argyrotsipi/train-dataset huggingface dataset:
Armed Forces: Capability — House of Lords, 2017-01-12
Topic: Defense
Christopher Foster (Bishops, Unknown): My Lords, agree with it or not, Brexit was a decision to determine our own path. This debate requires us to consider critically whether we have the capacity to determine our own strategic path in the realm of defence and security. The extent of our global reach must reflect our economic and strategic interests as well as our security and military concerns in these changing times, which now make these considerations, as one analyst has put it, "supercharged" My anxiety is that there is a gap, if not sometimes a gulf, between rhetoric about our concerns and ambitions on the one hand and our constrained capability on the other. For example, not long ago the Foreign Secretary declared that we are "back east of Suez". It is true that the Gulf and Asia are regions of growing global importance, and this country has new defence centres in Dubai and Singapore. We have some Army presence in Oman and joint training with Singapore after 70 years of this co-operation with only the US. A naval support facility has opened in Bahrain and the new aircraft carriers will have what is called "a presence" in the Pacific We may welcome and applaud the strategic intent but our capacity to sustain and resource effective presence and capacity remains limited. Our only garrison in Asia, in Brunei, is funded by the Sultan. We have small quantities of advanced, expensive equipment, of which the new carriers are the most obvious example, but sparse support capacity. In a navy of 19 surface vessels, an effective carrier group needs most of the deployable capacity. My spellchecker has substituted "deplorable capacity" for my intended words "deployable capacity". The iPad technology seems to know a thing or two. We are talking not only about defence and security capacity. Intelligence, influence, diplomacy and trade considerations are part of our strategic reach and so affected by financial limitations This is surely the time to recognise the opportunities open to us, as well as the threats, and with realism to reconsider our ability to resource needs and ambitions. I, with others, including my colleague the right reverend Prelate the Bishop of Leeds, who regrets the necessity for his late withdrawal from the debate, have already suggested a new SDSR that addresses a global situation so changed in a short time. Peace in Europe and US commitment to NATO are no longer reliable bases for our policy. We must surely conclude that, as we see a more assertive Russia to the east and a new American President questioning the orthodoxy we have long accepted I am not proposing a crude attempt at empire restoration, but rather a recognition of opportunity and the need for us to resource new partnership and leadership roles. I need hardly add, too, that increased defence spending would move us beyond the mere preservation of an industrial base by stimulating innovation, employment, morale and prosperity in regions that have suffered most from deindustrialisation. Our words, aspirations and actions must be much more consistent.
Grenfell Tower — House of Lords, 2017-06-22
Topic: Defense
Justin Welby (Bishops, Unknown): My Lords, I welcome the Statement and the eventual comprehensive response, and I particularly welcome the speech given by the noble Baroness, the Leader of the Opposition, which was especially powerful and helpful. Having been with voluntary groups at the Grenfell Tower during the day following the fire, I have two questions. First, one of the fire officers we were talking to said, "This is the third once-in-a-generation event in a few weeks". The number of emergency service people, who for the third time in a very few weeks put their lives on the line and found themselves in a situation of the most absolute horror, seeking to save the victims who were caught in the fire as well as in the previous terrorist incidents, is much higher than would normally be expected. Can the Leader of the House confirm that there will be no budgetary constraints on the emergency services in providing support for those who have been involved in taking these huge risks and that those services will be adequately funded above and beyond their normal provision in supporting those who may need extra support after such a traumatic period? Secondly, one of the other notable things is that around the site of the fire on the following day the faith communities—there is reference in the Statement to volunteers—were working together in a way that completely gave the lie to the divisions that the terrorist attacks had sought to create. This was the most powerful visual image of unity, and of unity around the suffering. Would she agree that those communities also merit mention and commendation?
Covid-19 — House of Lords, 2022-01-06
Topic: Health
Nicholas Baines (Bishops, Unknown): I am intrigued by the statement about Nightingale hospitals. What is meant by a virtual bed and how does that increase actual capacity, especially in the light of the staffing pressures in the NHS already? If these Nightingale hospitals are to be populated and used, how will they be staffed?
Health and Care Bill — House of Lords, 2022-01-13
Topic: Health
Sarah Mullally (Bishops, Unknown): My Lords, I rose on the first day of this Committee to speak to the membership of NHS boards. I rise today for a similar reason: I think it is very difficult to stipulate the membership of boards, just as the noble Baroness has said. However, as I said with NHS boards, I say with ICB boards that I think the voice of the patient is central. Along with my role as the Government’s Chief Nursing Officer, I was director of patient experience while I was in the Department of Health. As a nurse at that time, I believed I had a patient focus. However, I learned that my default was always as a professional and that the patient needs a voice and empowerment. While I recognise the clinical voice and would always want it on the NHS board and the ICB board, it does not replace the voice of the patient and the carer.
Health and Care Bill — House of Lords, 2022-01-11
Topic: Health
Sarah Mullally (Bishops, Unknown): My Lords, I declare my background as a former government Chief Nursing Officer and non-executive director of a number of healthcare trusts. I was not going to speak, but I have listened to noble Lords’ comments today and I come down with the noble Baroness, Lady Harding, in saying that we should not stipulate what skills are required of a board too tightly. What is in front of organisations changes over time, so the chair needs to be empowered to change. However, one caveat is that it would be wise to consider having somebody on the board with a background in patients. I speak from experience as a clinical professional: we can too easily forget the patient and to see things through their eyes. Far too often, we see things through the eyes of the clinician, which is not always in the best interest of patients.
Health and Care Bill — House of Lords, 2022-01-11
Topic: Health
Sarah Mullally (Bishops, Unknown): My Lords, I am grateful to the noble Lords who have tabled the amendments in this group. I am very aware of the expertise that exists within this Chamber. As we have heard, mental health has not always been funded in the same way as physical health. However, we have seen improvements, not least in the way we speak about our own mental well-being. We have seen a reduction in stigma and an improvement in services, but the pandemic has taught us that there is a huge unmet need around mental health, and I suspect we will not know the full impact of the pandemic for a number of years. Clearly, those groups of people requiring support around their mental health will include us and our children as well as our health and social care workers I am aware that in our churches, we do a lot, like other faith communities and other community groups, to support people’s mental health and enable their mental well-being to flourish, not least through our faith activities and our worship. Churches put on many activities, such as dementia cafés; we make available our outdoor spaces for people to undertake gardening to improve their mental well-being; we do walking; we reduce loneliness and isolation, to name just a few. But we are aware that we are not mental health professionals. We walk with people, often in the early stages of mental illness or while they are waiting for referral, and what those within our churches know is that the length of waiting is getting longer. The wait for access to mental health services, particularly talking therapies, has got much longer The noble Lord, Lord Patel, and the noble Baroness, Lady Tyler, mentioned the figures; we see the personal impact of that, as people’s lives are put into great crisis and they struggle. Not least, it brings stress to their family and friends, and it impacts on their ability to earn. As has already been said, it impacts on their physical health as well. I recognise that we have increased our determination to ensure that there is parity between physical and mental health funding but I believe we require legislative levers to make this happen. Therefore, I support particularly Amendments 5, 12 and 136 as well as Amendment 99. As we have already said, we need legislative levers at every level to address this parity. My belief is that this will contribute to not just the mental well-being of the community but its physical well-being.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
David Urquhart (Bishops, Unknown): My Lords, on behalf of my right reverend friend the Bishop of London, who cannot be in her place today, I speak in support of Amendment 141, to which she has put her name, alongside all the amendments, which I too support, having listened to the discussion and read them carefully. They all aim to strengthen the services for children and young people. The Government should be congratulated on continuing in the NHS a long period—perhaps 20 to 30 years—of raising the profile of children and young people. The work of the clinical director should be noted, and the involvement of young people in the design of services, although we have already heard this morning that this could be increased The pandemic has shown that there are still gaps through which children and young people fall. My right reverend friend the Bishop of London, and myself in Birmingham, are in regular contact with head teachers of Church schools and know about the increase in children’s mental ill health, continued inequalities, and the uneven provision of services across the country In the second day of Committee, the noble Baroness, Lady Harding, emphasised the need for focus in the NHS. Other noble Lords here have spoken of the need for levers in the Bill to ensure accountability. I think that this is what Amendment 141 attempts to do—to provide such a regular assessment and framework to ensure that the needs of children and young people are always included and that there is a general and regular accountability. I trust that the Minister will consider the amendment carefully, along with the others—but particularly this one—and accept it.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
James Newcome (Bishops, Unknown): My Lords, it is always a pleasure to follow the noble Lord, Lord Patel. I am pleased to give my wholehearted support to Amendment 47 and to Amendment 52, to which I have added my name, which compellingly requires the commissioning of specialist palliative care services in every part of England. Throughout my life and work I have often had the privilege of being present with families and communities, supporting people of all ages through the final chapter of their life, so I have seen at first hand the enormous difference that high-quality palliative care can make to their experience of dying, death and bereavement However, as the noble Baronesses, Lady Brinton and Lady Masham, pointed out, 90% of people might need such care, but as things stand at present only about half of them will receive it. What is more, it is all too often those in our most deprived communities who are dying without the help and dignity they deserve.
Social Security (Special Rules for End of Life) Bill [HL] — House of Lords, 2022-05-24
Topic: Health
James Newcome (Bishops, Unknown): My Lords, from these Benches I am glad to be able to support the Bill, which is welcomed by so many charities and which will bring relief to so many anxious families. It seems to have four significant strengths, the first being clarity. The rules surrounding benefits and healthcare at the end of life are confusing and not always easy to navigate. The Bill goes some way towards making things simpler and more straightforward both for people who are terminally ill and for their families, and that has to be a good thing The second strength is consistency. As we have heard, the Bill will put disability living allowance, personal independence payment and attendance allowance on the same footing as universal credit and employment and support allowance. However, it will also provide consistency with the definition of "end of life" currently used by the NHS, as well as providing consistency with other parts of the United Kingdom The third strength of the Bill is its concern for the whole person. It takes seriously the fact that a diagnosis of terminal illness brings with it a wide range of emotional, practical and spiritual worries, along with the physical symptoms that may or may not already be evident. By cutting down on bureaucracy and by ensuring a measure of financial assistance, the special rules will at least alleviate some of the distress that people currently experience Fourthly, I believe that the provisions of the Bill command fairly widespread cross-party support and I do not imagine that they will be greatly opposed However, having made clear my support for the Bill, none the less I will mention two little caveats which need to be borne in mind as we move forward. One has to do with the difficulty of making an accurate prognosis. As Sarah Newton, then the Minister for Disabled People, Work and Health, pointed out in 2018, the longer the prognosis, the less likely it is to be accurate. Making the period longer than six months would therefore make the diagnosis and potentially the conversation between doctor and patient that much more difficult rather than, as we were just hearing, easier. This has obvious implications both for the patient and for the doctor, and for the benefits paid out The second caveat concerns palliative care, which is frequently raised here in your Lordships’ House—it was mentioned just now by the noble Baroness, Lady Brinton, with particular reference to children. While I welcome the financial provision that the Bill makes more possible, I hope that the Minister may be able to reassure us that it will not be at the expense of better and more widespread palliative care for all those nearing the end of their lives. This must be both/and, not either/or, as we seek to ensure the best possible treatment— physical, emotional and spiritual—for all those who are terminally ill.
Health and Care Bill — House of Lords, 2022-03-01
Topic: Health
Sarah Mullally (Bishops, Unknown): My Lords, I declare my interests in the register. I join in thanking the Government for having listened in Committee. I hope that this will make a difference not just to the lives of those whose lives are shorter but also their families, so it is very welcome. I pay tribute to the noble Baroness, Lady Finlay, but also to my friend, the right reverend Prelate the Bishop of Carlisle, who put his name to Amendment 17 As I say, I welcome this amendment. As the chair of the UK Commission on Bereavement, I have been reminded recently of the inconsistency of palliative care, which other noble Lords have spoken of this evening. It affects not only those who require palliative care but also their family and friends, and it leaves a legacy into bereavement, which we should not underestimate. I too was reassured to hear the Minister say that palliative care must be commissioned, but I share again the concern of the noble Lord, Lord Hunt. In Amendment 16, the word "appropriate" is used, and it is not quite the same thing. Could the Minister reassure the House about the Government’s expectations regarding the nature of palliative care services that the ICBs will commission? How will they ensure that that is delivered in a way that creates consistency? It is care that is rightly deserved by people in our communities, which also reflects the skill and hard work of our palliative care practitioners
NATO Accession: Sweden and Finland — House of Lords, 2022-07-07
Topic: Defense
David Walker (Bishops, Unknown): My Lords, Manchester, and specifically my diocese, has a long and close relationship with the Tampere diocese in central Finland. My friends there leave me in no doubt about how much it meant to Finland to gain its independence from Russia a century ago. Tampere itself has even more recent experience of Russian aggression: it was on the receiving end of considerable bombing in 1939. In welcoming from these Benches the decisions of Finland and Sweden to join NATO, it is noteworthy that they both do so from previous positions of neutrality. Could I invite the Minister to tell us what wisdom, experience and skills, building on that historically neutral perspective, he believes Finland and Sweden will bring to strengthen our vital defensive alliance?
Schools Bill [HL] — House of Lords, 2022-07-12
Topic: Health
Paul Butler (Bishops, Unknown): My Lords, I support Amendments 114 and 115. I recognise that the noble Baroness, Lady Fox of Buckley, has made some very helpful points about the danger of pathologising and the need for collaboration between education and health, although she put it rather more as an either/or while I would want to see it more as a both/and I particularly thank the noble Baronesses, Lady Chapman of Darlington and Lady Wilcox of Newport, for proposed new paragraph (c) in Amendment 115. The noble Baroness, Lady Chapman, and I could give the Committee a very good example of the work in local schools by the Darlington Area Churches Youth Ministry, which is outstanding when it comes to young people’s mental health and mental well-being. It is a voluntary charity that works in collaboration with schools. I am delighted that that was included While I acknowledge some of the concerns of the noble Baroness, Lady Fox, I think these amendments are well thought through and would be of value.
Covid-19: Status Certification — House of Lords, 2021-04-29
Topic: Health
James Langstaff (Bishops, Unknown): My Lords, in relation to some of the issues raised, the Minister may well already be aware of the expert working group of the Ada Lovelace Institute on some of these practical and ethical considerations. While personally I see the need for schemes of this kind—for international travel, obviously, but also in relation to some activities and sectors—will Her Majesty’s Government, in assessing the various pieces of work now being done, have a particular concern to make sure that no scheme becomes compulsory vaccination by default and to mitigate dis- proportionate effects on groups within the population such as those within which vaccine take-up has been low?
Health Protection (Coronavirus, Restrictions) (Self-Isolation and Linked Households) (England) Regulations 2020 — House of Lords, 2021-01-07
Topic: Health
James Langstaff (Bishops, Unknown): My Lords, my awareness of the situation we are in was heightened last night by an email from the care home in which my mother lives informing me that eight residents and six members of staff have tested positive, in a place where they have been remarkably successful at controlling the virus hitherto. It is this new variant; nobody suggests that there are easy answers and we can all feel the Prime Minister’s inner and outer struggles every time he stands to speak In these circumstances, these regulations, unwelcome as they may be in some respects, must be agreed and given force. In the equivalent debate in the other place, some were asking for various clear undertakings as to what might happen in particular circumstances in future. All that we have seen hitherto tells us that, while we can and should plan for a range of scenarios, such attempts at certainty are just not realistic. Even with vaccines and the prospect of their effective rollout, we, as a technologically advanced society, are having to live with the reality of our own vulnerability: imperfect knowledge and an inability fully to control our circumstances—things with which people in other places and cultures are more familiar In that respect, our societal pride and self-confidence have perhaps been somewhat challenged. It is little wonder that we see a rise in mental health issues, anxiety, doubts about people’s futures and bereavement, in loss of both life and life opportunities. These are not matters that can easily be addressed by, for example, a financial package from the Chancellor. How and by whom does the Minister think these issues in our society might best be addressed?
Vaccine Rollout — House of Lords, 2021-01-25
Topic: Health
Rachel Treweek (Bishops, Unknown): I wish to make two points and I draw attention to my interests as listed in the register. First, I am very concerned about prisons. There are reports that about 71 prisoners have died, and the number of prison staff who have tested positive continues to rise alarmingly. There is great flux within a prison, with staff coming and going, and those being released from prison and those coming into prison. Will the Government consider prioritising the vaccinating of prisoners and those who work in prisons? Secondly, I add my voice to those calling for teachers and early years staff to be prioritised. Schools are open and our dedicated teachers and early years staff must be able to continue their work safely and not be off sick, if we are to do the right thing by our children.
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
Alan Smith (Bishops, Unknown): I too add my congratulations to Her Majesty’s Government on an extraordinarily rollout of the vaccines. I pay tribute to all those involved, not least one group not often mentioned —the practice managers, who often work through the night. Can the Minister comment on the community champions scheme? Faith leaders across Hertfordshire and Bedfordshire, where I live, have been waiting to use our huge, extensive network of people on the ground to communicate with hard-to-reach groups, such as ethnic minorities and so on. Only now are we being brought into that opportunity. Will the Government commit to working with us, since we are keen to use all our resources to help get those messages out to those hard-to-reach groups?