argyrotsipi/train-dataset huggingface dataset:
Nursing and Midwifery (Amendment) Order 2018 — House of Lords, 2018-06-25
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): My Lords, I sincerely thank every noble Lord who has spoken in the debate and engaged with these regulations so thoroughly. It has been a really important discussion about not just the new role of nursing associate but its impact on the overall health and care workforce. I am very grateful to all corners of the House for the broad welcome, albeit with questions and conditions, for the creation of this role I want to deal up front with the urgency of these regulations. I agree that there has been an element of rush, and I think we are all agreed on the requirement for it. But like all overnight successes, this has been a long time brewing, as the noble Lord, Lord Willis, pointed out. A lot of work has been done, and I salute, along with all noble Lords, the many people at the RCN, the NMC and others who have contributed to this, and the many people behind the scenes. It is quite right to acknowledge them. No doubt there is more work to come The primary debate, or part of it, revolved around the distinction between the nurse role and the nursing associate role. It is very important to be clear, as I hope I was in my speaking note, that these are distinct professions. They may all be part of the same family—there is a certain amount of semantics involved here—but they are distinct professions, which will be regulated distinctly, albeit in a joined-up way through the same regulator, which is quite right. The NMC is currently consulting on standards of proficiency. The department, with all the necessary arm’s-length bodies and others, will develop guidance for that separate profession. While nursing associates can inevitably support nurses, doctors and others, they will not just be the handmaidens to others, in the evocative phrase of the noble Lord, Lord Clark. They will be professionals in their own right It is also worth pointing out that, in the consultation going on at the moment on standards and proficiency, the NMC is also looking at the code of conduct and amendments to it. That consultation ends on 2 July so, again, I warmly encourage all noble Lords to contribute to that, because some of the ideas set out today could have an important role in getting that right The noble Baroness, Lady Thornton, asked about the financial risks involved in setting up the courses—making sure that they are properly constituted and so on. My department has a memorandum of understanding in place with the NMC to keep the costs of the set-up within agreed cost parameters. The costs of accrediting nursing associate courses are met from the annual registration fees paid by the NMC’s registrants. Therefore, the financial modelling has been investigated and we understand what we need to stick to.
Nursing and Midwifery (Amendment) Order 2018 — House of Lords, 2018-06-25
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I thank the noble Lord for that question. My understanding is that the nursing associate is a two-year apprenticeship that provides a level 5 qualification. Therefore, there is currently a consultation about the nature of the role—the balance between work and training and so on—but obviously if it counts as an apprenticeship any organisation providing it can draw down on the apprenticeship levy fund to pay for those training costs. Whether it is in theory possible to train through an alternative route that would involve the paying of fees is something I will need to investigate and write to the noble Lord about. Of course, I will put that letter in the Library. The funding is there and the NHS is paying it. It is not necessarily drawing it down at the moment; this is an opportunity for us, with a course that is tailor-made for apprenticeships, to take advantage of that money to fund the courses I hope I have been able to answer noble Lords’ questions. This is an exciting moment in the development of the workforce. It provides an extra gear to the workforce to provide for the ever more complex care needs of our population. This is a good step forward. We are moving quickly and I look forward to working with noble Lords in the coming months to make sure we can put this course and its regulation on a statutory footing, attract many thousands of people into it and welcome a new profession into the health and care family. On that basis I commend the order to the House.
Childhood Obesity Strategy — House of Lords, 2018-06-25
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): My Lords, with the leave of the House, I shall now repeat in the form of a Statement the Answer given by my honourable friend the Parliamentary Under-Secretary of State for Public Health and Primary Care to an Urgent Question in another place. The Statement is as follows: "Today, the Government have published the second chapter of the childhood obesity plan. This plan is informed by the latest evidence and sets a new national ambition to halve childhood obesity and to significantly reduce the gap in obesity between children from the most and least deprived areas by 2030 Childhood obesity is one of the biggest health problems this country faces, with almost a quarter of children overweight or obese before they start school, rising to over a third by the time they leave. This burden is being felt hardest in the most deprived areas, with children growing up in low-income households more likely to be overweight or obese than more affluent children Childhood obesity has profound effects that compromise children’s physical and mental health both now and in the future. We know that obese children are more likely to experience bullying, stigma and low self-esteem. They are also more likely to become obese adults and face an increased risk of developing some forms of cancer, type 2 diabetes and heart and liver disease. Obesity is placing unsustainable costs on the NHS and our UK taxpayers, currently estimated at around £6.1 billion per year. Total costs to society are higher, estimated at around £27 billion per year, with some placing this figure even higher than that The measures we outline today look to address the heavy promotion and advertising of food and drink products high in fat, salt and sugar on TV, online and in shops. Alongside this we want to equip parents with the information they need to make healthy informed decisions about the food they and their children are eating when out and about. We are also promoting a new national ambition for all primary schools to adopt an ‘active mile’ initiative, such as the Daily Mile, and will be launching a trailblazer programme working closely with local authorities to show what can be achieved and find solutions to barriers at a local level to address childhood obesity In conclusion, childhood obesity is a complex issue that has been decades in the making, and we recognise that no single action or plan will help us to solve the challenge of childhood obesity on its own. Our ambition requires a concerted effort and a united approach across businesses, local authorities, schools, health professionals and families up and down the country. I look forward to working with them all".
Childhood Obesity Strategy — House of Lords, 2018-06-25
Topic: Health
Lucy Neville-Rolfe (Conservative, Centre-right): My Lords, I declare my interests as set out in the register. I have a few doubts about some of the interventionist proposals in this strategy and therefore I welcome a consultation process on the detail. However, I am keen that people should be able to take responsibility for themselves by helping them to develop good habits, so I congratulate the Government, and indeed the Daily Mail, ITV, INEOS and local authorities on the Daily Mile initiative, which could be transformational The Minister and I are both interested in the advances in the science of sleep. We know that poor sleep is linked to obesity. Could the Minister agree to making use of this new science in his strategy?
Childhood Obesity Strategy — House of Lords, 2018-06-25
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): My noble friend makes an excellent point and I am glad that she has welcomed the introduction of the Daily Mile initiative, which is an important national ambition embedded in the strategy. I know of the benefits of sleep by its absence, but nevertheless I agree absolutely with my noble friend. This second chapter sets out a lot of good progress and intent. Clearly it is not the last word because this is a developing science, although we know more and more both about the causes of obesity and its consequences. Given that, there is a good opportunity through the consultations to bring the science about the benefits of sleep to bear in this conversation, not only for younger people but for adults as well so that it is properly reflected in the final documents that come out.
G7: Charlevoix, Quebec — House of Lords, 2018-06-11
Topic: Defense
Natalie Evans (Conservative, Centre-right): The communiqué agreed that we must maintain the global norms against the use of chemical weapons and there was agreement among leaders on the need to strengthen the ability—as the noble Lord pointed out, it is not there at the moment—of the Organisation for the Prohibition of Chemical Weapons to attribute responsibility for chemical weapons attacks. As he will be aware, there is a special conference of state parties later this month, which will be an important moment to demonstrate our determination to reinforce the Chemical Weapons Convention. We will, of course, be an active participant.
Counter-Terrorism and Border Security Bill — House of Lords, 2018-11-14
Topic: Health
Mark Schreiber (Conservative, Centre-right): I have listened to what people have said. I think the Minister made the important point here: we still have a hang-up about DNA samples. I agree that perception is what matters, and it may be that I am slightly ahead of public perception, but I do not see any difference between being asked to give a DNA sample for identification and almost any other method of doing so. If it involved taking blood or something then that would be another matter, but nowadays DNA can be taken by a simple swab. It is self-evident that if you do not have matching DNA then that does not take you very far, but there would be many circumstances in which, having suspected someone, having their DNA might at some stage be useful. I do not accept the general point that there is something sinister about DNA that means we should not use it; I think it should be used a great deal more than it is. Having said that, I beg leave to withdraw the amendment.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
Bernard Francisco Ribeiro (Conservative, Centre-right): My Lords, the Statement makes reference to the use of predictive prevention to deliver more targeted interventions. At the recent meeting of the American College of Surgeons in Boston two weeks ago, the director of the National Institutes of Health—he likes to call them the national institutes of hope—said on targeted interventions that they are taking a new approach to disease prevention through the All of Us research programme and that, by taking account of individual differences in lifestyle, environment and biology, researchers will uncover paths towards delivering precision medicine. To date, since May this year, 100,000 people have signed up. What plans does the department have in the UK for a similar programme, and to use genomics for the benefit of all?
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I am very grateful to my noble friend for that question: he speaks with great wisdom and insight on this. The great promise of technology is to take all the information we hold about people—their health and care records, their genomic data, their lifestyle data—and use artificial intelligence to tailor health advice to them. There will be not just broadcast public health messages that everyone sees, but specific messages that will change my behaviour or your behaviour, to make sure that we live the kind of lifestyles we actually aspire to live, even if we do not always fulfil that I highlight three things we are doing. The first is our commitment to sequence up to 5 million genomes over the next five years. Secondly, we will try to make sure that AI is used in the right way to support healthcare and that relationships are entered into by the NHS and tech companies on a proper basis to bring the maximum possible benefit to the NHS and patients. Thirdly, we will try to take advantage of the enormous opportunity we have with the data that is available in a single-payer comprehensive health system by reassuring people that it is being kept and used safely and legally, but then utilising it so that it is joined up as a single integrated health and care data record, available for direct care and—critically—for research. Then we can start to tailor the medicine we deliver and move to a truly personalised NHS.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I am grateful to the noble Baroness for the question. On learning disabilities and autism, I know that the Secretary of State has been very moved by some of the cases that he has become aware of since taking the job in the summer. He has instigated not only serious incident reviews into individual cases but a thematic review by the CQC, with contributions from NHS England, on how to improve the system and ensure that we move more services out of in-patient facilities and into the community. I am absolutely confident—I will confirm this to the noble Baroness—that the best providers, from wherever they are, will be able to contribute to that review.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): On the question of trust and social licence, which is a very good expression, KPMG published a report in September which found that the NHS was the most trusted organisation in the country when it came to looking after people’s data. That is a very precious thing and we must not lose it, so a number of steps are being taken to try to reinforce that degree of trust. We have introduced a national data opt-out and very recently had the national data guardian Bill, which puts the National Data Guardian on a statutory footing to provide that security and statutory guidance to government, so that we can ensure we build on that trust. On investment in skills, we have commissioned Eric Topol to carry out a review of the skills needed in the workforce to adopt new technology, which will report soon. We also have to recruit new professions: it turns out that bioinformatics is one of the most important things to have in taking advantage of that. We do not currently train enough people in that field but we need to ensure that we do, so that every patient and every clinician can take advantage.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
Andrew Robathan (Conservative, Centre-right): My Lords, in commending this Statement may I pick up on what the noble Baroness, Lady Walmsley, said about the obesity epidemic? I think that she used that word. Does my noble friend agree that all of us, be it in Parliament or as health professionals or teachers, have a role in setting examples to others? Does he also agree that young people and others look to us to see what we do? If we eat or drink too much, or if we smoke, they may follow. Does he also think that health professionals should perhaps be less understanding when people are grossly obese and tell them that, if they do not lose weight, they will die early and cost the NHS a huge amount through diabetes and other diseases?
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): My noble friend brings to mind the quote—I forget who it was by—saying that children never listen to their parents but have never failed to imitate them. There is a point about setting an example, which I agree with. I do not quite agree with the force of his opinion about how health professionals should speak to people suffering weight problems of that kind. These things can be genetic or epigenetic; there can be all sorts of causes. The most important thing is to get people on board with losing weight and motivate them to do so. We have lots of good understanding about how to do that, which is at the heart of the obesity strategy.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
Stephen Sherbourne (Conservative, Centre-right): My Lords, on the question of obesity, will the Minister look carefully at the two successful public health campaigns which helped to change behaviour? One was the campaign on AIDS many years ago and the other was the campaign over many years against smoking. Both had beneficial effects on behaviour.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): My noble friend is quite right. The campaigns took quite different approaches. One used tax and regulation and the other used destigmatisation and the provision of services, but they were highly successful and I reassure him that the knowledge and learning from those campaigns influence our current prevention strategy.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I can provide the noble Baroness with that reassurance. This is a vision document, not a plan. It does not go into detail in every area, but merely tries to set out an ambition for the kind of health service that we want. All the issues that the noble Baroness raises are incredibly important, and I promise her that they form a big part of the department’s agenda.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
Diana Barran (Conservative, Centre-right): My Lords, I join other noble Lords in welcoming the focus on prevention. A key point in prevention is early childhood, the so-called first 1,000 days of a child’s life. I looked at the paper from the department and found several references to this, but they were nearly all in relation to the impact on adult mental health as opposed to physical health. The evidence on the impact on physical health, including obesity, cardiovascular disease, diabetes and cancer is overwhelming from the research done by some of the big health insurers in the States and from the Harvard Center on the Developing Child. Will my noble friend reassure me and other noble Lords that greater prominence will be given to the prevention of the so-called adverse childhood experience, the toxic stress that very young children experience, which impacts on their mental and, crucially, physical health as adults?
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
Andrew Robathan (Conservative, Centre-right): Since my noble friend thinks I am a bit harsh, does he not agree that the ghastly photographs on cigarette packets of people suffering from diseases caused by smoking have contributed to the reduction in disease from smoking and that therefore we should perhaps be a little bit harsher in explaining to people that they will die early if they do not take control of their own lives?
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I do not disagree with the content, in a sense, of what my noble friend said, but I think it is important that we communicate it in a way that will motivate people rather than terrify them into inaction. The difference with smoking is that there is no good or safe amount that you can smoke whereas there is clearly a good and safe amount that we can eat and drink and for sugar and salt intake and so on. It is about striking the right balance.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I absolutely agree with the noble Lord about ethics. In a sense, everything that we do in this area has to pass the basic fairness test that people apply to it: is this a fair use of resources and a fair distribution of benefit? A number of programmes have been set up to support our work in this area. There is the Centre for Data Ethics and Innovation set up within DCMS. I also point the noble Lord to the code of conduct for data-driven technologies in health and care that I published at the NHS Expo in September. This is our first attempt to provide some rules of engagement on how NHS trusts or other bodies can enter into relationships with technology companies in a way which brings the maximum possible benefits to the NHS. We will do more on this in due course.
Government Vision on Prevention — House of Lords, 2018-11-06
Topic: Health
James O’Shaughnessy (Conservative, Centre-right): I am very grateful to the noble Lord for welcoming the NDG legislation, as he did when we dealt with it in this House. I hope that that can progress at full speed On the noble Lord’s point about diabetes, he is absolutely right that prevalence differs from population to population. I will send him details of the NHS Test Beds programme, which includes quite a few diabetes programmes aimed at different parts of the country, which obviously have different ethnic make-ups. We are conscious of the need to tailor messages to particular groups The noble Lord is also absolutely right about the workforce. That is why I mentioned the Topol review. It is critical to making sure that people who are in the service are retrained properly, and that we have enough data scientists, bioinformaticians and others I apologise to the noble Lord, Lord Scriven; I did not answer his second question about the sunk costs of hospitals. We are in the process of moving to a system of integrated care services, which is an attempt to integrate primary, secondary and tertiary care—we know what the goal is. These things are up and running and are showing some great benefits through the new models of care programme in moving care out of hospital, improving outcomes and reducing costs. That is clearly something that we need to take nationwide.
Saddleworth and Tameside Moors — House of Lords, 2018-07-03
Topic: Defense
Susan Williams (Conservative, Centre-right): My noble friend is right to ask that, but we have to be clear here that we are guided by the Greater Manchester Fire and Rescue Service. In being guided by that service, I can tell my noble friend that helicopter assistance is in use with water buckets and is complementing the ground attack, if you like. There is one helicopter from United Utilities, and support as needed from a further helicopter from the National Police Air Service, but I will take his comments back.