argyrotsipi/train-dataset huggingface dataset:
Business and Planning Bill — House of Lords, 2020-07-20
Topic: Health
Christopher Rennard (Liberal Democrats, Centre to centre-left): My Lords, earlier today, the noble Lord, Lord Bethell, congratulated the million people who have given up smoking during the lockdown, permanently we hope, to protect their health. Sadly, the government amendments today fail to do enough to protect them and others, including staff and families with children, from the dangers of second-hand smoke, which does not respect social distancing rules. We do not want non-smokers to be encouraged to return to habits they have struggled to give up. The connection between the consumption of alcohol and the smell of tobacco smoke is well known as a significant problem for people trying to give up smoking. The cross-party Amendment 15 is about minimising that problem by making newly created pavement areas smoke-free As is to be expected, tobacco company representations on this issue are disingenuous and, sadly, their views are too close to what is set out in the government amendments this afternoon. Today’s letter from the noble Lord, Earl Howe, to Members of the House repeats a fallacy about the cross-party amendment. It wrongly suggests that, in the event of making new areas non-smoking, there would be confusion with existing outside areas which would not be subject to the new rules. There need be no such confusion. Existing outdoor areas will maintain their current designation and provision for smokers, while newly created areas should be clearly signposted as being smoke-free, with something placed on the tables instead of ashtrays. The distinction should be very clear The cross-party Amendment 15 is not about banning smoking outdoors. As the Minister’s letter says, existing outside areas would not be subject to the new rules and nor would other open spaces. The proposal for new areas outside pubs and restaurants to be smoke-free is in line with the present provisions banning smoking in areas such as railway station concourses, which often have many different cafés and restaurants within them. Making new outdoor seating areas smoke-free will make them more attractive to the 86% of adults who do not smoke, especially families who do not want their children exposed to greater risk of second-hand smoke. The avoidance of smoking will make these places more attractive to potential customers, which is why local authorities support Amendment 15 Finally, this amendment does not go nearly as far as the Welsh Government are going. With Labour support today, this amendment will be carried. Perhaps the Government will agree to think again before Third Reading.
Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020 — House of Lords, 2020-10-20
Topic: Health
Elizabeth Barker (Liberal Democrats, Centre to centre-left): My Lords, when introducing this measure in the Commons on 13 October, the Secretary of State, Matt Hancock, made a very important statement: "The powers in SI 1029 are therefore revoked. In practice, the effect of SI 1029 is to deliver enforcement against individual places that have been flouting the rules, which is the one of the top demands of councils in their fight against coronavirus."—[Official Report, Commons, 13/10/20; col. 199.] Why has it taken six months for the Government to understand what it is that the people in charge of the local enforcement of these laws need both in local government and in public health I listened carefully to the way the Minister introduced this measure. The only data he has given us is about the increase in transmissions, and the only data we seem to have is about the Government’s failure. He talked about the fact that SAGE may regard this as being a way of controlling the virus and about the police saying that they think that 10 pm is an infection point. That is not a strong evidence base on which to curb the liberties of individuals and is not one in which the public can have faith that what is being done is the right thing Last week, the Minister talked about how we still do not know how infections are getting into households because the major route of transmission is within them. We will not know until our track and trace system is much better than it has been to date, for all the money that has been thrown at it, and until we are as vigorous in using the data and getting measurements that are much more granular and detailed, and then giving that information to the people who really know how to use it rather than sitting on it within the NHS Test and Trace, which clearly does not.
Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020 — House of Lords, 2020-10-20
Topic: Health
Paul Scriven (Liberal Democrats, Centre to centre-left): My Lords, the 10 pm curfew is a bit like the captain of the "Titanic" using a hairdryer to try to melt the iceberg he is hurtling towards: the impact is marginal and it will not work. Now that this measure has been set and the law has been passed, what is being used to measure the impact of the 10 pm curfew empirically As I said in a previous debate, I believe in looking at real people in real communities up and down the country, so this time I will use the community I live in. It has a population that is about 40% transient professionals, young professionals and students and 60% permanent residents. We have noticed—this is not just students and young professionals, but other people as well—that the 10 pm curfew has had consequences that might be unintended, but I will warn the Government about More people are pre-loading—buying and drinking more before they go out to the pub. They are then concertinaing their drinking when they are at the pub because they know that there is the 10 pm curfew. They are then asked to leave at 10 pm, full stop. We have gone from Eat Out to Help Out to "drink up and sod off" at 10 pm. People are going out, playing cricket, watching football penalty shoot-outs, and congregating in great numbers. They are then going home and having parties above the number of six. The hospitality industry is suffering and so is public health, because it is concentrating people in homes and in areas outside at 10 pm It is quite clear that this is not working. It is having a detrimental impact on public health. I believe it is also having a detrimental impact on the hospitality industry. That is why I support the amendment to the Motion.
Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020 — House of Lords, 2020-10-20
Topic: Health
John Warren Shipley (Liberal Democrats, Centre to centre-left): My Lords, first, I congratulate the noble Baroness, Lady Fox of Buckley, on her maiden speech Clearly, we are at a critical point in the spread of the pandemic. The public will accept tighter restrictions on what they can do, but they need to have confidence that the decisions being made on such further restrictions for their area—in my case, the north-east of England—are grounded on clear evidence that they can understand. The experience of the past few days, with different interpretations of local evidence for Greater Manchester, has demonstrated that need Yesterday, one newspaper’s front page said: "Hospitals in north running out of beds, leak reveals." Why do we have to depend on leaks? The NHS nationally and the NHS locally, and directors of public health locally, have a duty to publish as much information as they reliably can as soon as they can. That rule should apply to advice from SAGE as well. This way, conflict and misunderstanding can be reduced, and public support increased for actions that may impact directly on them We need all agencies to share publicly their trend analyses and the facts on which they are basing their recommendations to politicians. I said a few days ago that I thought the Government should publish minutes of all meetings between Ministers and civil servants with mayors and council leaders. In view of the experience of recent days, it would certainly help if these discussions were properly recorded and published to reduce spinning and attempts to manage news. Not only would that be in the public interest, it would focus much greater attention on the impact of decisions and the justification in terms of their economic impact on people.
Health Protection (Coronavirus, Restrictions) (Self-Isolation) (England) Regulations 2020 — House of Lords, 2020-10-22
Topic: Health
Joan Walmsley (Liberal Democrats, Centre to centre-left): My Lords, I agree with the noble Lord, Lord Rooker, about the difficulty posed by the complexity of these regulations, and with the noble Lord, Lord Hunt. Poorer people, without a smartphone that supports the NHS app, are more likely to be fined if they fail to isolate than those who have the app. This is because, without the app, the only way that they can be asked to self-isolate is by test and trace or a council official. If those with the app who learn that they have had a contact are not subsequently contacted by test and trace and asked to self-isolate, nobody will be able to enforce the penalty if they do not. Given the poor record of NHS Test and Trace in contacting those who have tested positive and their contacts, that would leave an awful lot of people not self-isolating and not liable for a penalty if they do not. I am concerned that these penalties may deter people from taking a test. Also, a person who tests positive may be quite reluctant to disclose any contact who they predict is not likely to be able to self-isolate, in case they expose them to the possibility of a big fine Like the noble Lord, Lord Hunt, I am also concerned about the disclosure that the police will be given the details of people who have been asked to self-isolate. The BMA and the Chief Medical Officer have expressed concerns that this could also deter people from getting a test, and this would apply in particular to those who feel that they cannot afford not to go to work. Why is it necessary to involve the police? This is a disclosure of health information and an invasion of privacy. If the police are informed, what guidance and training are they given about how to approach the person concerned? Will they initially explain why self-isolation is important and direct them to support before using the big hammer of a fine?
Covid-19 Vaccine Rollout — House of Lords, 2020-12-09
Topic: Health
Judith Anne Jolly (Liberal Democrats, Centre to centre-left): I thank the Minister for the update, and join others in celebrating the good news about the first vaccines, administered yesterday. There are several different vaccines in the pipeline. Can the Minister update us on where they all are in terms of MHRA approval, and therefore of uptake? How many doses will be available, and by when?
Ockenden Review — House of Lords, 2020-12-14
Topic: Health
Paul Scriven (Liberal Democrats, Centre to centre-left): I declare an interest, as my husband is a medical director for NHS England, but not in the region where this hospital is located From these Benches, I want to start by sending our heartfelt love and admiration—as, I am sure, do many across the House—to those parents and families who will have an empty place in their home this Christmas, due to the poor care they received at Shrewsbury and Telford Hospital NHS Trust maternity services. This report is distressing and shocking to read. It is hard to comprehend that it describes a care system in this country, in this century. It describes everything from the lack of basic things like human empathy, compassion and support, to poor medical practice and lack of carrying out best practice and adhering to agreed professional standards. This has led to grief, long-term disability, lifelong complications and the unnecessary deaths of newborn children and mothers This is not the first case of poor practice in maternity care that has come to light after brave families and parents have refused to be cowed and silenced. Morecombe Bay should have been a wake-up call for ensuring that systematic, integrated changes took place. It is clear that cultural and systematic change at scale and in depth has not happened, despite previous warnings. The healthcare regulator this year reported that four out of 10 maternity services do not meet the safety threshold of care. I ask the Minister why, in 2020, that is an acceptable statistic In 2017, the £8.1 million national maternity training fund was withdrawn. Does the Minister now, in hindsight, regret this, and will he seek to re-establish this fund urgently? Will the Minister inform the House who is responsible—politically and managerially—within NHS England for ensuring that, this time, the changes highlighted are implemented, particularly in the seven areas seen to be urgent? What is the timetable for implementing the seven immediate and essential actions required across the NHS? What resources will be allocated to implement the 27 local and 7 immediate and essential actions required This must not be another report that gets sympathetic words from those with political and managerial responsibility but then ends up on a shelf gathering dust. That is why the Minister needs to outline a timetable for implementation, what resources will be allocated and who, ultimately, is accountable for ensuring that the systematic, deep changes happen, so that no family has to deal with the kind of grief and trauma that so many families in this report have had to deal with.
Mental Capacity (Amendment) Bill [HL] — House of Lords, 2019-02-26
Topic: Health
Elizabeth Barker (Liberal Democrats, Centre to centre-left): My Lords, I will make three quick points. One is to thank the Minister for the way in which she set out the ways in which the Government listened to the debates at an earlier stage in this House. We had deep misgivings about the lack of attention that we have been able to pay to independent hospitals. I am very glad that the reassurance that they will no longer be the responsible bodies has been given by the Government in another place Anybody who has followed our deliberations in great detail, as some people have, will know that we have had to spend an awful lot of time during the passage of this legislation focusing on care-home managers and the inappropriate responsibilities that they were given in the initial draft of the Bill. I am not entirely convinced that in relation to independent hospitals or local authorities we have entirely separated responsibility for assessment, responsibility for determination of what constitutes a care package and deprivation of liberty, and responsibility for the financing of those care packages. If the Bill had started off in a better shape, perhaps we would have been able to spend much more time on that, as we should have done. Therefore, it is important that at this stage we take on board the points made in Amendment 41A tabled by the noble Baroness, Lady Thornton, and make sure that we have not left a conflict of interest anywhere in the Bill.
Trade Bill — House of Lords, 2019-01-30
Topic: Health
Jeremy Purvis (Liberal Democrats, Centre to centre-left): Will the Minister clarify what he said about seeking to participate in the European Medicines Agency? The noble Baroness, Lady Fairhead, in an earlier grouping, said it was the intention to remove Clause 6 from the Bill, or at least bring forward different language about what that participation means. It is pertinent to the point my noble friend Lord Fox made. If it is the Government’s intention to participate in many of these institutions, what do they envisage that participation mechanism to be? If the Government are seeking to change Clause 6, they have to be clear about how they intend that participation to operate.
Trade Bill — House of Lords, 2019-02-04
Topic: Health
Jeremy Purvis (Liberal Democrats, Centre to centre-left): I am grateful to the Minister for his characteristically thorough response, except that we still have Clause 6 in limbo to some extent. I am not sure how long the Government can reflect on the language of their Bill, which the Government brought to the House without stating whether they intend to bring forward amendments on Report to change it. I think the noble Lord, Lord Lansley, made a very good point: this is a very significant issue that requires a degree of forewarning on what the Government’s intentions will be. I suspect we may just have to wait; we have pressed the Government enough at this stage with regards to getting some clarity on that point. It is frustrating that we still have some question marks that are being raised over the language of the Government’s legislation On the second point, I understand what the Minister says. There will not necessarily be any easy answers to this, but my point was that there can well be a marked difference between co-operation with, and participation in, European institutions—I think this is the point the noble Lord, Lord Lansley, was making, and I share his view. The European Union has been clear on that in the past. Indeed, on the previous day of Committee, my noble friend Lord Foster took part in the debate on communications and the regulatory bodies in the European Union for that. More recently, the European Union has changed its position to make it even harder for third countries to participate in the European agencies. Our bodies co-operate with the Food and Drug Administration in the United States. We have co-operation which is very deep, but when it comes to the key elements of whether medicines or vaccines are licensed, whether the research will be accepted on a reciprocal basis, and whether data is shared and can be legally shared between the two regulatory bodies, there are still issues that need to be identified It is reassuring to know that it is the Government’s intent, from the White Paper onwards, that we would have active participation, but at the moment it seems as if the political statement trumps that because it is more recent. However, the Government have reissued their position on active participation and, in advance of waiting to see what they bring forward on Report—if, indeed, they do so—I beg leave to withdraw my amendment.
Healthcare (International Arrangements) Bill — House of Lords, 2019-02-21
Topic: Health
Jonathan Marks (Liberal Democrats, Centre to centre-left): My Lords, I do not need to reflect very hard to withdraw what was plainly a probing amendment. I raised an idea and I accept the point that, in the context of many of the regulations, particularly those to replicate the European agreements that we have, my amendment might not be appropriate. In the context of the wider issue of any other new healthcare agreements, if they are persisted with, it may be appropriate, and it is something that we would consider I would like to say how grateful I am for the offer from the noble Baroness to consider the question of scrutiny. I would like to accept that offer now, and, in so saying, I beg leave to withdraw the amendment.
Healthcare (International Arrangements) Bill — House of Lords, 2019-02-19
Topic: Health
Jonathan Marks (Liberal Democrats, Centre to centre-left): My Lords, I make no aspersions on either the motivation or the interests of the noble Lord, Lord Lansley, but I think the noble Lord, Lord Foulkes, was right to draw attention to the definition of "healthcare agreement" in Clause 3, which provides that, "‘healthcare agreement’ means an agreement made between the government of the United Kingdom and either the government of a country or territory outside the United Kingdom or an international organisation, concerning either or both of the following— (a) healthcare provided outside the United Kingdom, payments in respect of which may be made by the government of the United Kingdom; (b) healthcare provided in the United Kingdom, payments in respect of which may be made by a country or territory outside the United Kingdom" That makes the point I am trying to make about the danger. If the noble Lord, Lord Lansley, disagrees with me about that, perhaps we could discuss it outside the Chamber, but for the moment I regard it as a serious danger.
Healthcare (International Arrangements) Bill — House of Lords, 2019-02-19
Topic: Health
Jonathan Marks (Liberal Democrats, Centre to centre-left): It is right that Clause 1 allows the Secretary of State to make payments out, but the point is that the regulations in Clause 2 provide for giving effect to a healthcare agreement. A healthcare agreement, as defined, allows reciprocity. My concern is that if we enter into healthcare agreements giving reciprocity on terms that are disadvantageous to the United Kingdom, that could involve our giving cheap access to the NHS.
Healthcare (International Arrangements) Bill — House of Lords, 2019-02-19
Topic: Health
Jonathan Marks (Liberal Democrats, Centre to centre-left): The noble Lord makes the point that whatever innocuous motivations may be expressed by Ministers at this stage, the powers in the Bill go far further. If there comes a stage where a Government are not so benign and have motivations that are political and unhelpful to the NHS—those could be, as I suggest, trade motivations—that presents a real risk. If easy access is given to the NHS in return, for example, for trade deals—
Healthcare (International Arrangements) Bill — House of Lords, 2019-02-19
Topic: Health
Jonathan Marks (Liberal Democrats, Centre to centre-left): That is a helpful intervention. It brings me back to the point that all that Parliament can do under CRaG is for the House of Commons to reject the entire treaty. If there is a stage at which a Government are interested in securing a trade Bill that even a majority in Parliament may regard as deleterious to the NHS, they may decide not to throw out the treaty because that is a very strong thing to do. Although I take the view that I suspect the noble Lord, Lord Lansley, takes—that the CRaG procedures are insufficient—that merely makes the point in favour of my amendment We ought to be looking to the question of international healthcare agreements outside the context of the very important aim we now have of replicating EU arrangements. Taken at their worst—obviously, not if the noble Lord, Lord O’Shaughnessy, and the noble Baroness are right that these agreements will be used for wholly benign purposes for the benefit of the NHS—they could do serious damage to the NHS, which is already cash strapped. They could encourage visitors coming here to seek treatment from the NHS in competition with UK residents. They could put added pressure on a service that is already suffering from staff shortages, which will be compounded after Brexit by the additional loss of large numbers of EU doctors, nurses and vital support staff What the Bill needs to do, and all it needs to do, is to ensure that in the appalling event of no deal, we can attempt to salvage our reciprocal healthcare arrangements by coming to replacement healthcare agreements with our present partners. That can be simply assured by our amendment, which would leave out all the offensive unrestricted powers in Clauses 2(2) to 2(4) and substitute a requirement that regulations may be used only to the extent necessary to replicate, as far as possible, our existing arrangements Agreements with the rest of the world can be left for another day under clearer, more carefully constructed and constitutionally appropriate legislation, for which we will need a great deal of time to consider. I beg to move.