argyrotsipi/train-dataset huggingface dataset:
Welfare Reform and Work Bill — House of Lords, 2016-01-25
Topic: Health
Andrew Lansley (Conservative, Centre-right): My Lords, perhaps I may intervene briefly to say a word about Amendment 42 in the name of the noble Baroness, Lady Howe, and Amendment 43 in the name of the noble Lord, Lord Layard. In Committee, we discussed this briefly. While I have previously made it clear that I would seek to minimise those occasions on which we seek in statute to specify the circumstances in which people should access NHS treatment, that principally should be determined on a clinical basis. Past experience has demonstrated the value of the Improving Access to Psychological Therapies programme in providing assistance to people with mental health and behavioural disorders, especially anxiety and depression. Your Lordships will know that the numbers who are in receipt of benefit and who are out of work by reason of those conditions has significantly increased over the last two decades. We need to respond to that The IAPT programme, which begun under the Labour Government before 2010, was continued and rolled out during the coalition Government after 2010. I stress that the importance of this will, I hope, give the Minister the opportunity to say that, while not accepting the letter of Amendment 43, the Government are sympathetic to the spirit of it. After 2012-14, there has been a 25% increase in the number of therapists providing psychological therapies through the National Health Service. That rollout is continuing. Health Education England anticipates that the increasing supply resulting from its commissions for training places for psychological therapists should arrive at the point whereby at 2017-18 the demand for such therapy is able to be matched by the supply of trained therapists. We have an opportunity, in the timeframe anticipated for the measures in the Bill, to make it more certain that somebody with anxiety and depression requiring access to therapies while signing on for benefits should be able to access that therapy. I hope that the Minister can give that positive response to these amendments.
Welfare Reform and Work Bill — House of Lords, 2016-01-25
Topic: Health
David Freud (Conservative, Centre-right): Yes. The Secretary of State for the DWP has no power to make referrals into the health system. That is just the way that these things are kept separate, and there is enormous sensitivity in the medical area about data and information flowing around the systems. In practical terms, that makes it impossible to join them up; it must be done in a much more subtle and clever way.
Cities and Local Government Devolution Bill [HL] — House of Lords, 2016-01-12
Topic: Health
James Peter Hymers Mackay (Conservative, Centre-right): My Lords, I am sorry I was not here at the beginning of this short debate. I had a meeting with a Minister on another matter. It was my privilege to consider with the noble Lord, Lord Warner, his original amendment. I supported it at that time, although not to the extent of going to the Division when he pressed it. From the answer that my noble friend had given, I believed that Ministers would take account of this. I sensed, possibly rightly, that it had not been very fully considered up to that point. I am glad that it is now being considered My concern is really the same as that of the noble Lord, Lord Warner. If it is not properly done, this kind of devolution could damage the nationality of the National Health Service, making it local with a postcode lottery according to where you happen to be. The amendment proposed by the Government is different in its way of approaching the matter and has dealt with that in a satisfactory way. I find it difficult to know the position about social care. I understand it is still a local authority responsibility and not for the National Health Service. The difference in funding is important in this connection also. I shall be glad to hear what the Minister has to say in answer to the noble Lord, Lord Beecham, on that point and on how the report will deal with the views of stakeholders other than just the central authorities themselves.
Cities and Local Government Devolution Bill [HL] — House of Lords, 2016-01-12
Topic: Health
David Prior (Conservative, Centre-right): My Lords, first, I thank the noble Lord, Lord Warner, for his very friendly comments—long may they continue. As he and other noble Lords have mentioned, this is a good example of the scrutiny provided by this House in ensuring that we have, as my noble and learned friend Lord Mackay mentioned, a truly National Health Service, and that this legislation preserves, rather than undermines, the integrity of the National Health Service, with accountability, after devolution, still clearly with the Secretary of State for Health and to Parliament The noble Lord, Lord Beecham, asked what will happen in the event that things do not work out—I think that was the issue that he raised. The answer is, I think, that it will depend on the negotiations in each individual case. There need to be sensible arrangements from the outset as to what will happen in the event that things do not work out, which the Secretary of State will need to take a view on when agreeing to the deal at the beginning. In a sense, the end game needs to be considered early on in the proceedings. However, I may have missed the point that the noble Lord was making.
Cities and Local Government Devolution Bill [HL] — House of Lords, 2016-01-12
Topic: Health
David Prior (Conservative, Centre-right): My Lords, life is untidy, unfortunately. It is never clear and you cannot foresee all eventualities. The only response I can give noble Lords today is that the Secretary of State will deal with each matter on a case-by-case basis. I do not think that anyone can lay down a blueprint for dealing with that now, but I am happy to discuss it with the noble Lord and the noble Baroness if they want to do so. Maybe this is not the right place to go into all of that. I hope that that will be acceptable to them The noble Lord, Lord Shipley, raised the report on the success of devolution. I think I can speak for the Secretary of State for Health in saying that he would want to involve all relevant stakeholders in that report, not least patients, frankly, for obvious reasons. I am happy to put that on the record I conclude by thanking the noble Lord, Lord Smith, for updating us all on what is happening in Manchester. We on both sides of the House wish Greater Manchester well. It is a trailblazer and a very important development. We hope that we will see more devolution across England while still retaining the central accountability and integrity of the National Health Service.
Failures of the 111 Helpline — House of Lords, 2016-01-26
Topic: Health
David Prior (Conservative, Centre-right): My Lords, I echo the tribute that the noble Lord paid to the Mead family and their recognition that we can only learn from these terrible tragedies. The fact that they are prepared to make available the report to other parts of the NHS will help in that learning process. I, or one of the other Ministers concerned, will certainly undertake to meet the UK Sepsis Trust The noble Lord raised the issue of the 111 service. It is worth making the point that, in this case, the call handler took the call and referred it to a GP who was part of the out-of-hours service. The GP then spoke directly to William’s mother and decided on what the right course of action was. However, I take on board exactly what the noble Lord said about training and the mix between clinicians and non-clinicians in 111 call centres. It will become a better service when the out-of-hours service and the 111 service are integrated One point that came out of the report was that had there been an electronic patient record indicating the evidence of the time that William had spent with GPs in the preceding six weeks, the GP who took the call might possibly have come to a different decision. This was a tragic case of all the holes in the Swiss cheese lining up to cause this awful tragedy. Therefore, I take on board what the noble Lord said about 111 and will pursue that with NHS England.
Failures of the 111 Helpline — House of Lords, 2016-01-26
Topic: Health
David Prior (Conservative, Centre-right): My Lords, in a sense there are mixed messages—but there is a common-sense message here as well. We do not want to overuse antibiotics but, on the other hand, clearly where there is a serious infection, antibiotics are absolutely necessary. At one level it is a mixed message but there is a common-sense way through the two.
Failures of the 111 Helpline — House of Lords, 2016-01-26
Topic: Health
David Prior (Conservative, Centre-right): My Lords, one would expect the doctors concerned to make that presumption in the case of a very young child. But the noble Baroness makes a valid point and I am sure that NHS England will take it on board.
Failures of the 111 Helpline — House of Lords, 2016-01-26
Topic: Health
David Prior (Conservative, Centre-right): My Lords, unquestionably there are huge workload pressures on GPs. There is no doubt about that. I do not think they were a primary cause of this particular tragedy, but I will be happy to meet with the noble Baroness to discuss that.
NHS: Trust Finances — House of Lords, 2016-02-01
Topic: Health
David Prior (Conservative, Centre-right): My Lords, with the leave of the House, I shall now repeat as a Statement the response to an Urgent Question on NHS finances given in the other place by my honourable friend the Minister for Care Quality. The Statement is as follows: "The House will know that in 2014, the NHS itself set out its plans for the next five years, which included a front-loaded funding requirement of £8 billion. Because of our strong economy, the Government have been able to honour that request and will be funding it in full, including a down payment of £2 billion in this financial year ahead of the spending review period. Next year, there will be an increase of £3.8 billion and, taken together, we shall therefore be providing £10 billion towards the NHS five-year forward view Within that context, a number of hospital trusts are running a financial deficit—in large part because of the need to staff wards safely after what was learned in the aftermath of the scandal of Mid Staffs. It is also the case that the best hospitals have begun to transform along the lines required by the NHS Five Year Forward View, but some have not, and this has made the management of their finances all the more difficult NHS Improvement expects that NHS hospital trusts will report an overall deficit for the current financial year, 2015-16. Savings achieved in the rest of the NHS have ensured that this overall deficit will be offset, so that the system as a whole will achieve financial balance. For the next financial year, NHS Improvement will continue to work with trusts to ensure that they improve their financial position. To help them in this endeavour, the department has introduced tough controls on the costs of staff agencies, a cap on consultancy contracts and central procurement rules, as proposed by the noble Lord, Lord Carter, in his review on improving hospital efficiency. The House should know that the savings identified by the noble Lord total £5 billion a year by 2020. The chief executive of NHS Improvement, Jim Mackey, is confident that, taken together, these measures will enable hospital trusts to recover a sustainable financial position next year" That concludes the Statement.
NHS: Trust Finances — House of Lords, 2016-02-01
Topic: Health
David Prior (Conservative, Centre-right): My Lords, the noble Lord asked a number of questions. Starting in reverse order, the Five Year Forward View was signed by not just the NHS Commissioning Board but also all the ALBs. Of course the £22 billion is a huge stretch. No one denies that and it requires a transformation in the way in which healthcare is delivered in this country. In terms of efficiency savings, the requirement for next year is 2%. We expect that to continue at around 2% to 3% over the five-year period I come to the noble Lord’s other questions. There is not a direct conflict between safe staffing levels, efficiency and financial balance. In good hospitals, the three go together. Of course I accept that there have been tensions and it is not surprising, looking back on it, that the reaction to what happened at Mid Staffs led to a number of hospitals increasing staffing levels very rapidly. I remember talking to the noble Lord when he was chairman of a trust—as I was at the time, or I might have been at the CQC—and of course I understand those pressures. All boards of all hospitals must live with those pressures and come to the right balance. I accept that the newly reinvigorated CQC has added to some of the pressures on hospitals to increase the level of staffing On the King’s Fund, I have not seen the report that the noble Lord mentioned and that reference to the "financial meltdown". We expect to break even across the NHS this year. There is £3.8 billion extra spend going into the NHS next year and we hope that when all the plans have come in from the hospital trusts we will be in reasonable shape The noble Lord referred to the letter sent out, which I think was leaked in the Guardian, which led to this Urgent Question. I did not see the actual letter before it went out, but there is nothing in it that comes as a big surprise.
NHS: Trust Finances — House of Lords, 2016-02-01
Topic: Health
David Prior (Conservative, Centre-right): The cap on agency staffing rates and on agency staff has really started to apply only in the past six weeks. So far, it looks as if we are making significant progress there. As I said in answer to the Question, the NHS is receiving £3.8 billion of extra funding in the forthcoming year. We believe that that will enable it to restore its finances to a proper balance by April 2017.
NHS: Trust Finances — House of Lords, 2016-02-01
Topic: Health
David Prior (Conservative, Centre-right): It is clear that a number of these PFI deals were massively expensive and have put huge pressure on a relatively small number of trusts. However, the fact is that we have entered into these long-term contracts and there is no way of getting out of them. I am afraid that it is a cost that the NHS will have to continue to bear.
Investigatory Powers Bill — House of Lords, 2016-09-12
Topic: Defense
Frederick Richard Penn Curzon (Conservative, Centre-right): My Lords, the arguments for and against a definition of national security have been considered at length both here and in the other place over the years, including in the Bill’s Committee stage in the other place. Neither House has been persuaded of the necessity of such a definition If the Committee will forgive me, I do not intend to rehearse previous discussions in full, but suffice it to say that it has been the policy of successive Governments not to define national security in statute. National security is one of the statutory purposes of the security and intelligence agencies. Threats to national security are, as we have heard, constantly evolving and difficult to predict, and it is vital that legislation does not constrain the security and intelligence agencies in their ability to protect the public from new and emerging threats The noble Lord, Lord Lester, and the noble and learned Lord, Lord Brown of Eaton-under-Heywood, made a very important point about the European convention. However, I think the key point is that to define national security in statute could have the unintended effect of constraining the ability of the security and intelligence agencies to respond to new and emerging threats to our national security My noble friend Lord Swinfen made an important point which was echoed by the Solicitor-General in the other place. Who could have imagined a few years ago cyberattacks of the nature and scale that now threaten us As I understand it, the noble Baroness, Lady Jones, is concerned with the purpose of national security being subject to too broad an interpretation in the Bill. I hope, however, that she will be reassured by the role of the judicial commissioners. They will oversee the use of these powers and will ensure that they are used only when it is necessary and proportionate to do so. The commissioners are the ultimate check against abuse. We need to remember that all the most intrusive powers in this Bill that may be used for the purpose of national security are subject to the double lock. That means that the Secretary of State and a judicial commissioner must consider whether their use is necessary and proportionate. The activities of the security and intelligence agencies will be subject to retrospective oversight by the Investigatory Powers Commissioner and, of course, the Intelligence and Security Committee of Parliament. Should the Government ever treat national security as a kind of blank cheque, I have no doubt that the ISC and the IPC would make clear their position in their reports In view of the considerable time that Parliament has spent considering this question in the past, the conclusion it reached and the arguments advanced during this debate, I invite the noble Baroness to reconsider and not to press her amendment.
Southern Health NHS Foundation Trust — House of Lords, 2016-05-03
Topic: Health
David Prior (Conservative, Centre-right): I am grateful to my noble friend for those comments. There are many examples in the CQC report of good care. In one of the domains that the CQC inspects, which is caring, it is clear that the vast majority of people who work for Southern Health are deeply caring, committed people. We have to be careful. I am afraid it is a question of the curate’s egg; the report is good in parts. I go back to what I said originally: an organisation this big is incredibly difficult to manage. That is one of the learnings that we need to take from this. The temptation to merge organisations to get centralised cost reduction, or whatever, is very tempting but leads to serious issues around governance.
Southern Health NHS Foundation Trust — House of Lords, 2016-05-03
Topic: Health
David Prior (Conservative, Centre-right): My Lords, this goes back to the culture of the trust. It is important that members of the public or Healthwatch have a right to go in and visit facilities, and that they are welcomed there, but that they do not go native at the same time—that they are truly independent, looking at it from the patients’ perspective. Healthwatch has an important part to play, and the relationship that it has locally with the CQC inspection team is very important.
NATO Warsaw Summit — House of Lords, 2016-07-11
Topic: Defense
Nigel Vinson (Conservative, Centre-right): My Lords, the noble Lord, Lord West, remarked that our defence expenditure is extremely strapped for cash. In view of this, and the fact that the efforts we are putting into both Finland and Poland are a substantial aid to the economies and welfare of those countries, would it not be sensible that at least part of that expenditure should be debited against our overseas aid bill, which is now running at the enormous sum of 0.7% of GNP?
Policing and Crime Bill — House of Lords, 2016-09-14
Topic: Health
Caroline Chisholm (Conservative, Centre-right): My Lords, I am grateful to the noble Lord, Lord Rosser, for explaining the rationale for this amendment. I feel sure he would agree with me that we are already seeing how much of a difference the concordat is making in developing and improving the response to people who experience a mental health crisis. This includes improving the accessibility of local preventive mental health services and reducing the number of times a police cell is used as a place of safety for a person detained under the Mental Health Act. As the noble Lord, Lord Rosser, stated, we shall have an opportunity to debate that issue further when we reach Chapter 4 of Part 4 of the Bill These are important developments that should be supported and encouraged, and I recognise the noble Lord’s intentions in proposing such a requirement. However, we must also recognise that the strength of the concordat is the flexibility that comes from it being—here is the nub—a local voluntary agreement. This means that all local partners who can make a difference can be involved, which will vary from area to area, and enables every local concordat partnership to agree actions that make sense in its area I will give some examples of how it is working. In Greater Manchester, local concordat partners have worked with the charity Self Help to create three places of calm where people with mental health concerns can go at unsociable hours and receive the support that will hopefully avert a crisis. In Sussex, which sees the emergency services respond to a particularly high volume of crisis incidents, the partners are working directly together in street triage schemes in most of the main towns. The triage approach has saved lives, notably at Beachy Head, where, as we know, a lot of suicides have been recorded. In the West Midlands, the police, ambulance and mental health trust share details of people who frequently call them in distress and jointly review the care being offered to them. In many cases these people are now following a constructive care plan instead of phoning in at least four times a day As the concordat is a voluntary agreement and does not, as such, impose specific duties on its signatories, we believe that this amendment is misconceived in suggesting otherwise. I would also question the appropriateness of singling out mental health crisis care in the Bill to the exclusion of other areas where collaboration agreements could lead to improved efficiency and effectiveness in the delivery of front-line services Our local emergency services are acutely aware of the need to appropriately and compassionately respond to those in mental health crisis. I have already pointed to a number of excellent examples of collaboration between emergency services. The provisions in the Bill will encourage and support further such collaboration, and although the noble Lord is right to flag this as an important area where local agencies need to work better together, I am not persuaded that adding this amendment to the Bill helps to secure such an outcome.
Policing and Crime Bill — House of Lords, 2016-09-14
Topic: Defense
Susan Williams (Conservative, Centre-right): As I have explained, in most instances, the FRA would accept a request, and it would be in the interests of good working, good faith and collaboration for it to do so. As to the process if it refused such a request, as I understand it—I will write to noble Lords if it is any different—if it refuses it, it refuses it, and there is no recourse thereon in.