argyrotsipi/train-dataset huggingface dataset:
The NHS — House of Lords, 2018-07-05
Topic: Health
Bernard Francisco Ribeiro (Conservative, Centre-right): My Lords, I thank the noble Lord, Lord Darzi, for introducing this important debate. It is a privilege to follow him, as a fellow surgeon. The debate marks the 70th birthday of the NHS and the social care system, and the role that Aneurin Bevan played in it. Making our health service free at the point of need and use while social care remains means-tested has created an unfair system. Equal opportunities and the emancipation of the workforce has meant that an army of carers which used to exist to look after one’s own is no longer there, and increasingly we turn to care homes for our elderly The noble Lords, Lord Darzi and Lord Prior, in their excellent report Better Health and Care for All, published in June, focused on social care, public health and life sciences. This debate makes the case for integrated health, mental health, social care and community care. The creation of a Department of Health and Social Care this year is a welcome first step in recognising the importance of integration. This report makes the case for releasing time for health professionals to care and makes a plea to trust the judgment of professionals. These words are welcome in a health service where professionals feel that top-down management calls the shots, rather than those at the coalface—that is not meant to be a reference to Tredegar The challenge for government is to extend the principle of need and not the ability to pay to social care and to fully fund the service as part of a new social contract between citizen and state. We await the Government’s Green Paper on social care, alongside the NHS plan, in the autumn with keen interest, mindful that in the past 20 years, with 12 Green Papers and White Papers and five independent commissions, successive Governments have kicked the can down the road when social care reform is considered. The Government accepted the proposals in the Dilnot report of 2011, albeit with a different cap, yet in 2018 we do not have any action on them. I am sure that my friend, the noble Lord, Lord Warner, will say something about that in his speech. Can we expect a definitive statement on this, along with the Green Paper, in the autumn There also needs to be a paradigm shift in the model of urgent and emergency care, the workforce to deliver it and the contribution of patients to manage their own health. The days of "doctor knows best"—let alone politicians or managers—are over. As chairman of the Independent Reconfiguration Panel, which advises the Secretary of State for Health on contested service change, I know that a sound clinical case for change is necessary but not sufficient to achieve change. For that to happen in the future, the views of patients and the public must lead the decisions about their health and healthcare. The challenge, as always, is how to achieve that in a meaningful and effective way.
The NHS — House of Lords, 2018-07-05
Topic: Health
John Astor (Conservative, Centre-right): My Lords, I, too, congratulate the noble Lord, Lord Darzi. I was in the Chamber when he leapt across that Bench to save the life of a noble Lord who had had a heart attack, and a very impressive sight it was. I, too, have suffered a cardiac arrest and I received life-saving care from two wonderful paramedics from the South East Coast Ambulance Service. My personal experience, not in a way that I would have chosen, was of the NHS at its very best. Everything at every stage, from the moment the cool-headed handler took the 999 call, the paramedics who got my heart going, the surgery, to the kindnesses and the professional aftercare that I received in East Surrey Hospital, could not be faulted. I was honoured when the hospital asked me to open its wonderful new cardio wing and meet the staff. It was an emotional event for me to stand in front of the very people who had saved my life, giving me an opportunity to join this debate today I declare an interest, in that my sister was a state registered nurse, my brother-in-law is a retired senior surgeon with the NHS and my niece is a junior doctor training in infectious diseases. She is extremely proud to be part of the NHS and very optimistic for the future While we bask in the reflected glory of all that the NHS has achieved in the past 70 years, I agree with the noble Lord, Lord Winston, that we must be realistic. We need to remember the winter pressures and looming targets that put the NHS under immeasurable pressure and result in less than optimal patient care At this late stage of the debate, I will touch on just one challenge facing the NHS, which has been mentioned by many noble Lords: creating a sustainable workforce moving forward, particularly as we rely so heavily on European and overseas staff. Since we voted to leave the EU, there has been a dramatic reduction in the number of staff coming from Europe. Although immigration restrictions have been lifted, it is going to take time to recruit staff. The NHS must be able to offer a long-term future, or why would they come? The focus should be on making medicine and nursing attractive again and developing a long-term plan that meets workforce challenges. There is much bridge-building to do after last year’s junior doctors’ strikes if the NHS is to keep them once they have completed their training. Junior doctors welcome Jeremy Hunt’s pledge for more medical school places, but there are ongoing concerns about low morale and rota gaps in the workforce causing significant issues with retention of staff. Worryingly, junior doctors are leaving not only the NHS but the profession altogether With regard to nurses, this is the last year that those in training are entitled to receive a bursary and will not have to pay university fees. They will then have to pay £29,000, plus living costs, for a three-year period. This means that most nursing graduates will leave university with debts of around £54,000. I would be interested to hear whether the Minister is concerned that this issue will have a negative impact on nurses’ recruitment.
Amesbury Incident — House of Lords, 2018-07-05
Topic: Health
Susan Williams (Conservative, Centre-right): The noble Lord raises a very important point, because he will remember that, last time, they were clad from head to toe in special suits to stop contamination. Their welfare is of the utmost importance. They risk life and limb to attend these things, and I assure him that their health and welfare is of the utmost concern to us, and we have of course put measures in place to ensure their safety.
Amesbury Incident — House of Lords, 2018-07-05
Topic: Defense
John Attlee (Conservative, Centre-right): My noble friend will be aware that the UK Armed Forces have trained for a very long time to be able to counter chemical weapons attacks. The training is not very pleasant. My noble friend Lord Robathan and I will both have stood in a CS gas chamber and been told to eat a dry biscuit. It is not fun training We have a range of technologies available to detect and counter chemical agents. A persistent nerve agent can normally be detected by hand-held equipment, which is held at unit level. Am I right in believing that Novichok cannot be detected in that way? Does that partially account for why the clean-up operation has been so time-consuming and difficult, and why the authorities were unable to find any discarded equipment? They could go to obvious places where it might have been discarded, but it was very difficult to detect.
Amesbury Incident — House of Lords, 2018-07-05
Topic: Health
Susan Williams (Conservative, Centre-right): I join my noble friend in paying tribute to the emergency services. It must be very frightening to go in to assist, knowing that this substance is so deadly, but trying to save lives at the same time. I agree with her that Salisbury hospital has done an incredible job saving the lives of the Skripals, and I hope will save the lives of the couple involved in this incident I will ask the MHCLG to write to my noble friend about how it has helped the local economy following the previous incident and how it intends to bring confidence back to a place which must have been really badly shaken by this latest incident. She is absolutely right: help is badly needed for the town to get back on its feet.
Amesbury Incident — House of Lords, 2018-07-05
Topic: Defense
Susan Williams (Conservative, Centre-right): On the first question, clearly I cannot comment, because the investigation has not reached its conclusion but that certainly seems to be what is promoted in the press. In terms of likening it to a cyberattack, agents such as Novichok have in fact been around for some time—it kind of reminded me of the Cold War, where such methods were used; I know that, after the first attack, people seemed to compare it with the Cold War era. The number of different ways, including cyberattacks, that can debilitate a town, region or even a country are growing and we are right to be concerned.
Cyber Threats — House of Lords, 2018-10-18
Topic: Defense
George Young (Conservative, Centre-right): I am sure the noble Lord would be grateful for an answer, but I do not have one. I do not know whether it has been debated in Cabinet or in a Cabinet sub-committee. However, within the constraints of what happens within the machinery of government, which the noble Lord will be familiar with, I will see whether I can shed some light on the important issue he has raised The noble Lord also raised the issue of Chinese investment that meets stringent legal and regulatory standards. At the heart of this is the recognition that we need confidence in our ability to get the right balance between security in our critical infrastructure and the growth, productivity and inward investment opportunities. The findings of the review will report to the Prime Minister and the National Security Adviser. It is right that in the face of these shared threats the UK works alongside its international partners and allies to expose, confront and disrupt hostile or malicious activity.
NATO Brussels Summit 2018 — House of Lords, 2018-07-16
Topic: Defense
David Arthur Russell Howell (Conservative, Centre-right): My Lords, in future we probably all need to spend a lot more on defence and security in the wider sense, not just on military equipment. Has my noble friend noticed that, according to the International Institute for Strategic Studies, America spends $31 billion a year of its total defence budget of $680 billion—about 5%—on European defence? Has she also noticed that America pays into NATO’s direct expenses common funding budget about 22%? Does she agree that those figures are miles away from those of 70% and 90% that the President talked about in Brussels? He understands hard facts and believes in strong dealing. Will she make sure that he is in this case presented with the hard facts—in the friendliest possible way, of course?
NATO Brussels Summit 2018 — House of Lords, 2018-07-16
Topic: Defense
Natalie Evans (Conservative, Centre-right): I thank my noble friend for the clarification, and I hope that the President takes note as well. My noble friend is absolutely right. As I said in the Statement, NATO’s European allies are stepping up their defence spending. Non-US defence spending has increased by $87 billion since 2014. Progress is being made, as NATO Secretary-General Jens Stoltenberg said, but there is more to do and we will keep up the pressure.
NATO Brussels Summit 2018 — House of Lords, 2018-07-16
Topic: Defense
Natalie Evans (Conservative, Centre-right): As the noble Lord knows, we are meeting the 2% target and 20% of our defence budget is spent on equipment. We will continue to increase the defence budget by 0.5% a year above inflation. We take our commitments in this area extremely seriously.
NATO Brussels Summit 2018 — House of Lords, 2018-07-16
Topic: Defense
Natalie Evans (Conservative, Centre-right): The Brussels declaration was agreed by all allies, including President Trump, at the summit. As I said, he was clear about his commitment to NATO. The US has more than doubled its budget allocation for its European deterrence initiative and US forces are leading NATO’s enhanced forward presence in Poland, so we also need to look at the US’s actions and how they link into the support that the President reiterated following the summit.
Mental Capacity (Amendment) Bill [HL] — House of Lords, 2018-09-05
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I will briefly come to that. In supported living arrangements, the local authority, the CCG or the local health board would arrange the assessments. It would automatically be that body, as opposed to the supported living provider. I hope that will provide the reassurance the noble Baroness is looking for. It would be the commissioning body in that case.
Arts: Impact of Brexit — House of Lords, 2018-10-11
Topic: Culture
James Younger (Conservative, Centre-right): I said that I would try to answer every question but the debate is moving into areas that have been covered before. I am keen to answer questions on the arts. I will read Hansard, go back over my noble friend’s question and write to her Let us move on to arts education. The noble Lord, Lord Berkeley, asked about arts education at A-level being rather low. The Government have announced almost £500 million of funding between 2018 and 2020 for a diverse portfolio of music and arts education programmes. That includes £300 million for music education hubs and almost £120 million for the music and dance scheme A good number of questions were asked—another six, to be precise—and I would spend more time answering them if I could. I will write a full letter to all Peers who have taken part in the debate. However, I want to make some brief concluding remarks. I assure the House that the arts play a vital role in demonstrating that we are, and will continue to be, open for business after Brexit. I want to return briefly to the topic of festivals, as I promised I would. The Prime Minister announced that 2022 will see a major festival to celebrate the UK’s unique strengths in creativity and innovation. The Government have committed £120 million to realising this. That festival will be a wonderful opportunity to show off the very best of our creativity and innovation in this country. Finally, I want to paint for the House a picture of a thriving arts sector, collaborating internationally here in the UK, in the EU and across the world. We will continue to make inspiring music, dance, theatre and visual art that contributes significantly to the UK’s material prosperity.
NHS: Dangerous Waste and Body Parts Disposal — House of Lords, 2018-10-10
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I am absolutely not saying that. To go through the timescale, the noble Lord is quite right that 31 July was the escalation from the Environment Agency to Defra, which then contacted the Department of Health and Social Care. Ministers were informed on 8 August, by which point a huge amount of effort had gone in not only to analyse the problem but to put in place contingency plans. A final enforcement notice for the Normanton site was issued by the Environment Agency with a need to comply by 25 September, which fell after the two-week Sitting that we had in September. In the meantime, plans were put in place—the Secretary of State chaired a cross-government meeting—and on 3 October the partial suspension was put in place. That is what triggered the termination of contracts by NHS trusts and their replacement by a new contract with Mitie.
NHS: Dangerous Waste and Body Parts Disposal — House of Lords, 2018-10-10
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): The noble Baroness is quite right to highlight this issue. As I said when repeating the Statement, the items that we are talking about are stored securely and I am assured that there is no risk to public health from the stockpiling. Clearly there is a requirement to dispose of them; this is a contractual obligation of the company, which it has not fulfilled. That is why we have entered into this situation.
Armed Forces (Terms of Service) (Amendments Relating to Flexible Working) Regulations 2018 — House of Lords, 2018-10-10
Topic: Defense
Frederick Richard Penn Curzon (Conservative, Centre-right): My Lords, I am grateful to all noble Lords who have spoken in response to the introduction that I gave. Beginning with my noble friend Lord Attlee, whom I thank for his supportive comments, I think it is fair to say that Ministers felt duty-bound to respond to the recommendation of the Delegated Powers Committee to make these regulations affirmative. One reason that the committee felt as it did was that there would be a great deal of significant detail and that would really matter in the way that the arrangements were rolled out. I hope that, in common with the noble Baroness, Lady Smith, noble Lords will feel that, having read the statutory instrument, the devil is absent from the detail. Indeed, I hope that the Archangel Gabriel has exercised an influence on it, not least in the way it is expressed, which, as the noble Baroness helpfully said, is designed to be as clear as possible Perhaps I may turn to the questions put to me by the noble Lord, Lord Tunnicliffe. First, on whether and to what extent we will publish the statistics relating to take-up after the scheme is launched, initially and going forward we will capture this type of data on our internal systems for analysis purposes and make adjustments where necessary. We do not plan to report publicly on the numbers who take up flexible service in the early years following the launch of these new opportunities. As we have said previously, a more valuable measure of the effectiveness of flexible service will be the long-term effect on recruitment and retention. That is the principal aim of these new policies The numbers who initially take up these opportunities will be modest. I have no doubt that they will grow over time but I think they will grow slowly. We envisage that it is unlikely that they will account for more than 1% of individuals—approximately 1,400—so we want to avoid undue focus on numbers for numbers’ sake. We feel that regular collating of external reporting information on such a small cohort would not be particularly beneficial. Having said that, we have pledged to report on the introduction of flexible service in the Armed Forces covenant annual report. If in future we have meaningful data on take-up, we will include it. We will of course provide information in the normal way in response to external ad hoc requests.
Brexit: Negotiations and No-deal Contingency Planning — House of Lords, 2018-09-04
Topic: Health
Douglas Hogg (Conservative, Centre-right): My Lords, does my noble friend agree that it is truly extraordinary that the Government are advising the stockpiling of medicines and other necessities not as a result of war or of some natural calamity but rather as a result of a self-imposed policy which may well lead to yet further direful consequences? Should the country not be made urgently aware of the folly of what we are about?
Single Source Contract (Amendment) Regulations 2018 — House of Lords, 2018-07-09
Topic: Defense
Frederick Richard Penn Curzon (Conservative, Centre-right): My Lords, I am grateful to the noble Baroness and the noble Lord for their general support for these regulations, and for their questions. The noble Lord, Lord Tunnicliffe—if I may address his questions first—asked about the level of MoD procurement spend for the last full financial year and the level of single-source procurement within that. In the last full financial year, 2017-18, the MoD spend on procurement was just over £24 billion, of which just over £8 billion went on single-source contracts. We do not track the value of defence qualifying contracts on a year-by-year basis, but I can confirm that since the framework came into force in December 2014, up until the end of May 2018, a little over £19 billion-worth of single-source contracts have been brought under the framework. For the same financial year, the MoD placed contracts worth more than £3.6 billion with BAE systems—about which the noble Lord asked me specifically—of which around £3 billion were on single-source contracts. I am afraid I cannot disclose the proportion of the single-source spend covered by the SSCR framework because it is commercial in confidence The noble Lord and the noble Baroness, Lady Smith, asked how much the department expects this situation to change as a result of these regulations. We have identified approximately 8% to 10% of single-source spend which we would seek to bring under the regulations as a result of this amendment, subject to the consent of the suppliers in question. Obviously, before the contracts are signed, it is a bit difficult to quantify the amount of money that we expect to save, but I hope that that gives a rough order of magnitude to both noble Lords.
Exiting the EU — House of Lords, 2018-07-09
Topic: Defense
Natalie Evans (Conservative, Centre-right): The noble Lord is absolutely right that we currently enjoy a high level of co-operation with EU member states. There is a challenge in finding a way through and our ability is currently being put at risk because, as he rightly says, the existing legal frameworks for third countries do not allow us to realise the ambitious future security partnership we are seeking. We are making these points with the EU. We are working very constructively with our EU partners. For instance, since the Salisbury incident we have led work with them to propose a package of measures to step up our communications against online disinformation, strengthen our capabilities against cybersecurity threats and further reduce the threat from hostile intelligence agencies. We have an excellent relationship in this area. The noble Lord is right that there are challenges, but we believe it is in both our interests to have a strong security partnership. We will continue to say that, and we believe that our EU partners agree. We will work through these current issues in order to make sure we achieve that end.
Mental Capacity (Amendment) Bill — House of Lords, 2018-07-18
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): That it be an instruction to the Committee of the Whole House to which the Mental Capacity (Amendment) Bill has been committed that they consider the bill in the following order: Clause 1, Schedule 1, Clauses 2 to 4, Schedule 2, Clause 5, Title.
Space Policy — House of Lords, 2018-07-18
Topic: Defense
Oliver Michael Robert Eden (Conservative, Centre-right): I think that would have to be a question for the Ministry of Defence and the operators of the site, in terms of whatever satellites the MoD wanted to put up, the needs of those satellites and whether it wanted to do it from a civilian base or from elsewhere. That would be more properly addressed once it knows what satellites it hopes to launch.