argyrotsipi/train-dataset huggingface dataset:
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Philip Alexander Hunt (Labour, Centre-left): My Lords, this is an interesting debate and I am grateful to my noble friend Lady Thornton. We know that there is a problem with vaccine uptake, which is linked to anti-vaccine sentiment—though not necessarily always Looking back over the past few months, I note that there was in November a survey by Savanta ComRes on behalf of ITV News that found that almost 70% of people in the UK would like to receive a vaccination. More recently, in December, the Royal Society for Public Health published a poll showing that 76% of people would take the vaccine but, significantly, that only 57% of people from BAME backgrounds would do so. There was also a lower response among lower-income groups No doubt the Minister will give us figures, but my understanding is that the initial results on vaccine uptake are encouraging. However, we cannot be complacent in the face of the pernicious anti-vaccine sentiment around. Even before the pandemic, vaccine hesitancy was described by the WHO as one of the top 10 threats to global health We are interested in what the Government are doing. Last month, we debated this issue and the noble Baroness, Lady Evans, the Leader of the House, referred to the work of a central government unit on it. I should like to hear from the Minister about what is happening. We clearly need strong pro-vaccination campaigns, and the majority of people who may be described as vaccine hesitant are not necessarily anti-vaccine. Most people who are hesitant can be persuaded by good public health messages However, as my noble friend and other noble Lords have said, there has been a huge amount of misinformation across social media in the past few months. This is obviously cited by survey respondents as an area of concern when it comes to levels of trust in those delivering public health messages. As Scientists for Labour pointed out, since the recovery from the false findings around the MMR vaccine and autism from Mr Andrew Wakefield, the UK overall now ought to be in a good place when it comes to routine vaccine uptake. For example, the HPV vaccine has a consistent uptake of between 80% and 85%, which is an excellent return for a vaccine that is not part of early childhood schedules We do not have too much in the way of well-organised anti-vaccine groups, unlike the USA or, indeed, even the Republic of Ireland, so the likelihood is that the UK population will show less hesitancy about recently introduced vaccines compared with other countries. But the level of misinformation out there is high and we have to learn lessons from other recent vaccine scares. Clearly the Government have a huge challenge in making sure that the uptake of the vaccine is as high as possible—which is why I welcome this debate and the amendment, and very much look forward to the Minister’s response.
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Philip Alexander Hunt (Labour, Centre-left): My Lords, it is a great pleasure to follow the noble Lord, Lord Clement-Jones, and I welcome the opportunity to debate this important group of amendments. I welcome the government amendments, but feel that my noble friend Lady Thornton’s amendment is very important, as indeed are some of the others in this group I have always been strongly in favour of using patient information. It is a rich source of data for scientists to pursue in the search for medical advances. We all benefit, and I am sure that the great majority of the public see this and are agreeable to information being shared. But we must have appropriate safeguards, and that is why the government amendments to restrict the persons to whom information may be disclosed, and the addition of a definition of patient information and the need for individual patient consent, are all very welcome My understanding, however, is that information pertaining to patients can be shared where it has been rendered non-identifiable. As the University of Birmingham has commented, this may be in line with current data protection principles but there is still a danger of a care.data-type problem, in that the provisions might allow the Government to share with "relevant persons"—as they are now called—outside the UK information they hold on patient data through NHS bodies without consent when anonymised. The noble Lord, Lord Patel, referred to some of the issues with care.data. The stricter definition of patient information may address some of the concerns that the definition of patient data—being restricted to identifiable data—left anonymised data open for use or barter as part of international agreements. Part of this broader concern is that aggregate data can reveal patterns that may allow for re-identification, especially for small patient clusters in respect of rare diseases and conditions.
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Philip Alexander Hunt (Labour, Centre-left): My Lords, I am glad to be able to take part in this debate, which allows the House to have a preliminary discussion about the future of medical devices regulation. I certainly welcome the establishment of an advisory committee, but I also welcome my noble friend’s amendment which makes sure that the rather tentative "may" is replaced by "must". The Minister’s amendment is rather open-ended. It does not specify what matters it will advise the Secretary of State on, nor does it give any indication of the likely balance of membership. This is important because, as I have said, there has been some concern over quite a few years that the regulation of medical devices is not up to the mark, nor sufficiently protective of patient safety. The report by the noble Baroness, Lady Cumberlege, has identified some weaknesses. In that regard, I declare my interest as president of GS1 UK, the bar-coding association We received a very helpful briefing from Professor Muireann Quigley and colleagues at the University of Birmingham, pointing to the rather confused state that medical devices regulation is in. The Medical Devices (Amendment etc.) (EU Exit) Regulations 2019 came into force at the end of the EU exit transition period. These amend the Medical Devices Regulations 2002 to mirror key elements contained in EU regulations 2017/745, on medical devices, and 2017/746 on in vitro diagnostic medical devices. The aim of that was to make sure that there was good regulatory alignment between the UK and EU, as well as between different parts of the UK’s own regulatory framework. This Bill, when enacted, will provide an opportunity to mandate a more streamlined legislative approach. That would benefit all stakeholders, including industry, businesses and patients At present, the MHRA has no involvement in the pre-market phase of medical device development and there is a question as to whether it ought to have. Birmingham University colleagues are certainly proposing a proactive regulatory role for devices that is more akin to that for medicines. This would be clinically focused and, as they say, at least as stringent as the new EU medical devices regulations. Under that proposal, manufacturers could be required to apply to the MHRA before marketing their device. The MHRA could also assess the application in a way that is proportionate to the risks. It is proposed to take account of relevant factors, such as evidence-based supply, approvals in other jurisdictions and post-marketing surveillance plans. I know that that view may not necessarily be shared by industry, which would, perhaps, be concerned about the cost and delay in achieving licensing. However, we can expect a pretty intense debate about medical device regulation in the future.
Future of Health and Care — House of Lords, 2021-02-23
Topic: Health
Hilary Armstrong (Labour, Centre-left): My Lords, much of the laudable ambition of this White Paper is in the integration of the two sectors, but the truth is that you cannot have integration of health and social care without parity of esteem. With a social care system that the Government themselves have called dysfunctional, we know, certainly from all the evidence of Covid, that there is no such equality between the two structures. The legislation to implement this White Paper—I fear the Minister has it ready, considering the number of times he has talked about a Bill tonight—should not come before the desperately needed reform of social care The Secretary of State voted for the Lansley reforms more than 20 times in the Commons and they are what he now wants to undo. Unless this integration becomes a real possibility through dealing with social care first, this will look and feel like a vanity project for the Secretary of State. I therefore ask the Minister to assure us that we will know what will happen in social care before he brings a Bill on structural change of the National Health Service to this Chamber.
Covid-19 Update — House of Lords, 2021-01-07
Topic: Health
Rita Donaghy (Labour, Centre-left): I hope that the noble Baroness will support the campaign launched today by the Daily Mirror, the TUC and the Labour Party called Let’s Vaccinate Britain. To go back to what the noble Lord, Lord Blencathra, said—and I might not agree with everything he said—it is an effort that we should all be making on a 24-hour basis. Furthermore, what are the Government doing about the 9% of children who do not have technology at home so they can take advantage of remote learning?
Covid-19 Update — House of Lords, 2021-01-07
Topic: Health
Philip Alexander Hunt (Labour, Centre-left): My Lords, could the noble Baroness come back to the issue of community pharmacists? They have huge experience of flu vaccination, are used to opening all hours and are very accessible, yet the Government and NHS seem very reluctant to use them in the vaccination programme. Is that being reviewed?
Health Protection (Coronavirus, Restrictions) (Self-Isolation and Linked Households) (England) Regulations 2020 — House of Lords, 2021-01-07
Topic: Health
Philip Alexander Hunt (Labour, Centre-left): My Lords, I am very grateful to the Minister and declare my interests as a member of the GMC. As we enter lockdown, the NHS finds itself in a critical position, with the four Chief Medical Officers warning that it is at risk of being overwhelmed in parts of the country. This week, NHS Providers has given a sobering analysis of some of the pressures. Indeed, since Christmas Day, the NHS has had 5,000 more Covid in-patients, equivalent to filling 10 hospitals. It also has fewer beds in use than this time last year because of the need for tight infection control to protect patients and staff Areas with a high Covid load are suffering from a double whammy of high numbers of Covid patients and high levels of staff absence. Trusts are utilising every last ounce of capacity available and are seeking to maximise the number of patients being safely discharged into community beds and being looked after at home. However, there is understandable concern about the impact of this on already tired and exhausted staff who are now being asked to delay leave, work extra shifts and transfer to new roles, for instance to help in critical care I would like to hear from the Minister what plans are under way to try to relieve at least some of the immediate pressure. I have asked him before about the nearly 30,000 additional doctors who were brought on to the GMC’s supplementary list; I know there is an issue around the bureaucracy involved, but is there also an issue of philosophy? Is the NHS, per se, reluctant to use this incredible facility that could be made available? Can he assure me that, as we come out of this critical situation, thought is being given to what support needs to be given to the thousands of staff who will inevitably be scarred and deeply affected by what they have gone through?
Overseas Operations (Service Personnel and Veterans) Bill — House of Lords, 2021-04-13
Topic: Defense
Denis Tunnicliffe (Labour, Centre-left): My Lords, as we open the debate for the Report stage of the overseas operations Bill, I want to remind colleagues that, like many across this House, we remain determined to protect our troops from vexatious claims and shoddy investigations. We want it to be done in a way which directly tackles the problems head on, and which is in line with our international obligations. As I move Amendment 1 and speak to Amendment 6, it is with these aims clearly in mind I am sure that the Government will try to portray Amendment 1 as a wrecking amendment, but nothing is further from the truth. It aims to protect troops directly by removing the presumption and ensuring that prosecutors have regard to whether there can be a fair trial given the time allowed As drafted, the Bill is silent on the cycle of reinvestigations, and we cannot wait for the outcome of yet another MoD review before we deal with it directly. That is why we also fully support Amendment 6, which states, importantly, that there must be compelling evidence to justify a new investigation. It would place an effective framework around investigations, still allowing them to pursue new leads or witnesses when appropriate. This approach is complemented by Amendment 1, but we accept that Amendment 6 might be seen as the priority Ministers have identified problems with vexatious claims and shoddy investigations but are pursuing an indirect approach, and many colleagues do not understand why. We have the Bill in front of us now, so let us amend it now to solve the problems for good. I beg to move.
Overseas Operations (Service Personnel and Veterans) Bill — House of Lords, 2021-04-13
Topic: Defense
Denis Tunnicliffe (Labour, Centre-left): My Lords, after listening to the debate, it is clear that we are united in seeking to protect our troops from vexatious claims and shoddy investigations. Both amendments in the group seek to do this and would approach the issue head on, unlike the presumption. However, I am convinced from my previous research and from listening to the debate that Amendment 6, which has direct effect, has the appropriate priority. It seems that, while one hears little accusation of unfairness by prosecutors, as a number of noble Lords have pointed out, there is a requirement for prosecutors to ensure that prosecutions are fair. There has been much concern about the investigations, so I favour the clarity of Amendment 6. We will not divide the House on Amendment 1 and will support the noble Lord, Lord Thomas, whom we urge to test the opinion of the House on Amendment 6. I beg leave to withdraw the amendment.
Domestic Abuse Bill — House of Lords, 2021-01-27
Topic: Health
Deborah Wilcox (Labour, Centre-left): My Lords, I welcome the important contributions made by noble Lords on this difficult subject. It is important to recognise that domestic abuse does not happen in a neat silo; as so many noble Lords have commented, it is inherently bound up with wider issues of mental health and substance abuse I agree with my noble friend Lord Hunt of Kings Heath, who so strongly highlighted the impact of devastating cuts to our public services through a decade of austerity. I restate his comments about the Royal College of Psychiatrists’ call for the Government to reverse the cuts and enable local authorities to invest £374 million into adult services to cope with the increased need. Report after report now highlights the poor preparedness of our public realm to cope with this dreadful pandemic, as a consequence of the austerity decade, when council funding was cut to the bone Mental health services have been particularly impacted by this austerity, leading to a lack of services and long waiting times. Victims and survivors with mental health problems also face barriers accessing many other vital services due to strict eligibility criteria or not being able to engage in the way that services require. Too often, such barriers are leading to people being bounced around different services, having to constantly re-tell their story There is, however, an awareness of the complex and interrelated needs of those with mental ill health, but many services are unequipped to support them, and few services exist that can care for people with both mental health and substance misuse issues. This is despite research showing that substances are often used as a form of self-medication for unmet mental health needs and as a way of coping with abuse As the noble Baroness, Lady Finlay of Llandaff, spoke so knowledgably about, there is a close link between domestic abuse and alcohol, with the perpetrator drinking heavily. There are also instances of the victim drinking, leading to uninhibited behaviours, and this can trigger the abuse. Similarly, the victim may use alcohol and drugs to self-medicate. During the pandemic, there has been an increased level of alcohol consumption, exacerbating a known problem There is, therefore, a great need to ensure that the commissioner’s remit includes alcohol and other substances. She needs to be able to receive evidence on alcohol abuse to inform where support services must be improved, and to contribute directly to the national alcohol strategy In conclusion, the importance of multiagency and holistic working in this area cannot be overemphasised. It is important to recognise that mental health and addiction problems can create additional vulnerabilities that people perpetrating abuse may seek to exploit.
Integrated Review of Security, Defence, Development and Foreign Policy — House of Lords, 2021-04-22
Topic: Defense
George Robertson (Labour, Centre-left): My Lords, it is more than an ordinary pleasure to follow the noble Lord, Lord Godson, making his maiden speech. In Scotland, one of the great put-down lines is "I kent his faither". When I say it today, it is the opposite of a put-down and instead a recognition of the legendary Joe Godson, who would rightly be so proud of his son today. The noble Lord made a fine maiden speech. That should be expected, as he brings to the House a wealth of experience in journalism, authorship and, of course, as director of Policy Exchange, now one of Britain’s most highly regarded and influential think tanks. We will look forward to his future, well-informed contributions The integrated review is well written, comprehensive and surprisingly comprehensible. The authors have done a good job constructing what looks like a coherent, ambitious strategy for post-Brexit Britain. In some areas, such as its focus on domestic resilience, it captures new and important ground. Territorial defence will inevitably matter more in the future, as the current invasion by Covid-19 has shown us only too well I can, I fear, make only a few brief points in the time limit. First, I believe the review lacks a critical path—a prioritised route to implementation. A plan without that ingredient is in danger of being lost in the governmental undergrowth Secondly, the importance of diplomacy is still underestimated. Our Diplomatic Service has been relentlessly cut back in recent years, yet the rest of this review depends on the wise insights and intelligence coming from the Diplomatic Service in the Foreign Office. Reviving and investing in diplomacy will be crucial for the success of the review Thirdly, the trade-offs in the defence section between investing in combating the new threats and the continuing ones will remain open to serious debate. If we are to retain our place at the leadership edge of NATO, as we aspire to, our contribution has to rest on more than just the 2.2% statistic Fourthly, if we are, as the review asserts, to lead by example in the world, that ambition will, as others have said, be badly damaged by the cut in the legally mandated aid budget of 0.7% of GNI. That cut is hardly an advert for a law-abiding global Britain upholding the rules-based order, and it has been widely noticed There is much more to be said about this large and important review, but more is time needed by all of us here and elsewhere to say it. The sooner we get that opportunity, the better.
Vaccine Rollout — House of Lords, 2021-01-25
Topic: Health
Dorothea Glenys Thornton (Labour, Centre-left): My Lords, there was a very worrying story in the media this weekend, which I hope the Minister will use this opportunity to clarify. We learned that the MHRA and NHS Digital have issued official instructions on how to use NIVS, saying that where staff do not have an NHS number, the vaccine should not be given. One email sent to a hospital explicitly states that overseas nurses without NHS numbers, even on the front line, should not be vaccinated. And what about security staff, porters, student nurses coming from outside the country to work for us and staff such as cleaners? Through contracts, lots of people from BAME backgrounds and recent immigrants working in the NHS are not registered with GPs, do not use the NHS, and do not have an NHS number. How can it possibly make sense, from a public health point of view, not to vaccinate everyone on the front line?
Vaccine Rollout — House of Lords, 2021-01-25
Topic: Health
Rita Donaghy (Labour, Centre-left): I want to follow up on the answer that the Minister gave to my noble friend Lady Thornton. I was quite shocked by his reply, because I am quite sure that most people working in the National Health Service who do not have a number are probably the lowest paid, from black and ethnic-minority communities, or temporary staff—the very people who are just as much on the front line as doctors and nurses. I do not think that being assured that there will be a protocol, or a workaround, is adequate. Can the Minister say what protocol there will be, what priority it will have, and how soon all of this will be communicated to the people who are affected?
Covid-19 Update — House of Lords, 2021-02-04
Topic: Health
Elizabeth Andrews (Labour, Centre-left): My Lords, the Minister said, quite rightly, that the priority for the vaccine is saving lives. Adults with learning difficulties have death rates comparable to those of the over-80s. Given the success of the vaccine rollout, is there any flexibility now for prioritising highly vulnerable groups, particularly when we know that the variants have to be controlled with extra vigilance?
Covid-19 Update — House of Lords, 2021-02-04
Topic: Health
Roger John Liddle (Labour, Centre-left): My Lords, I would like to pick up on the point made by my noble friend Lady Thornton about what is being done about refusal of the vaccine. I was rather alarmed by the Minister’s reply that there are no statistics on this. I accept that the Government have shown great transparency on vaccines, but the fact that there are no statistics on refusals is a worry. Do the Government think that more could be done by local authorities responsible for domiciliary care and care homes in their area to check on this? Could they be more active in trying to identify ethnic minorities on their lists who have not been vaccinated, so that something could be done?