The heart of these regulations is all about slowing transmission and reducing demand on our limited NHS capacity, so there are two ends to this telescope. The first is about prevention and making sure that people do not get covid. The second is about making sure the capacity is there so that if they do get covid we can cure not just them, but other patients who have non-covid-related illnesses. These regulations are very focused on the prevention end of this telescope. Clearly, vaccination uptake is crucial, and the Government are to be commended on that, but this has to be a matter of choice. Given others’ contributions, the point has been well explained already. Mask wearing and covid passports have not been subject to the rigour of proper assessment. A proper analysis has not been undertaken here and I fear that they will do more harm than good to society taken as a whole. They generate fear in those who least need to be fearful, they increase mental health problems, and they reduce non-covid admissions and treatments.
However my real concern is that the Government have not focused sufficiently on the other end of the telescope. We have not looked adequately at what we do about the adequacy of our resources. Despite promises and numbers of new doctors and nurses coming forward, even the Government have admitted that that will not be enough to fill the huge number of vacancies we have. If we can reduce vaccine development from 10 years to 100 days, surely to goodness we must be able to find a way of undertaking a laser-like review of a patient journey to make a better and more efficient use of the limited resources we have—and, indeed, to increase them. I call on the Government before Christmas to put in place an
emergency resilience taskforce, which needs to have a laser-like focus on the capacity issue, which has not been fully addressed—frankly, it has hardly been addressed at all. We can work smart; there are very good brains within our health service. We see that when we look at what Sir Ara Darzi has done in the Accelerated Access Collaborative, with new drugs and “faster patients”, in a way never seen before, or at what our own Kate Bingham, the vaccine tsar, has done to do what was supposedly impossible. When this taskforce is created, and it must be before Christmas and it should be asked to report by the end of January, it must look at better use of emergency services. We must use the fire and police services better. It must look at proper triaging of accident and emergency arrivals, and better use of medical professionals. We are using the wrong people to do the wrong jobs. We must expedite training, look at whether some of our training takes too long, and use the Nightingales and other resources to deal with non-covid backlogs and convalescing to deal with the healthcare problem. Finally, if we cannot have covid passports, testing must be the right way forward in social care and health.