argyrotsipi/train-dataset huggingface dataset:
Medicines and Medical Devices Bill — House of Lords, 2021-01-14
Topic: Health
Narendra Babubhai Patel (Crossbench, Unknown): My Lords, from the outset it has been clear that there was a potential for regulatory divergence in Northern Ireland from the rest of the UK for medicines and veterinary medicines, since they are referred to separately in the Bill as reserved matters in Northern Ireland. However, it has been made clear in the last quarter of 2020 that interaction with the Northern Ireland protocol makes that divergence inevitable for medical devices as well. Guidance published by the MHRA in October, which I referred to previously, and statutory instruments laid before Parliament in the final months of 2020, set out two different systems of market authorisation and registration, among other issues, and distinguished between the Northern Ireland and Great Britain markets for medical devices and medicines alike. The Northern Ireland protocol requires that EU regulations relating to medicines, veterinary medicines and medical devices apply to Northern Ireland, while CE marks will cease to be recognised in the Great Britain market from July 2023 unless the products in question are from manufacturers based in Northern Ireland There are essentially two paths for manufacturers based in Northern Ireland to bring a medical device product into the Great Britain and Northern Ireland markets. The first is to go through UK-based approved bodies for their assessment and market authorisation, which will be approved for both the Great Britain and Northern Ireland markets but will not be recognised in the EU. The second is to submit an application to approved or notified bodies in the EEA to gain a CE mark and thus access to the markets of Great Britain, Northern Ireland and the EU without further needing to apply to a UK body for approvals for the Great Britain market By contrast, manufacturers based in Great Britain will need approval from UK-based bodies to place their products on the market in Great Britain and Northern Ireland, but will need to undertake the separate task of setting up an EU-based responsible person and apply separately for a CE mark in the EU. It appears that the recognition of a CE mark on a medicine or device coming from Northern Ireland provides easier access for Northern Ireland-based manufacturers to both the UK and EU markets. What is not clear is the extent to which this dual system between Northern Ireland and the rest of the UK will diverge in substance For these reasons and many others, the Government should clarify the position. The amendment would provide greater transparency on potential regulatory divergence, with a commitment to mitigate it where possible. Of course, I will not be surprised if the Minister does not accept the amendment, and neither do I think the noble Baroness will divide the House on it, but whether we agree with it or not, I hope the Minister will agree that somebody has to have some way to recognise what this divergence will do. Who will that be? Would she agree that this will be needed in due course?
Epilepsy — House of Commons, 2015-02-26
Topic: Health
Cheryl Elise Kendall Gillan (Conservative, Centre-right): It is an honour to follow the hon. Member for Vauxhall (Kate Hoey), and I hope that she obtains justice for her constituent. It is also an honour to follow my hon. Friend the Member for South Thanet (Laura Sandys). As I said earlier, she will be a great loss to the House, and I am personally sorry that she is leaving this place because I think she has added a great dimension to it, particularly on the subject of epilepsy I declare an interest because the Epilepsy Society is based in my constituency and I am proud to be a vice-president. It has been working with and for people affected by epilepsy for 123 years. Although the detail of its aims and objectives have altered over the years, fundamentally it remains true to the vision set out by the group of philanthropists and neurologists who established it in 1892—to cure, treat and prevent epilepsy. It is unique At the Epilepsy Society’s Chalfont centre, groundbreaking epilepsy research laboratories are co-located with England’s only dedicated epilepsy assessment and treatment centre. Led by medical director Professor Ley Sander and head of genetics Professor Sanjay Sisodiya, some of the world’s pre-eminent epilepsy researchers and clinicians undertake research and clinical practice at the Chalfont centre. The Epilepsy Society’s researchers have been central to new scientific discoveries, in particular research that demonstrates the breadth of genetic influences in epilepsy. The society also brings together state-of-the-art diagnostic tools for epilepsy in one place, including the UK’s only dedicated epilepsy MRI scanner and a specialised epilepsy therapeutic drug monitoring service that is provided to hospitals across the UK and Europe The Epilepsy Society is also part of a unique three-way partnership with the NHS and with academia—the national hospital for neurology and neurosurgery at University college London—that has the benefit of translating research into clinical practice, providing access to funding, attracting top researchers and clinicians and providing the flexibility to innovate. The partnership has been recognised by the World Health Organisation.
Public Health — House of Commons, 2021-11-30
Topic: Health
Daisy Cooper (Liberal Democrats, Centre to centre-left): I am grateful to the Minister for giving way. The hon. Member for Sheffield South East (Mr Betts) raised a question about the enforcement of mask wearing. One of the major problems being faced by GPs in my constituency of St Albans is that some people are refusing to wear masks because, "The Prime Minister didn’t have to when he went to a hospital", so could I ask the Minister how she intends to lead by example when half of her own colleagues are still refusing to wear masks on the Benches opposite?
Northern Ireland: Political Agreement — House of Lords, 2015-11-19
Topic: Defense
William Trimble (Conservative, Centre-right): My Lords, the existence of private armies anywhere within the United Kingdom presents a challenge to the authority of the United Kingdom Government, and responding to the existence of private armies should be with the Government in the lead. Pretty words said in the Executive are all very good and well, but it requires something more effective. The reason that the original Independent Monitoring Commission was effective at dealing with paramilitaries was that it had the power to sanction those bodies. Furthermore, not just the character of the persons who were in it but its independence had the effect of keeping the Northern Ireland Office honest and inhibiting its tendency to brush things under the carpet. We are missing on both those counts.
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Deborah Bull (Crossbench, Unknown): My Lords, following on from the question of the noble Lord, Lord Herbert, Public Health England has reported that people with learning disabilities are six times more likely to die of Covid, and those under the age of 35 with learning disabilities, 30 times more likely. They are at greater risk of transmission via peripatetic care staff and less likely to be able to understand and follow guidance on hand hygiene, social distancing and masks. Despite this, they are not recognised in the vaccination list; currently, they are in the sixth tier. Given that the Secretary of State has now accepted that he was not required to accept the JCVI advice on prioritisation, will the Government act swiftly to address this and give priority access to individuals with learning disabilities on an equal basis with other highly clinically vulnerable individuals?
Covid-19 — House of Lords, 2021-01-28
Topic: Health
Molly Christine Meacher (Crossbench, Unknown): My Lords, when the Prime Minister says in his Statement that the UK has more than enough vaccines for this year, does he mean that we have sufficient vaccines on order or sufficient vaccines accessible to the NHS and the vaccines rollout programme? If we have only sufficient vaccines on order, and in view of the EU conflict and in particular the threat of the German Government to block exports of the Pfizer vaccine to the UK, can the noble Baroness guarantee that the most vulnerable groups will still have access to their second vaccinations within 12 weeks, as promised, and that the rollout of our first vaccinations can continue as planned?
Epilepsy — House of Commons, 2015-02-26
Topic: Health
Steven John Baker (Conservative, Centre-right): I am extremely grateful to my right hon. Friend. I have already passed the details to the Minister. I am aware of the inquest and the NHS investigation, but I will certainly take her advice and give those other bodies the opportunity to investigate That brings me on to the specific issue of consent. I have spoken to Mr and Mrs Monks today and they say that at no point was it explained to them that this medication could have these side effects. Jessica was 17 when she started taking it, and I feel that that possibility really should have been explained to her parents. They should have had the opportunity to take very strong action. Of course, they did take very strong action—they took the strongest action they could—and it seems to me, without wishing to pass judgment, that the key problem was that they could not get hold of the neurologist.
Public Health — House of Commons, 2021-11-30
Topic: Health
Daisy Cooper (Liberal Democrats, Centre to centre-left): Something appears to have been lost in translation here. I am not entirely sure whether the right hon. Member is referring to students or to the academics who teach them. I am talking about encouraging people to work from home where they can. There are of course examples where people will need to go into work, and they can change the ways in which they work, but working from home has been proven to reduce levels of transmission I am concerned that we are talking solely about the new variant, and that the mantra around putting in place restrictions to protect the NHS appears to have stopped. I worry that the Government appear to have lost their tongue. Ambulance services across the whole of England are at their highest alert level: level 4, or code black. That means that there are people in the back of ambulances who cannot get into hospitals. The NHS 111 line has had more than 1 million calls abandoned after 30 seconds this year, when they should be answered within 20 seconds. We have GPs who are reducing their hours or resigning because of the workload and the abuse. Some of them are really worried and saying that they will not to take on the contracts to deliver the booster jabs because of the expectation that they will still have to do the same amount of work seeing their patients and that if they are required to do the booster jabs as well, that will mean longer waits for other appointments. They are not getting the support they need in that regard, and I hope that the Minister will respond to this point. We have record backlogs—
Public Health — House of Commons, 2021-11-30
Topic: Health
Daisy Cooper (Liberal Democrats, Centre to centre-left): I am incredibly grateful to the hon. Gentleman for raising that point. I have tried to raise that issue as often as I can through various means, and that is probably all I can say on the matter. Back in October, I tabled a written question to the Government to ask how many ambulance services were at level 4, and it took a couple of attempts at chasing that up before I got a response. I believe that hon. Members would benefit from having time to debate the issue in this House. In my own constituency of St Albans, there have been some incredibly tragic cases. A woman lost her baby because she was stuck in the back of an ambulance for many hours without being able to get into the local hospital. Another constituent lost their partner because they were stuck in the back of an ambulance for 12 hours and then died a week later because they had not been able to get that emergency treatment—
Public Health — House of Commons, 2021-11-30
Topic: Health
Daisy Cooper (Liberal Democrats, Centre to centre-left): The point that I am trying to make is that the Government are framing the introduction of these specific restrictions in terms of whether or not there is extra transmissibility from the new variant. My concern is that they are not talking about whether we need these restrictions, and perhaps others in the future, because of the pressures on the NHS in its broadest sense.
Future of Health and Care — House of Lords, 2021-02-23
Topic: Health
Mary Watkins (Crossbench, Unknown): My Lords, I declare my interests as outlined in the register and broadly welcome this paper. I particularly applaud the removal of the need for competitive tendering and the introduction of the discharge to assess model, which I and many other professionals have long advocated. However, could the Minister explain why such extensive powers are planned for the Secretary of State prior to the reforms of social care coming before Parliament? Why can they not come concurrently? He has partly just explained that, but it would be much better if we waited and did the two things together. Section 5.153 of the White Paper is designed to widen the scope of Section 60 of the Health Act 1999 to provide further powers enabling the Secretary of State to "make a large number of changes to the professional regulatory landscape through secondary legislation." I seek assurance that there will be ample opportunity to debate this latter issue during the passage of the Bill.
Syria: Foreign Affairs Committee Report — House of Lords, 2015-11-26
Topic: Defense
Tina Stowell (Conservative, Centre-right): Our plan is to target ISIL. This is a strategy to target ISIL and that is what we are going to do. This is not about military action against Assad; it is about military action against ISIL. ISIL is our target and that is who we are going to go after.
NHS Major Incidents — House of Commons, 2015-01-28
Topic: Health
Barbara Mary Keeley (Labour, Centre-left): This Government caused confusion about decision making and accountability because of their reckless and expensive restructuring of the NHS. Now, to achieve what the Secretary of State wants to achieve, he has to resort to the sorts of measures we are discussing. We have had two major incidents declared in local hospitals in Salford in one week recently, and I have great concerns that this sort of guidance means that it is harder for clinicians to take the steps necessary to resolve the A and E crisis. They should not have to think about the issues listed in this document: politics and whether there is a risk of reputational damage. I do not want Salford Royal hospital and the Royal Bolton hospital thinking, "We can’t do this because of reputational damage." This should be done entirely on the basis of clinicians’ reasoning.
Covid-19 Update — House of Lords, 2021-01-07
Topic: Health
Richard Harries (Crossbench, Unknown): As the Leader of the House knows, it is not yet clear whether a person who has been vaccinated is still able to transmit the virus; it is quite possible in theory for them to have no symptoms themselves and yet to pass it on. I understand that a group of scientists is working on this issue. Is the Leader of the House able to indicate when those scientists might be able to report? Clearly, this is vital information which we need to have sooner rather than later.
NHS (Government Spending) — House of Commons, 2015-01-28
Topic: Health
Christopher Michael Leslie (Labour, Centre-left): That is rather interesting. The hon. Lady would criticise us if we said that we would do this through general taxation, but when we show where the money will come from—pound for pound—she criticises that as well. I want to hear the Conservatives say where they will get the extra money from for the NHS. I will come to that in a moment, but I will first give way to my hon. Friend.
Overseas Operations (Service Personnel and Veterans) Bill — House of Lords, 2021-04-13
Topic: Defense
Michael Boyce (Crossbench, Unknown): My Lords, as speakers ahead of me, and especially my noble friend Lord Dannatt, spoke eloquently in support of this amendment, I will not tax your Lordships’ patience by repeating all that has been said. However, I wish to reinforce the point that we need something of a more permanent nature by which the Government may be held to account rather than a set of conventions and understandings, including defence instructions and notices. These can be easily changed or cancelled without any significant effort or recourse to Parliament. That is why, although I have very carefully read the Ministerial Statement that the Minister laid before us this morning, which sets out what is available to Armed Forces personnel, serving or veteran, I am afraid that it does not offer the guarantee of permanency of the responsibility of the MoD for the duty of care that this amendment proposes I also share, by the way, some of the concerns about the Statement expressed earlier today by the noble Baroness, Lady Chakrabarti. Furthermore, regarding that Ministerial Statement, I am incidentally unclear of the definition of "legacy cases" that the Army Operational Legacy Branch has been created to deal with. That also raises the interesting question of why exemption from means testing for legal aid cannot be applicable for criminal cases arising from all overseas operations, not just Iraq and Afghanistan This Bill, which sets out to relieve the strain on personnel under investigation, must surely reflect the fact that the MoD has a statutory obligation for the care of such people. I therefore support Amendment 14.
NHS Shared Business Services — House of Commons, 2017-06-27
Topic: Health
Martyn Day (Scottish National Party, Centre-left): The NAO’s findings are deeply concerning for the families of patients caught up in this chaotic shambles. For those involved and the wider public, this will only deepen their mistrust and misgivings in how the Tories are running the NHS; we can be grateful that they are not in charge in Scotland. Surely it is simply astonishing that a company partly owned by the Department of Health failed to deliver 500,000 NHS letters, many of which contained information critical to patient care. Not only were 1,700 people potentially at risk of harm, but thousands of others were put at risk. Was this SBS contract properly scrutinised by the Secretary of State? Was patient care or cost-cutting at the forefront of that decision? Why did he publish a vague written statement in July 2016 when he actually knew what was going on four months earlier?
Health and Care Bill — House of Lords, 2022-02-09
Topic: Health
Sarah Virginia Brinton (Liberal Democrats, Centre to centre-left): My Lords, I will be very brief, as the noble Baroness, Lady Finlay, has comprehensively explained why her amendment, Amendment 287, which seeks to create a dispute resolution mechanism in children’s palliative care, is important. There is no doubt of the challenges experienced by parents who are facing the dreadful news of their child’s deteriorating health and likely end of life, and who are trapped in a process that makes them feel as if their requests for new, different or more treatment are being refused by the hospital, not least if they feel that the hospital is acting as prosecutor, jury and judge against their wishes However, as the noble Baroness, Lady Finlay, has outlined, one must also sympathise with doctors and other healthcare professionals who believe that they are doing the best for the child in these distressing circumstances. For these cases to end up going through the courts is not a good dispute resolution process. The noble Baroness, Lady Finlay, has also outlined the extreme costs to the NHS and to the parents of the child. We now need a system, even if rarely used, which parents can feel is independent but medically expert to help to resolve and mediate the dispute when the relationship between them and the hospital has broken down.
NHS (Government Spending) — House of Commons, 2015-01-28
Topic: Health
Grahame Mark Morris (Labour, Centre-left): The hon. Gentleman is saying that the NHS is safe in Conservative hands, but let me remind him that in 1997, when Labour came to power, there had been 18 years—a considerable length of time—of under-investment. Expenditure on the NHS was increased 300% by the Labour Government: from £30 billion to over £100 billion. Every accident and emergency unit was rebuilt and many hospitals were rebuilt, too.
Tunisia, and European Council — House of Commons, 2015-06-29
Topic: Defense
Jason McCartney (Conservative, Centre-right): I join the Prime Minister in praising our brave Royal Air Force for the role that it is playing in the skies over northern Iraq. Meanwhile, on the ground, the brave Kurdish peshmerga forces are taking on Daesh. Does he agree that now is the time for the peshmerga forces to be properly armed and to receive the funding from Baghdad that was promised?
Health and Care Bill — House of Lords, 2022-02-09
Topic: Health
Timothy Francis Clement-Jones (Liberal Democrats, Centre to centre-left): My Lords, the Minister will probably get the "Just a Minute" prize for the evening. I will not try to reply to all the amendments, purely those tabled by the noble Lord, Lord Hunt, to which I have spoken. However, if ever I saw candidates for return on Report, they are those in this part of the Bill, in all respects that have been spoken to this evening. This is an extremely unsatisfactory part of the Bill, which gives far too much power to the Secretary of State However, I thank the Minister for his response. He looked rather baffled when I spoke to Amendments 227 and 228—perhaps because Dr Wade-Gery, who is its chair, unaccountably suggested that she did not really understand the dual function of NHS Digital. It is rather extraordinary. It is a dual function; neither I nor the noble Lord, Lord Hunt, have any quarrel with the transfer of digital capabilities to NHS England—it is the safe haven aspects, a really important second function of NHS Digital, that we object to. In moving all the data across to NHS England, it will no longer have the independence and objectivity of NHS Digital. It is a really backwards step in data governance We can have the digital transformation and data-analytical capabilities within NHS England, but I fear we will not have the same safeguarding of the actual data that we have at the moment. Even that is not satisfactory, as the Minister has heard this evening. That said, we will no doubt return to that in conversation and I beg leave to withdraw Amendment 227.