argyrotsipi/train-dataset huggingface dataset:
Public Health — House of Commons, 2020-11-04
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): The hon. Gentleman cannot take yes for an answer. Not only will I come to that point later, but my right hon. Friend the Chancellor will be saying more about the matter tomorrow, and the hon. Gentleman can interrogate him What I will say, on the point of uncertainty, is that I know there has been a debate about the statistics on how big the loss of life might be and on the precise point at which the NHS might be overwhelmed, but all the scientific experts I have talked to are unanimous on one point. As the chief medical officer has said, if we do not act now, the chances of the NHS being in extraordinary trouble in December would be very high Be in no doubt about what that means for our country and for our society. It means that the precious principle of care for everyone who needs it, whoever they are and whenever they need it, could be shattered for the first time in our experience. It means that those who are sick, suffering and in need of help could be turned away because there is no room in our hospitals—even in East Sussex.
Public Health — House of Commons, 2020-11-04
Topic: Health
Huw William Merriman (Conservative, Centre-right): All of us in this place will be concerned about saving lives. What evidence has my right hon. Friend received that we will save more lives by the lockdown he proposes than we will lose from public health, from a lack of jobs and from a mental health crisis? That is the evidence I seek from the Prime Minister today in order to cast my vote his way.
Public Health — House of Commons, 2020-11-04
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): My hon. Friend raises a very important point, and it is the crux of the debate. Alas, as leaders and as politicians, we have to look at the immediate peril we face. I do not in any way minimise the risks to mental health and physical health that come from the measures we have to apply. That is, of course, why we debate and insist that we explore every other avenue before we go down that route, but we have to look at the real risk of mortality, and mortality on what I think would be a grievous scale, that would stem from doing nothing To give my hon. Friend a picture of what it would mean, those who are sick, suffering or in need of help could be turned away because there is no room in our hospitals.
Public Health — House of Commons, 2020-11-04
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): I will give way in a moment Doctors and nurses could be forced to make impossible choices about which patients would live and which would die, who would get oxygen and who could not. I know that some Members, like my hon. Friend the Member for Bexhill and Battle (Huw Merriman), are hearing from their local hospitals that the pressure is not that great yet, but the whole point about a national health service is that when hospitals in one part of the country are overrun, sick patients are transferred to another, until the whole system falls over. Let me be clear that this existential threat to our NHS comes not from focusing too much on coronavirus, as is sometimes asserted, but from not focusing enough, because if we fail to get coronavirus under control, the sheer weight of demand from covid patients would not only lead to the covid casualties that I have described, but deprive other patients of the care they need. We simply cannot reach the point where our national health service is no longer there for everyone This fate is not inevitable. We are moving to these national measures here when the rate both of deaths and infections is lower than they were, for instance, in France, when President Macron took similar steps. If we act now, and act decisively, we can stem the rising waters before our defences are breached.
Public Health — House of Commons, 2020-11-04
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): The hon. Gentleman is exactly right and has encapsulated the argument that we make. My right hon. Friend the Health Secretary and I have talked repeatedly to Simon Stevens of the NHS and his teams about making sure that throughout this period, we continue to look after cancer patients—those who need the decisive care that the NHS can provide. I do believe that this approach—these regulations—are the way that we can do that I know there are many in this House who are concerned about how long these measures might last and that, if people vote for these regulations today, they could suddenly find that we are trapped with these national measures for months on end. So let me level with the House: of course, I cannot say exactly where the epidemiology will be by 2 December, but what I can say is that the national measures that I hope the House will vote for tonight are time-limited. It is not that we choose to stop them. They legally expire, so whatever we do from 2 December will require a fresh mandate and a fresh vote from this House. As I have made clear, it is my express intent that we should return to a tiered system on a local and regional basis according to the latest data and trends.
Public Health — House of Commons, 2020-11-04
Topic: Health
Mark James Harper (Conservative, Centre-right): I have listened carefully to the argument and looked at the data very carefully. What I am troubled by—when I have looked at the basis on which the modelling has been done, both in terms of SAGE and the NHS—is that the modelling does not take into account the effect of the introduction of the tier system and any of the effects of it. I think, therefore, that we have acted too soon, because we are starting now to see the tier system working. The data from Liverpool yesterday, published by Steve Rotheram, is very encouraging and shows that the tier system is working, but the modelling that the NHS is using for its capacity usage does not take into account that introduction at all.
Public Health — House of Commons, 2020-11-04
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): My right hon. Friend makes a very important point. He is expressing a point of view that is shared by many people, but, alas, I believe that he is wrong. The facts do not support his view. I looked at the data and, unfortunately, this is what we have: hospitalisations mounting very, very steadily, which, as he knows, are leading indicators of fatalities. We have 2,000 more people on covid wards than this time last week and 25% more people today than there were last week and, alas, 397 deaths tragically announced yesterday —more than we have had for many months. The curve is already unmistakable and, alas, incontestable.
Public Health — House of Commons, 2020-11-04
Topic: Health
Neil John O'Brien (Conservative, Centre-right): In the past two weeks, we have gone from seeing cases mainly among young people to them being mainly among older people. We have seen it going from a problem in a few cities to a problem across the country. Does my right hon. Friend agree that we do not need a fancy model to see the numbers piling up in hospitals and to see what has happened in France—because it has not taken action as quickly as we have—to know that the thing to do is to take action now, not just to save lives, but to save the economy as well?
Public Health — House of Commons, 2020-11-04
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): With great respect, Mr Speaker, I think that I have answered the question and I think that my friends opposite are going to oppose This comes on top of the more than £200 billion that we provided since March. We will also ensure that, throughout this period, our schools stay open. We will not allow this virus to do any further damage to the future of our children. I said in the summer that we had a moral duty to reopen our schools as soon as it was safe to do so, and that they would be the last element of our society to close down again. We have stuck to that pledge. Our schools will remain open, as will colleges, universities, childcare and early years settings The measures before the House are designed to arrest the virus, to drive it down and to get on top of it once and for all. If we are able to test on a big enough scale to identify the people who are infected, often without symptoms and who unwittingly and asymptomatically pass the virus to others, those people will be helped immediately—this is the key thing—to self-isolate and to break the chains of transmission, reducing the spread of the virus, reducing the numbers of people in hospital, and reducing the numbers of people dying. I think that if we all play our part in this system it could be a hugely valuable weapon in our fight against covid in the short, medium and long term, and an alternative to the blanket restrictions that have been imposed in so many parts of the world This week we are piloting a mass test in Liverpool, where an immense effort benefiting from the logistical skill of the armed services will offer everyone a test, and our aim is to make mass repeated testing available for everyone across the country. Thanks to the pioneering work of British scientists, we already have a life-saving treatment for covid and the genuine possibility of a safe and effective vaccine next year. Taken together, these achievements provide every reason for confidence that our country can and will pull through this crisis, and that our ingenuity will prove equal to the challenge.
Public Health — House of Commons, 2020-11-04
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): No, I will not—I am finishing up This year, I and the whole of Government have asked much of the British people: more than any Prime Minister, I believe, has asked of the British people in peacetime. I have to say that the public have responded magnificently and selflessly, putting their lives on hold, bearing any burden, overcoming every obstacle, and tolerating every disruption and inconvenience, no matter how large or small—or inconsistent—so that they could do the right thing by their fellow citizens. I wish that it had been enough to defeat this autumn surge. But while I am more optimistic now about the medium and long-term future than I have been for many months, there can be no doubt that the situation before us today is grave and the need for action acute It is absolutely right for this House to have doubts—
Public Health — House of Commons, 2020-11-04
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): I can assure my right hon. Friend the Member for South West Wiltshire (Dr Murrison) that his future is rosy It is right for Members on all sides of this House to have the doubts that have been expressed, to seek answers from me, and to provide scrutiny. That is the purpose and duty of the House of Commons. But while it pains me to call for such restrictions on lives, liberty and business, I have no doubt that these restrictions represent the best and safest path for our country, our people and our economy. So now is the time for us to put our differences aside and focus on the next four weeks in getting this virus back in its box. I know that once again our amazing country will respond to adversity by doing what is right—staying at home, protecting the NHS and saving lives. In that spirit, I commend these regulations to the House.
Public Health — House of Commons, 2020-11-04
Topic: Health
Neil John O'Brien (Conservative, Centre-right): The right hon. and learned Gentleman is talking about my constituency. I gently point out to him that during the period of the most restrictions in Leicester, the number of cases did come down from 160 to 25 per 100,000. That shows that tough controls of the kind that we are about to vote to bring in today do work.
Public Health — House of Commons, 2020-11-04
Topic: Health
Andrew Edmund Armstrong Selous (Conservative, Centre-right): Thirty-four years ago, as an otherwise fit and healthy 24-year-old, I was carried out of my home by an ambulance crew with a collapsed lung. I had an emergency operation in the middle of the night. I was frightened, worried and concerned about many things. Would I live? What would be the impact on my health for the rest of my life? The one thing that I was not worried about was whether there would be a hospital bed for me. Yesterday, in England, there were 10,971 covid patients in our hospitals, which was an increase of 2,376 on the previous week, or an increase of over a fifth. My own local hospital, Luton and Dunstable University Hospital, has told me that it now has much less spare capacity than it did in April and May, during the first lockdown, so the margin for error is very small There are no good choices before any of us. We are being asked to do a horrendous thing today. The impact on jobs, businesses and the loss of our freedoms, which every one of us who will support the Government tonight cherishes just as much as those who will not, are awful things for us to have to do. Against that, however, we must set lives lost, hospitals turning people away, and a lack of treatment for people who are ill or have had terrible accidents. I cannot in all conscience not support a measure to prevent that happening I wish the motion was amendable, because I think there are things that we could do on safe care home visits. As the Second Church Estates Commissioner, I am of course concerned about the lack of collective worship, and I think that churches are some of the safest places I have been in recent weeks. I am concerned about businesses with bills they cannot pay. I am concerned about the events industry, which seems to have fallen outside so many of the support packages. Whipsnade zoo in my constituency, which has a full 600 acres, cannot open, but Kew can. Why not just close the indoor elements of zoos and allow the outdoor parts to welcome people? Let us make sure that we have click and collect for small independent shops, so that they do not lose out and so that people can shop safely come 3 December, rather than standing in long queues. Let us make sure that we do not have huge crowds celebrating on new year’s eve The most important thing I want to say is about enforcement. It is not just about explaining and educating; the police, councils and shops themselves must do more about people not wearing masks in shops. People should wear masks at work. It is terrible that eight out of 10 people are not self-isolating properly. This is a shared responsibility for all of us.
Public Health — House of Commons, 2020-11-04
Topic: Health
Craig Mackinlay (Conservative, Centre-right): I fully understand the lure of the precautionary principle, given the dreadful scenarios that the Government are facing, with increasing cases and projections. I understand the lure of saying, "Let’s do this, just in case; let’s take no chances." I certainly do not envy the Prime Minister or any member of the quad their decisions. However, I have a number of concerns that simply cannot be overcome Let us cast our minds forward to 2 December, because I feel that we will be in this situation again. What will "Good enough that we can unwind" look like? It took three and a half months last time for us to have a haircut or our first pint in a pub. What level of daily infections or hospitalisations will be deemed good enough to unwind It is a mistake for the Government not to consider what those figures might be, because they would at least give the public something to aim for and look forward to, but we have no data and no concept of what that is likely to be. We are told that this is the last bridge before the cavalry come over the hill and that we have better treatments. We are told that we will have the vaccine that we are all looking for, but we do not know when it will be ready, how effective it will be or the timeframe over which it will be rolled out across the population. Let us not forget that HIV has been with us for 40 years, and we still do not have a vaccine There are so many clear nonsenses in the regulations. I and many others in the House, I am sure, are getting emails from gym owners and users, people who enjoy outdoor archery and those concerned about the golf situation, and a lot from churchgoers. How can it be sensible that a couple are allowed to go for a walk on the course of the golf club that they belong to, but they face a fine if they dare do it with a golf club and a ball?
Public Health — House of Commons, 2020-11-04
Topic: Health
Craig Mackinlay (Conservative, Centre-right): An overwhelming number of the responses that I have had are from churchgoers, and I will develop that point very briefly. Congregations that go to churches, synagogues, mosques and temples are adherent, sensible, disciplined people. To treat them as anything but is, I am afraid, nothing but an insult A few weeks ago, we were offered the tiered system and the House supported it. It was deemed to be the new holy grail. Liverpool, under tier 3, seems to be having results, but we simply have not given enough time for those opportunities to bed in. Kent and my constituency of South Thanet are currently under tier 1. What will all this mean to businesses and pubs that have invested heavily in covid-friendly and secure facilities? We have already seen flip-flopping on the earliest-published proposals on off-sales, and microbreweries can now continue selling beer outside. The supermarkets could always sell as much as they liked. That, I am afraid, is at the heart of the muddled thinking. I want to develop what I want to call the Wilkinson conundrum—a great store on every high street. How can it be that it can continue to sell essential and non-essential items when it is illegal for the independent shop next door to sell just some of the non-essential stuff I am being asked to spend £50 billion extra today, or perhaps even more. There is no data about what that means for other health issues, and no assessment about what it means to family members who are not able to see grandchildren or see off loved ones in their final days. I am here to make a decision. I will not abstain; I am paid to have a view, and I will be voting against the measure.
Public Health — House of Commons, 2020-11-04
Topic: Health
Damian Patrick George Hinds (Conservative, Centre-right): This, of course, is the eventuality that we all had hoped to avoid. I hate even contemplating a curtailment of freedoms in the way that my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady) set out, but no responsible Government could sidestep what this Government are faced with We have spoken a lot in the last few days about the "overwhelming" of the national health service. It is worth dwelling on that word and thinking about what it means in practice. As my hon. Friend the Member for South West Bedfordshire (Andrew Selous) outlined, it means people who need other essential treatments just not being able to get them in the way that we have come to expect we will always be able to rely on the national health service. Of course, this time, unlike the previous lockdown, we are approaching winter, with all the stresses and strains on the national health service that that brings in any case This is a global pandemic, but we often speak about it as if we were the only country involved. In fact, every one of the five major countries of western Europe had a steep rise in covid cases during the course of October, and now there are new restrictions coming across the continent, perhaps most notably in France and Germany, the other two large economies of Europe. They have very different political traditions, different health systems and different experiences with test and trace. Both of them, like us, sought to exhaust the possibilities of a localised and a regional approach, and now they are returning to a national programme It is true that in different parts of our country there are different rates of prevalence of this virus, but the trend is upwards pretty much everywhere, with the rate above 1. Of course, as the Prime Minister outlined earlier, when one hospital gets full, it moves patients on to another hospital; staff have to move on in order to shore up the system. Ultimately, we are one nation and we have one national health service This lockdown is not going to be the same as the previous one, in particular because education will remain fully open. I really thank the Government for that and welcome that approach. I acknowledge that prioritising schooling involves some trade-offs, and we must acknowledge that any time people get together there is a risk of transmission of this virus, but I would ask for special reconsideration in two areas: non-contact outdoor sports and, as so many colleagues and others have mentioned, religious services. Obviously, not everyone has faith, but for some who do, the solace that they receive from attending church or another place of worship with other people is as important for their mental health as other mental health services, which we rightly prioritise and will keep going come what may I welcome the business support. I hope the Government will also use this time to make sure that there are medium-term support packages for the most affected sectors. Nobody wants to be doing this, but I will be backing the measures this evening.
Public Health — House of Commons, 2020-11-04
Topic: Health
Jonathan Simon Djanogly (Conservative, Centre-right): In Huntingdonshire, as of last Friday, we had a very low and stable figure of 58 cases per 100,000, and about half a dozen hospital beds in Hinchingbrooke Hospital were occupied by covid patients. In effect, without lockdown we would have remained at tier 1 status. That is of great credit to the caution and sensible behaviour shown by residents locally, and also reflects the excellent local public services and council provision that I am seeing. If I were to support these further massive restrictions on our liberty and democracy, I would need not only more evidence for their chances of success than I have received to date, but an understanding as to why Cambridgeshire should be treated in exactly the same way as high-risk areas in the country One well-respected local family business of some 40 years’ standing has just contacted me to say that they will not be able to stand a further lockdown. The majority of local businesses I speak to have already made redundancies and now dread for their futures. Huntingdonshire has one of the highest proportions of small business ownership in the country, typically without the capital reserves of large corporations. Those businesses have done everything they can to stay afloat, through finding new markets, taking up Government loans and furlough schemes, and general twisting and turning to do anything and everything to keep their businesses alive. I have been incredibly impressed by the resilience and resourcefulness of those local businesses. Frankly, they deserve more than for me to tell them that I have voted for a further lockdown, given our low local covid rate and the national lack of evidence Our local health workers, carers and volunteers have also done a magnificent job, and many lessons are now being learnt that should improve health and care provision in the second wave of the virus. Yes, of course, we need to save the NHS, but that cannot be at the cost of wiping out the economy, without which there will be no money to pay for the NHS. The problem is that we are not getting a weighted assessment of the health costs in the context of all the other costs. When the allied forces planned D-day, an assessment of the human and material costs was drawn up before deciding to invade. It would be wrong to say that Churchill and the generals failed to show humanity in their assessment of likely casualties, but they weighed that up against the strategic objective of retaining a democratic European continent We now roll from one lockdown to another, with no vaccine, and no effective track and trace system. We need urgently to consider a weighted strategy, our objectives here accepting that whatever happens, lockdown or no lockdown, we are ultimately going to have to learn to live with the virus.