argyrotsipi/train-dataset huggingface dataset:
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I am enormously grateful for my noble friend’s kind words. I think that, as a Government, we would prefer to be judged at the third act of this important performance, so I think it is probably too early to take too much praise, but I would like to say a massive thanks to the British nation In three ways, the nation has really stood up. The amount of collaboration between different groups—I alluded to it in my previous answer—between the Army, industry, the NHS and local authorities has been enormous. At the beginning of this pandemic, there were arthritic elements to the way in which Britain is governed that meant that different parts of our political and administrative machinery did grind into action slightly slowly, but, my goodness, over the vaccine deployment it has been absolutely athletic, and I take my hat off to every part of the machinery of government. On the union, this has been such a strong example of a national solution: all of Britain has come together in order to purchase and deploy the vaccine. Lastly, I would observe the resilience of the British public. It makes me enormously proud that the country puts the elderly and the infirm first and stands by and celebrates the weakest and most vulnerable in our society being put first in the queue. That is a national quality we should all be proud of.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
James Bethell (Conservative, Centre-right): I am grateful to the noble Lord for flagging this important issue. He is entirely right that those who are sometimes overlooked by society and fall between the cracks are often those who either suffer from the disease or are vectors of infection. It is a public health priority to ensure that people such as those excluded from schools are not overlooked or in any way left behind. I would be very grateful if he could write to me with the details.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I am not sure we are using excuses; we are observing practical matters. The priority, quite reasonably, is to get the vaccine in as many arms as possible. We are totally committed to comprehensive distribution of the vaccine that reaches into rural communities and will include working with community pharmacies as important distributors. However, be under no illusion: our priority is speed and reach, which is why the deployment has taken the shape it has.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Defense
Mark Lancaster (Conservative, Centre-right): My Lords, my noble friend Lord Blencathra hits the nail on the head. I add my thanks for the support of the military—my noble friend the Minister will forgive me if I sound like a pedant, but it is not just the Army but also the Royal Navy and the Royal Air Force. However, their support is ultimately unsustainable. Yesterday the Defence Secretary suggested that the NHS should create a reserve of its own. We are certainly not short of volunteers, given the response to the call to arms last year, so is the Minister considering it?
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Defense
James Bethell (Conservative, Centre-right): My Lords, my noble friend rightly picks me up on my use of words. I profoundly thank all those in the armed services who have made a contribution. They bring particular qualities to such a challenge as the deployment of the vaccine: logistical analysis and project management of the highest level, and the manpower and ability to get things done quickly on the front line. Those are extremely complementary. However, be under no illusion; there are 1.3 million employees in the NHS, and far fewer in the Armed Forces. There is no question of the Armed Forces being able either to replicate or take the role of the NHS in such a large project, though we are enormously grateful for their particular contribution. One lesson of the pandemic has been the remarkable return to work of former NHS workers and the early graduation of some trainees. We should and will look at the use of volunteers in the NHS in months to come.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
James Bethell (Conservative, Centre-right): The short answer is yes, and absolutely. The noble Baroness makes a point that we understand vividly and extremely well. Many smaller GP surgeries simply are not physically capable of being Covid secure, as she rightly points out. We are taking a panoptic view of health records to ensure that the right GP surgeries which are open can offer the service to those who would not normally be reached.
Investigatory Powers Bill — House of Lords, 2016-07-13
Topic: Defense
Alexander Carlile (Liberal Democrats, Centre to centre-left): What the Minister has said is welcome, because we do not want to vote on this on Report but to try to find consensus on an important issue. In addition to considering the proposition of the noble and learned Lord, Lord Brown, I ask the Minister to try at least to provide the Committee with some qualitative evidence without breaching national security. I respectfully suggest that it might be worth talking to his friends in the Northern Ireland Office, who have enormous experience of this kind of issue. If it emerges that, even in that department, this kind of exceptional power has not had to be used for any useful purpose in the past 20 or so years, it will be real evidence that it is not required.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, on turbo-charging the vaccine deployment, the two key focuses are: first, on very large centres, which can have a very large throughput of people, as these will make an enormous difference and bring an industrial energy to the process; and, secondly, to extend the reach into the hard-to-reach communities, whether those are rural or where people are not in the mainstream of British life. Regarding the noble Lord’s point on the "war", while it might seem obvious to him that everyone will step forward for the vaccine that is not, strictly speaking, right. Some people are going to make careful decisions before stepping forward to have it, so we have to think about making it attractive and reasonable to as many people as possible, particularly those who are vulnerable to the disease. I do not think it is right that we cannot have a consumer mentality to this. We have to treat the public with consideration and thoughtfulness, because they will decide whether they are going to step forward or not.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, the four priority groups that the noble Baroness alludes to are: care home residents; residential care workers; the 80-plus; healthcare workers; social care workers; 75 to 79 year-olds; 70 to 74 year-olds; and the clinically extremely vulnerable. It is a huge proportion of those who are most vulnerable to the disease. We can only offer people a vaccine; we cannot force them to have it. Certainly they will be offered it, but the encouraging news is that a very large proportion of people seem to be stepping forward, and attitudes towards the vaccine so far seem to be extremely positive. I reassure all those who have seen anti-vax messages that this is not something that those with allergies should be frightened of. On the second dose, the MHRA has been clear that there is no evidence that the current round of mutations we have seen has any impact on the vaccine, and that it in no way increases the need for an accelerated second dose.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I would put the truism slightly differently: the vaccine makes you pretty safe, but it does not mean you are not dangerous to other people. I think we all have to get used to that. Regarding the South African variant and the other variants popping up in Brazil and elsewhere, this is a manifestly different disease that is growing up around the world. It has a huge implication for international travel. We are working with the WHO and other groups to try to understand this, but it is certainly of grave concern to the country.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
Michael Farmer (Conservative, Centre-right): My Lords, I join many others in applauding the Minister and the Government on their vaccination energy and foresight, and for being leaders in the world, frankly. Given the Minister’s zeal and energy, he informed the House on 30 November that the SIREN and Oxford healthcare workers studies would report on the level of sterilising immunity provided by natural infection before the end of 2020. Have they concluded that antibody protection can be relied upon for at least six months after infection, or longer, and what are the implications for herd immunity?
Coronavirus — House of Lords, 2020-09-16
Topic: Health
Dorothea Glenys Thornton (Labour, Centre-left): My Lords, the Prime Minister claimed again today that the UK does more Covid tests than anywhere else in Europe. This is not true. Denmark does almost twice as many per 1,000 people, and the UK figure includes antibody tests, which others do not do, and is based on when tests are sent out and not on results. So it is more hyperbole I hope today we can look at facts. There is now a backlog of 185,000 swabs and tests are being dispatched abroad. Can the Minister advise the House how many tests have been sent abroad, to which countries, the processing time and the void rates? If the Minister does not have that information at his fingertips today, can he please to write to me and put the answer in the Library? Secondly, Coronavirus infection rates among middle-aged people have reached the same level now as rates among those in their 20s two weeks ago, and Professor Neil Ferguson has warned us that infections are back where they were in late February. So what discussions have the Government had with the Joint Biosecurity Centre and the CMO about raising the alert level from three to four?
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
Rosalind Altmann (Conservative, Centre-right): My Lords, I too congratulate the Government and the Minister on all the tremendous work that has been done, especially on the vaccine. Can he say what the hold-up would be for a 24/7 programme, what the scale of supply is, and when a supply chain might be available that could deliver 24/7 vaccination? The scale of damage to other aspects of the health of our nation as well as to the economy is unsustainable. This is like a war effort but we absolutely need to be rolling out this vaccine as quickly as we possibly can.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I completely hear my noble friend’s encouragement, and her advocacy on behalf of business and a return to normal is heard loud and clear. The deployment is happening literally as quickly as we can possibly make it. I suggest to her that even NHS workers have to sleep, they have families, and it is not possible to run operations through the night on a mass scale. You cannot force people to turn up for a vaccine. I am not sure that the idea that millions of people will turn up at 4 o’clock in the morning for a vaccine is entirely realistic. However, my noble friend’s point about scale and whether we can move faster and turn around the situation more quickly is extremely well made. I reassure her that we are doing everything we possibly can.
Covid-19: Vaccinations — House of Lords, 2021-01-13
Topic: Health
Anne McIntosh (Conservative, Centre-right): Will my noble friend join me in congratulating dispensing GPs in rural areas on hitting the main target group of over 80 year-olds? Can he confirm that the latest spike in care homes may be attributable to the fact that a second dose is not being administered within 21 days? Will he revert to that practice as far as possible and ensure that the same vaccine is given for the second dose?
Defence: Continuous At-Sea Deterrent — House of Lords, 2016-07-13
Topic: Defense
John Lee (Liberal Democrats, Centre to centre-left): My Lords, having appointed Boris Johnson as Foreign Secretary and confirmed the continuation in office of Michael Fallon as Defence Secretary, our new Prime Minister moves on to the awesome responsibility of having to write the four letters to the commanders of our Vanguard submarines, with certain instructions. The UK has had a continuous at-sea deterrent for nearly 50 years, since 1969. Like others, I personally have found this issue agonisingly difficult. It is difficult to imagine the circumstances in which we would press the nuclear button. If we were not already a nuclear power, I am sure we would not vote to become one today But we are a nuclear power, albeit possessing less than 1% of the world’s 17,000 nuclear weapons. We cannot disinvent nuclear technology. Like it or not, behaving like an ostrich is not an option. Like the noble Lord, Lord Robertson, I do not believe that the UK giving up nuclear capability or ambitions would influence others. Some of us hoped that, perhaps in the medium to longer term, we might have been able to reach an accommodation with the French in terms of shared capability. But sadly, post Brexit, that prospect is probably even more remote Over the years my party has looked for some middle way—a compromise position and, we hoped, a cheaper position. A three-boat fleet has been suggested, or arming our submarines only at a time of increased international tension. I have to say that, however good their intentions, both options are wholly unrealistic. We live in a very dangerous and unpredictable world with some very dangerous and ruthless leaders. As has been said, who can possibly foretell what lies ahead over the next 40 years On issues such as Trident, one has to transcend party politics. We in this House have to speak and act in the national interest for this and future generations. In my view, costs are secondary considerations, and 6% of the defence budget is not unreasonable for what is obviously the ultimate deterrent. On balance, and desperately hoping that we never have to use this horrific weaponry, I support the Government’s position to maintain a four-boat, continuous at-sea capability through the successor programme.
DHSC Answers to Written Questions — House of Lords, 2020-11-25
Topic: Health
Janet Alison Whitaker (Labour, Centre-left): My Lords, I am grateful for the answer from the health department on 24 November to my letter of 8 June about the disparity of health outcomes from Covid-19 for Gypsies, Travellers and Roma, although it did not answer our specific questions and was sent only to my cosignatory, Kate Green MP, not me. Will the Minister please answer my question of 21 October, due to be answered on 4 November, asking whether the Government would recognise International Stammering Awareness Day, now long past, with better technological provision for speech and language therapists, which is sorely needed?
Community Pharmacy in 2016-17 and Beyond — House of Lords, 2016-10-20
Topic: Health
Christopher Rennard (Liberal Democrats, Centre to centre-left): The noble Baroness said in answer to my question on Tuesday: "We are not suggesting that any pharmacies close",—[Official Report, 18/10/16; col. 2225.] but then went on to imply that some of them would be closed. Does she agree with the former Health Minister, Anna Soubry? She said in the House of Commons on Monday that, "there is great concern about the proposals", and that if, "there was ever a time to argue to increase the role of pharmacies, it is now".—[Official Report, Commons, 17/10/16; cols. 593-94.] Does the Minister accept that it will often be the smaller, independent pharmacies that will be under threat of closure and that closing them will reduce competition, restrict choice and increase prices? Can she say a little more about the integration fund? I understand that it was originally announced as being worth £300 million over five years, but it now seems to be worth £42 million in the next two years. Has the promised cash disappeared Will the Minister confirm that the access fund is largely coming out of the general pot to support pharmacies and that most of the expenditure through it will therefore be at the expense of support for other pharmacies? When local authority funding is being reduced for public health projects as a result of cuts in funding from NHS England, is not this another example of a false economy—making short-term savings that will lead to greater costs and pressure on the health service in future, in particular on GP surgeries?
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
Archibald Gavin Hamilton (Conservative, Centre-right): My Lords, I congratulate the Government on the vaccine programme. After a pretty disastrous war against Covid, it looks as though the Government may be winning the last battle, which is the one that counts. What happens to people who have received the jab and are registered under the test and trace system? Will they be forced to isolate, despite inoculation making it very unlikely that they will catch the disease or transmit it to others?
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I am afraid that is not the view of the scientists at the moment. I am extremely glad about all those who have had their first jab, but the very strong recommendation is that everyone has to abide by the lockdown rules at the moment. The transmissibility is still there: a person who has had the jab can still, and often may well, be infected by the disease, carry it and communicate it to someone who has not had the jab. They remain a danger to the community and, until a very large number of the population have had the jabs, those protocols will remain in place.
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I reassure the noble Baroness that the interval protocols for the Pfizer vaccine have been completely endorsed by the JCVI, the CMO and the MHRA. They are extremely clearly endorsed by the British authorities, and she should feel enormous confidence in our approach to that However, the noble Baroness is right: I do not know, and cannot say for certain, what the long-term prognosis is. We do not know what the transmissibility of the disease will be with the current vaccine. We are working on new versions of it that should address the South African variant, but we do not know for sure whether that will prove dominant in the UK. It is the view of the CMO, Jon Van-Tam, that it will not beat either Covid classic or Covid Kent—but it is not certain whether that is the case right now We do not know whether there will be a rolling programme of mutations that roll on to the shore and require us to update the vaccine regularly—or whether we will have to hold our borders as they are now until we have the kind of vaccine development programme that can turn around refreshed vaccines within, say, 100 days. Those are all possibilities; we are putting in place the necessary plans in case that should be required, but it is my confident hope that the current vaccine will have a massive impact on Covid and that we can return to something that approaches normal in the very near future.
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
James Bethell (Conservative, Centre-right): I am enormously grateful to the right reverend Prelate for mentioning practice managers. Managers in the NHS are sometimes given a bit of a hard time and are too often overlooked. But, my goodness, if the vaccine deployment has been a success and been run smoothly—and if the constant reports I get of two-minute turnarounds, accurate invitations and appointments made briskly and accurately are correct—it is because of those managers. The NHS practice managers are running a tight ship and delivering huge value for the NHS. They are too often overlooked but, boy oh boy, have they delivered on this occasion The right reverend Prelate is entirely right to raise the issue of not only community champions but volunteering overall. It has been one of the toughest aspects of our response to Covid to make use of the hundreds of thousands of people who have stepped forward in various schemes to help with it. There are returning practitioners from healthcare; there are community champions, which he rightly described, along with the faith groups; there is also St John Ambulance and the vaccinating volunteers. Quite often, hygiene protocols and the necessity to put in place measures to avoid transmission of the disease have meant that it has been difficult to mobilise the army of volunteers. One thing that we should look back at, when we do our post-mortem, is how we as a country can deploy civic society more effectively Regarding the faith groups the right reverend Prelate specifically mentioned, I pay tribute to their role in the vaccine deployment. The sight of vaccines being given out in synagogues, mosques, gurdwaras and temples up and down the country surely has a huge part to play in their successful deployment among many difficult-to-reach groups.
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, we have done an enormous amount to prioritise care home staff, for the entirely pragmatic reason that it would make no sense at all for vulnerable care home residents to be infected by the staff who come and serve them. It is not always possible to put care home staff in exactly the same queue as those residents, sometimes because they are the ones delivering the vaccines. There is in fact a hugely sophisticated NHS route for care home staff to get their vaccine. However, I hear loud and clearly the concerns of noble Lords on this area. Let me please look at it more closely and I will correspond with the noble Baroness, Lady Massey, if I can provide her with any more details that would be helpful.
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
James Bethell (Conservative, Centre-right): My Lords, I have heard the noble Lord’s concerns about this matter when he has brought them up previously, but I simply do not recognise the story he is telling. I would remind him that 95.6% of those aged 75 to 79 have had the vaccine. This is not the story of people who are concerned about going to mass vaccination centres. There are GP centres up and down the country that are closed because they do not have supplies, and it is supply that is undoubtedly the rate-limiting factor. That is because, as he knows, the supply comes in large boxes. If GPs do not have enough people to use up a large box, we have to prioritise those who have longer lists.
Covid-19 Vaccines Deployment — House of Lords, 2021-02-11
Topic: Health
Andrew Lansley (Conservative, Centre-right): My Lords, I want to ask my noble friend about the Moderna vaccine. I understand that we have 17 million doses on order, the first batches of which are likely to arrive in the spring—let us say, in May. Where will the vaccine be used? It seems that with a trial taking place in America of its use among 12 to 17 year-olds, there is an argument for it to be reserved for use in vulnerable younger people or, indeed, given its relative significant effectiveness, to be reserved for use later in the year as a booster vaccine for the most vulnerable groups. Can he tell us the Government’s thinking about the use of this vaccine?