argyrotsipi/train-dataset huggingface dataset:
Mental Capacity (Amendment) Bill [HL] — House of Lords, 2018-12-11
Topic: Health
Judith Anne Jolly (Liberal Democrats, Centre to centre-left): My Lords, I welcome the amendment and declare my interests as set out in the register I too would like to talk about the application to adults with learning disabilities, autism or dementia who also have a mental health diagnosis, and I would also like to talk about what other noble Lords have mentioned—the interface between the Mental Health Act and the Mental Capacity Act. As the Minister will have seen, Sir Simon’s review redraws the dividing line between when a person should be detained under the Mental Health Act and when they might fall under the Mental Capacity Act. Given that the proposed new dividing line is "objection" —in other words, those not objecting fall under the Mental Capacity Act—the role of the advocate in articulating the wishes of the individual becomes paramount in ensuring that the individual is treated under the appropriate legislation. With that in mind, I have a couple of questions for the Minister. Does he agree that advocates will need to receive sufficient support and training to understand this new dividing line, as and when it comes into being? Can he also clarify who will be responsible for ensuring that the training takes place and from whose budget the funding for it will come?
GP Services — House of Commons, 2015-02-05
Topic: Health
Daniel Leonard James Poulter (Conservative, Centre-right): My hon. Friend makes an important point. I hope that she will welcome the opportunity we may have to revisit the issue of the annual performers list. At the moment that means that if a GP is out of practice for a year, it is very difficult to return. That is something that we need to address, and I hope that she will be supportive of the Government’s efforts to address it with NHS England.
Mental Capacity (Amendment) Bill [HL] — House of Lords, 2018-12-11
Topic: Health
Elizabeth Barker (Liberal Democrats, Centre to centre-left): My Lords, I do not want to detain the House but I have one or two important things to say. First, the House owes a debt of gratitude to the ministerial team for their work in getting us to this point. The noble Lord, Lord O’Shaughnessy, should take a great deal of the credit for enabling all the things he listed as achievements of the House, going forward. Obviously, the Bill leaves us in a much better state than when it arrived There was one contribution by one Member of your Lordships’ House that we have not acknowledged but should: that of the noble Baroness, Lady Browning. She has not been able to take part in many of our debates but she made an important contribution when she stood up and said that the Bournewood gap still exists. For all our work, it does, and it will continue to exist until such time as we sit down and really consider mental health and mental capacity legislation, including who makes the decisions about who comes under what piece of law. Until we sort out that gap, people will still be deprived of their liberty. We can call it by a different name, but they will be I will ask the Minister to reflect on one thing. Nobody came to this legislation believing that DoLS had to be preserved. Everybody knew that it was wrong. Everybody understands that we need to make greater and better use of the limited professional resources for overseeing the lives of people detained for one reason or another. We should listen to the noble Baroness, Lady Browning, and reflect on what else Parliament may have to do over the next five, six or seven years to make sure that the gap is addressed once and for all so that people are not wrongfully detained.
GP Services — House of Commons, 2015-02-05
Topic: Health
Sarah Louise Newton (Conservative, Centre-right): That is a good point. We have to look at how general practices are set up these days. Not all general practitioners want to be part of the old partnership model, which is a sort of small business. Many now would like to be salaried and work particular hours in particular settings. I would not want to prescribe a particular model: we need to look flexibly at different models of provision that meet patients’ needs, taking into consideration what the work force need to enable them to play their full part GP practices in my area are expanding the range of services that they are able to provide to the community. As hon. Members will know, I represent a large, remote, sparsely populated part of the country, and such expansion is especially important for rural areas. One example is the Probus surgery of GPs, which serves many villages in its rural community. It is expanding into many areas, including minor surgery. I have yet to come across anyone who has anything other than praise for the Probus surgery, which provides the normal services one would expect from a surgery, but also works closely with its primary care partners and district nurses. It also links up with care managers for people with chronic conditions and elderly people living at home By comparison, a very different group of GPs work at Penryn surgery. They serve a large campus that is home to Exeter university, Falmouth university and parts of Plymouth university. There is a growing student population and the surgery has been able to expand its services to provide mental health services, prescribing services and on-campus surgeries. In attracting additional funding for services to meet the needs of the young people—we welcome them into the constituency to study there—they have additional resources from which the whole community can benefit Those are two very different examples of how GPs are working positively and constructively with local commissioners to expand services, bring in additional resources and improve patient outcomes for the local community.
GP Services — House of Commons, 2015-02-05
Topic: Health
Sarah Louise Newton (Conservative, Centre-right): That is a very good point, and I was just about to make the point that although I have given two good examples of larger GP practices that are doing very well, I also have similar issues to my hon. Friend in more sparsely populated areas of my constituency, such as the Roseland peninsula. It has an older population and it is difficult for GP practices to innovate and bring in additional services to make their future sustainable. I am in regular correspondence with NHS England, which has taken away some of the specific funding that used to be available to support remote rural GPs, in the expectation that they will be able to attract additional funding for providing additional services. That is really not possible or viable. In order to maintain access for people living in sparsely populated areas, where the population is unlikely to grow rapidly, NHS England needs to look again at funding for GP practices in such areas. I hope that my hon. Friend will make common cause with me in writing to NHS England to ask it to reconsider that point as part of its five-year plan. The third point I wish to make is the positive work I see at the accident and emergency department at Treliske. The Royal Cornwall hospital is the only acute hospital in Cornwall and I am proud to have it in my constituency. The head of the A and E department at Treliske has worked innovatively with his primary care partners to introduce GPs into that setting. As people arrive at the hospital, a triage system is in place so that if people would be better served by seeing a GP, they can do so, which takes pressure off the A and E department Finally, I wish to share some of the learning from the integration pioneer work that is happening in Cornwall. The Government designated 14 areas of the country as pioneer areas to look at how we can better integrate care services with the NHS. GPs in Cornwall have provided an essential foundation for that work. Our pioneer bid is led by Volunteer Cornwall and Age UK Cornwall—I think it is the only voluntary sector pioneer bid in the country, and it is very much supported by the NHS right across Cornwall, and by Cornwall council By working carefully with GPs to identify frail, elderly and vulnerable groups of people with chronic conditions who tend to use the NHS a great deal—GP services, care services or the acute sector—the pioneer discovered that having a trained volunteer attached to a GP surgery to work alongside families, linking up all available support and enabling them to reintegrate into the community around them, leads to a huge reduction in the use of acute and GP services, and, most importantly, significant increases in self-reported well-being There are a lot of lessons that can be learnt from the reforms we have put in place. I am confident that if NHS England’s five-year programme learns the lessons from the pilots and the past five years and puts proper resources into primary care, we can see the improved health outcomes I know we all want.
GP Services — House of Commons, 2015-02-05
Topic: Health
Daniel Leonard James Poulter (Conservative, Centre-right): I commend the hon. Lady for making points on behalf of her local GPs. She talked about privatisation. Would she not accept that the funding model for GPs as small businesses in their own right has existed since 1948, when Nye Bevan created the NHS?
GP Services — House of Commons, 2015-02-05
Topic: Health
Timothy Paul Loughton (Conservative, Centre-right): As my constituency borders the city of Brighton, some of the problems the hon. Lady recounts are similar to those in mine. I spent a lot of time with my GPs recently, sitting in GP surgeries. Does she acknowledge that part of the problem is the shortage of GPs being recruited and the heavy reliance on locums, if one can find them, which is much more expensive? GPs say to me that, despite the very best of intentions from central Government, they are still spending too much of their time filling in paperwork, chasing targets and doing admin when they should be spending that time with their patients.
GP Services — House of Commons, 2015-02-05
Topic: Health
Daniel Leonard James Poulter (Conservative, Centre-right): I thank my right hon. Friend for his point about the money from the Government for GP infrastructure, but is there not also a responsibility on local authorities, when there is additional house building, to look at the contribution developers can make to support local GP and health services by developing GP and other community health care facilities?
EU-UK Trade and Cooperation Agreement — House of Lords, 2021-01-08
Topic: Culture
Emma Nicholson (Conservative, Centre-right): My Lords, I warmly welcome the trade and co-operation agreement and I seek its strengthening. My alma mater is the Royal Academy of Music and therefore I ask: how soon, and how, will the Minister reach agreement on the missing element of the trade and co-operation agreement—namely, music and the creative industries Music is key to the global and growing success of our creative industries, whose annual value of £111 million, with 3 million jobs, makes them our second biggest exporter after financial services. We have been the single market’s cultural hub, thriving on the inward and outward exchange of skills afforded by freedom of culture, music and movement—especially of musicians. Indeed, as Shakespeare tells us on soft power: "The man that hath no music in himself, Nor is not moved with concord of sweet sounds, Is fit for treasons, stratagems, and spoils." Julius Caesar does not trust Cassius because "he hears no music … Such men as he never be at heart’s ease" Right across Shakespeare’s plays and poems, we find that he is always on the side of music: seeking, praising and glorying in it, and recognising its powers to move, enhance the moment and express love. He famously refers to music as the food of love, and he mistrusts an absence of music, and those who prevent it in others. That is perhaps a reason why music is the heart of our true soft power A single example of our great success in global music is the British Council’s "Selector" music show, which chooses the best UK music every week and shares it with the world. The programme is now broadcast in 30 countries around the globe, including Azerbaijan. It connects a global audience to anything and everything that is exciting in the UK just now. It takes an audience on a virtual tour of the UK, dropping people into cities such as Bristol, Belfast, Cardiff and Glasgow to listen to the best emerging music. The UK-Russia Year of Music reached 48 million Russians regularly. "The Voice" reached 23 countries and 1.5 million children everywhere. But musicians need the capacity to move swiftly and cheaply and to study at the lowest cost. Can the Minister reassure me that his every effort will be trained on achieving those crucial imperatives, without which our world leadership in this most important of creative industries cannot survive?
Public Administration and Constitutional Affairs Committee — House of Commons, 2017-02-02
Topic: Health
Justin Piers Richard Madders (Labour, Centre-left): Labour welcomes this constructive report and thank all of those involved in producing it. It highlights some worrying statistics, including the fact that the most recent NHS staff survey found that 43% of staff thought that their organisations treat staff involved in near misses, errors and incidents fairly. Clearly, from the Chairman’s candid contribution today, there is a long way to go before we eradicate the culture of defensiveness that he has described. To give HSIB the strongest start, it was the clear view of the Committee, HSIB, the Expert Advisory Group, HSIB’s chief investigator and even the Minister himself that legislation is needed, but, as of today, no legislation has been forthcoming. Given that, does the Chair of the Committee agree that it might be better to delay implementation to allow time for legislation?
Armed Forces Covenant — House of Commons, 2017-02-02
Topic: Defense
Wayne David (Labour, Centre-left): I hear what the hon. Lady says about military accommodation and I think that we all genuinely share her concern. Does she agree that it is particularly worrying that the report indicates that satisfaction has actually decreased? Those satisfaction levels are very low indeed.
GP Services — House of Commons, 2015-02-05
Topic: Health
Daniel Leonard James Poulter (Conservative, Centre-right): Indeed, there was an increase in the number of GPs, as there has been under this Government, but it is not good enough to lay the blame for a lack of GPs at this Government’s door, as the hon. Gentleman and the shadow Minister tried to do, when it takes a long time to train more GPs. What may have been a better decision for the previous Government in the advanced work force planning would have been to follow this Government’s example, by saying that 50% of medical graduates should become GPs. Currently, the rate is 40%. That needs to rise to 50%, and we need to encourage more people to become GPs. If we had more equality in where medical graduates end up practising medicine, that would be a big step in the right direction in training the extra GPs needed. If that had been done 10 years ago, we might not have some of the problems that the hon. Gentleman outlined. Indeed, he said that only 27% of GPs were under the age of 40. That reinforces my point about medical graduates.
Armed Forces Covenant — House of Commons, 2017-02-02
Topic: Defense
Christian John Patrick Matheson (Labour, Centre-left): I, too, congratulate the hon. Member for Berwick-upon-Tweed (Mrs Trevelyan), not just on securing the debate, but on what I thought was an outstanding introduction that revealed the depth of her knowledge and her work on this matter. I was not aware of the all-party parliamentary group before, but I certainly am now, and I pay tribute to her for its work. I hope to deal with some of the issues that she raised I welcome the report. With all respect to the hon. Member for North Wiltshire (Mr Gray), who talked about the importance of the serviceman, I want to say something about support for veterans and their families, and, in particular, about service accommodation The covenant is, and must surely continue to be, a lifetime guarantee for all those who have served our country, and now is as good a time as any for me to express my gratitude to them for their service. A couple of months ago, it was my great pleasure to open the annual conference of the new Westminster Centre for Research and Innovation in Veterans Wellbeing at the University of Chester. I have to say that, unfortunately, the centre is not named after this place; it is named after the late Duke of Westminster, who was a great supporter of the armed forces. It is led by Colonel Alan Finnegan, formerly of the Royal Army Medical Corps, and it has links with the veterans community and the regional Army brigade headquarters When I was at the centre, I recounted the story of something that had happened in Chester early in my term as the city’s Member of Parliament. One of the apparently homeless people who were begging in the streets—one of the regulars in the city centre whom we recognise—had a sign saying that he was an ex-serviceman, ex-Army. That great 21st-century phenomenon, the social media storm, then blew up: people were extremely angry about what they considered to be a crime of impersonation, and even asked for the police to be involved. They were not suggesting that it was a crime of impersonation on the grounds that this gentleman was not really homeless; their anger was prompted by their belief that he was claiming to be an ex-serviceman when in fact he was not. I do not know whether he was or not, but the incident takes us back to what the hon. Member for North Wiltshire said about his constituent in Wootton Bassett, and, indeed, to what was said by my hon. Friend the Member for Gedling (Vernon Coaker) There is a real sense of pride in the members of our armed services, which is a welcome change from the atmosphere of past years that my hon. Friend described. I believe that, not only in Chester but more widely in the country, members of the armed forces should be able to wear their service as a badge of honour.
GP Services — House of Commons, 2015-02-05
Topic: Health
Sarah Louise Newton (Conservative, Centre-right): Does my hon. Friend agree that the university of Exeter medical school at the Royal Cornwall hospital is an important medical school because it enables people to see general practice in remote rural communities? We know from previous contributions to the debate that that is important in attracting people into remote rural areas.
Mental Capacity (Amendment) Bill [HL] — House of Lords, 2018-11-21
Topic: Health
Elizabeth Barker (Liberal Democrats, Centre to centre-left): I thank the Minister very much for his response to the amendments tabled by my noble friend Lady Tyler and the noble and learned Lord, Lord Woolf. I acknowledge that he has listened to the arguments made in this House over the past few weeks. I understand why he cannot make a commitment to come back within the timescale of the Bill in this House. This is an important matter, and many different people have a great deal of expertise, practical knowledge, legal knowledge and so on, to put into the process of coming up with a definition, which will be extremely difficult Would the Minister therefore be so good as to write to noble Lords as soon as he can, setting out the timetable of the work the department intends to undertake and the people they intend to involve in discussions, which I hope will include practitioners, stakeholders and academics, medical experts and so on, as well as Members of your Lordships’ House who have reviewed the operation of the current law and found it deficient? Could he do that as soon as possible so that, when we come to consideration of Commons amendments when the Bill comes back to this place, we will be able to give this subject the attention it merits rather than the rather perfunctory consideration that we usually have to give to arguments that come back to us within a very technical parliamentary framework?
Mental Capacity (Amendment) Bill [HL] — House of Lords, 2018-11-21
Topic: Health
Claire Tyler (Liberal Democrats, Centre to centre-left): My Lords, I support this group of amendments. One or two offer a slightly different definition or slightly different words but the key point for me, having moved a similar amendment in Committee, is that we have now removed the phrase "unsound mind" from the Bill. I know this is welcomed here and will be hugely welcomed by many in the sector. It means we will get rid not only of a very old-fashioned and stigmatising term but one on which there were also concerns—as I understood from my conversations with the Royal College of Psychiatrists—that it had no real clinical meaning. The term "mental disorder"—or the few more words added by other amendments—not only brings us in line with the Mental Health Act, which is good, but I am advised that it will also help to provide diagnostic clarity. That has to be a good thing too. I support this group of amendments.
Mental Capacity (Amendment) Bill [HL] — House of Lords, 2018-11-21
Topic: Health
Elizabeth Barker (Liberal Democrats, Centre to centre-left): My Lords, I too welcome the Government’s change of mind. They started with a very different understanding from ours of the current roles of care home managers, local authorities, best-interests assessors and DoLS assessors. I think we still have a difference of opinion about how life works in practice, but these amendments show a considerable movement, if not complete agreement on that part, and therefore we welcome them. I feel it is right to remind the Minister that when the Select Committee of your Lordships’ House did the post-legislative scrutiny on the Mental Capacity Act and its workings five years after its implementation, there was an overwhelming lack of information and data both in local authorities and throughout the health service. I rather think that we have been perhaps unnecessarily preoccupied in this Bill with who carries out a particular function rather than looking at the way those functions could possibly be streamlined and better audited. I do not think that the work of a local authority best-interests assessor or a DoLS lead, however they may be termed under the new scheme, is actually going to change that much, but I welcome the attempt here to meet us half way, and I thank the Minister for that. Well, perhaps it is more than half way in terms of our assessment that what was being asked of care home managers was beyond their capacity to deliver. Big questions still need to be asked about their role in the overall scheme. If we had not spent quite so much time on this, we might have been able to look more closely at greater efficiencies in terms of reporting and so on. For the moment, however, I welcome these amendments.