argyrotsipi/train-dataset huggingface dataset:
NHS: New Junior Doctor Contract — House of Lords, 2016-04-18
Topic: Health
David Prior (Conservative, Centre-right): My Lords, the noble Lord has raised two substantial points. The first is the difference between introduction and imposition. The fact is that, in the context of the NHS, where there is really only one offer, the difference between introduction and imposition is very small. Technically, it is true that individual employers are responsible for its imposition, but in reality, as the noble Lord will know from all his years in the Department of Health, the Secretary of State has considerable powers in this matter. I do not think the noble Lord would want all trusts to cut their own deals locally—there has to be an actual contract. It is true that when the legislation for foundation trusts was brought forward by the noble Lord’s Government a few years ago, they were given the power to negotiate their terms and conditions locally but, with the exceptions of, I think, Southend and possibly Guy’s and St Thomas’, they have chosen to stick with the national contract On the noble Lord’s last point about a way through, there are no winners from this dispute. The patients are very clear losers, and it is tragic that we have got to the situation that we have. The threshold for withdrawing emergency cover from hospitals needs to be a lot higher than the one the junior doctors are adopting on this occasion.
NHS: New Junior Doctor Contract — House of Lords, 2016-04-18
Topic: Health
David Prior (Conservative, Centre-right): My Lords, the noble Baroness talks about a proper negotiation. This negotiation has gone on for three years and there have been 75 meetings about this contract. It is hard to know what a proper negotiation is when you have that number of meetings over that period of time. The junior doctors may not recognise this but the Government feel that 73 different concessions were made during that period. In many ways this has gone on for too long, and that is why, when Sir David Dalton got involved towards the end of the contract negotiations, his advice was, "You’ve got to settle this". We cannot go on and on negotiating and discussing these matters. On the other point that the noble Baroness raised, the pressure on our emergency services is huge at the moment. She is right that the A&E performance in January was very poor, but it is simply the case that demand on our A&E departments is huge.
NHS: New Junior Doctor Contract — House of Lords, 2016-04-18
Topic: Health
David Prior (Conservative, Centre-right): I do not think that the Secretary of State has been under any misapprehension about his powers in this matter. The BMA, on behalf of the junior doctors, is judicially reviewing his powers, but those powers are clearly set out in Section 1 of the 2006 Act. It is our position that he has always had those powers, but we expect that to go to a judicial review on 8 and 9 June.
NHS: New Junior Doctor Contract — House of Lords, 2016-04-18
Topic: Health
David Prior (Conservative, Centre-right): My Lords, I certainly agree that some of the best and finest young people in Britain go into medicine. It is a wonderful vocation—I use the word "vocation" advisedly. We have had three years of trying to come to a compromise and there comes a point in any negotiation when you have to draw stumps, although it is very unfortunate and very sad when that happens. Over that three-year period there were opportunities for both sides to come to an agreement and it is tragic that we did not do so, but I feel that after three years the Secretary of State had little option but to accept the advice of Sir David Dalton.
Armed Forces Bill — House of Lords, 2016-02-29
Topic: Defense
Frederick Richard Penn Curzon (Conservative, Centre-right): That it be an instruction to the Grand Committee to which the Armed Forces Bill has been committed that they consider the Bill in the following order: Clauses 1 to 13, Schedule, Clauses 14 to 22, Title.
Junior Doctors — House of Lords, 2016-02-08
Topic: Health
David Prior (Conservative, Centre-right): My Lords, the noble Lord said he had three questions; I think there were only two questions there, which is unusual, if I may say so. We do not want to impose a contract. We want the BMA to come back and continue the talks and we still hope that that will happen. Clearly, imposing a contract is not what we ever wanted to do when this whole process started. As was said in the Statement, the Secretary of State’s door is open and we hope that we can resolve these difficult issues in a negotiated, consensual way On the noble Lord’s second question, he rightly said that this is an appalling situation, but actually I describe it more as a tragedy. Let me quote from a trainee doctor: "I feel undermined and not valued at work and I have seen how this flagging morale among colleagues has caused more than ever to leave the profession. It is a hard job that takes dedication and stamina to continue. But as we are criticised and treated as ‘cogs in a wheel’ rather than as individual professionals, I think we will see ever increasing numbers of people leaving this profession" That was in 2005, after the contract came in. The issues facing the junior doctors go back a long way. It is not just about plain time on Saturdays or this particular contract but about how we value, reward, train and trust junior doctors. That is the issue we must come to when the current dispute is resolved.
Junior Doctors — House of Lords, 2016-02-08
Topic: Health
David Prior (Conservative, Centre-right): My Lords, I apologise for not replying to the question earlier about the number of chief execs. The point is that this is not just about junior doctors; I think we all understand that totally. We are hoping to have more primary care, more social care, more diagnostics and more senior consultant cover at weekends, which will support junior doctors and make their lives better at night time and over the weekend. As far as the hours are concerned, the new contract proposal puts far greater safeguards over the amount of time that junior doctors will be working. I think that is largely accepted by the junior doctors. Going forward, the maximum number of consecutive nights will be down from seven to four; the maximum number of long shifts—that is, over 10 hours—will be down from seven to five; the number of consecutive late shifts will be down from 12. We are putting in those safeguards to ensure that we do not go back to the bad old days of very long hours. They were the bad old days on one level but if you actually talk to most doctors, they did get tired and it affected safety but it built a sense of teamwork, camaraderie and purpose in hospitals. We need to be careful about rubbishing the old days when they built up a lot of really serious, good professional work.
Junior Doctors — House of Lords, 2016-02-08
Topic: Health
Andrew Lansley (Conservative, Centre-right): My Lords, does my noble friend the Minister recall, as I do, that it was a Conservative Administration who introduced the new deal for junior doctors and established a process by which unsafe, excessive hours for doctors were not to be pursued? That started happening in the early 1990s and no one is thinking that we would go back to that. I was delighted that my noble friend was able to make it clear how the negotiations can introduce additional guarantees about not having unsafe hours for junior doctors. However, I put it to him that at this stage in the negotiations there may be an alternative approach—an objective of enabling seven-day rostering for junior doctors, in this instance but also more widely, and an overall financial envelope. It might be put to the BMA that rather than it standing aside from the negotiations, it should take responsibility and say how it proposed that junior doctors should be remunerated within that financial envelope to meet those objectives.
Junior Doctors — House of Lords, 2016-02-08
Topic: Health
David Prior (Conservative, Centre-right): My Lords, we certainly do not want to go back to the days when junior doctors were working very long and unsafe hours but nor should we ignore the fact that they do not, by and large, like being treated as shift workers. The continuity of care is very important to most professional doctors. As for the actual negotiations, I have not been directly involved with them so I do not know to what extent the junior doctors have been asked to consider what my noble friend Lord Lansley has suggested. However, what he says has much merit.
Junior Doctors — House of Lords, 2016-02-08
Topic: Health
David Prior (Conservative, Centre-right): My Lords, I think that they will be different for different people but we already have seven-day working in some of our hospitals. Salford Royal is a case in point where we have a lot of seven-day working. This is something which will evolve over the next three years.
Access to Medical Treatments (Innovation) Bill — House of Lords, 2016-02-26
Topic: Health
David Prior (Conservative, Centre-right): My Lords, all my experience over the last 15 years is that openness and transparency are critical to get improvement and innovation into the NHS, but we have to accept that patient confidentiality is also extremely important. If we in any way compromise or give people reason to think that patient confidentiality will be in any way intruded on, we may unwittingly undermine everything else that we are trying to do. We have seen that in other areas in the health service in the last year or so. We have to be very careful in this area, but I understand the importance of the noble Baroness’s point The Bill does not seek to add an extra burden on doctors, as the GMC’s guidance already sets out requirements on doctors to record their work clearly in clinical records. Doctors are required to have regard to such guidance as part of maintaining their licence. However, through the use of NHS contract guidance, doctors will be required by their providers to have regard to the requirement to record their innovations and, crucially, all associated outcomes.
Access to Medical Treatments (Innovation) Bill — House of Lords, 2016-02-26
Topic: Health
Maurice Saatchi (Conservative, Centre-right): My Lords, I thank all noble Lords who have spoken in this debate and earlier debates. As last time, I hope that all noble Lords who have been involved in this Bill and the predecessor Bill take pride in the ability of your Lordships’ House and, as it perhaps surprisingly turned out in the House of Commons, of both Houses of Parliament to avoid tribal party warfare and work together, at least in this area of health. That is a remarkable achievement of which both Houses of Parliament and all of us can feel very proud. I shall try to reflect the tone of what my noble friend the Minister said. This is a modest step, authorising the Secretary of State to instruct one of the key bodies in the NHS to start to work with medical professionals—the royal colleges, the charities, the patient groups—in assembling this database, which everyone wants. I hope that your Lordships’ House will allow me to ask it to give the Bill a Second Reading.
Mental Health Taskforce — House of Lords, 2016-02-23
Topic: Health
David Prior (Conservative, Centre-right): My Lords, I will now repeat as a Statement the response to an Urgent Question given in another place by my right honourable friend the Minister of State for Community and Social Care on the report of the independent Mental Health Taskforce. The Statement is as follows "Achieving parity of esteem for mental and physical health remains a priority for this Government. We welcomed the independent Mental Health Taskforce launched by NHS England last year with a remit to: explore the variation in the availability of mental health services across England; look at the outcomes for people who are using services; and identify key priorities for improvement The task force was chaired by Paul Farmer, chief executive of Mind, and I want to thank him, the vice-chair, and his team for all their work. The task force also considered: ways of promoting positive mental health and well-being; ways of improving the physical health of people with mental health problems; and whether we are spending money and time on the right things The publication of the task force’s report earlier this month marked the first time a national strategy has been designed in partnership with all the health-related arm’s-length bodies in order to deliver change across the system This Government have made great strides in the way we think about and treat mental health in this country. We have given the NHS more money than ever before and are introducing access and waiting time targets for the first time. We have made it clear that local NHS services must follow our lead by increasing the amount they spend on mental health and making sure beds are always available Despite these improvements, the task force gives a frank assessment of the state of current mental health care across the NHS, highlighting that one in four people will experience a mental health problem in their lifetime and that the cost of mental ill health to the economy, NHS and society is £105 billion a year. We can all agree that the human and financial cost of inadequate care is unacceptable. Therefore, we welcome the publication of the task force’s report, and the Department of Health will work with NHS England and other partners to establish a plan for progressing the task force’s recommendations for improving mental health. To make these recommendations a reality, we will spend an extra £1 billion on mental health by 2020-21 to improve access to services so that people receive the right care in the right place when they need it most. This will mean increasing the number of people completing talking therapies by nearly three-quarters, from 468,000 to 800,000; more than doubling the number of pregnant women or new mothers receiving mental health support from 12,000 to 42,000; training around 1,700 new therapists; and helping 29,000 more people to find or stay in work through individual placement support and talking therapies I can assure all Members of the House that they will have ample opportunity to ask questions and debate issues as we work together to progress the task force’s recommendations".
Mental Health Taskforce — House of Lords, 2016-02-23
Topic: Health
David Prior (Conservative, Centre-right): My Lords, we have strayed somewhat from the subject. On the money, the Prime Minister announced an extra £1 billion in January. It is the same £1 billion and is within the £8 billion—or £10 billion—that was in the settlement in November. The Government asked Paul Farmer to set out in his report where the priorities are and where the money should be spent, and that is exactly what has happened. Interestingly, I saw Don Berwick last week. He is a very distinguished American with a lot of experience in patient safety and health improvement. There is no question: it is going to be tough. It will be very difficult to do on around 7% of GNP, but there is absolutely no doubt, from the work of the noble Lord, Lord Carter, and others, that there is a lot to go at. If it was not tough, we would not be going at it. We must take advantage of the fact that it is going to be tough by addressing some of the difficult issues which we should perhaps have addressed in the past but did not.
Mental Health Taskforce — House of Lords, 2016-02-23
Topic: Health
David Prior (Conservative, Centre-right): My Lords, of the £1 billion, £290 million has been earmarked for perinatal spending on pregnant women and mothers suffering from postnatal depression. I cannot tell the noble Baroness how many extra beds that might provide, or how much of that is being provided away from beds, but I will write to her on that matter.
Mental Health Taskforce — House of Lords, 2016-02-23
Topic: Health
David Prior (Conservative, Centre-right): My noble friend is absolutely right. I am glad he finished by referring to quality in outcomes rather than just activity. That is the critical thing about getting the tariff right, that it is based not just on activity but on quality in outcomes.
Trade Union Bill — House of Lords, 2016-02-23
Topic: Health
John Gummer (Conservative, Centre-right): My Lords, I address the House as a former Minister for Health and Safety. I agree with almost all of the speech by the noble Lord, Lord McKenzie. Health and safety in this country has received a pretty bad press for quite the wrong reasons, but health and safety in the workplace is something that we should be immensely proud of. I think it is still true that the United States has about four times the number of accidents in the construction industry, for example, that we do here. We have a proud record in what we do but it is not a record to be complacent about; the noble Lord rightly said that this is something that you have to keep on about all the time So I do not rise with any antagonism either to the health and safety laws or to the very important role that trade unions play in ensuring that, in workplaces up and down the country, these laws are adhered to and employers take their responsibilities seriously, and indeed that work people take their responsibilities seriously. Very often, when employing in these circumstances, I found that it was the trade union representative who did most to ensure that, for example, people used hearing protection, which is always such a difficult thing to get many people to wear. Indeed in one factory, when I was Minister for Health and Safety, I found that the staff failed to put the earplugs in their ears but put them in their noses because they did not like the smell of the oil, which was not the purpose of the whole process The trade unions play a hugely important part in this. However, I do not understand why in those circumstances we should be ashamed of saying how much time it takes. We should be wanting to say how much time it takes, generously speaking of it and being able to point to businesses and parts of the public sector that do not seem to do as well as others. I am not afraid of transparency in this area. I know that there is a feeling on the Benches opposite that that it is all designed to stop things, but I am not sure that that is true I share very much the Minister’s point about anything that starts with a comment from the TaxPayers’ Alliance, which means that it is probably fallacious; its use of words, and certainly of figures, is almost universally to be questioned, at the very least—rather less so than the IEA, but I would certainly be careful about relying much on its figures. I seem to remember some figures produced by the TaxPayers’ Alliance showing the suggested cost of the necessary green measures on energy efficiency being entirely wrong, and I want to take that opportunity to say so.
Trade Union Bill — House of Lords, 2016-02-23
Topic: Health
John Gummer (Conservative, Centre-right): There are plenty of good ways, but I have to say to the noble Lord, having said that I agree with so much of what he has to say, that in the world of the internet, when everyone expects to be able to know everything, it is an odd argument to say that we should not know how much time is spent on this. I just think that that is not of 2016; it is the kind of argument people used 20 years ago. Today we need to know. We need to use those figures in order to point out that this borough spends very little time on health and safety while that borough spends much more, and it is about time that I as a taxpayer in a particular borough could say, "I don’t think my council is behaving properly". If I do not have the figures then I cannot make that point I quite agree with the noble Lord about the consequences if this were used to push down the unions, but I have no evidence whatever that this Government, or any previous Conservative Government, have done that on health and safety. All I am saying is that I know of no evidence of that. I can imagine that in some areas suspicions might arise, and indeed I might find myself equally suspicious, but on this particular measure I do not think that is a fair assertion Still, it gives me an opportunity to say to the Minister something that I think needs to be said more often. Just because certain popular newspapers find ridiculous things that health and safety has insisted upon, and just because it is true that many local organisations fail to do the things that they used to because some unnecessary intervention by health and safety has suggested that it might be dangerous—children might fall over or something untoward might happen—that does not mean to say that we should not continually press for better health and safety in our workplaces. I particularly want to make the point about health and safety as far as hearing is concerned; we still have far too many people who retire to an old age of deafness because the health and safety provision has not been satisfactory In supporting my noble friend’s view about this amendment I would like to hear from her a very robust defence of the need for health and safety, the role of trade unions in ensuring that, and a determination to use the knowledge which we get from the Bill to ensure that those public sector bodies which do not treat this seriously enough can now be pinpointed because we shall know that they are not giving the time off which they should for the trade unions to play the part that they ought to play on health and safety.
Trade Union Bill — House of Lords, 2016-02-23
Topic: Health
John Gummer (Conservative, Centre-right): Where one found a public service in which the amount of time spent on health and safety was manifestly below what would normally be expected, would not the fact that you had these figures enable people to complain about that, pointing out that this would be dangerous and that the situation ought to be improved?
Trade Union Bill — House of Lords, 2016-02-23
Topic: Health
Lucy Neville-Rolfe (Conservative, Centre-right): That is not the current proposal Amendment 87 would require employers to publish an estimate of the cost savings and value of facility time taken under the Health and Safety at Work etc. Act 1974. That would be significantly burdensome for public sector employers to calculate. It would be very much a subjective calculation, and we have already been round this circuit. Should public sector employers believe that they can estimate the information suggested by these amendments, then they may do so, but it would not seem reasonable to require every public sector employer to make this calculation Finally, I am very grateful to the noble Baroness, Lady Donaghy, for her interesting comments. I agree with much of what she said about the importance of tackling illness at work, about the days that can be lost through illness, which is bad for productivity and growth, and about what can be achieved by focusing on health and well-being. However, I do not think that that affects what I have said on these amendments and I ask the noble Baroness to withdraw her amendment.