argyrotsipi/train-dataset huggingface dataset:
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
Zahida Manzoor (Conservative, Centre-right): I have a couple of minutes. On the adult social care Green Paper, it was recently announced that the Government will provide local authorities with £240 million this financial year, 2018-19, and £240 million next year for adult social care so that people can leave hospital when they are ready and go into a care setting that best meets their needs. This will help to free beds over winter. There is a further £410 million for social care We recognise that the NHS and social care provision are two sides of the same coin and that we cannot have a plan for one side and not for the other. While the long-term funding profile of the social care system will not be settled until the spending review, we will publish the social care Green Paper soon, ahead of the spending review I am conscious that there were a couple of other issues, particularly in relation to the role of the NHS in relation to public health, which the noble Baroness, Lady Tyler, raised. I think I have highlighted it. On going forward and the implementation plan, as indicated in the Statement, the Secretary of State has asked my noble friend Lady Harding about how we move forward, particularly on workforce planning. An implementation plan will go to the Secretary of State by spring and a more detailed implantation plan will be put in place once the spending review figures are available as part of the spending review framework. There will be a framework in terms of quality. I am conscious that my time is up, so I will write to the noble Baroness on the two other questions on adult social care and the differences in mental care for young people.
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
Zahida Manzoor (Conservative, Centre-right): The plan is an overall strategy. The detail will be filled in over coming months and years as we work closely with clinicians and people working in the NHS. That is why, looking at obesity, we introduced the sugar tax, which has been very successful. Noble Lords may say that we did not get as much money as we thought we would, but to my mind that is great; it means we have got preventive action because companies are now putting less sugar into drinks et cetera, which is a bonus. The noble Lord is right. That is why we are putting so much more money —£4.5 billion—into the preventive agenda so that we tackle the issues that he has just indicated.
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
Zahida Manzoor (Conservative, Centre-right): That is almost all my brief. I echo the sentiments expressed by the noble Lord about my noble friend Lord O’Shaughnessy. The noble Lord is basically asking about next steps and who will be accountable for the plans. That is the question I asked: who is in charge? NHS Improvement and Health Education England are looking at workforce planning and clinical placements for nurses. They will relate to NHS England which is looking at the overall framework. The intention is that the work that my noble friend Lady Harding will be taking on will feed into workforce planning, and we will produce an overall framework in relation to clinical issues. A template will also be produced so that we know what best practice is, and this can then be filtered down to local areas through the integrated care system and clinical commissioning groups. NHS England will retain the overall strategy for all this. I hope that I have answered the noble Lord’s questions. As he knows, there are variations and a number of health inequalities around the country. It is imperative that we begin to address those and that is behind part of the framework.
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): My Lords, I thank my noble friend and other noble Lords for their kind words. It has been an absolute pleasure to work with them on health and social care issues over the last two years, as well as with the amazing staff in our health and social care system, who inspire us, treat us and look after us all the time. Like my noble friend, I am incredibly proud that in the 70th year of the NHS it is a Conservative Government who are making this historic funding settlement. However, I believe that this is an important document for another reason, which is that it marks a significant milestone in moving towards truly personal care that delivers precision medicine designed for individuals and better uses technology and the kinds of genomic medicines and innovations that the noble Lord, Lord Kakkar, talked about. It became clear to me during my time as a Minister that this can happen only if we complete the digitalisation and joining up of patients’ data so that, wherever patients land in the health system, any clinician has access to all the relevant information about them and can tailor treatments to them. Not only does that bring tremendous benefits for direct care but it has a huge positive impact on our life sciences industry, which is one of the great strengths of this country and one of our great hopes for the future. Can my noble friend confirm that the long-term plan involves the ambition of fully digitising the NHS and bringing that data together for the benefits that I have described?
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
Zahida Manzoor (Conservative, Centre-right): I thank my noble friend Lord O’Shaughnessy for his comments. Of course, data and information are very important. It is very difficult for clinicians when they do not have good information and data, because they have to start again, asking questions and looking at the investigations that have been undertaken on a particular patient. Therefore, the future lies in the greater use of technology and data-sharing but, at the same time, this must be balanced with ensuring that safeguards regarding who accesses the data are put in place, as well as ensuring that the data is accessed with the patient’s consent.
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
Zahida Manzoor (Conservative, Centre-right): The noble Lord makes a very valid point. As I indicated in my previous answer, data-sharing, although important, must be balanced with ensuring that safeguards are in place for the patient. We work, and will continue to work, very closely with the Information Commissioner and the data protection guardian. I know that we recently passed legislation for those posts to be put on to a statutory footing, although I do not think that that has happened yet for the data protection guardian. I am sure that they will ensure that a very keen eye is kept on these matters, but of course NHS England, the CQC and other regulatory bodies will also have a duty of care to ensure that the safeguards are implemented effectively, as will local organisations that provide those services.
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
Zahida Manzoor (Conservative, Centre-right): The noble Lord makes a very important point. This Government are keen to see parity of esteem between mental health and acute services. Mental health will receive a growing share of the NHS budget—in real terms worth at least a further £2.3 billion a year by 2023-24. To give noble Lords an idea, by 2023-24 an extra 345,000 children and young people up to the age of 25 will receive mental health support in the community and in schools and colleges, with access to round-the-clock mental health crisis care through NHS 111, and an extra 380,000 adults will be able to access talking therapies. However, I am afraid that I do not have the information to answer the noble Lord’s question about the exact difference in spending between the two.
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
Zahida Manzoor (Conservative, Centre-right): I thank my noble friend; as he says, there is a challenge. For the record, since everyone around the House, quite rightly, has praised my noble friend Lord O’Shaughnessy, I am not his replacement; I am standing in for him It is an interesting question; we know that publishing this document alone will not translate all the plans and objectives into reality. As I have already said, that is why we have asked the NHS to develop a clear implementation framework by April, to set out the commitments that should be delivered by local systems to ensure that there is transparency for patients and the public. This is not something that has come out of the ether from nowhere; we are building on success. It is not a radically different plan; we are picking out the best of what we need to achieve. The plan builds on what has been achieved in recent years and the learning from previous reform programmes. It has already benefited from widespread engagement during its development, working with organisations that represent over 3.5 million people to ensure that its vision and aims are the right ones.
NHS Long-term Plan — House of Lords, 2019-01-07
Topic: Health
Zahida Manzoor (Conservative, Centre-right): The noble Lord is absolutely right that implementation is key. We can have great aspirations, but we must have a proper plan in place to ensure that we can deliver. The implementation plan that I have spoken about previously will flesh this out in much greater detail so that we can look at what the IT systems will be, what the genomics will be, what clinical issues we want to tackle and what performance areas we want to highlight. On primary care, I have already indicated the amount of money that we are putting in place for preventative measures. GPs are the gatekeepers to secondary care, so it is important that we have a healthy and viable workforce in primary care Primary care is of course very important. We are committed to delivering 5,000 more GPs; we recognise that this might take longer than we had hoped, but there has been a bit of improvement in the numbers from last year to this year. NHSE and HEE have a number of schemes in place: to recruit more GPs, including increasing the number of doctors entering GP training; to boost retention through the GP retention scheme and the GP retention fund; and to support doctors through the GP Health Service and the releasing time for care programme. Last year, to put it in perspective, we recruited 3,473 GP trainees against a target of 3,250. That was a 10% increase on 2017, but I recognise that we need to do better.
Migrant Crossings — House of Lords, 2019-01-07
Topic: Defense
Susan Williams (Conservative, Centre-right): The noble Lord and the noble Baroness will have to forgive me if I do not answer every single question. As they say, I have leapt from one subject to another The noble Lord, Lord Kennedy, asked about the use of language and the UK being bound by the 1951 convention. Yes, of course; we were bound by it before we went into the EU and we will continue to be bound by it when we leave the EU. He is absolutely right that facts must be examined first, which is why we do not make a Statement without knowing the facts. On the Royal Navy and the orders given to its vessels, those are military assets operating for a civilian or non-military purpose and the first rule of any vessel at sea is to protect lives at sea. Lives must be protected and everything else comes after. However, as the Home Secretary said, we do not want vessels to provide an incentive for people to take risky journeys at sea, putting their lives at risk. I understand that the cost of the deployment is £20,000 a day. As regards other operations in the Mediterranean, Spain is experiencing high demand for migrant crossings, as is Greece, and the operations in the Mediterranean continue. If the noble Lord asked me any other questions which I have not answered, I will write to him The noble Baroness, Lady Hamwee, asked me about the individual who was arrested and whether they have been charged with anything. As the legal procedure is ongoing, I cannot comment on that, but I will try to get an answer. She also asked about examining all claims. There are provisions in EU legislation and domestic rules to make claims inadmissible but we will fully examine the claims of those for whom we are responsible.
Drones: Consultation Response — House of Lords, 2019-01-07
Topic: Defense
Elizabeth Sugg (Conservative, Centre-right): I share the noble Lord’s frustration that it was not easier to get this drone out of the sky. There are various different ways of doing that, including physical effects, such as nets, which were available, and there were helicopters on the ground as well. Sadly, nets are successful only at a certain height, as is counter-drone technology. I can assure the noble Lord that it was not for want of resources or effort that this drone was not taken out of the sky. In this case, the drone came and went a number of times and it was not there for any sustained length of time so it could be brought down. Some of the other suggestions, such as birds of prey or bullets, were not possible. Nets were available, but they are successful only at a certain height. I share the noble Lord’s frustration that it was not easier to get the drone down. It came and went a number of times but was not in the vicinity of the airport for a sustained period of time which would have enabled that to take effect.
Drones: Consultation Response — House of Lords, 2019-01-07
Topic: Defense
Elizabeth Sugg (Conservative, Centre-right): Gatwick used a number of methods and different layers were involved in addressing the incident, including UK technology, but my noble friend highlights a very good point—that this is an international challenge. He is quite right that Israel has well-developed technology in this area, and we will continue to work with all our international partners to ensure that we have the best mitigation against future drone attacks.
Offensive Weapons Bill — House of Lords, 2019-01-24
Topic: Defense
Susan Williams (Conservative, Centre-right): That it be an instruction to the Grand Committee to which the Offensive Weapons Bill has been committed that they consider the bill in the following order: Clause 1, Schedule 1, Clauses 2 to 34, Schedule 2, Clauses 35 to 44, Title.
Recognition of Professional Qualifications (Amendment etc.) (EU Exit) Regulations 2018 — House of Lords, 2019-02-11
Topic: Health
Anne McIntosh (Conservative, Centre-right): The noble Lord follows these issues even more closely than I do. Does he share my anxiety that from what we learned this afternoon of what the regulations set out, there will have to be separate statutory instruments for all the professions that fall under different departments, such as doctors, vets, architects and so on?
Overseas Aid — House of Lords, 2019-01-30
Topic: Health
Questions: To ask Her Majesty’s Government in the light of recent press reports what plans they have to meet their statutory obligation to spend 0.7% of the UK’s GDP on overseas aid.
Lynda Chalker (Conservative, Centre-right): My Lords, will the Minister be ardent in his pursuit of match funding, particularly for health projects, which will valuably use up at least 0.7% of the GNI? There are many countries without the basic GP facilities that we all take for granted, let alone equipment for their health services. We could do far more using training and second-hand equipment from this country as part of the 0.7% spending on those who are the poorest.
Trade Bill — House of Lords, 2019-01-30
Topic: Health
Michael Bates (Conservative, Centre-right): My noble friend Lady Fairhead made very clear our hesitation in the other place when this amendment was proposed, but it is now in the Bill. We see the commitment to all necessary steps in relation to the European Medicines Agency. We have been very clear that we do not wish to see that extended to other agencies, but it is there in the Bill at present.
NHS Long Term Plan — House of Lords, 2019-01-31
Topic: Health
Julia Frances Cumberlege (Conservative, Centre-right): My Lords, my interests are in the Lords register. This debate is opportune because today we heard an announcement from Simon Stevens on the first steps to implementing the plan The NHS is frequently likened to a sea-going tanker. I do not agree with that; I think it is more like a flotilla. Numerous boats sail in the same direction but when the storm rages, the flotilla disintegrates, with each ship seeking its own safe harbour. The 2012 Act enabled disintegration, which is why this plan is so crucial. It seeks to cement new systems to integrate health, on a population base, through integrated care systems. Along with other noble Lords, I welcome that The wise and wonderful Sir Cyril Chantler published in the Lancet: "Medicine used to be simple, ineffective and relatively safe. It is now complex, effective and potentially dangerous" That emphasis on being potentially dangerous has driven us to consider how we can make medicine safer while recognising its complexity and the need to involve patients, consumers and citizens. The plan assures us that having a baby is now safer than it was 10 years ago, which we welcome. Nevertheless, giving birth in this country is not as safe as in Sweden. Why? Their teamwork is awesome: they learn from mistakes and avoidable harm, then spread the learning. We do not. The maternity review fashioned a system based on the Swedish system, called "rapid resolution and redress". We have no confidence that the department will introduce it, so I would welcome some support from the Minister to enable that to happen We know that we can improve safety by ensuring that women have continuity of care from the health professional, usually the midwife, to care for her through her pregnancy, the birth and the early days of parenthood. Research shows that with continuity, 19% of women are less likely to have a miscarriage, 24% are less likely to experience a pre-term birth and 16% are less likely to lose their baby overall. Should we surprised by that? Of course not; it is common sense and it is what women seek. Technology has its place and can aid continuity through the use of iPhones, emails and so on, but when it comes to maternity care, robots are not the answer. Women want the skills, the personal knowledge and the relationship they have with their professional friend. Being handed from one midwife to another does not make for a good experience or aid safety. Continuity does, which is well understood in the long-term plan.
NHS Long Term Plan — House of Lords, 2019-01-31
Topic: Health
Peter Gummer (Conservative, Centre-right): My Lords, I join others in thanking the noble Lord, Lord Hunt of Kings Heath, for initiating this important debate. On page 43 of the long-term plan there is, as far as I know, the first prominent planning reference to the mental health issues associated with gambling. The Government have committed to establishing centres nationally for gambling treatment, saying: "We will invest in expanding NHS specialist clinics to help more people with serious gambling problems" This is welcome news and a hugely important step forward. However, the plan fails to submit gambling to the same forensic analysis adopted for the use of alcohol or tobacco, where careful consideration is given to education, cessation, prevention and treatment. I remind noble Lords once again of the litany of gambling figures based on information currently available. There are over 430,000 adults with a serious gambling problem, but only 2% are in treatment; 2 million are in danger of addiction; 55,000 children aged between 11 and 14 are already addicted; 75,000 children are at risk; and an estimated two gambling-related suicides occur every working day. Could there be a more compelling case for education, cessation, prevention and treatment programmes I am extremely encouraged by the recent meetings I have had with senior executives in the gambling industry. Some are voluntarily adopting initiatives such as doubling their industry levy or advertising tools to control excessive gambling. This clearly demonstrates an appetite for change. However, there is still much more to be done. I therefore ask the Minister, first, whether gambling could be considered in the NHS Long Term Plan in precisely the same way as alcohol and tobacco. Secondly, can the Minister confirm that the Government have held, or are planning to hold, conversations at the highest level with the gambling companies and other stakeholders to find common ground for voluntary and constructive reform?
NHS Long Term Plan — House of Lords, 2019-01-31
Topic: Health
Lucy Neville-Rolfe (Conservative, Centre-right): My Lords, I refer to my interests, notably as a director of Health Data Research UK. I congratulate the noble Lord, Lord Hunt, and would like to join him in any meeting on data. I thank the Library for producing an excellent note for this debate I am quite new to health as a public policy issue—encouraged by the noble Lord Patel—and have considered the plan de novo. The response has shown that there is overwhelming public support for the NHS and we must take full account of that fact. However, that ought not to prevent us from recognising that the structure of the NHS has drawbacks. I will mention two. It is vast, and therefore bureaucratic, and all experience shows how difficult it is to maintain high levels of efficiency in large bureaucracies. Also the NHS, by its very nature, makes little use of market pricing, making the optimum allocation of resources close to impossible. We must do our best to eliminate inefficiencies, but the NHS is ordained to suffer from some of them Given my commercial experience, I regret the overuse of percentages in the plan and the lack of key overall numbers on expenditure and capital formation and on future demography, which is too often ignored in public investment. Value for money is also given very little prominence. Less surprising is the total absence of the notion of enterprise and incentives. This is a pity as GPs are small businesses, and the best are good businesspeople. The fact is that management skills are needed to deliver effective change. The "lean thinking" principles trained into retail could help to cut out waste and blockages. I was reminded of this by the example on page 19 of ambulance paramedics stuck on a hospital ramp with other calls piling up that they could not get to I commend the Government on the new focus on digital, personalisation and data. AI is improving the efficiency of drug trials, and there could be vast savings from introducing patient apps for patient records. This would allow easy migration and an end to the familiar cry, "They have lost the notes". Apps could be introduced immediately for maternity and to replace the red baby book I would also like to see support for HDR UK’s digital innovation hubs for the safe sharing of data in R&D and better use of data to improve outcomes—for example, on cancer and antimicrobial resistance. This huge global health issue receives a modest mention on page 39. Are noble Lords aware that, without new antibiotics, routine operations could become too risky and that cancer and paediatric care could become extremely difficult? I welcome the Health Secretary’s initiative at Davos, but we also need worldwide efforts to reduce irresponsible antibiotic use for animals. I was glad to hear the CMO referencing the red tractor label, whose standards have helped to reduce antibiotics on farms by 40% over five years. I look forward to an annual update on the whole long-term plan and to seeing some quick wins from this enormous investment of money, time and effort.