to snap back to where 1527 Face-to-Face Medical Appointments[LORDS] Brain Tumour Research 1528 [LORD BETHELL] Lord Flight (Con): My Lords, my personal experience it was before. To reflect the words of a noble Lord who of online doctor appointments is that they are most spoke previously, there will be occasions when tele- satisfactory,efficient and time-saving, but I do understand medicine is right. The key is getting the blend correct that many older citizens may want and often need to and ensuring that the right format is used in the right have traditional face-to-face appointments.Appointments circumstances. on demand are surely not practical, but does the Minister support citizens
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