argyrotsipi/train-dataset huggingface dataset:
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Daniel Brennan (Labour, Centre-left): My Lords, I rise to support the amendment for the following reasons. Parliament should speak the truth in legislation. In so doing, whatever degree of sentiment we strongly hold for or against an issue, when it comes to the very content of a statute there is no room for emotion and definitely no place for euphemism. The right words should be used in their right meaning. An Assisted Dying Bill could easily be understood to refer to a palliative care Bill. An assisted suicide Bill tells the truth, and the Bill should say that on its face It is a legislative irony that in Switzerland, which gave rise to Dignitas, the legislation specifically refers to suicide. At present, the word "suicide" appears only once in this Bill, in Clause 6(2), and that occurs because of statutory necessity. For the Bill to pass, the medical participant must be given an exemption from prosecution under that Act, otherwise the law will be broken. In the Bill’s present content the word is used once to amend a previous law, but not again It is necessary to use the word "suicide" because, first, death is normally a passive process. Medical participation in producing another person’s death is an active process. It involves the person wishing it, the doctor being satisfied and thus able to certify that it is reasonable, a process for use of the drugs that are to be given, and then the prospect of statutory provision. All of that surely requires clarity of expression. Secondly, it is necessary to better inform both our debate and public debate. In a Gallup poll conducted in 2013, 70% of the participants agreed with the proposition to: "End the patient’s life by some painless means", but only 51% were ready to agree to: "Assist the patient to commit suicide" The more bland and emollient the language used, the more acceptable the proposition becomes. The clearer the language, the more we are in touch with reality, and the better the decision to be made The Committee benefits from Members such as the noble Baroness, Lady O’Neill, with her clarity of thinking, accuracy of expression and modesty in presentation. I commend the amendment. Returning to my first point, there should be truth in legislation and, using her advice, we should pass this amendment because it is commensurate with the gravity of the issue with which we are dealing: life, or death, committed at the hands of a third party.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Michael Cashman (Labour, Centre-left): My Lords, I want to speak on this issue and against the amendment. Some colleagues will know that shortly before I entered this House, my partner died of a very aggressive cancer known as angiosarcoma. It came back swiftly and his death, I am certain, was assisted. During that period at the brilliant Royal Marsden Hospital, I was absolutely clear that if my husband of six years and partner of 31 years was to die, I wanted to die with him. I raise this not out of any sentiment or emotion, but for the very clarity that we need when dealing with assisted dying. I was healthy and wanted to commit suicide to end a healthy life. My partner—my husband—was facing a death that could happen in a week, three days or three months. To see him almost completely out of his senses because of the morphine, but still aware that he was unable to breathe, offered me clarity enough that I wanted to commit suicide and that my husband, who was dying, needed his death accelerated. With respect to noble Lords who are proposing this amendment, it will not bring clarity; it will, sadly, do the reverse.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Robert Maurice Lipson Winston (Labour, Centre-left): My Lords, with great respect to my noble friend Lord Pannick, I disagree, and totally agree with the noble Baroness, Lady O’Neill. There is another issue beyond clarity here. One of the issues that was raised at Second Reading and, I think, on the first day in Committee was the concept that fragile and possibly deranged, angry and distressed elderly people coming into hospital have of the nature of their status as patients. The use of the word "suicide" brings clarity for them, because it makes a very big difference to medical and nursing practitioners, who can quite clearly see that they will not be involved in a process of assisted dying. It is, effectively, suicide, and that limits any notion of how they might feel when they feel that somebody is not really worth supporting in hospital. This is a major problem and will become an increasing one. We see the increasing difficulties in the health service when dealing with cancer care at the moment and the provision of drugs. There will be pressures on budgets and increasing pressures on patients who will feel under pressure to take a decision that is not entirely theirs. I therefore support this amendment.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
William Trimble (Conservative, Centre-right): My Lords, my comments would have been most apposite when I tried to intervene earlier. At that point, the noble and learned Lord was quoting from the contribution from my noble friend Lord Mawhinney, who referred to Clause 4. I observe that that clause talks about prescribing, "medicines for that person to enable that person to end their own life" Does he agree with me that the worst euphemism here is the use of the word "medicines"?
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Norman Warner (Labour, Centre-left): My Lords, I have been sitting through these debates on assisted dying for some 12 years, sometimes on the Front Bench and sometimes on the Back Benches. I agree that I am getting older and my memory may be getting a little faulty, but I do not recollect in many of those debates people standing up with such skills of advocacy as we have heard this morning about this definitional issue in the wording of the Bill We have been talking about legislation which has been labelled assisted dying Bills over the 12 years from the first efforts in this area of my noble friend Lord Joffe. We have had commissions on it which have used the term "assisted dying". The public have got used to the term "assisted dying". If we really want to confuse the public at this point, changing the terminology of the Bill is a really good thing to do. We have sat through long public debates over this particular—
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Norman Warner (Labour, Centre-left): If we are really concerned with what the public understand, it is a bit presumptuous to assume that they have been following these debates for 10 to 12 years but have not understood what we have been talking about in terms of assisted dying. We get a lot of criticism in Westminster—
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Elizabeth Conway Symons (Labour, Centre-left): My Lords, is that not taken into account by the use of the word "assisted"? No one is trying to pretend that this is something without other people there, but the word "assisted" implies that there are other participants around. The noble Lord, in deliberately ignoring one of the words in "assisted suicide", is in danger, as has been said, of being misleading in what he is saying.
UK Musicians: EU Visa Arrangements — House of Lords, 2021-01-20
Topic: Culture
Dafydd Wynne Wigley (Plaid Cymru, Centre-left to left): My Lords, I draw attention to my registered interests. Does the Minister accept that this wholly avoidable mess turns the clock back half a century, leaves musicians, particularly freelance soloists, with unnecessary obstacles to working professionally in EU countries, and imposes road blocks for European musicians wishing to perform in Britain? Is this not a narrow-minded approach that not only undermines our musicians and concert organisers but shows how inward-looking post-Brexit Britain is fast becoming?
Covid-19 Update — House of Lords, 2021-01-07
Topic: Health
Dafydd Wynne Wigley (Plaid Cymru, Centre-left to left): My Lords, the Government have given commitments regarding rolling out the vaccination programme in England. Is the noble Baroness aware that the Government of Wales have been unable to give such a firm timescale because of uncertainty about time scheduling and the quantity of vaccine available to them, which is provided by the NHS in England? Can she ensure urgent transparency concerning an adequate supply of this vaccine for the Welsh Government?
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
Dafydd Wynne Wigley (Plaid Cymru, Centre-left to left): My Lords, will the Minister join me in welcoming the fact that Wales had become the first of the UK nations to have vaccinated more than 20% of its population? Will he confirm that the availability of vaccine supplies for all four homes nations has been co-ordinated by the NHS centrally? That being so, can he reassure me that adequate supplies will consistently be made available to the NHS in Wales to keep up this rate of vaccination, and to enable it to give to all those who have had their first jab their second follow-up jab within 12 weeks?
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Norman Warner (Labour, Centre-left): Can I seek clarification from the noble Lord? What he is trying to do is challenge the point that I was trying to make. I should like to make clear to the Committee the point that I was trying to make—which I do not think was the point he was trying to rebut My point about Section 82 of the Welfare Reform Act is that it bases public policy on the assertion that it is reasonable to ask doctors to make a judgment on whether someone is likely to be terminally ill and die within six months. It does not say that we expect 100% perfection from those forecasts. My point was that Parliament has decided in legislation that it is reasonable to have a definition of terminal illness that we can expect the generality of the medical profession to understand and apply on a reasonably consistent basis. In my judgment—the noble Baroness, Lady Hayman, may be able to correct me—it would be a breach of medical good practice and possibly an offence for doctors knowingly to sign those certifications if they did not clinically believe that the person was likely to die within six months.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Elizabeth Conway Symons (Labour, Centre-left): My Lords, I wanted to make exactly the same point as that made by the noble Baroness, Lady Finlay. I will not repeat it, but I ask my noble and learned friend to consider carefully the point that she just made about the actual timing of giving any drugs that would terminate life I wanted to make one other small point about something that the noble Lord, Lord Warner, said earlier about thinking that doctors were overoptimistic about survival rates. My own experience of this, which the noble Lord, Lord Carlile, referred to at the beginning of this debate, was exactly the reverse of that. Right at the beginning of a very late diagnosis of leukaemia, my husband was told that there was only a 20% survival rate for that form of leukaemia and he was unlikely to be in that 20% because of the late diagnosis. Five years later, he received a letter, having gone through the dark hours of the night wanting to end his life in very much the way that the noble Baroness, Lady Campbell, alluded to in others but has obviously steadfastly and gallantly resisted herself. The letter said that, in fact, the survival rate had not been 20%, as he had been advised, but 47%—more than double what the survival rate was meant to be I simply make the point that terminal illness is hard to define, whatever we put into legislation. The fact is that medical science is moving fast, particularly in the treatment of cancer. These definitions are enormously difficult and I would ask noble Lords to reflect on the fact that survival rates can be very much higher after a relatively short period of time.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Norman Warner (Labour, Centre-left): My noble friend referenced me in saying that doctors were overoptimistic. What I said was that one review of evidence has found that fewer than one in four patients outlived the prognosis when their clinicians predicted survival of six months or less. I said that that research rather suggests that doctors have a tendency to be overly optimistic about how long people will live, because it shows that when people thought they had six months to live, actually a large number of them failed to get through the six-month period.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Philip Alexander Hunt (Labour, Centre-left): My Lords, like the Government, the Opposition are not expressing a view on the Bill, and we have a free vote on this side of the House. I ask the Minister to help me with an interpretation of the meaning of Amendment 13, particularly in relation to the meaning of the provision that one of the registered medical practitioners has to have had the person registered with them for at least six months. Does he take that to mean that a patient has to be registered with a general practitioner for the provisions of the Bill to apply? I am assuming that when patients are under the treatment of other doctors, such as hospital doctors, they are not registered with them. This is important. If I am right—and I am expressing no view on the merits of the amendment—it would be helpful to the Committee to know from the noble Lord, Lord Carlile, what would happen in circumstances where, for reasons which have been set out by other noble Lords, a person is not registered or has been removed, sometimes forcibly removed, from the list by the GP under the arrangements that apply. It would be helpful if he could clear up that point.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): I do not accept it in the way that the noble Lord has formulated it. I say that there should be two doctors who have properly, on good evidence, considered the case. It may well be that neither of those doctors has been engaged in the long-term or even short-term care of the person. But I would be satisfied with the gateway involving two doctors who have gone through a proper and rigorous process, and I disagree with the noble Lord when he says that they have to have known the person for six months. Indeed, I do not think he is even saying that because registration over a six-month period would not necessarily involve any contact whatever with the general practitioner.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): The first point about the two doctors is dealt with in Clause 3, because the second doctor has to certify that he is content. The noble Lord is getting frightfully agitated. If he looks at Clause 3, he will see that it requires certification by a second, independent doctor Secondly, the noble Lord asked whether I would enter into discussions in relation to putting in the Bill that one of the doctors has had to be involved in the care of the patient. No, I would not because I think it is satisfactorily dealt with in the Bill as it stands, for the reasons I have indicated. I will answer the noble Lord, Lord Jopling, first, and then go to the noble Lord, Lord Maginnis.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): As I indicated to the noble Lord, Lord Jopling, I am more than happy to talk about it. The example of the cancer specialist or the motor neurone disease specialist makes me instinctively, having considered it quite carefully, against the idea of any limit, but I am more than happy to discuss it.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): I think the noble Baroness is wrong. I thought that I had said Clause 3 but maybe I did not. Clause 3(3) requires two doctors to sign the person’s declaration that the person, "is terminally ill … has the capacity to make the decision to end their own life; and … has a clear and settled intention to end their life which has been reached voluntarily, on an informed basis and without coercion or duress" If I inadvertently said Clause 2, I meant Clause 3 and I apologise. It involves two doctors. We could go into the debate about vulnerability again, but with regard to clarification on whether two doctors are required, I think the Bill is utterly clear.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): That is a fair point. The process is that one doctor says the person is terminally ill. The patient declares that they want to take their own life and then the second doctor has to confirm both the terminal illness and the firm and settled intention, voluntariness and capacity. I am not quite sure what further point the noble Baroness is making. She is right that Clause 2 refers to the initial doctor and Clause 3 refers to the second, but the process involves two doctors. I can take it no further than that, I am afraid The next point that was raised about the safeguard was the suggestion that we reduce the period from six months to six weeks. I completely accept that there are uncertainties from time to time about diagnosis. A judgment has to be made as to whether someone is terminally ill and may be reasonably expected to die within six months. I do not believe that that is an impossible task for a doctor to embark upon. As the Minister said, a judgment has to be made on what the right period is. I anticipate that the mood of the Committee is that six weeks is much too short. As a matter of judgment, six months feels right after hearing considerable evidence in the commission, and it also feels right having heard the debate just now The fact that diagnoses and predicting the length of time that you have to live are difficult—they are difficult whether the amount of time is six weeks or six months—does not lead me to believe that the Bill should not go forward, or that we should vacate the field in giving people that right. As the noble Lord, Lord Berkeley of Knighton, said, in this area we are not dealing with certainty. The question is whether, in the absence of certainty—and no provision can give certainty—we should be saying that because you cannot have certainty you cannot have the Bill. In my view, the right conclusion is that even though you cannot have certainty—everybody agrees with that—you should nevertheless have the Bill. Having listened very carefully to the choice between six weeks and six months, and obviously having considered something in between, six months appears to be right in relation to this.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): I apologise to the House for taking so long to get on to the point about six months versus six weeks. I very carefully considered whether one should say that, once you have a diagnosis of six months to live, you should be able to have the discussions but only be able to take the drugs within six weeks. I am strongly against that.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): If I may finish, the reason I am against it is that once the diagnosis is given by the doctors, there is a process that will take a considerable time, and that once the court has approved the process and said that somebody should do it, it should be for them to decide when they do it. It would be an unsatisfactory and, I suspect, an unenforceable process to have to go back and get a doctor to say that you have six weeks or less to live. I thought carefully about that point before it was raised. It is not referred to in any amendment and I assumed that nobody had properly considered it. I am against it.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): I will take that up. With regard to my Bill, if the situation were reached—the noble Baroness, Lady Campbell, referred to this—that somebody had very low air and decided to take advantage of my Bill, they would have to get two doctors to approve it and the High Court of Justice would have to say yes. That is a very different situation from the one that the noble Lord describes. My Bill gives much greater protection as regards somebody who is asking for death than the situation that the noble Lord describes. It is for that reason that I cannot understand why he says that my Bill might make it worse.
Assisted Dying Bill [HL] — House of Lords, 2015-01-16
Topic: Health
Charles Falconer (Labour, Centre-left): The Oregon experience is that that does not happen, but the safeguards—two doctors, and the High Court judge approving it—are in my view sufficient to prevent the sort of abuse to which the noble Baroness refers.
Hospitals (Winter Demand) — House of Commons, 2015-01-13
Topic: Health
Chloe Rebecca Smith (Conservative, Centre-right): The Norfolk and Norwich university hospital has declared a major incident and is also being examined by Monitor for its waiting times. Its medical director stresses that services are safe, but we all know that there is a need to ensure that people can move on from hospitals into other parts of the health care system. Can my right hon. Friend reassure me that he would expect the use of the resources he has provided to be jointly planned out with social care?
Defence Capability (Conventional Weapons) — House of Commons, 2015-01-12
Topic: Defense
Questions: What plans he has to consider delivery of UK defence capability through conventional rather than nuclear weapons as part of the 2015 strategic defence and security review.
Nicholas Barton Harvey (Liberal Democrats, Centre to centre-left): Given that RUSI is predicting that by the early 2020s the replacement of the nuclear deterrent will account for some 35% of the defence procurement budget, and given that this summer, whatever the outcome of the election, Ministers at the Ministry of Defence will be struggling to make limited resources pay for a long list of major procurements, could it possibly make sense to exclude from a comprehensive review the biggest single procurement?
Hospitals (Winter Demand) — House of Commons, 2015-01-13
Topic: Health
James Gerald Douglas Howarth (Conservative, Centre-right): May I take this opportunity to salute the efforts made by Frimley Park hospital, the first hospital in the land to have been awarded outstanding status by the Care Quality Commission? Is it not the case that it has responded well to the pressures and elicited praise from my constituents, which is down in large measure to the leadership of Sir Andrew Morris, who was rightly awarded a knighthood in the new year’s honours?