argyrotsipi/train-dataset huggingface dataset:
Defence Spending — House of Commons, 2015-03-12
Topic: Defense
Richard Grosvenor Plunkett-Ernle-Erle-Drax (Conservative, Centre-right): My hon. Friend is making a powerful speech. If we see defence cuts of another 10% after the election, another major concern will be the impact on our special forces. If we have an Army of 50,000 or 60,000, we will reduce the ability to recruit men into our special forces—currently probably the most respected in the world—and that will have a significant effect on our ability to project force.
Data Protection Bill [HL] — House of Lords, 2017-11-15
Topic: Defense
Sally Rachel Hamwee (Liberal Democrats, Centre to centre-left): My Lords, the Minister has just proved a point that I made to a colleague who asked me whether I could explain all my amendments, and I said, "If I don’t, the Minister will". Let us see what the Constitution Committee has to say, as I take its concerns seriously. To dispose of one small point, I accept what she says about the "timelessness", which I think was the word she used, of certificates. I accept that some must always apply, but perhaps it is a point that the Government can take into account when thinking about publication of certificates whose relevance has—"expired" is probably the wrong term—passed. I am still concerned about what is meant by "defence purposes". The Minister referred to civilian staff. I cannot remember what the object was in the sentence, but we all know what she means by civilian staff. To take a trite example, can the Minister confirm that in "defence purposes", we are not talking about records of holiday leave taken by cleaners, secretaries and so on working in the Ministry of Defence? "Defence purposes" could be read as something very broad. I will not ask the Minister to reply to that now, but perhaps I can leave the thought in her head Finally, I do not think that the right of appeal provides the same protection as applying oversight from the very start of the process. We have had that debate many times, but I shall leave it there for now. There is quite a lot to read, so I am grateful to the Minister for replying at such length.
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Layla Michelle Moran (Liberal Democrats, Centre to centre-left): The shadow Secretary of State is making a powerful speech. I commend in particular the point he made that people still trust their doctors. They are desperate to see them, even if it is online. A 74-year-old constituent of mine contacted me and said that he asked for an online appointment but it would take him 30 days to get there. He appreciates that the issue is not with GPs but with the Government’s lack of planning for the number of GPs who can provide that service in Oxfordshire.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
Andrew Mawson (Crossbench, Unknown): My Lords, my colleagues and I built the first online facility for the voluntary and social enterprise sector in this country in 1997, called CAN Online. We learned rather a lot from doing that, and I actually came to many of the conclusions that the noble Baroness, Lady Harding, is telling us about. When we started this, we naively thought that this online environment was going to solve all our problems, as if it sat "out there" somewhere. We bought 12 computers: they came in very big boxes at that point, as noble Lords might remember. We put them in a room in a conference centre—we were in the Cotswolds—and I invited 12 entrepreneurial people working in the social sector to come and share a few days with them. We connected them all up. We thought it was about technology, but we actually we discovered that it was all about people and relationships; that this technology was simply a tool—an enabler—to facilitate a marketplace that we needed to build between us We began to understand that this was not about large systems up there that you plonk in the middle of things in some separate way. It is actually organic: they are very connected, and you need to co-create it and invent it together around the real needs and opportunities that are presenting themselves. I think this technology is telling us something about what needs to happen to the health service. It is organic; it is entrepreneurial; it is about creating a learning-by-doing culture. My colleagues and I have seen examples in the NHS and other parts of the public sector where millions of pounds have been spent on systems that have landed from Mars and have not worked. First, we must understand the detail of this technology, and the opportunity that it brings. Later on, as we go through the amendments, I will share with noble Lords some technology platforms that we are working with across the country that have absolutely understood this. When they are engaged with the NHS, instead of the system getting behind them and building on their success and knowledge, it never follows up on the conversation with them. They never heard from the NHS again. There is a disconnect going on, and a fatal misunderstanding of how this new world now needs to work I welcome these amendments and this conversation, but we must understand—from those of us who built some of this stuff, even in the clunky old days of 1997 —that it is all about the relationship between people and technology and a learning-by-doing entrepreneurial environment.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
Ilora Gillian Finlay (Crossbench, Unknown): My Lords, I must declare that I am an elected member of the BMA ethics committee and a past president. The BMA has been particularly concerned about ICB membership. I know we have already debated this, so I expect this group to be quite quick—I am sure the Committee would also hope that The Bill sets out a core minimum membership of integrated care boards, but this does not go far enough. We have just discussed not being prescriptive, but there are dangers in that. There is no guarantee of clinical leadership on the board and there is a real danger of undercutting truly representative clinical leadership by failing to retain some of the positive elements of clinical commissioning groups. Clinicians are already demoralised and a failure to give space to their voice and enthusiasm will only worsen this ICBs should have clinical representation from primary care and this amendment suggests that there should be two people for this, given the wide area that the boards cover and the very different types of practice within each area. Boards also need a secondary care clinician who is in a front-line, not a management, role and a public health representative. As we have already discussed, without public health representation on the board, there is a real danger that the evidence of health gain and the potential to reduce inequality will not be adequately voiced. The board needs public health input to be able to act as a population health organisation Some boards have acknowledged the shortcomings and allocated additional positions for general practice, secondary care and public health within their draft constitutions, but others have not. They appear to be ignoring the voice of the very people who work in front-line healthcare. Unless these voices are heard, along with the voice of public health, there is a real danger that the boards’ decisions will be distant from the reality and that they will become bad decision-makers themselves by losing clinical trust and confidence. I hope that the Government will rethink and ensure that the boards are able to have members who can provide a solely professional view of the whole population for whom the board has responsibility. I know we have already debated much of this, but I want the Government to think again, given the dangers of a further demoralisation in both primary and secondary care. I beg to move.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
Ilora Gillian Finlay (Crossbench, Unknown): I am most grateful to both the noble Baronesses, Lady Walmsley and Lady Thornton, for their comments, which I share. In the previous debate, I argued that we should have people from the allied health professions, and I do not dissent from that. This is not to replace them at all. I also completely recognise the Government’s comments that we need talent and a skills set. Having a balanced board means that you have to have the range of skills. Some people may bring several skills to the table, but they do not automatically bring them because they have a label on their head saying where they come from The other difficulty that we will face is that boards need to have contemporaneous experience in an area—and people go out of date remarkably quickly in different areas. The pandemic has shown how some areas have changed enormously in a very short space of time. The representations that I have had from the BMA, at a professional level, have been about how we make sure that the ICBs will be up to date with that contemporaneous input coming through all the time. I am glad to hear that the Minister plans to discuss all of this further. With that, I beg leave to withdraw the amendment.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
Ajay Kakkar (Crossbench, Unknown): My Lords, I rise to support the amendment in the name of my noble friend Mawson and others, and in so doing congratulate him on his thoughtful introduction. It is clear that one of the most important aspects, and the purpose, of this Bill is to ensure integration at a local level. But the purpose of that integration must surely be—as has been confirmed by the Minister—to improve health outcomes for the entire population. It is well recognised that that can happen only if the social determinants of health in local communities are addressed appropriately and effectively, in a way that our health system has not been able to do to date If we accept that to be the purpose, then local integration—that focus on and understanding of the social determinants of health—and responding to local needs must be secured in the organisation of the integrated care systems and their boards. As we have heard from the noble Lord, Lord Mawson, and others, to achieve that, one must not only understand, appreciate and hear the local voice, but be clear that the culture that is established in these systems is responsive to those voices and is determined to act on them and the understanding of the local situation—particularly those social determinants that extend far beyond what has been and can be delivered through healthcare alone—and focus on other issues such as housing, education and employment. It would be most helpful if the Minister, in answering this debate, could explain how that is going to be achieved in the proposed construction of the integrated care boards Of course, one recognises that Her Majesty’s Government are deeply committed to this agenda. But it is clear that if these boards are not constructed in such a way that they can change the culture and drive, in an effective and determined fashion, a recognition of those social determinants and create opportunities at a local level to address them, much of the purpose of this well meant and well accepted proposal for greater integrated care at a local level will fail.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
Susan Lilian Primrose Cunliffe-Lister (Crossbench, Unknown): My Lords, I am pleased to see that the noble Lord, Lord Hunt of Kings Heath, is taking part today. He has been involved in a family emergency, which shows how important grandparents are in the care of children I have added my name to some of the amendments in this group but support them all. The Bill will be improved if the patient voice is included in both the integrated care boards and integrated care partnerships by Healthwatch, which could collect data from different sources representing patients. There should be co-operation and working together throughout the NHS, co-operation with the CQC and better integration throughout so that standards are kept high across the country The recent report, chaired by the noble Baroness, Lady Cumberlege, First Do No Harm, also demonstrates how important the patient’s voice is. As Healthwatch is spread so thinly at the moment across England, it will have to be bolstered so that it can do the job. The Bill should set clearer expectations for local systems on the need to use the views and experiences of their local communities to inform decisions. The aim is to establish Healthwatch as an independent body rather than a sub-committee of the CQC. The voice of patients will provide so much first-hand experience, and public involvement is so important to help improve standards throughout the country Patients can highlight good experiences and services that need improving. Often, communication needs improving, as does hospital food, which differs across the health service, waiting times, late diagnosis, ambulance provision and many other concerns. Many patients want to give something back to the health service when they have had to use it. Being a dedicated member of Healthwatch could be a solution. I hope the Government will appreciate the benefit of the public working with them rather than against them.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
Susan Lilian Primrose Cunliffe-Lister (Crossbench, Unknown): My Lords, I thank my noble friend for this important debate. I strongly support the amendments which would ensure specialist palliative care, which should be available for all adults and children across the country should they need it Marie Curie suggests that while as many as 90% of people who die have palliative care needs, only 50% currently receive palliative care. Research reveals that of the 23 integrated care systems in England which have so far published their strategies, only six have identified palliative and end-of-life care as a priority area, as my noble friend has stated After long years when my husband had complicated conditions after a stroke, it would have been very helpful to have had some palliative care at the end. He died on a Sunday. The doctor would not come out. He died with me, in an A&E department. The doctor and nurse did their very best, but it was impossible to see his medical notes and the poor doctor was in desperation. It was a difficult situation as he passed away. This is one reason why a plan with some palliative care would be helpful I saw the struggles that the parents had when a young cousin of mine aged seven had neuroblastoma. They did everything they could. He was treated in Germany and England; they took him to the Children’s Hospital of Philadelphia, known for the treatment of neuroblastoma. He had spells in a children’s hospice in Yorkshire and, when in remission, went back to school Such parents, of whom there are many throughout the country, need support. I ask my noble friend Lady Finlay, a professor of palliative care, whether this support for parents or nearest and dearest comes under palliative care? I hope that the Government will see that palliative care should be included in this Bill.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
Sheila Clare Hollins (Crossbench, Unknown): My Lords, I applaud my noble friend’s continuing persistence and commitment in seeking proper recognition of the role of specialist palliative care within our health and care services. I speak with around 40 years of clinical and clinical academic experience, first in general practice but mostly in psychiatry, and as a past president of the British Medical Association. Cicely Saunders taught me as a medical student, and she inspired my interest in this area Other noble Lords have stressed the shortfalls—I will not repeat them—but we know too that certain groups face significant barriers in accessing palliative and end-of-life care. Marie Curie’s A Place for Everyone report found that this included people living in poverty, alone or with dementia, as well as people with learning disabilities. My own research in clinical practice has included a focus on end-of-life issues, including decision-making, for people with learning disabilities and autistic people. Most people with learning disabilities still do not get equitable end-of-life care, despite over a decade of inquiries and recommendations Personalising end-of-life care for everyone is in the NHS Long Term Plan. It must surely be enshrined within the duties of the ICSs. We have already heard about King’s College’s findings of a shocking lack of planning by the vast majority of ICSs. That is a problem; it cannot be left to chance. The truth also is that depression and anxiety are quite common among both those who are dying and those who are bereaved. From my perspective as a psychiatrist, I would say that we need palliative and end-of-life care to improve the experiences of both children and adults who are becoming bereaved. We know, for example, that adverse bereavement experiences in children, such as watching a family member dying in pain, are a predictor of difficulties in adulthood, in addition to affecting their educational achievements To achieve a comfortable death, it is imperative that the psychological distress of both the person who is dying and their nearest and dearest is understood and attended to, as well as any physical symptoms. This amendment should need no further discussion. Cicely Saunders would be horrified. I hope that the Minister will accept it. It would be a false economy not to go ahead with this provision.
Health and Care Bill — House of Lords, 2022-01-18
Topic: Health
Ajay Kakkar (Crossbench, Unknown): My Lords, I intervene briefly to support the amendment moved by my noble friend Lady Finlay. In so doing, I would like to put a question to the Minister. In the context of contemporary, 21st-century delivery of healthcare, how can it be justified that palliative care is not considered part of the continuum and has to be funded in a different way? How can it be that those specialists delivering palliative care are unable to integrate it into the broader considerations of delivery of healthcare in their institutions and systems? It seems completely counterintuitive that that continues to be the position in our country. If Her Majesty’s Government were minded not to support these amendments, it would be helpful to understand how they justify that position and justify differentiating palliative care from other services that are rightly fully funded by the state.
Defence Spending — House of Commons, 2015-03-12
Topic: Defense
John Alan Redwood (Conservative, Centre-right): Is it not also the case that if someone belongs to a club, they have to pay the subscription? We are never allowed to cut the subscription we pay to the European Union, from which some of us do not think we get value, and now people are suggesting that we can cut our subscription to NATO, which is vital to our security.
NHS Dental Care Services — House of Commons, 2022-06-14
Topic: Health
Questions: What steps he is taking to improve the availability of and access to routine NHS dental care services in (a) Weston-super-Mare constituency and (b) England.
Daisy Cooper (Liberal Democrats, Centre to centre-left): At the start of this year the Government announced £50 million to create some new dentistry appointments, but that money resulted in exactly zero new appointments in my constituency. I wrote to every single dental practice in my constituency and they said that was because the funding offer was too limited in scope and time and they were given only a week to reply On 25 April, I wrote to the Minister asking how many appointments had been created from this money across England and where that money had gone. I have not received an answer. Will we get one today?
Topical Questions — House of Commons, 2022-06-14
Topic: Health
Wendy Anne Chamberlain (Liberal Democrats, Centre to centre-left): Last month, the Joint Committee on Vaccination and Immunisation published an interim statement on the autumn booster programme, in which—once again—unpaid carers have not been included. It is vital that they have equal access to vaccines to paid carers to keep their loved ones safe, as they continue to do right now. Will the Secretary of State advise me when we might receive a final statement from the JCVI on the autumn booster programme?
Defence Spending — House of Commons, 2015-03-12
Topic: Defense
Robert Alexander Stewart (Conservative, Centre-right): Twenty five years ago, we spent more than 4% of our gross national product on defence. There were some 306,000 regular personnel and 340,000 reservists. The Army had 153,000 regular soldiers who manned three armoured and one infantry division. We had 1,330 main battle tanks. The Royal Navy had 50 frigates and destroyers, two aircraft carriers, 28 attack submarines, three Harrier squadrons and a Royal Marine Commando brigade. For its part, the Royal Air Force had 26 fast jet squadrons, two squadrons of maritime patrol aircraft and specific aeroplanes tasked with suppressing potential air defences In the next Parliament, however, the Army will be reduced to 82,000 regular soldiers and 400 tanks. The Navy will have 19 frigates or destroyers, seven attack submarines and only about 24,000 sailors. It may be that by 2020 we will see the first of two new aircraft carriers, but as yet not one aircraft has been ordered to put on them. The RAF will have seven, or maybe only six, fast jet squadrons, and no means to suppress enemy air defences. Nobody knows whether by then we might again have some maritime patrol aircraft. That remains the worst gap in our current military capability Some argue that there are few votes in defence—we have heard that repeated all afternoon—but that is certainly not what I hear in Beckenham. People there are increasingly fearful of what is happening in the world.
Defence Spending — House of Commons, 2015-03-12
Topic: Defense
Nigel Martin Evans (Conservative, Centre-right): As my hon. Friend knows, I back the minimum 2% spend of GDP on defence. He knows how important that is to the Ribble Valley. Does he welcome the announcement today by the Prime Minister and BAE Systems that a new training academy will open at BAE Systems Samlesbury, not only to train the new apprentices but to tune up the great skills we already have at BAE Systems?
A& E Departments: Staffing — House of Commons, 2020-03-23
Topic: Defense
Richard James Shannon (Democratic Unionist Party, Right): There is some indication in the news today that some of the personal protection equipment and material available is not up to standard. Will the Minister confirm that everything the Government are sourcing is of a standard suitable for the needs of staff at the frontline?
Defence Spending — House of Commons, 2015-03-12
Topic: Defense
James Whiteside Gray (Conservative, Centre-right): I know of the hon. Gentleman’s personal commitment to defence; he is passionate about it, as we all are. He will also be standing for election in a couple of weeks’ time. Will he be standing on the platform that an incoming Labour Government will definitely commit to 2% or more on defence spending?
Defence Spending — House of Commons, 2015-03-12
Topic: Defense
Peter James Luff (Conservative, Centre-right): I genuinely want this to be a bipartisan debate, but could the hon. Gentleman clarify the shadow Chancellor’s comments in The Times on Tuesday this week, when he stated that his party would go "nowhere near the huge scale of defence cuts you are going to see under the Conservatives" Does that mean that Labour will commit to at least the 1%-plus real-terms-equivalent budget increase?