argyrotsipi/train-dataset huggingface dataset:
Public Health — House of Commons, 2020-10-06
Topic: Health
Graham Stuart Brady (Conservative, Centre-right): The so-called rule of six, like the ban on household mingling in some parts of the country and, indeed, the original lockdown measures, was introduced under public health laws that were originally envisaged as a means of controlling the movement of infected people, not of whole populations and not for indefinite periods of time. The approach being taken is truly unprecedented. These rules are a massive intrusion into the liberty and private lives of the whole British people, and they are having a devastating economic effect, which will result in big job losses and masses of business failures The rule of six has only been in place for three weeks or so, but much of the country has been under additional restrictions for much longer. In Greater Manchester, for example, people have been banned from mixing with other households, including close family, since late July. It would be interesting to know what conclusions the Government have reached about the efficacy of these restrictions, given the 10 weeks of experience that we now have in those areas with greater restrictions Rates of positive testing in those areas have fluctuated over the summer months. In Trafford, rates were falling in July, when we were put into the additional restrictions, but rising a month later. After 10 weeks, the positive test figures in Trafford are roughly twice as high as they were in July. In the city of Manchester, the increase has been tenfold If I asked the Minister whether these restrictions are proving effective, I suspect that she would say, "But it might have been worse if we weren’t doing it." If so, she needs to tell the House how long she would maintain a ban on household mingling or a rule of six in the event that test rates continued not to respond to the restrictions. Does she accept that there could be no exit from the policy Can the Minister share with the House her estimate of the efficacy of a rule of six, compared with that of a rule of eight, had that been introduced instead? Is a rule of six more or less effective than a ban on household mixing? What assessment have the Government made of the efficacy of the rule of six in England, and in Scotland and Wales, where young children are excluded from it? The Minister did not answer that question when I intervened earlier, and she would not say when such an assessment would be made, but it is a very important point. I would have thought that by the time a month has elapsed, it should be possible to see which is working better or whether they are interchangeable For the state to direct people whether or when they can see their families in their own homes or gardens is an extreme intervention, and this House should set the highest bar possible before approving it. If such an intrusion into people’s lives can be justified, Ministers need to be able to demonstrate that it works, they need to be able to reassure people that it will be temporary, and they need to set out the criteria under which the restrictions will be lifted. I hope the Minister will answer those questions today.
Public Health — House of Commons, 2020-10-06
Topic: Health
Craig Mackinlay (Conservative, Centre-right): My hon. Friend is making the powerful point that there are other health issues and other effects of such draconian rules. Does he agree that the Government should now be publishing what those other effects are? Rather than just the bald figures on infection rates, hospital rates and deaths attributed to covid alone, there should be broader figures on mental health, cancer and all the other treatments, and the deaths that we are not seeing yet but are simply stocking up for the future.
Public Health — House of Commons, 2020-10-06
Topic: Health
Steven John Baker (Conservative, Centre-right): I do agree. I call on Ministers to publish robust data about the balance of costs and benefits. I understand that there is no impact assessment to go with this statutory instrument—I was certainly told that when I picked it up. We really should now be looking extremely carefully at the balance of cost and benefit to overall human flourishing. I am certainly not currently persuaded that the benefit is net positive I pay tribute to 66 GPs, led by Dr Ellie Cannon, who have written to the Secretary of State to say that it is now time for him "to consider non-covid harms and deaths with equal standing as the reported deaths from covid" They have suggested that there be a GP on SAGE; I suggest that we also have some economists on SAGE and have made some other proposals about competitive scientific advice, devil’s advocates and other measures that could improve things. The letter from GPs is extremely important. It is time to listen to GPs As I reflect on this statutory instrument, I have to say that it is also time to start to think about another way. The Government’s strategy is clearly to suppress the virus, through instruments such as the one we are discussing, pending a vaccine. But what if a vaccine does not come? What if a vaccine, when it comes, does not achieve the ends aimed at? What if we still need some kind of measures alongside a vaccine? I have talked to specialists in this area, and it seems to me—with great sadness—to be pretty clear that we might be in those circumstances, in which case the Government will need a plan B For that reason, I was very glad to sign the Great Barrington declaration and to encourage parliamentarians of all parties and both Houses to sign it to show that there is political consensus in both Houses and across all parties for another way. This is plan B, authored by Dr Martin Kulldorff, Dr Sunetra Gupta and Dr Jay Bhattacharya and signed by 1,120 medical and public health scientists, 1,241 medical practitioners and more than 19,000 members of the public, including me. I commend it to the Government.
Public Health — House of Commons, 2020-10-06
Topic: Health
Mark James Harper (Conservative, Centre-right): I am grateful to my hon. Friend My hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady) pressed the Minister on this: if the evidence is not available as to whether these regulations have been effective so far, perhaps she could give an indication of what sort of time period the Government are looking at. I think everyone in the House wants the Government to be successful in driving down the rate of infection, but I pick up the point raised by the hon. Member for Westmorland and Lonsdale (Tim Farron). If the Government bring in a measure because they think it is going to work and it simply does not—we are learning things about this virus all the time—it is not only not harmful but positively sensible for the Government to say, "This one didn’t work. We tried it. We are going to stop doing this, and we will take a different course that we think will be more successful." That sort of attitude would secure a great deal of support from the House and, I think, from the public Perhaps the Minister could say a little about when we should see this kicking in. I raise this because tomorrow we will debate the specific local lockdown regulations for the north-west and the north-east. Mr Deputy Speaker, you have a particular interest in this matter, given the location of your constituency. Some of these regulations in some parts of the country have been in force for quite considerable periods of time, and, apart from in one place, there is no evidence that they are having an effect on bearing down on the virus. In that case, all they are doing is causing economic damage without actually delivering a health benefit. At that point, the Government should reflect on whether the regulations are working and think again I draw my remarks to a close. I hope for those reassurances about the other two sets of regulations I talked about. We will expect them to be debated on the Floor of the House if the Government remain true to the Secretary of State’s commitment last week, which I welcome. I welcome the fact that it is being brought into force tomorrow, as we debate the north-west and north-east regulations. I look forward to the Minister saying a little more about evidence. I am grateful that she is going to have around 12 minutes to do so, which gives us an opportunity to probe her a little further.
Public Health — House of Commons, 2020-10-06
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): I thank all colleagues who have spoken in this debate, because I have been grateful for the thoughtful approach that many of them have taken. Just as I do in my role, Members have drawn on experiences from their own lives and of course from what they hear from constituents. The backdrop to this debate is the fact that the country is in the grip of a global pandemic. We are battling a highly infections and deadly disease, facing a challenge that this country has not faced since the second world war. As we have seen, this virus can spread through the population at an exponential rate, killing people as it goes. Only because of that have the Government brought in such restrictions to people’s lives, ones that clearly no Government would wish to bring in. The alternative—just allowing the virus to let rip—simply cannot be the right thing to do.
Public Health — House of Commons, 2020-10-06
Topic: Health
Steven John Baker (Conservative, Centre-right): Nobody is suggesting that we let the virus rip; radical as I may be, I cited some supportive passages in my remarks. The Minister says that the virus is deadly. We all accept it is deadly for people who have prior risk factors, which raise the infection fatality rate, but is it not the truth that for a great many people who are younger and without prior conditions this is not an especially deadly disease? We knew that at the beginning; we know it today. It is deadly for a certain section of our society, and it is them we are looking after. Can we please be honest about that?
Public Health — House of Commons, 2020-10-06
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): May I just finish responding to my the point made by my hon. Friend the Member for Wycombe (Mr Baker)? He says that for the vast majority this is a mild illness and that the deaths have particularly been among those with underlying health conditions. It is true to say that the majority of those who have died were older and with underlying health conditions, but, sadly, some have died who did not have known underlying health conditions and were younger. I well remember reading about a nurse not far from my constituency, in Kent, who had three young children and was only slightly younger than me but who died early in the pandemic. So it is not true to say that this affects only older and unwell people, although we should also mourn the older people whose lives have been taken before their time, many of whom were in receipt of care The other point is that among those who have had mild illness we are seeing increasing evidence of the condition known as "long covid", where, sadly, there are long-term health consequences of covid. We are learning about those all the time; they are making it materially difficult for people to lead their lives some weeks and even months after they had the illness, even if they had it mildly in the first place.
Public Health — House of Commons, 2020-10-06
Topic: Health
Mark James Harper (Conservative, Centre-right): I just wanted to challenge the Minister on this let it rip point, as the Secretary of State has done that as well. I ask the Minister to take it from me that we all want the Government to be successful, but if every time somebody asks a question or posits a different strategy, we are accused of wanting to "let it rip" and kill tens of thousands of people, this debate will not remain good tempered. Please accept that we are all trying to get this right. We are all willing to be generous, because, as the hon. Member for Westmorland and Lonsdale (Tim Farron) said, this is difficult, but I ask the Minister please not to say that Members of this House who suggest a different strategy in order to be successful want to let the disease rip and kills tens of thousands of people. We do not, and we will not be pleased if that is what we are accused of doing.
Public Health — House of Commons, 2020-10-06
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): I absolutely hear my right hon. Friend’s point. I reiterate the response that I just gave, which is that I very much appreciate the support of colleagues in general for taking action to suppress the virus, and I think it is extremely valuable for us to be debating some of the measures, as we are this evening.
Public Health — House of Commons, 2020-10-06
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): If my hon. Friend would allow me, I would like to make a little bit of progress, otherwise I will have remarkably little time left. We have a clear strategy, which is to control and suppress the virus while doing all we can to protect the economy, people’s work, schools and the NHS, so that it, in turn, can care for us Let me turn to some of the points made by hon. Members. Various reasons have been suggested for the rapid introduction of the regulations. In fact, the shadow Minister made some suggestions. The Government have had to act fast. When we see the rates of increase—particularly when we take away the average across the country, and look at specific areas and parts of the population where the doubling rate can be going up really quickly—it is clear that we need to act fast. The alternative is to act slowly—and if we did that for several days, it would be inaction. That just means that the virus would be left to spread further and faster Colleagues have asked for further information about the impact and effectiveness of measures. I get the sense that some Members would like to hear, "If you do x, you get y," in a very mathematical way. We are dealing with a new disease that simply is not known to the level of "A leads to B exactly." We look at a huge amount of evidence, including at what is happening overseas, the difference made by local lockdowns and evidence from the test and trace system. All that evidence informs the decisions that are made. We know that social contact is a particular cause of the spread, so we must reduce social contact.
Public Health — House of Commons, 2020-10-06
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): I am really sorry, but I have so little time We have seen reduced levels of socialising since introducing the rule of six, but that is against a backdrop of rates rising in particular parts of the country, which are now under further restrictions. We will continue to look at the evidence and ensure that we are putting in place effective interventions The measures that we are debating today are clearly coupled with the vital rules such as hands, face and space. We all have our part to play. We will continue to assess the effectiveness of the measures, but we need restrictions in place until covid rates come down.
Public Health — House of Commons, 2020-10-06
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): I have only three minutes left, so I am keen to cover a few more points that have been made in the debate Colleagues have spoken about children and the rule of six. As I have said, I am acutely mindful of this point as I have a family of five. I am well aware that Wales and Scotland, where health is devolved, have made their own decisions, including a slightly different decision on this issue. Of course, we will learn from the other parts of the United Kingdom. There are regular conversations between the devolved authorities and the UK Government On the matter of extended families and larger households, there is an exemption for larger households—clearly, they can gather—but in some areas there has been a particularly rapid spread when larger households of extended families come together. That can be a particular source of the spread, so it is much harder for larger households wanting to socialise. This is a difficult balance to strike, but we want to ensure that we are suppressing the virus because it is such a cruel thing. Let me turn to policing. The police approach is one of engage, explain, encourage and enforce. I can confirm that they do not have power of entry, but my understanding of the feedback that we have received from the police is that they feel that they do not need further powers to enforce these measures I would like to reiterate the Government’s commitment to working with Parliament and to debating regulations such as these and others. I should say that we absolutely recognise the impact of these restrictions on people’s lives, and that it is with great reluctance that we bring them in. None the less, as I have said, the alternative is not suppressing the rate of the virus, and, as I have mentioned, it is not always a mild illness. We are seeing cases of long covid. There is also a health impact on our hospitals: if they become too full treating people with covid, they will struggle to treat people with other illnesses. That has its own health implications, and cannot be the right strategy. The strategy has to be to control this virus and to suppress it with the rule of six and all the other things that we as individuals can do, including our own compliance with the social distancing measures. We must take this approach, and I thank everybody for all that they are doing. I know that the public face the implications of these restrictions day in, day out, as we do ourselves, but we must do it, because it is the way that we get back to normal as soon as possible Question put.
Shotley Bridge Community Hospital — House of Commons, 2020-10-06
Topic: Health
Richard John Holden (Conservative, Centre-right): I thank the right hon. Gentleman for mentioning that. My understanding is that there are still three sites under discussion, but it will be around Consett. I am pushing the Minister on whether there will be 16 beds, because that is what was in the Secretary of State’s letter to me, and I want to ensure that that is the case.
Shotley Bridge Community Hospital — House of Commons, 2020-10-06
Topic: Health
Richard John Holden (Conservative, Centre-right): We are both pushing the Minister on that exact point Crucially, I would like the Minister to confirm that Government funding from the hospital programme will cover the difference between moneys sourced so far from local trusts—the £17 million confirmed last year—and whatever will be needed for this facility. It is great to see capital investment delivering on the levelling-up agenda on which I was elected. It is not all about capital—it is also about investment in schools, so it was great to hear the investment announced last week in skills and training—but part of it is, because communities like mine feel that over decades, they have not been given a fair crack of the whip and have been left behind I would also like the Minister to confirm that this will not be done under any form of private finance initiative deal, which my constituents have mentioned. They are concerned that, over the last few years, and especially under the last Labour Government, hospitals have been left with essentially very large debts, which caused them problems in the longer term. That has afflicted hospitals and facilities across County Durham Finally, I want to highlight the great work done at Shotley Bridge and by all the great NHS staff across County Durham and Darlington, some of whom were seriously ill, and a couple of whom died from covid. There are a lot of local questions about covid at the moment. Could the Minister talk a bit about the work he is doing to ensure that none of the measures taken at either a local or national level—including those asked for by local authorities in our area—will be in place any longer than they need to be? We want to see our communities back up and running as quickly as possible and providing the healthcare services that people want across the board.
Shotley Bridge Community Hospital — House of Commons, 2020-10-06
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): I congratulate my hon. Friend the Member for North West Durham (Mr Holden) on securing a debate on this important issue. His timeliness in doing so is, as ever, perfect, as was his impressive history lesson and his relating that history of the hospital to the present. The future of Shotley Bridge Hospital is, as my hon. Friend said, an issue that this House has become familiar with in recent months, through his regularly raising it in the Chamber on behalf of his constituents and his local campaigning on it—something well attested to on his website and well reported in recent weeks in both the Chronicle and Consett Magazine. As he said, he kindly invited me to visit his constituency to see Shotley Bridge Hospital for myself. However, I cannot blame him for upgrading last month and securing a visit instead from my right hon. Friend the Secretary of State, although I hope I might yet enjoy North West Durham and County Durham hospitality and a welcome if my invitation still stands.
Shotley Bridge Community Hospital — House of Commons, 2020-10-06
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): I am grateful to my hon. Friend. Having secured that re-invitation, I look forward to that. I would like to put on record, as he did in his speech, my thanks to all who work in Shotley Bridge Hospital and more broadly in the County Durham and Darlington NHS Foundation Trust for the amazing work they have done for his constituents and more broadly during the pandemic, and indeed for the care that they all provide day in, day out, all year round, regardless of the public health context Shotley Bridge Hospital is, as my hon. Friend said, a key part of the local healthcare landscape in the services it provides, but he has effectively made the case that it has the potential to do even more. I know that the sustainability and transformation plan set out the long-term approach to the strategic delivery of health services in these areas, but the CCG and the trust itself have undertaken considerable work on this as well. As I say, the staff are doing an amazing job, but the current hospital faces challenges. In the last financial year—I am sure my hon. Friend will correct me if I get this wrong—it had total running costs of around £1.7 million and £570,000 annual maintenance costs simply to keep the buildings working. These annual costs are a challenge, but so too is the nature of the physical space, including its usage of the current site and the access to it The case for, and commitment to, the hospital is clear. As I understand it, there has already been a consultation on elements of this matter in spring 2019. I was therefore extremely pleased that my hon. Friend’s campaigning had paid off and that a new hospital for Shotley Bridge was included in the list relating to the £3.7 billion investment in 40 new hospitals to be built, which my right hon. Friend the Prime Minister announced late last week. This is a reflection of a Government delivering on their pledge to build 40 new hospitals, and it is a fantastic example of this Government delivering on their commitment to levelling up This new hospital for the people of North West Durham, and indeed more broadly, reflects the healthcare needs of the local population and the local context. As I understand it, the CCG and the trust are continuing to work out the details and consult further, and I encourage my hon. Friend to continue to work closely with them in that endeavour, as I believe he is doing. Let there be no doubt about what he has achieved with this announcement, less than a year after being elected and after a decade of this matter barely being raised in this House. I make an honourable exception to that, because I know that the right hon. Member for North Durham (Mr Jones) has continued to raise it, and that he has worked with my hon. Friend. However, I know that it is my hon. Friend’s passion, as the Member for North-West Durham, that has delivered this result.