Pam Lewis
South Antrim · Democratic Unionist Party · Northern Ireland
“I thank the Minister for her answer. Indeed, I thank her for the assistance that she, as Minister of Justice, gave my constituents Kathryn and Aaron McCollum following the tragic death of their much-loved husband and father. Her assistance was deeply appreciated.”
“I thank the Minister for her answer. I very much welcome the amendment to the Justice Bill on this subject, and I thank my colleagues across the Chamber for the good work that they have done on it. What cost is the PSNI carrying for the seizure, storage and disposal of those vehicles? Is that cost creating a barrier to enforcement?”
“It progresses 18 recommendations from the independent review of charity regulation, with a focus on a more risk-based approach that promotes trust and accountability without placing undue burdens on charities.”
“I welcome the opportunity to speak as a member of the Communities Committee at Second Stage of the Charities (Amendment) Bill. I thank the Minister and the Chair of the Committee for outlining the details of the Bill.”
“The public must have confidence that charitable funds are being used properly, that trustees understand their responsibilities and that there is effective oversight when misconduct or mismanagement occurs.”
“<BR /> <BR />I welcome the streamlining of accounting and reporting requirements. For small charities, administration can be a real challenge and burden.”
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“In particular, I hope that finance can be found in the Budget to ensure that we fulfil the pledge for safe staffing, for 900 additional nursing and midwifery students over three years and for funding for up to three IVF cycles. That will take years of hard work and Budget processes to get to where we want to be: a full transformation that sees greater outcomes for patients and better conditions for our amazing healthcare staff. <BR /> <BR />While I welcome the increased budget for resource and capital spending in Health, I am concerned that any significant progress on transformation and the New Decade, New Approach commitments will be pushed back further. The public of Northern Ireland expects an efficient and transparent use of resources.”
“I publicly thank the 110 military medical technicians who have now returned to the military, having served in hospitals here during the post-Christmas surge. Without their professional support, we would have been in a much worse place. <BR /> <BR />As case numbers and hospitalisation figures stabilise, we must earnestly return as many non-COVID services as possible. I thank the leadership teams across our health and social care trusts who have been involved in this spring planning and for managing their resources to resume normal services as best and as quickly as they can. Reform on how we deliver services in Northern Ireland is needed more than ever. However, a wide range of transformation and New Decade, New Approach commitments remain unfunded.”
“I am far from being the only member of the Health Committee or the Assembly who has continued to express concerns for health service staffing levels, which are under pressure. I appreciate that the NHS pay review body has still to conclude its recommendation for Northern Ireland, and we must wait for that outcome. However, I will make just one point. Safe and sustainable staffing cannot be achieved without fair pay, and I hope that the independent pay review body will recognise that. <BR /> <BR />I cannot express strongly enough the amount of pressure under which our hospitals and other services have been working, especially during the recent COVID waves. Several hospitals surpassed 100% capacity on multiple occasions.”
“That negatively impacts on our trusts' ability to make long-term plans, including the capacity to recruit staff. A large proportion of the health budget is rightly allocated to COVID recovery, but tackling Northern Ireland's extensive waiting list backlog must be at the forefront of priorities. The Department must also recognise that we still do not fully understand the effects of long COVID. Some people have experienced longer-term impacts from their COVID symptoms, especially with respiratory issues. Many experts expect a growth in demand for funding of services to deal with the long-term rehabilitation of some COVID patients. We need to acknowledge that and be prepared to address it.”
“I share the concerns of the chairs of all the health and social care bodies, who recently highlighted that aspects of the health budget are non-recurrent.”
“We have waited for years to see a substantial transformation of our health service. The pandemic exposed the need for investment in our health service property, areas of high staffing vacancies and an over-reliance on agency staffing. Long-term strategic planning in the health budget is needed to address those problems. I reiterate what I said during the recent debate on the spring Supplementary Estimates, which is that we must move towards a multi-year Budget, particularly in health. That is not just in the interests of more strategic spending decisions but to allow more effective scrutiny by the Assembly and its Committees. <BR /> <BR />None of us should be naive enough to think that the problems facing our health service can be resolved quickly. Indeed, many of them predated the COVID-19 pandemic.”
“The levels of financial aid for businesses and the self-employed have been unprecedented, although we must fully recognise that further support will be needed throughout this year to help get our economy back on its feet, even after many of the restrictions have been lifted. <BR /> <BR />Another pressing issue that must be resolved is the Troubles innocent victims' pension. I call on the Executive and the Secretary of State to finalise the scheme urgently. Victims have waited too long, and many deadlines have been missed. That is unacceptable, and there must be no more delay. <BR /> <BR />COVID-19 not only added greater financial burdens to our Departments but exposed the long-term structural needs of many of our services. I am referring in particular to our health service.”
“Their professionalism and the speed at which it has been progressed so far has given us all much-needed hope that, finally, an end is in sight. <BR /> <BR />No one can be in any doubt that all Northern Ireland's Departments have come under extraordinary pressure over the last year in trying to maintain services and address the new challenges that presented themselves. Additional funds that were allocated by Her Majesty's Treasury to help address COVID pressures have been vital throughout. It is obvious that Northern Ireland's high levels of public spending would not have been at all possible without our membership of the United Kingdom.”
“I also convey my best wishes to my constituency colleague Steve Aiken and wish him a speedy recovery from his injuries. <BR /> <BR />At the outset, I thank the Minister and the departmental officials for their work on the significant administrative task that is the Budget Bill. Just over a year ago, no one could have imagined the world that we are living in today. Sadly, many families are filled with sadness and grief at the loss of their loved ones, and behind every statistic are individuals who are sorely missed. Undoubtedly, brighter days are ahead of us in Northern Ireland, and, as I begin my remarks on the Budget, I pay tribute to everyone who is involved in the roll-out of our vaccination programme.”
“I thank the deputy First Minister for her statement to the House after what has been an incredibly difficult year for many, not least those who are vulnerable and, indeed, those whose families have been bereaved and have been unable to process that grief in a normal fashion. Will the deputy First Minister make it clear that the indicators on which the Executive as a whole will take decisions on relaxations will include economic and educational sectors and will not be just about the figures that are produced by the Department of Health?”
“We have previously argued that the Budget process should start between April to June for the next financial year, with a draft Budget being consulted on in the autumn, in order to allow for a full debate at the turn of the year. That would afford greater detailed scrutiny in advance. The move towards a multi-year Budget must be prioritised. That is not just in the interest of more strategic spending decisions but to allow for more effective scrutiny in the Assembly and Committees. The public of Northern Ireland expect the efficient and transparent use of our resources. Let us ensure that every effort is afforded to use those funds wisely to help our society to recover.”
“Current data reflect that children with autism represent a significant and rising proportion of pupils across the school estate. We cannot continue to pay lip service to that; there must be more joined-up thinking between Departments, particularly between Health, Communities and Education, in order to improve and increase the levels of support that are provided to the autism community. No one should be left behind any longer. <BR /> <BR />To conclude, following the pandemic, valuable lessons about prioritising funds and maximising the budgets that are available to the benefit of our communities should be learned in all Departments.”
“<BR /> <BR />We should be under no illusions about the monumental task of tackling waiting lists in Northern Ireland. From elective surgeries to the massive backlog of autism assessments, the work to sufficiently recover, even just to pre-pandemic levels, will take time and not insignificant funding. On autism support, the PAC report that was published very recently clearly shows that children with special educational needs and their families:”
“As well as the work that is necessary to achieve safe staffing levels, capital investment in our health service to improve dated facilities and increase capacity to meet demand in Northern Ireland in 2021 is vital. <BR /> <BR />At the heart of my constituency is Antrim Area Hospital, which has treated a significant proportion of Northern Ireland's COVID patients. Many elements of Antrim hospital's infrastructure are now inadequate for the huge demand that it experiences. That applies to inpatient bed capacity, operating theatres, the ICU and the maternity ward. I welcome the fact that the Department of Health has recognised some of that so far in its draft 10-year capital plan. I urge the Minister of Health to commit to much-needed significant investment at the Antrim site.”
“That is important, particularly in respect of areas such as health transformation and implementation of the commitments in New Decade, New Approach. It is deeply worrying, for example, that, on the face of it, only £50 million of the extra £492 million added to the draft Health budget for next year is recurring. <BR /> <BR />As society begins to emerge from COVID-19, the Executive's focus needs to turn to the key commitments in New Decade, New Approach, none of which is more important than those for our health service. New Decade, New Approach promised to create more stable services and sustainable staffing, to deliver an extra 900 nursing and midwifery undergraduate places over three years and to increase the number of funded IVF cycles to three. Those must be progressed earnestly and factored into departmental annual budgets.”
“The saga with the review of welfare mitigations and the recent underspend of hundreds of millions of pounds are just some examples. How can we, as public representatives, explain to our constituents that cancer surgeries have been cancelled when, at the same time, they hear on the news that £90 million in health funding has been returned unspent to the Department of Finance? Ministers from all Departments must put every effort into ensuring that those funds are spent efficiently and not handed back to the Treasury at a time when the need for support in our communities is at an all-time high. <BR /> <BR />In-year monitoring rounds and one-year Budgets have become stopgaps and temporary fixes, and that culture needs to change.”
“<BR /> <BR />We, as a party, recognise the difficult financial environment in which all our Departments are operating, and we understand that there needs to be budgetary flexibility as the direct and indirect challenges created by the pandemic develop and change. Significant headroom is provided in the spring Supplementary Estimates to allow for unallocated spending to be absorbed by Departments on the basis of future Executive decisions before the end of the financial year. <BR /> <BR />The parties opposite often speak about the need for new Stormont fiscal powers, and of course we need to look at ways of raising revenue. However, it is clear that the Departments need to be much better at using the resources that they have already been given.”
“<BR /> <BR />The pandemic has shone a light on many aspects of our health service that have long been in need of significant investment and transformation. The spring Supplementary Estimates suggest a total cash requirement of £22 billion across Departments. In January, the Department of Health alone recorded having received well in excess of £867 million in resource funding to address COVID pressures. The additional moneys allocated to Northern Ireland, on top of the block grant and the New Decade, New Approach commitments, have further shown just how important our membership of the United Kingdom truly is. It is obvious that that level of public funding would not have been available without it. The financial benefits of the Union are invaluable to all our public services and to the Northern Ireland economy.”
“I welcome the opportunity to speak today on the spring Supplementary Estimates. Northern Ireland's Budget and public resources have been stretched to their limits through the COVID-19 pandemic. Huge levels of public spending have been required to respond directly to the health crisis and its many consequences for our society, not least for our economy. Vast sums of finance have been administered to support businesses in Northern Ireland over the past year. Undoubtedly, more support will be needed over the coming months as our economy recovers. On that point, I very much welcome the Economy Minister's announcement last week as she published the 'Economic Recovery Action Plan', which sets outs a range of decisive actions to kick-start economic recovery in Northern Ireland and build a more competitive, inclusive and greener economy.”
“I understand that the Minister will expect people to act in good faith and to put themselves forward for that vaccine because they are the main carer of someone who is vulnerable or elderly or has an underlying health condition. I welcome that roll-out, and, with that, I end my comments.”
“It is really important that we make a move towards allowing that type of activity again. <BR /> <BR />Again, I mention that the vaccine roll-out is incredible, and I thank the entire team under the Health Department, including Patricia Donnelly, who is doing a great job in organising that roll-out. I know that there will be hiccups and awkward moments in that roll-out, but that is unavoidable. I very much welcome the fact that the carer roll-out has been much greater this week and that it will apply to all adult carers. We know the great service that carers provide in our society and community, but we know that they are not on a list. We know that they do not have evidence to prove what they do.”
“Having the answers to what, when and why is vital for public confidence as we embark on a road map to recovery. I would appreciate it if the Minister could update the House on his discussions with the Speaker and the Executive Office to ensure that that happens. <BR /> <BR />The Chair of the Health Committee appealed for people not to gather at beauty spots etc. That has been happening for an awfully long time. That highlights the importance of reintroducing sport and outside activities that are much safer in order to spread out the people who are gathering in various areas. That is because those are the only areas that they can go to. They do not have any gyms or sport to go to. People need to do something, and they need to be able to get out, look after their head and get some exercise.”
“Hopefully, the majority of those who are clinically extremely vulnerable or vulnerable have been or, in the very future, will be vaccinated, and that is very welcome. It will have a lasting impact on people who have suffered as a result of being housebound in the past year and on their friends and family. <BR /> <BR />We cannot forget that there is much fear, even amongst us politicians, about what is coming down the line. There is a fear that there will be a huge wave of undiagnosed conditions, including cancers. We cannot forget or dismiss that. <BR /> <BR />We need to ensure that, as restrictions are eased in the coming weeks and months, there is timely presentation of the regulations to the House to allow debate and scrutiny at the right time.”
“I thank my colleague for that intervention and agree wholeheartedly. There is much work to be done to catch up and to alleviate the damage that has been done in the past year. <BR /> <BR />We should not underestimate the stress and mental health pressure that so many have been under, not least those who work in the care home sector, on COVID wards and in ICU. I do not know how we can ever repay all those who have selflessly given to others over the past year; that is what they have done. <BR /> <BR />It should also be remembered that this has had a huge impact on the mental health of those who have been shielding. Let us not beat about the bush: whilst shielding is not a requirement in law, many people have shielded for the entirety of the past year. There is still a huge fear for them, so I welcome the roll-out of the vaccine.”
“That brings up the importance of getting all our children back into school as soon as possible. The importance of that cannot be overestimated. <BR /> <BR />It has been a worrying and stressful time for those with friends and family resident in homes and so vulnerable to COVID-19. It has also been stressful for those working in the homes.”
“We look forward to the regulations evolving further to encourage the reopening of our economy and the staged return to normal life. Many people struggle not just with the severity but with the duration of the restrictions. We are all aware that untold damage is being done. Whilst lives have been saved and all the restrictions have been in place for the right reasons and with every good intention of protecting health, let us be ever mindful that the mental health of the young and old has suffered badly in doing what was unthinkable a year ago. Trying to raise children and school them at home, working from home, caring for relatives and trying to keep ourselves physically and mentally healthy in the pandemic have been challenging, to say the least.”
“4) regulations — allows a person to provide driving instruction when that service is provided by, or on behalf of, the PSNI, the NI Ambulance Service Trust or the NI Fire and Rescue Service Board for the purpose of testing competence to drive a vehicle. That is another sensible move and a rightful prioritisation of those who provide us with emergency services. We need those services all of the time, not least during a pandemic. We must ensure that all such vital services can be operational. Many in those front-line services are the real heroes of this pandemic, and all that we can do to support them should be done.”
“I thank the Member for his contribution and wholly agree with the sentiment. <BR /> <BR />It is very clear that some services that were deemed non-essential back in December are now essential. An example is retailers that sell nursery equipment, cots, prams etc. Such items are not always easy to fit to a person when purchased online. We owe it to our local retailers to try to support them in what has been a financially crippling time. There are businesses that could benefit from operating under an appointments system to ensure that maximised safety is achieved. <BR /> <BR />SR 2021/29 — the amendment (No.”
“I encourage the Minister to consider that actively.”
“Although the Executive have resumed some click-and-collect services — in many ways, that is a progression from this legislation — we need to see a broadening of the definition of "essential" and some common-sense application tailored to certain industries. I give as an example the fact that you can collect a child's pair of shoes but cannot have the child's feet measured in the shop. Those of us who are parents know the importance of having properly fitted shoes for their children. My children are long grown up, thankfully, but I can distinctly remember the times when I took them to get their shoes. I was often surprised by how many jumps in size they had taken since the previous time. It was often more than one. Such an important service should be allowed for toddlers and children on health grounds.”
“He is an incredibly robust man, so I am really not that surprised to see him back so quickly, but he is very welcome. It is good to have him back. <BR /> <BR />I broadly support the amendment (No. 2) regulations, the amendment (No. 3) regulations and the amendment (No. 4) regulations. I regard them as being sensible, certainly in the case of the discretion around Motability vehicles in the amendment (No. 3) regulations. That is a very welcome step that will allow those with a disability to avail themselves of that excellent scheme, unimpeded by the pandemic. They can complete much of the process online or by telephone and are permitted to collect the vehicle directly from the dealer. <BR /> <BR />Going further with such flexibilities will have to be addressed.”
“I join others in welcoming my colleague Edwin Poots back to the Chamber. It is good to see him.”
“In the immediate future, we would like to see the Minister take forward the recommendations on enhancing visiting arrangements, ramping up asymptomatic testing and expanding mental health support for residents and staff. <BR /> <BR />I will end there. I commend the report to the House.”
“It would be wrong and inconceivable for residents in care homes to have poorer access to a range of health services than someone living in their own home. This includes contact with their regular GP, and we need to ensure that the standard of care is high, remains high and is also equitable across the board for future crises. <BR /> <BR />This inquiry gives much more direction to the Minister in terms of the course of action required, and I will be keen to hear from the Minister how the implementation of these recommendations will be monitored. There is much to learn, and I hope that the Department does learn and adapts its policies accordingly, whether that be in relation to visiting, budget flexibility, GP access or many of the other areas highlighted in the report.”
“One of the strengths of the report is that it looks beyond the current crisis to the reforms needed to transform and revitalise the care home sector in the future. The pandemic has laid bare the weaknesses in relationships between the Department, trusts and care homes while also highlighting the great void between staff terms and conditions in the public and private sectors. We want to see cooperation overhauled in these areas. The proof of the pudding is in the eating, and we will look forward to seeing the outcome of the Health Minister's stated plans to bring staff terms into line with those in the public sector. <BR /> <BR />We strongly support the recommendation to introduce in care homes an enhanced framework based on the principles of acute care at home.”
“It also prioritises the need for the input of residents and families to visiting arrangements to establish a more consistent and streamlined approach between care homes, regardless of whether they are independently or publicly owned. <BR /> <BR />The mental health impact on residents of reduced visiting has not yet been quantified. It is important that we do not neglect the significant work that will be needed to meet the demand for services in the medium to long term. I trust that the Minister will implement recommendation 2 and discuss the issues with those most affected. <BR /> <BR />The COVID-19 pandemic has accelerated the case for the reform of social care. It is vital that the needs of care homes are at the heart of a longer-term vision to improve the standard of care and reward those working in the sector.”
“It is fair to say that there has been a deep sense of frustration among families at what, at times, has appeared to be the lack of prioritisation of accommodating visits to loved ones. I have spoken with families who have watched loved ones become emotionally detached throughout this period. Indeed, particularly for those living with conditions such as dementia, not understanding why visitation has ceased or become so distant has caused untold damage to their overall health. Those close-contact visits are vital to so many residents. The report highlights the need for a more innovative approach to finding solutions to the loss of contact. We strongly support that.”
“<BR /> <BR />We, as a party, welcome the publication of the report. It and its 54 detailed recommendations come after extensive and very meaningful engagement. We thank all stakeholders who provided evidence to the inquiry in what remain very challenging times. The roll-out of the vaccine will dramatically change the nature of the public health response, but that does not mean that we should not reflect seriously on the deficiencies of steps taken in the first wave and use that learning to adopt more effective measures in any future crisis scenario. <BR /> <BR />I will focus my remarks on a small number of the recommendations, starting with recommendation 1, which is:”
“I am conscious that many living in care homes will be missing friends and will have borne an incredible emotional burden over the past year. That should not be underestimated. The anxiety and worry of contracting the virus, coupled with the sense of loneliness and separation from loved ones, is hard for us to comprehend and fully appreciate. <BR /> <BR />Furthermore, we owe an incredible debt of gratitude to the staff in our care homes. The physical and emotional strain that staff have faced is unprecedented. It will not have been easy to adhere to infection control and cleanliness requirements while meeting the physical and emotional needs of residents and dealing with their own grief. Society owes a great debt of gratitude to every one of those dedicated members of staff.”
“The Minister also referred to the workforce strategy for social care and said that it was being looked at. He talked about the importance of advance care planning and how decisions would be acted on at the appropriate time. He also referred to advance care planning development. He touched on the RQIA's role in the inspection and support of care home settings, and he thanked the Health Committee for its support. <BR /> <BR />Before I start my remarks as a DUP MLA, I thank the Committee staff for the vast amount of work that they did to support the Committee, particularly through the inquiry and all the additional meetings that we have had in recent days. I express my deepest sympathies to those who have lost loved ones and friends in care homes throughout the pandemic.”
“He talked about the funding that will be provided to minimise the impact of vacant beds. He agreed that training was critical. He touched on the trade unions and shared the concern about the provision of sick pay. He talked about seeking the support of the Executive for giving additional financial support.”
“It is important to remember, as the Minister mentioned, that all 483 care homes have seen the vaccinators and that 410 have had their second vaccination visit; that is very welcome news. Testing on discharge from hospital settings to home, which is to be done 48 hours in advance, is well documented. He touched on the fact that millions of items of PPE continue to be provided free of charge to these healthcare settings; that is also important.”
“He talked about the guidance, staff support, huge quantities of PPE and other support that we are giving to care homes. He fully recognises the resilience of staff members in the sector and said that he would take time to consider his response to the report. Key actions are planned and ongoing. He talked about the hugely detrimental impact of keeping residents away from others and the effect on the overall health of residents. He said that visitation is being looked at closely. <BR /> <BR />The Minister talked about testing and said that the Department is fully committed to taking measures to support staff and residents in continuing the testing process. He also touched on the care partner issue and said that testing will be taken in the care home setting if that is requested.”
“Stewart Dickson said that we need to ensure that the scale of deaths and what we have seen in care homes does not happen again. He also said that there is a need for care homes to be properly resourced and that that will require additional investment in the sector. Gerry Carroll outlined that one of the issues that causes delay in response is regulation and that the pandemic has brought that issue to the fore. He also outlined the staffing shortages in care homes and the need to involve families in decision-making. <BR /> <BR />I turn now to the Minister's comments. Rather than recite his whole speech, I will refer to some issues that he mentioned. He rightly talked about the tightrope of balancing quality of life and keeping the vulnerable safe. It is really important to keep that uppermost in our minds.”
“Sinéad Ennis stated that the sector was struggling before the pandemic and that a review is required of adult social care and appropriate funding levels to deliver care. Sinéad also outlined the problems in procuring PPE. <BR /> <BR />Justin McNulty, along with all Members who spoke, commended the great work of all staff in care homes and how care staff see residents as their second family. We are all thankful for the emotional support that carers give to residents. He also rightly said that the pandemic has pushed the system to the brink. Liz Kimmins stated that the report forms the basis of a response to future health crises and that there is a need to put human rights at the centre of this and any future response.”
“Alan Chambers talked about the staff shortages facing care homes during the pandemic and the need for adequate staffing levels and improvements in pay levels for care home workers. <BR /> <BR />Paula Bradshaw outlined the real impact that the pandemic has had on the health and well-being of residents and the need for regular, quality contact between residents and families to improve the health and well-being of residents and their families. Trevor Clarke stated that too many people have died without their family around them and outlined the importance of putting plans in place based on lessons learned. Emma Rogan highlighted the importance of regular contact with the older generation and in keeping families connected.”
“We hope that the recommendations will make improvements to processes and procedures to support them in their important role in those care settings and allow a better approach to future pandemic planning. <BR /> <BR />I will now move on to Members' contributions. Jonathan Buckley said that the report is a "conversation starter" with the Minister, and he outlined the difficulties that families and residents face when visiting. He also welcomed the roll-out of the vaccination programme in care homes, as we all do. Cara Hunter said that the report paints a picture of the experiences of residents, families and staff during the pandemic. She said that it was regrettable that the testing regime was not in place in care homes early on but welcomed the improvements over recent months.”
“It is important that the voices of residents and their families are heard and that they stay central to how the Minister responds over the coming weeks and months. <BR /> <BR />On behalf of the Committee, I pay tribute to the staff who have been working in care homes over the last year in extremely difficult circumstances. They put themselves at risk to ensure that our loved ones are looked after. We have seen the difficulties, stresses and strains. The staff have worked through that, and we thank them for that.”
“On behalf of the Committee, I thank all the Members for their contributions and thank the Minister for his initial response to the debate. I look forward to continued engagement with the Minister and the Department on taking forward and implementing the many important recommendations that the Committee's report makes. <BR /> <BR />We are all too aware of the statistics behind the pandemic. They have become daily reading for people across the country who are looking for a glimmer of hope and willing to see an improvement. However, for far too many families, it is not just a statistic; instead, it is about a mother, a father, a grandmother, a grandfather, a loved one. As the Chair stated, it is over 775 of our care home residents. I thank the many individuals and families who engaged with the Committee during the inquiry process.”
“I thank the Minister for his answers thus far. Illness and self-isolation are also a problem for staff, and we are hearing more and more about the increase in new variants of COVID-19 in Northern Ireland. Given that door-to-door testing for the South African variant has started in England, are you looking to do similar in Northern Ireland?”