argyrotsipi/train-dataset huggingface dataset:
Ambulance Pressures — House of Lords, 2022-07-19
Topic: Health
Henry Bellingham (Conservative, Centre-right): My Lords, further to the question asked by the noble Baroness, Lady Merron, we have heard some really quite shocking stories of mental health patients ringing ambulances every week or so. They are not facing emergencies; they have not had accidents. Surely it is imperative that such patients, who have an ongoing condition, are looked at away from A&E. Can my noble friend be very diligent and kind and answer the opposition spokesman’s question, and maybe say a bit more about this acute problem?
Ambulance Pressures — House of Lords, 2022-07-19
Topic: Health
Joanna Penn (Conservative, Centre-right): My noble friend is right that I did not address that point earlier, and I apologise for that. We are putting more funding into specialist mental health services to address some of the points that both the noble Baroness and my noble friend have made. On the number of psychiatric beds available, I will have to write to my noble friend.
Ambulance Pressures — House of Lords, 2022-07-19
Topic: Health
Joanna Penn (Conservative, Centre-right): I think the noble Lord is referring to the national hospital discharge taskforce, which is running a national 100-day discharge challenge, which I think will be the sprint review. It is working across the health and social care system to address all the different pinch points. One of the associated aspects is that integrated care systems can now become discharge front-runners to share good practice and ambitious ideas, so that those who are doing best in this area can share best practice quickly with those who might need more support.
National Security and Investment Bill — House of Lords, 2021-04-15
Topic: Defense
Martin Callanan (Conservative, Centre-right): My Lords, I of course welcome the amendment from the noble Lords, Lord Fox and Lord Clement-Jones, which seeks further parliamentary scrutiny of Clause 6 regulations, and the opportunity to put forward the Government’s case once more. I can spare the noble Lord, Lord Fox, the agony and tell him that, great though my ministerial powers are, I am not a miracle worker and, therefore, probably will not satisfy him The Bill as drafted provides for regulations made under Clause 6 to be subject to the affirmative resolution procedure. This amendment would require the Secretary of State to lay a proposed draft of any regulations made under Clause 6 before Parliament for 30 days before the draft regulations themselves are laid and subject to the approval of both Houses. It would also require the Secretary of State to identify a committee to report on the proposed draft regulations and then report on their consideration of the committee’s recommendations We have, as the noble Lord, Lord Fox, said, previously discussed the importance of regulation under Clause 6, and I thank the noble Lords for their commitment to ensuring meaningful parliamentary scrutiny of the making of such regulations. However, the Government’s position remains that the affirmative procedure—or regulations made under Clause 6—ensures such scrutiny by requiring Parliament to approve regulations. In Grand Committee, the noble Lord also highlighted the importance of the Secretary of State maintaining "serious technology foresight" and making any regulations under Clause 6 to protect our national security effectively. I can assure noble Lords that the Government are committed to keeping regulations under constant review to ensure that this regime is effective in protecting our national security and reflects technological changes The affirmative procedure will, in addition, provide the Secretary of State with the flexibility to update the mandatory regime quickly should new risks to national security arise. For all these reasons, I ask that the noble Lord withdraw his amendment though, in the absence of the requested miracle, I suspect that he is not going to do so.
Mental Capacity (Amendment) Bill [HL] — House of Lords, 2018-09-05
Topic: Health
Claire Tyler (Liberal Democrats, Centre to centre-left): My Lords, the essence of this amendment is about language and use of language—in particular, the term "unsound mind". I think we would all agree that language is important; it sends very important signals. Many noble Lords raised this point with passion at the Second Reading debate. I was pleased that the Minister’s helpful letter of 24 July referred to the debate about "unsound mind" and made clear that the Minister was sensitive to the points made and would welcome views. I guess this amendment is my way of putting forward my views The fact remains that, despite growing awareness and acceptance of mental illness, stigma and discrimination remain a regular experience of people with mental illnesses and their families and can put people off seeking help. We were given to understand that the use of the term "unsound mind" within the Bill was to ensure that it was in line with the ECHR—but this was written in the 1950s. Many people, both inside this Chamber and outside, have expressed serious concerns about the inclusion of this language in the Bill in 2018. Frankly, it perpetuates very unhelpful negative stereotypes. I would contend that the phrase "unsound mind" is out of place in today’s society; it is out of place in legislation being looked at in 2019; it is stigmatising and has no clear clinical meaning; indeed, I would say it is offensive to many Therefore, my amendment proposes that, in paragraph 2(2)(c) of Schedule 1 to the Bill, the term "is of unsound mind" is replaced by "has any disorder or disability of the mind". This terminology is already a well-established term in the Mental Capacity Act and has proven to be compliant with the ECHR without, in my view, having anything like the same stigmatising connotations of "unsound mind". A disorder or disability of the mind, I am informed by the Royal College of Psychiatrists, has a clear clinical meaning. It is well understood by clinicians and should be no more stigmatising than saying someone has a physical disability I am aware that the BMA, which supports not using the term "of unsound mind", has put forward a proposition that this term should be reconsidered and experts and patient groups consulted to find an alternative to it. The BMA may be right, but I felt that, for my starter for 10, I wanted to put forward terminology that I thought was right. I am sure that others will be able to improve on it To conclude, above all this Bill must put the people most affected centre stage—that means some of the most vulnerable people in society, as we have already heard. In my view, it is simply not good enough to continue using terms that lawyers and drafters of legislation may find helpful—it might help them fit things in with other bits of legislation and other conventions—but which causes harm and distress to those we are all trying to help. I believe there is a real and welcome opportunity to change the narrative and discourse in a positive way, and this amendment is a way of taking that opportunity.
Mental Health Act Reform — House of Lords, 2021-01-18
Topic: Health
James Bethell (Conservative, Centre-right): The right reverend Prelate is right to allude to the importance of culture. No amount of bureaucracy or guideline-writing can ultimately address the basic attitudes, backgrounds and mental starting point of those involved in these decisions. I reassure the House that at the moment we are processing the people plan, which addresses at a fundamental level the hierarchy, racism, homophobia and misogyny sometimes found in some parts of the NHS. We are acutely aware that culture is fundamental to the safe provision of services to patients. The framework itself is not wholly directed at culture, but it will be supplemented by these kinds of reforms.
Health Protection (Coronavirus, Wearing of Face Coverings on Public Transport) (England) Regulations 2020 — House of Lords, 2020-07-08
Topic: Health
Dale Norman Campbell-Savours (Labour, Centre-left): My Lords, I have spent 17 weeks in this House arguing for mandatory masking. I now move on to the type of mask, as certain masks are inappropriate. Exhalation valves on certain masks, in particular the N95, are designed to make it easier to breathe out because their one-way valves release exhaled air without forcing it through a filter. That is a major problem when the mask is meant to protect others from the wearer, who may be infected. Unless you are using an N95 in a high-risk healthcare setting—that is, a healthcare worker usually wearing one for comfort—where the concern is what you are inhaling, not exhaling, do not use a valve mask. When the Government finally concede on wider mandatory masking, which is inevitable, the regulations should reflect this. Otherwise, they will only make matters worse.
Mental Health Act Reform — House of Lords, 2021-01-18
Topic: Health
James Bethell (Conservative, Centre-right): I am enormously grateful to the noble Lord for sending me his question, but I am embarrassed to say that I did not receive the correspondence. I would love to have the figures to hand, but I will write to him with details. If I could gently push back: this is not an easy issue to make international comparisons on, and we are not necessarily led by what other countries do in this area. We have to own this problem ourselves and find an approach that fits the NHS and people in Britain, and we have to be accountable to the people of Britain for our performance.
Coronavirus (COVID-19) — House of Lords, 2020-03-03
Topic: Health
Robert Maurice Lipson Winston (Labour, Centre-left): I do not mean that in a way that might concern my wife, who might be listening to this debate. We also have to realise that we should not be touching our nose, mouth or eyes, all of which are likely to be contaminated. That is very important in not spreading the infection if you happen to be infected Perhaps I may raise one issue, because there are so many. It is the question of screening and diagnosis. News is coming through that people in New York are already finding it difficult to get screened for the virus when they have symptoms. That seems a bit of a problem with a virus that presents in a variable way, not a standard pattern. Sometimes you might be almost sub-clinical but then develop a much more serious, raging infection. One concern that we in this House must have—we have drawn attention repeatedly to this—is the massive difficulty of having properly managed pathology labs. We have excellent pathologists in this country but our pathology is always really stretched, without this virus. Is the Minister clear that we may need more staff to ensure that we can diagnose as accurately and rapidly as possible, as making a diagnosis is clearly one way of controlling the infection?
Elections: May 2021 — House of Lords, 2021-01-14
Topic: Health
Sayeeda Warsi (Conservative, Centre-right): My Lords, following on from the last question, in the interests of public health, what consideration has been given to holding the elections in May this year in England and Wales over a period of days, as opposed to on a single day, as is being proposed in Scotland?
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Anne McIntosh (Conservative, Centre-right): My Lords, I am delighted to follow my noble friend, who speaks with such great authority both as a former Secretary of State for Health and as someone who has followed the Trade Bill and the Trade (Disclosure of Information) Act so closely At the risk of dancing on the head of a pin, the amendments in this group are quite close, and the Minister set out every reason why we should support his Amendment 17. He said that information would be shared only in the circumstances where there is perceived to be a public need. The amendments and explanatory statement of the noble Baroness, Lady Thornton, refine that by saying that, in the context of giving effect to an international agreement or arrangement concerning the regulation of human medicines, it should be disclosed only provided that it is in the public interest to do so. A number of noble Lords have spoken with great eloquence and passion on these issues, including the noble Lords, Lord Patel, Lord Clement-Jones and Lord Freyberg, and my noble friend Lord Lansley. I have to say that I personally would draw the line at disclosing information for a commercial need as opposed to a public one I have a particular question about Amendment 19, which clearly states that patient information cannot be disclosed where the patient could be identified and that that information cannot be given without their consent. I remember that I was once asked to participate in a study; I signed the form and was delighted to do so, and never heard any more about it. I would just like to know how Amendment 19 would work in practice. At what point, and by whom, would the patient be contacted if that information was about to be disclosed and their consent sought I have reservations about this group. I remember the important debate that we had on the Trade Bill in this regard, and I am delighted to see that those issues are being considered in the context of this Bill as well. I have two concerns that I hope can be allayed. The first is that public need should not be deemed to collude with commercial need where it might not be in the interests of the patient. The second is about informed consent: how will the patient be consulted within the provisions of Amendment 19?
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Julia Frances Cumberlege (Conservative, Centre-right): My Lords, this has been an interesting and well-informed debate, and I am quite reluctant to enter into it. I support government Amendment 19 and particularly Amendment 20 tabled by the noble Lord, Lord Clement-Jones. I hope I have got this right, although I am very happy to be put right if I have not. As I understand it, Amendments 19 to 25 concern consent, relating very specifically to the disclosure of information in accordance with international agreements. This is information that I think a relevant authority such as the MHRA holds in connection with human medicines As I listened to the noble Lord, Lord Freyberg, he raised a question in my mind about devices. We know that pharmaceuticals are much more closely regulated than devices have been, so can the Minister tell us a bit more about instances where there is a comparable agreement, and perhaps an amendment, for medical devices? I want to know whether they are on all fours with pharmaceuticals. I suspect not. Having listened to the noble Lord, Lord Freyberg, I think that there is more to hear on this.
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Michael Morris (Conservative, Centre-right): It is a pleasure to follow my noble friend Lady Cumberlege, who has gone into great detail on these amendments. As far as I can see, these are mainly government amendments, plus some from other parties, and they are all broadly to be welcomed. The question I ask myself is: where are the boundaries to be set Very helpfully, the Minister, in his opening statement, explained in some detail the extent of information-sharing outside the UK and gave the example of the safety of medical devices. Having listened to my noble friend and the others who have contributed, I am still not quite sure about Amendments 18 and 20. I can see where they are coming from and can understand what is behind them but on this occasion I will have to listen to the Minister. These are sensitive areas and certainly we in the upper House should listen. I am also not entirely clear from the Minister’s statement at the beginning what the implications of Amendment 22 are. There has already been a good deal of coverage and I will not add to it further.
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Anne McIntosh (Conservative, Centre-right): My Lords, I am delighted to follow the noble Baroness, Lady Finlay, and speak on this group of amendments. I can see that the noble Lord, Lord Hunt, speaks with passion and some considerable knowledge and experience of NICE. But I am concerned and would just like to understand, as we have established that patient safety absolutely has to be paramount, that patient safety could not be compromised through either of the two amendments—Amendments 46 and 66—in this group The noble Baroness, Lady Finlay, set out in the earlier amendment in Committee a two-year licensing procedure and, now that we have obtained an assurance that the approval processes are to be revised, I would imagine that the same procedure as set out under Amendment 66 should be considered as part of that review and revision of the processes. I would also like to further understand how a role for NICE as set out in Amendment 66 actually fits in with the Bill before us today and, in particular, the role as set out, and just agreed, of what the advisory committee should be My concern is absolutely that patient safety has to be paramount—first, foremost and bottom line. In my view, what is sought to be set out in these two amendments in this little group should be best done as part of an overall review of the processes to which the Government, as I understand, are already committed.
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Julia Frances Cumberlege (Conservative, Centre-right): My Lords, I am so grateful to noble Lords who have taken part in this debate. It has been quite short, but it is very important. As the noble Baroness, Lady Bennett, said in the previous debate on the agency, she has been involved with this Bill in a way that she did not anticipate. She has been such a stalwart, coming to my rescue on occasions, and supporting so much of what has been in the Bill from other sources. I thank her for all of that. The noble Lord, Lord O’Shaughnessy, made a powerful speech about the individuals he has met. We know Susan Morgan well; we have worked with Janet and Emma and many others who have led their own organisations. We think of patient groups as being a few people who got together—when we did not have lockdown—to have coffee and just discuss life generally. That is not the case One of the groups I know has 8,500 members—from all over the world, in fact. Other groups have an equal number of members, or numbers of that order. So these are important organisations. They know what it is to have real research. They come up with not just experiences; they beaver away at all our institutions, they look at what they are producing and they challenge. They are so valuable. In the way they work, when they are people who are in considerable pain—very often, they have complicated and difficult lives, having to deal with constant pain—they are thinking of others all the time. That really is so uplifting.
Telecommunications Infrastructure (Leasehold Property) Bill — House of Lords, 2021-01-28
Topic: Defense
Diana Barran (Conservative, Centre-right): On the noble Lord’s second point, I will have to defer to colleagues about the ability to do that. In relation to the supply chain, my understanding is that that work is complementary to the security Bill rather than directly within it. Again, I am happy to write to the noble Lord to confirm that.
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Natalie Evans (Conservative, Centre-right): The noble Baroness is absolutely right. We are still in the early days of collecting vaccination data, but the early data we have confirms that we need to work hard to make sure we get the vaccine take-up that we need. We will be looking to improve the data that we publish, although we are doing a lot already, to make sure we are aware of the issues she raises. I reassure her that we are cognisant of the need to encourage BAME communities. That is why, for instance, patient leaflets have been published in around 20 languages, as well in easy read and British Sign Language, and as audio advice. We are doing targeted advertising in 13 languages and holding regular meetings with local authorities and local faith leaders to encourage take-up. I do not know whether noble Lords have seen it, but there is an excellent video on social media with BAME MPs from across the House of Commons, highlighting the importance of taking the vaccine. These cross-party, cross-community initiatives are what we need to ensure that all our communities take up the vaccine.
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Natalie Evans (Conservative, Centre-right): I can certainly reassure the noble Baroness that we have total confidence in our supplies. We remain in close contact with all suppliers, and scheduled deliveries will fully support vaccination of our top four priority groups by mid-February, as intended. I can also confirm that individuals will receive their second dose, as it does provide better, long-lasting protection, as we planned.
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Natalie Evans (Conservative, Centre-right): I think the engagement between the Prime Minister and the leader of the Opposition is for them. I have been extremely heartened by the unity your Lordships have shown in presenting the importance of the vaccination programme and in raising important issues in the House during this. It is in that spirit that we will continue to work.
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Peta Buscombe (Conservative, Centre-right): My Lords, clinically extremely vulnerable shielding patients below the age of 70 who receive some private healthcare are not being given any priority to receive the vaccine, despite their critical condition. They are told by despondent clinicians and their NHS-registered GP surgeries that they must wait in the queue for their age category. I am sure there is no intention to discriminate against these incredibly ill patients. Could my noble friend the Lord Privy Seal ask the Joint Committee on Vaccination and Immunisation to address this critical issue as a matter of urgency?
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Natalie Evans (Conservative, Centre-right): Many noble Lords’ contributions have shown how difficult this issue is. So many groups and individuals rightly have a claim to prioritisation of the vaccine, which is why we have been following the advice of the JCVI, which has taken all these issues into account and come up with its prioritisation list. Most importantly, that is why we are rolling out our vaccination programme as quickly and effectively as we can, so that we can reach the largest number of people as quickly as possible during this endeavour.
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Natalie Evans (Conservative, Centre-right): She sounds like an extremely sensible young lady to me. I hope that the noble Lord reassured her that the issue we face with school closures is not that schools are unsafe for pupils or teachers. The problem is that the new variant is so pervasive that we need to use every lever at our disposal to reduce all contacts outside households, wherever possible, to reduce the pressure on the NHS. I am sure she will be aware that her teachers will, I have no doubt, have implemented a lot of protective measures to ensure that children who can still attend school are safe. Perhaps he might also like to let the young lady know that we are offering biweekly asymptomatic testing for all secondary school and primary school staff. Over 90% of secondary schools and colleges have now registered for this testing.
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Natalie Evans (Conservative, Centre-right): I entirely understand the points that the noble Lord and the noble Baroness made. I am sorry if he felt that I had not responded properly, but I have reiterated in answer to a number of noble Lords that many individuals and groups throughout the country would love to get a vaccine, and quickly. All I was trying to do was to explain that we are following the independent JCVI advice. I hope that I have set out the reasons for that, albeit while entirely acknowledging that many noble Lords feel that there are other very worthy groups, which I would not question.