argyrotsipi/train-dataset huggingface dataset:
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, my noble friend is entirely right that confidence in attending NHS venues is hard hit by Covid. One of the inspiring and interesting things that has happened has been the switch to using telemedicine—video and telephone calls—for referrals. This has been particularly and interestingly used in mental health, where attendance at clinics is something that many patients would wisely seek to avoid, but in fact the delivery of mental health therapy through telemedicine and calls has proved to be incredibly effective and has worked very well. We are working hard, through the NHS, to try to de-weight attendance at venues, particularly big central hospitals, and move much more towards attendance in the community, or through technology, in order to give patients a choice and to increase our engagement at a time when people are fearful of going back to their GP surgeries.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): The truthful answer to the noble Baroness is that I know that there is an outbreak at Banham but I do not know the operational details of the kind she describes. What I can say is that the system is deliberately constructed so that a local director of public health, or the local authority, has the option, if they think it has local relevance, to bring in the resources that are needed for any particular arrangement. If, for some reason, a local director of public health, or the local infection control team, sees an opportunity for bringing in outside resources—a charity, a company, a technology—that is entirely appropriate and welcome. That is exactly the kind of local intelligence and expertise that we depend on to be effective. A central track and trace operation cannot do everything; that point that has been made in this Chamber hundreds of times and is a point that we entirely embrace. I am, in fact, hugely encouraged by the anecdote the noble Baroness tells.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
Lucy Neville-Rolfe (Conservative, Centre-right): My Lords, I was not surprised to see a report in July that a majority of postal tests were not really working. My husband received a surveillance test, but the lancets did not make a hole big enough to provide enough blood, the little bottle for collecting it was too narrow, and follow-up tests were equally problematic. However, my question today is about masks, which were not mentioned in the Statement. On what scientific advice are government recommendations on the wearing of masks based? This is a subject of heated debate in my household—my positive experience of masks in Asia against the scepticism of the scientifically trained.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): The noble Baroness asks three extremely perceptive questions. With regard to the science of testing at airports, a huge amount of work is being done on this, and I pay tribute to the work of the scientists at SAGE, who have, I think, published several papers on this matter The number that sticks in my mind is SAGE’s estimate that of those infected who pass through an airport only 7% would be captured by what is called day zero testing—a tiny proportion. That uncomfortable and inconvenient statistic holds us back from doing what we would love to do—it just does not work. We are looking at seven-day testing, eight-day testing and 10-day testing. This is a lot about risk management: there is a risk curve. I would be happy to share a copy of the SAGE report, which is public, that shows that curve The noble Baroness is right to raise quarantine implementation: it is a cause of concern. Quarantine is critical to the effective implementation of our epidemic management. It is a trust-based system. Anyone who has read the papers will know that that trust-based system is under pressure. We are keeping it under review and will be looking at whether it needs to be updated.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, on behalf of the House I pass on our sympathy to the noble Baroness, Lady Benjamin, for her experience with the friend who committed suicide. It is a touching story and we feel sorry them Suicide is important for this Government and we have a number of programmes that address it. One of the peculiar aspects of the epidemic is that the mental health tsunami that we were all braced for and deeply concerned about has not manifested itself in the way we thought it might. There is currently no evidence that the suicide rate has increased in any way. We keep a careful eye on this. When a major epidemic such as this happens, we worry that it will have a huge impact, particularly on the young—particularly young girls—and those groups, such as BAME, who may feel that the prevalence is higher in their community. To date, however, the statistics suggest that we are blessed by having avoided harsh effects so far.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
Sandip Verma (Conservative, Centre-right): Will my noble friend tell the House what communication plans are in place to ensure that, as winter approaches, all communities are well informed on what measures need to be followed to prevent or reduce the impact of a second wave, and that where spikes are found in local communities, wider immediate testing is available to everyone in that locality? I also thank my noble friend for the funds that the Government gave us in Leicester to ensure that communications were sent out in languages other than English.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): I thank the noble Baroness, Lady Verma, for her comments. What happened in Leicester has informed our response to the epidemic in many ways, including a much greater emphasis on languages. Many of the publications and technologies that we are rolling out in preparation for the second wave will use a hugely increased number of languages, so that we reach those communities which might otherwise have been overlooked In answer to the overall question put by the noble Baroness, I would place massive emphasis on our preparations for the flu vaccine. If we can spare the NHS the pressure of the annual flood of flu infections, we will do the country a huge favour. If we can spare patients the impact of flu that runs down their immunity and leaves them vulnerable to Covid, we will do them a huge favour. If we can get flu vaccine take-up higher, that will be a huge benefit for the system and the country.
Junior Doctors’ Contracts — House of Commons, 2015-10-28
Topic: Health
Atta-Ur-Rehman Chishti (Conservative, Centre-right): I have immense respect for the right hon. Gentleman’s work on mental health. In relation to the shortage of specialists, does he agree with the Royal College of Psychiatrists that psychiatrists should be put in that category?
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, once again I pay tribute to Pendle Borough Council, which is an absolute model of local collaboration in the handling of a local outbreak. I am greatly encouraged that Pendle has stepped forward to do local tracing. I do not know the precise details and will not pretend otherwise, but the story the noble Lord tells illustrates a harsh truth: not everyone wants to be traced. Not everyone participates in the system with the kind of enthusiasm one would like. It sometimes takes persistence and determination to track people who may be recipients of some very difficult news about their isolation and how they are going to spend the next 14 days—news that may either have an economic impact on them or seriously disrupt plans for them and their family. It is tough to track and trace people. That is why we work with local authorities to do it, why I was proud to announce the numbers earlier and why I am grateful to the noble Lord for illustrating the point with his story from Pendle.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): The noble Baroness is completely talking my game here. I wish I could be 100% specific about the timeframes, but we are still going through the validation process. Personally, I am hugely optimistic. The noble Baroness, Lady Thornton, mentioned the work in this area of Yale University, which really changed our perceptions of the role that saliva testing could play. It can be used in the big PCR machines, it may be used in point-of-care machines and there is even a possibility that it could be used in the small plastic lateral-flow machines much loved by the husband of the noble Baroness, Lady Neville-Rolfe. I hope very much indeed to be able to update the House soon and to lay out a framework, but I afraid that at present the validation results have not come through and it would be premature of me to try.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
Richard Balfe (Conservative, Centre-right): Although the Minister mentioned the need to get back to face-to-face visits, it is not mentioned in the Statement. In our local hospital, Addenbrooke’s, the instruction has been that no people are to be seen unless it is absolutely necessary. Indeed, one consultant told me they had been forbidden to see a patient unless they needed to. Our local GP service provides no face-to-face meetings other than after you have been triaged and jumped through some hoops. It even had a tent outside for a time. Can the Minister assure us that some pressure will be put on local hospitals and GPs to get back to normal and start seeing people? As letters in the Times have proved, the fact that you do not see people means you miss serious diagnoses.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, massive pressure is on the NHS from every level to get back to normal. Attendance rates are increasing dramatically in every area of the NHS. I pay tribute to those who have gone through enormous hoops to create safe and protected protocols to have people back in the system, but I cannot hide from my noble friend the fact that the health system will not be the same, going forward. We will have to change our approach to infection control and hygiene and have face-to-face contact in a completely different way. It makes no sense for lots of ill people to congregate in a GP surgery and to spread their disease among one another. We have to rethink the way we did our healthcare in the past in order to protect healthcare workers and patients from each other’s infections and to afford a sustainable healthcare system that can afford to look after everyone.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): The noble Lord is entirely right to raise the terrible statistics on BAME health workers. It is not conclusively understood why the numbers are as dramatic as he articulated. I am afraid we are still speculating, and a huge amount of work is being undertaken by PHE in this area to understand it better. Some of it is because BAME front-line workers selflessly put themselves in harm’s way in environments where there are higher risks, despite the extraordinary efforts of trusts and CCGs to protect them. Part of it is the living arrangements and part is the behavioural arrangements. These things are explicitly explained in the PHE report, but it is a matter of huge concern. Trusts and CCGs have been urged to put risk-management practices in place according to local needs and arrangements, and the numbers have changed as a result of these policies.
Covid-19 — House of Lords, 2020-09-03
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I would be grateful to the noble Baroness for sharing with me the specific detail. It seems extremely strange to me; I do not recognise it at all. The way in which we put together our test registration protocols is to encourage the greatest number of people to register as possible. I am sometimes asked why we do not have more information on the gender, ethnicity and background of people tested. It is for exactly that reason. I would be grateful if the noble Baroness could send me those details and will be glad to check them out Huge progress has been made on care home testing. We have massively prioritised the delivery of testing kits and services through the packaging of large numbers of tests to the kinds of care homes that can deliver tests themselves; the attendance of mobile testing units to those that need that kind of support; the connection with local trusts and hospital services so that NHS resources can be used for care homes; or the attendance of care home workers at local NHS trusts for their tests if that is more convenient for them. A huge operation has gone into place, massive progress has been made and I am extremely grateful to all those concerned.
Health Protection (Coronavirus, Restrictions) (England) (No. 3) Regulations 2020 — House of Lords, 2020-09-03
Topic: Health
Andrew Lansley (Conservative, Centre-right): My Lords, I am grateful to my noble friend for his very clear introduction to and explanation of these regulations. I will make two points. I was very pleased to hear my noble friend make it clear that Regulation 3, on the powers of the Secretary of State, has not been used. It would effectively be a failure were that to happen, so it is very good news that the collaborative work to which my noble friend referred is continuing As my noble friend will recall and noble Lords may remember, one of the central arguments I have made from the beginning is that the public health infrastructure established from 2013 onwards was intended to rely substantially on the work of local authorities, to which public health functions and capacities were returned. However, that capacity was not supported with the funding required in subsequent spending reviews. The public health infrastructure should have had increasing resources, at least at the pace of increase provided to the NHS as a whole My two points to my noble friend are, first, will he undertake that the Government will continue to work with local authorities so that the powers in these regulations continue to be used collaboratively, with local authorities working with central government rather than by way of Secretary of State directions, which should be avoided wherever possible? Secondly, we must rebuild the capacity in local authorities, not simply for the Covid crisis, but for public health infrastructure more generally.
Social Care — House of Lords, 2016-12-01
Topic: Health
Jill Pitkeathley (Labour, Centre-left): My Lords, we have had an excellent debate and I thank all noble Lords who have taken part, especially the noble Baroness, Lady Cavendish, for her thoughtful speech which makes us eager to hear more from her. The topics covered today have been as wide-ranging as the issue itself but there has been agreement about the crisis which exists, if not yet on how to address it I did not of course expect the Minister to announce from the Dispatch Box the great public debate that I have called for today. Many others have called today for such a debate and it is of course way above his pay grade—but that does not mean that I resile one iota from the calls for that debate. We must have it; it is inevitable and it would be better to have it sooner than later—before the system really does collapse, as many people have warned us it will The Minister has had many suggestions and, with his usual courtesy and honesty, has certainly addressed some of them. I welcome his focus on the strategy and I certainly acknowledge the progress made, as he reminded us, with some STPs. However, a couple of examples that I have had remind us that the STPs should not be about just health and social care but should include carers and the voluntary sector. It is important to bear that point in mind as we go forward with the STPs The emphasis has been on the interdependence of the health and social care services, as well as on the needs of users, carers and care staff. I get the impression that the time is right, and I think that the Minister has confirmed this. The people at the top—even, dare I say it, at No. 10—have realised that something must be done. If you have a philosophy which says that the Government must work for all and that you must help people who are "just about managing", or even the "not managing at all" as the noble Lord, Lord Warner, reminded us, I hardly think that you can avoid addressing this issue. If that is the case and there is agreement that something must be done, I hope that this debate can be required reading. Readers will find calls for more resources but I do not want that to frighten them off, because they will also find in this debate a wealth of practical and deliverable suggestions on how to address these issues. So although I am a bit depressed, I am not totally depressed. Like the Minister, I am not without hope and I certainly hope that by the next time the usual suspects meet here to discuss this, we will have made some more progress. I beg to move.
Defence Aerospace Industrial Strategy — House of Commons, 2017-11-16
Topic: Defense
Luke Pollard (Labour, Centre-left): I congratulate my hon. Friend the Member for Stoke-on-Trent North (Ruth Smeeth) and the hon. Member for Witney (Robert Courts) on securing this debate I normally talk up the Royal Navy, but Plymouth is also a proud home to the makers of the gizmos and gyros that support our aerospace and space industries. The clear ask from Members on both sides of the House is for a clear, long-term strategy in which the private sector and the supply chain can invest in the jobs, R and D and skills required to supply our RAF and our fighting forces with the best and most capable equipment to secure our long-term position It is important to note that we do not live in benign times. The context of the military world needs to be taken into account in this debate. We are facing a resurgent Russia that is investing in its aerospace and naval power, and we need to keep pace. The aircraft coming on line shortly are formidable, but we need a long-term commitment to ensure that we have a generation to come next. I worry about this country’s sovereign defence capabilities being eroded not by long-term thoughtful strategy but by the short-termism that is currently afflicting the Government We need to look carefully at this. Just as the Minister told me that the apprentice who builds the last of the Type 26 frigates has not yet been born, I fear there is no such parallel in the aerospace sector. We need to make sure there is one. Having a new Defence Secretary offers the chance of a fresh start not only in the aerospace sector but in reconsidering the cuts to the Royal Navy I have spoken about elsewhere. The opportunity for a fresh start and new thinking could provide certainty for our sector to invest in the jobs and skills we need at the moment I fear that at times, despite the aerospace sector’s importance to our economy, we have had a victory of tactics over strategy, and I implore the Minister to consider a long-term aerospace strategy that secures the jobs we need.
Foreign, Commonwealth and Development Office — House of Lords, 2020-09-03
Topic: Defense
Tariq Ahmad (Conservative, Centre-right): One of the great and obvious advantages of our parliamentary system is the scrutiny that the noble Lord alludes to, and I am sure that that will continue through Statements, Questions, Urgent Questions and so on. However, I assure him that, not just through the creation of the new department but through the integrated review, our international capabilities will be very much aligned through the FCDO and the Ministry of Defence.
Maternity Units: Bereavement Care — House of Commons, 2015-11-02
Topic: Health
William James Quince (Conservative, Centre-right): I am delighted to have secured this debate on bereavement care in maternity units, which stems from my own experience and from further research. I should stress that I am no expert in maternity or bereavement, but I speak from personal experience. In May 2014, my wife had her 20-week pregnancy scan, at which point an abnormality was identified. Further tests led to a diagnosis of Edwards syndrome. I do not want to go into the detail of my son’s condition, but Edwards syndrome is described as being "not compatible with life", so we were well aware of the likely outcome. However, our son was clearly a fighter and he survived full term, to 41 weeks, but sadly, in October last year, he was stillborn As hard as it is to tell my story, it sets the scene for this debate and will, I hope, give the House a small insight into the experience of the parents of the 5,000 babies who are either stillborn or die within seven days of birth every year in England. It is difficult at the best of times to talk about death, particularly the death of children or babies. We all hope it will never happen to us. But there must be provision, facilities and trained staff ready, willing and able to assist families who find themselves in this awful position.
Maternity Units: Bereavement Care — House of Commons, 2015-11-02
Topic: Health
Daniel Leonard James Poulter (Conservative, Centre-right): I thank my hon. Friend for making a very important and powerful speech, drawing on his own tragic experiences. I have seen such experiences in my own clinical work far too often. Does he agree that whereas we normally leave commissioning to the discretion of local commissioners, we should be pushing in the next mandate to NHS England for there to be standard commissioning for all clinical commissioning groups to ensure that all birthing units have appropriate bereavement space and facilities to look after women who have had a miscarriage or had a stillbirth?
Maternity Units: Bereavement Care — House of Commons, 2015-11-02
Topic: Health
Antoinette Geraldine Sherratt (Sandbach) (Conservative, Centre-right): It is a huge honour to follow my hon. Friend the Member for Colchester (Will Quince) who has spoken with such courage about the experience that he and his wife had with the birth of their son. I know that there are many parents who will have had similar experiences, and it is a testament to the support that he received during his son’s birth and death, which he spoke about so movingly, that he has the strength to speak today I am grateful to my hon. Friend for asking me to contribute to his debate. Certainly I would not be able to speak in this debate without the support that I received. The night my son died, I woke to find him not breathing. Arriving at hospital, after looking at a flat line in the ambulance for more than 20 minutes, a crash team was waiting for me, but it was too late. The consultant neonatologist was a calm and reassuring presence, and the nursing staff were patient. I readily agreed to a post mortem, as I wanted to know exactly what had happened. Staff at the hospital were wonderful, but I found myself in a plain room with questions being asked of me. I was told that I had to wait for the police. I had left in such a panic that I had left my telephone behind and I could not remember any telephone numbers, and I was there on my own. [Interruption.]
Compulsory Emergency First Aid Education (State-funded Secondary Schools) Bill — House of Commons, 2015-11-20
Topic: Health
Anne-Marie Belinda Trevelyan (Conservative, Centre-right): I agree absolutely. My knowledge of first aid, which I was taught when I was 12, has stuck with and empowered me throughout my life, and I have had need to use it. My first aid education helped me and my fellow girl guides to prepare for life by developing our character and resilience to take on unexpected emergencies with a strength of purpose and enough knowledge to help others, but there are also broader health considerations and areas in which greater first aid knowledge could be of benefit. We all know that our accident and emergency departments are under increasing pressure to treat people.