(2 years, 5 months ago)
Lords ChamberI thank my noble friend for that question. There is routine surveillance that happens anyway. However, in this case they have detected it in more than one surveillance. Quite often, it is seen as a one-off and then not seen again for some time; in this case, it has been detected at each interval of the surveillance. We know it is from the Beckton Sewage Treatment Works—in that part of London. I must be careful about the words I use here: clearly, it is mixed up with a lot of other stuff, and we must now work out how we go along the pipe, as it were, and investigate individual pipes to see whether we can locate the source. In theory, it might be possible to find individual households or streets but it is too early to do so. What we are doing here is really world-beating: it is a first and shows that we are ahead. However, one issue in being ahead is that we detect things that would not have been detected earlier, and people are worried about them.
My Lords, does the Minister recognise the stark difference at the moment in the quality of vaccine records’ availability? I declare an interest in that a consultancy of which I am a director works with Palantir, which has been part of the extraordinary change in the Covid vaccine records. Does he recognise the need to update the rest of the NHS so that the information on hand to patients, which has been so valuable in the system here, is more widely available for polio and other vaccines?
The noble Lord makes a really important about the future of the NHS and our health services. Last week, the Government published the Data Saves Lives strategy, which is what it says on the cover. One of the first issues we must tackle is digitising the NHS as much as possible. Digitisation is one of my three priorities, alongside sharing data. First, this will ensure that we can identify population health issues and patterns in conjunction with AI; secondly, giving appropriate access to researchers allows us to continue to be world-beating in identifying such issues. In future, it may well be that we can get a sample, use a bit of AI—thanks to other data sets—and locate more accurately. At the moment, we are really at the cutting edge of this. What will be vital to it is the digitisation, sharing of and access to data across the system.
(2 years, 10 months ago)
Lords ChamberI thank the noble Lord for giving me the opportunity to explain that. It is really important that we do not suck out the best talent from countries, especially those with a shortage of medical staff. We are very clear that we talk to countries that train more staff than they need for their domestic service so that they can come here as foreign revenue earners. We have also published updated guidelines.
Is it not a real problem that the Treasury has not yet set the budget for Health Education England, given that there are fewer than three months before the new financial year and it has the responsibility for the number of new nurses that are going to be trained in this country?
I am afraid I disagree with the noble Lord, because we are on track to reach our 50,000 target, particularly because we are not just using one route in. We are using a number of different routes; people can retrain from other courses, and we have apprenticeships. We are looking at completely different, innovative pathways into nursing.
(3 years, 1 month ago)
Lords ChamberThank you. I accept entirely what the Minister says about learning from experience but was this not supposed to have been baked into the NHS after numerous reports in recent years? Does he accept that we need to look again at the way in which the NHS trusts are often slow in learning from their mistakes, rather than allowing this culture to continue?
I completely agree with the sentiments behind the question. It is important that at all stages we bake in a culture of openness in the NHS so it can no longer hide behind the fact that we are full of praise for it when it does things well. However, when things go wrong, I am afraid that it shuts up shop and hides behind various techniques. It is important that we are as open as possible in trying to make sure we tackle some of the problems and learn in the future.