argyrotsipi/train-dataset huggingface dataset:
Access to Medical Treatments (Innovation) Bill — House of Commons, 2015-10-16
Topic: Health
George William Freeman (Conservative, Centre-right): I was addressing that point to make it clear that I and the Government take strongly the need to ensure that the Bill does not undermine patient support in any way. I have heard some of those concerns, and if the Bill goes to Committee it is important to address them. It is also crucial to protect and support the sovereignty of clinicians to look after their patients, and to do as much as possible to try to liberate them from the burden of unnecessary bureaucracy and excessive targets. We must remind clinicians that they have freedoms in law and a vocational mission to do whatever they think is best for their patients On safeguards and protections let me make three important points about the Bill. I have taken advice from counsel, and I will respond to a number of questions raised by colleagues. As currently drafted the Bill provides no change to existing protections on medical negligence, and that is important. It sets out the power to create a database, and a mechanism to make clear to clinicians how they can demonstrate compliance with existing legal protection—the Bolam test has been referred to—and allow innovations to be recorded for the benefit of other clinicians and their patients. Importantly for the Government, that does not change existing protections on medical negligence, and it is crucial to understand that. Secondly, the Bill does not change our gold standard regulatory and ethical framework for clinical research. The Bill is not about research; it is about reinforcing freedoms for clinicians and how they prescribe. I will return to the detail of that in a minute.
Access to Medical Treatments (Innovation) Bill — House of Commons, 2015-10-16
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): Will the Minister clarify that the vast majority of medical bodies feel that it is not a barrier to innovation, and that there are some important points where we need to protect patients from irresponsible innovation? We have to accept that there is a risk inherent in going down a route that would make that possible.
Access to Medical Treatments (Innovation) Bill — House of Commons, 2015-10-16
Topic: Health
George William Freeman (Conservative, Centre-right): My hon. Friend makes an important point about public trust, and patient safety and confidence. I do not want to detain the House by reading the relevant provisions in the Bill. I think my hon. Friend has tried, during the summer, to draft a Bill that deals with a number of those concerns. She makes the important point that if the Bill is inadvertently undermining public trust and confidence, that is in itself a problem. That is partly a function of how people discuss it and it is regrettable that the Bill has generated the level of antagonism it has, but she makes an important point that we should look at those specific measures and ensure we tackle the issues and concerns that leading doctors have raised.
Offensive Weapons Bill — House of Lords, 2019-03-04
Topic: Defense
John Attlee (Conservative, Centre-right): My Lords, I am sorry to disappoint my noble friend, especially in light of my success with the amendments that I will be moving formally a little later. I am afraid that these MARS and lever-action rifles are self-loading. The mechanism inside them works in exactly the same way as the automatic rifles that I used in Her Majesty’s service. I do not support these. I thought that we had banned them post Hungerford. At the time of Hungerford, I was surprised that you could privately own a self-loading rifle—a 7.62 military-specification rifle Going back to the point by the noble Lord, Lord Robertson, I did not realise that, post Dunblane, there was a so-called sporting discipline of combat shooting. Noble Lords will recall the noble Lord, Lord Howard, talking about those who don the trappings of combat. I was unhappy that people could do combat shooting—in other words, changing fire positions and, most importantly, changing magazines. That is the edge that the security forces have over a private person: they train to make sure that they do not pull the trigger and find that they have an empty magazine So I am afraid that I do not support retaining the civilian ownership of MARS or lever-action rifles. They are self-loading rifles, and I thought we had banned them a long time ago.
Access to Medical Treatments (Innovation) Bill — House of Commons, 2015-10-16
Topic: Health
George William Freeman (Conservative, Centre-right): My hon. Friend is quick to leap on to a very important point. The answer is no, because in law we have an important provision to protect people who invest billions of pounds in developing new innovations. Clinicians are free to use alternative off-label drugs where there is evidence they work, but not on the basis of cost. We have a presumption in law that where a drug is licensed or on patent for a particular indagation, which is the protection for the company that has invested to bring the drug to market, we allow an alternative to be used only where there is clinical evidence, not on cost grounds. The price falls dramatically when drugs come off patent and the generics industry picks them up. There is price protection for a short period of patent life to create the incentive for people to make the extraordinary investments up front. We then get the benefit of cheap drugs through the generics sector.
Access to Medical Treatments (Innovation) Bill — House of Commons, 2015-10-16
Topic: Health
Steven John Baker (Conservative, Centre-right): The Minister raises a critical point. I am concerned that cost grounds do matter and that some people might be going without early treatment for wet AMD, because they cannot, for a range of reasons, access Avastin. My concern is that people might be going untreated for wet AMD at a point when the relevant drug, Avastin, might help them more than Lucentis at a later stage.
Access to Medical Treatments (Innovation) Bill — House of Commons, 2015-10-16
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): Perhaps the Minister will give me an opportunity to clarify my position as well. I shall robustly oppose the Bill’s Second Reading. As the Minister has said, we all support the principles and aims of the Bill, but many of us robustly reject the notion that this is the way in which to achieve them The Minister has quoted two bodies that he says support the Bill, one of which disagrees with half of it. Does he accept that the Association of Medical Research Charities, the Academy of Medical Sciences, the Academy of Medical Royal Colleges, the British Medical Association, the General Medical Council, the Patients Association, Action against Medical Accidents, and even the Association of the British Pharmaceutical Industry—as well as legal experts such as Sir Robert Francis—all oppose the Bill? It reads like an A to Z of opposition. All those bodies would work with the Government if the Bill were given a Second Reading, but they robustly reject the notion that this is the right way in which to achieve its aims. Does the Minister accept that list, and does he accept that, according to the vast majority of opinion, this is the wrong way forward?
Access to Medical Treatments (Innovation) Bill — House of Commons, 2015-10-16
Topic: Health
George William Freeman (Conservative, Centre-right): I well accept that views on the merits of this Bill are divided, not least for the reasons I have highlighted in my speech. Some of the commentary on it, referring to it as the Mengele Bill for example, has played a very damaging part in misrepresenting—[Interruption.] I can show the hon. Member for Lewisham East the briefing after the debate if she would be interested It is important that colleagues decide for themselves whether to vote for this Bill. My own view, and the Government’s view, is that it is seeking to address a matter of public policy that we share in terms of promoting access to innovation. The measures in the Bill may not be quite perfect; it would not be the first Bill to be in that situation, and I dare say many of our proudest legislative breakthroughs going right back to the 18th and 19th centuries started in a format that possibly did not command unanimous support. I would have thought it is worth us debating this further in Committee, but I reiterate that if we cannot get a Bill into a position where it clearly has, and reinforces, public and clinician support from our world-leading expertise in research medicine and clinical practice, and if it any way undermines patient trust and confidence, it would be retrograde I think this Bill is trying to do something laudable, however; I think my hon. Friend the Member for Daventry is trying to do something laudable. This is a complex field, and the Government are trying to put in place the right measures, and I thank him for raising it—and I thank you, Madam Deputy Speaker, for allowing me to respond in full.
Access to Medical Treatments (Innovation) Bill — House of Commons, 2015-10-16
Topic: Health
Christopher Heaton-Harris (Conservative, Centre-right): Even though there has been some negativity, this has been a very positive debate. I have enjoyed trying to work with various colleagues and all the royal colleges—the list of organisations, actually, that my hon. Friend the Member for Totnes (Dr Wollaston) read out—and I hope that if the Bill has its Second Reading, I can continue to try and work with them, because I think the aspiration and concept behind the Bill, of spreading best practice and innovation quickly throughout our national health service, has widespread support. If this Bill is not the right mechanism, as I said earlier I am very willing to work in Committee to amend and change and to get to the point where I would like to think I could allay any concerns. So I thank everybody for their contributions, give them that assurance, and commend this Bill to the House Question put, That the Bill be now read a Second time.
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): It is a pleasure to be back, Mr Speaker. By 2020, we will increase the primary and community care workforce by at least 10,000, including an estimated 5,000 doctors working in general practice, as well as more practice nurses, district nurses and pharmacists.
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Sue-Ellen Cassiana Braverman (Conservative, Centre-right): Fareham community hospital is an example of Labour’s expensive PFI gone wrong. At a cost of £28 million, it remains underused, half-built and subject to complex governance structures. What will my right hon. Friend do to enable better use of this facility to allow provision for minor injuries, a GP practice and more primary care?
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend is right, regrettably, that the PFI projects under the previous Labour Government created a lot of unsustainable debt. I know her local clinical commissioning group is meeting GP practices and working with community health partnerships to see if they can progress the idea she is campaigning for. I hope to visit her in the near future to discuss it myself.
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Michael Jon Wood (Conservative, Centre-right): Will my right hon. Friend join me in welcoming the £2.7 million in vanguard funding given to Dudley to provide primary care services out in the community? This will not only improve the level of clinical and social services provided to people in Dudley South, but relieve pressures on Russells Hall hospital.
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I welcome my hon. Friend to his post. I am not sure I have had a question from him before. I know quite a bit about the Dudley vanguard programme, because I shared a taxi to Manchester station with the entire Dudley team. They told me, at close quarters, about their exciting plans. What really struck me was how they are talking to different bits of the health and social care system in a way that has never happened before. It is really exciting and I think it really will be in the vanguard of what can happen in the NHS.
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I shall tell the hon. Lady how I expect to do it. We are, in fact, making very good progress. By March next year, a third of the country will be able to access routine GP appointments at evenings and weekends. We do need more GPs. I agree with her that it takes too long to get a GP appointment, but we are doing something about it. That is why we have announced plans to recruit an estimated 5,000 more GPs. That will be a 15% increase in the number of GPs, the biggest increase in the history of the NHS.
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Just look at our track record in the previous Parliament: we increased the number of GPs by 1,700—a 5% increase. We are, on the back of a strong economy, putting in funding that will make it possible to increase that number even more. The hon. Gentleman talks about the BMA. I simply say that the people refusing to negotiate are not the Government, but the BMA.
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Andrew William Murrison (Conservative, Centre-right): Unfortunately, every time I open a page of my local newspaper these days I am met with the beaming face of yet another general practitioner in his mid-50s who has decided to throw in his hand after many, many years of serving his community. These doctors are best placed to manage patients in primary care and ensure that they do not have to go to secondary care or A&E. What analysis has my right hon. Friend made of the reasons these experienced professionals are leaving the profession prematurely, and what will his reforms do to stem the tide?
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend makes a very important point. We have done extensive analysis, because of our commitment to transform the role of general practice, of the issues. They include too much bureaucracy and form-filling, which means that doctors do not spend enough time with patients, and a sense that successive Governments have not invested in general practice and primary care. That is exactly what we seek to turn around with the "Five Year Forward View".
General Practice/Primary Care — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We also have Australian paramedics working in the UK, particularly London, so that traffic goes both ways, but, as the hon. Lady will know, health is a devolved matter, and people follow their own paths. For England, we are determined to eliminate the weekend effect. Every year, there are 11,000 excess deaths as a result of inadequate cover at weekends, and we do not want that to continue.
Eurotunnel — House of Lords, 2019-03-04
Topic: Health
Caroline Chisholm (Conservative, Centre-right): My Lords, as a very old nurse I will take this back to health. A lot of people in this country are on long-term medication. Can my noble friend the Minister tell me what conversations the Department of Health and Social Care is having with pharmaceutical companies to make sure there are sufficient medicines in the UK when we leave the EU?
Eurotunnel — House of Lords, 2019-03-04
Topic: Health
James Stopford (Conservative, Centre-right): My Lords, my noble friend asks about sufficient supplies of medicines. I can confirm that we are working closely with pharmaceutical companies to ensure that patients can continue to receive the medicines they need. As I said before, we are confident that the supply of medicines will be uninterrupted in the event of no deal. In addition to extra warehouse space, as a first line of defence industries have been asked to ensure a minimum of six weeks’ additional supply in the UK for prescription-only and pharmacy medicines—over and above existing, business-as-usual buffer stocks—by 29 March 2019.
Mental Health Services (Children and Young People) — House of Commons, 2015-10-13
Topic: Health
Alistair James Hendrie Burt (Conservative, Centre-right): The hon. Lady makes a fair point. While we invest money nationally in services, people complain that locally clinical commissioning groups have not been funnelling the money down. Two things should help: first, for the first time the national access and working time targets, which the Government have introduced, will provide a means of monitoring what CCGs are doing; and, secondly, the new scorecard for CCGs will look explicitly to ensure that a proportion of the increase to a CCG goes into mental health services. The hon. Lady will also be pleased to know that in her own CCG area there will be an extra £521,000 for children’s mental health services.
Eurotunnel — House of Lords, 2019-03-04
Topic: Health
Stephen Sherbourne (Conservative, Centre-right): My Lords, does my noble friend agree that, while this payment to Eurotunnel is highly controversial, for most people in the country the most important point is for the Government to ensure that, in the event of a no-deal Brexit, we have supplies of pharmaceutical and medical products that come into the country effectively and on time?
Eurotunnel — House of Lords, 2019-03-04
Topic: Health
James Stopford (Conservative, Centre-right): My Lords, my noble friend is right. Patients can have confidence in the Government’s contingency plans to work with suppliers who provide medicines and other medical supplies to the UK to ensure the continuity of supply. We have selected the best way of ensuring that patients continue to receive the medicines, devices and medical supplies they need.
Eurotunnel — House of Lords, 2019-03-04
Topic: Health
James Stopford (Conservative, Centre-right): We are not publishing our legal advice, but we did not go against it. We had to enter into these contracts—the expedited form of competitive tendering—because the planning assumptions changed and the maritime market was not responding to the risk. As a responsible Government we had to react to ensure the supply of important medicines if we ended up in a no-deal scenario.
Mental Health Services (Children and Young People) — House of Commons, 2015-10-13
Topic: Health
Alistair James Hendrie Burt (Conservative, Centre-right): I believe we are. I will check to be certain, as I know the right hon. Gentleman knows a great deal about this, but I believe we are. We have £150 million for eating disorders, and £30 million is being spent this year, with additional beds allocated. I will check that the waiting target times remain because they have made a significant difference. The right hon. Gentleman’s work has been of powerful import in what we do.
Mental Health Services (Children and Young People) — House of Commons, 2015-10-13
Topic: Health
Alistair James Hendrie Burt (Conservative, Centre-right): May I welcome the hon. Lady to her position, not least her Cabinet position—he said carefully—and welcome the prominence that mental health now has among all parties? Let me say rather gently in response to the tirade that I have just received that under this Government we have for the first time introduced parity of esteem for mental health on waiting times and national access targets. We are spending more money—£1.25 billion over the next five years. We have the highest number of beds for young people in emergency situations; we have the first dedicated education Minister for young people’s health; we have £75 million for perinatal health; and in her own constituency, the hon. Lady will be pleased to welcome from her shadow Cabinet position an extra £1.1 million going to Liverpool for mental health treatment for children and young people. I think that is a significant response.
Covid-19: Transmission in Schools — House of Commons, 2022-01-31
Topic: Health
Stephen James Morgan (Labour, Centre-left): Vaccination is key to protecting our children’s learning in the classroom, yet 46% of 12 to 15-year-olds have still not had their first dose. One in eight children were off school earlier this month, causing more avoidable disruption to their education. Ministers missed their own target to offer every child a vaccine by October half term, so can the Minister tell the House what his vaccination target is now, and when he expects to meet it?
Seven-day NHS Services — House of Commons, 2015-10-13
Topic: Health
Chris Ian Brian Mynott Philp (Conservative, Centre-right): In my borough of Croydon, the clinical commissioning group is currently consulting on the possibility of having three seven-day-a-week, 12-hour-a-day combined minor injury and GP centres, with one at Purley hospital in my constituency. Can the Secretary of State confirm whether any additional funding is available from central Government to facilitate this seven-day-a-week service?
Seven-day NHS Services — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Yes, I can. I should have said that seven-day hospital services will be available to a quarter of the country by March 2017. We are putting an extra £10 billion into the NHS in the course of this Parliament, which will help in the roll-out of seven-day services—I hope in Croydon, as well. I commend my hon. Friend for his efforts in that respect.
Seven-day NHS Services — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I am very happy to do that, and to correct some of the misleading impressions given by the BMA about what the changes are. The changes are about patient safety. They are about the fact that someone is 15% more likely to die if admitted on a Sunday than on a Wednesday because we do not have as many doctors in our hospitals at the weekends as we have mid-week. I want to give better support to the doctors who work weekends by making sure that they have more of their colleagues and more consultants there, as well as proper safeguards, which I do not believe we have at the moment. I will be getting that message out, and I hope that the hon. Lady will, too, when she next meets her junior doctors.
Seven-day NHS Services — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I thank my right hon. Friend for his question, and for the interest that he showed in these issues when he was a Minister The reality is that about we have about 200 avoidable deaths every week in our hospitals. It is the same in other countries—this is not just an NHS issue—but it is a global scandal in healthcare, and I want England and our NHS to be the first to put it right. I think that that is consistent with NHS values, and consistent with what doctors and nurses all want.
Seven-day NHS Services — House of Commons, 2015-10-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I welcome the hon. Lady to her post. I hope that, just occasionally, we might agree on some things, although I suspect that today may not be one of those occasions Let me be absolutely clear about the commitment that we have made to junior doctors. We will not cut the junior doctor pay bill, but what we do need to change are the excessive overtime rates that are paid at weekends. They give hospitals a disincentive to roster as many doctors as they need at weekends, and that leads to those 11,000 excessive deaths. Let me gently say that that was a change to the doctors’ contracts made in 2003, so for members of the Labour party to say that this is nothing to do with them is not accurate, and they should help us to sort out the problem.