Parliament passed the Coronavirus Act 2020. The Secretary of State has since published many Regulations. The Department of Health and Social Care has also produced a wealth of guidance on how to respond to the pandemic. Some of it is statutory guidance (eg in relation to the easements to the Care Act 2014). Much of it is not statutory (eg in relation to DoLS). Occasionally the guidance contradicts the law. No legal changes have been made to the MCA 2005 or to DoLS but the virus and the public health measures have a big impact in this area.
The Chronological Covid Controversy
Before 4 July 2020
Following the national lockdown in March 2020, amendments were made on 1 June 2020 which substantially changed its nature. They reversed the legal presumption from "don't go out without a reasonable excuse" to "you're free to go out but don't stay elsewhere overnight". No longer was there any need for a reasonable excuse to go out.
Aside from not staying elsewhere overnight unless there was a reasonable excuse, the only relevant liberty restriction was on gatherings. Unless an exception applied, no person could gather with more than 6 people outdoors or with 2 or more people indoors.
From 4 July 2020 to 14 September 2020
Everything changed with the latest Regulations which came into force on 4 July 2020. People could go out and were no longer prevented from staying elsewhere overnight. Under Regulation 5, people were free to go to and inside each others' home (up to 30 people max) and we could stay in hotels, caravan parks etc.
Under Regulation 6, the Secretary of State could restrict access to specified public places if there was a serious and imminent threat to public health and it's necessary and proportionate to do so. This enabled a more localised response to the virus.
Since 14 September 2020
The public health measures are now much more localised and differ across the United Kingdom. Insofar as England is concerned, we are generally not allowed to gather inside or outside in groups of more than 6. The main exceptions to this 'rule of 6' are:
The rule of 6 can be enforced by the authorities if that is a necessary and proportionate way to ensure compliance. For those of lack capacity to make decisions on contact with others, it is hoped that to criminalise such contact would be neither necessary nor proportionate, given the availability of best interests decisions.
Since 28 September 2020
In addition to the Rule of 6, we now have self-isolation rules which require those testing positive, or a notified close contact of the same, must self-isolate for 10-14 days depending on the circumstances. Failing to do so without reasonable excuse (eg to avoid a risk of harm) is an offence and going out for exercise is not listed as a reasonable excuse. These rules are enforceable so, for example, the police and community support officers, as well as designated people, have the power to use reasonable force to return you to your home to self-isolate.
Yet again, the Regulations making no provision for those with impaired decision-making capacity. The guidance that accompanies the Regulations state:
- "For those with learning disabilities, autism or serious mental illnessNot all these measures will be possible if you, or those you are living with, have significant conditions such as learning disabilities, autism or serious mental illness. Please keep following this guidance to the best of your ability, whilst keeping yourself and those close to you safe and well, ideally in line with any existing care plans."
Lockdown ... the sequel
Since 5 November 2020 England is back into national measures, initially until 2 December 2020. , The Health Protection (Coronavirus, Restrictions) (England) (No. 4) Regulations 2020 mean no-one can leave their home without reasonable excuse. There are 13 reasonable excuses in regulation 6 but these are not exhaustive. They include taking exercise and visiting public outdoor places, visiting a linked household, visiting family/friends in hospitals or care homes, and having respite.
It is therefore entirely lawful for family/friends to visit those in hospital and care homes. The regulations do not limit the reason for visits (eg end of life), their length or frequency. Note, however, that to visit those in supported accommodation etc is less straightforward. Here family/friends may have to rely on the outdoor exercise exception 4.
Inside and outside gatherings (2 or more people) are also prohibited, but with exceptions which include linked households/bubbles and support groups (of up to 15 people). Importantly, if for example family are meeting outdoors, the presence of up to two carers for those with a disability who need continuous care is not included in the numbers.
As ever, it is important to distinguish between the law and guidance. The law is less restrictive than guidance, and guidance is clearly vital in addressing the virus but does not have the same weight as the law. The guidance distinguishes between "vulnerable" and "clinically extremely vulnerable" people. And there are two lots of government guidance. One is for staying alert and safe. The other is for shielding (where people were encouraged to stay at home, shielded from the virus, for a much longer period than for others).
A "vulnerable person" includes (but is not limited to) those with underlying medical conditions such as respiratory diseases (eg asthma), learning disability, diabetes, those with a body mass index of 40+, and all those aged 70 and over, and those who are pregnant. So there are other conditions that could make someone vulnerable.
Clinically extremely vulnerable people (eg those with cancer, low immune systems etc) are those who will have been notified by their GP and advised to shield as they are at higher risk of serious illness from the infection. Shielding means: (1) do not leave your house, (2) do not attend gatherings (including with friends or family in private spaces), and (3) avoid all contact with people who have symptoms of the virus. Since 5 November 2020 they are advised to stay at home, except for exercise or essential health appointments.
Created with an image by Deniz Fuchidzhiev - "Westminster by night"