Speeches by Lake.

“I should like to turn to IPFR, but before doing so, I would like to follow on from Mr Tufnell. With the prior approval process, the established pathways or those SLAs that a health board might have with relevant centres in England, what sort of consideration does the JCC make of that? If it sees that there is a critica…”

“Again, I know that there is a risk of oversimplifying, but in an ideal world, the prior approval process would be for exceptional cases; it is not a routine pathway.”

“I am on to my final two questions, you will be relieved to know. Again, I am asking about a general case, although I appreciate that an IPFR is very complex and individual. Is there any data about the typical length of time that an IPFR review will take?”

“In terms of the IPFR applications that are made to the JCC, as opposed to those through the health boards, are they typically the most complex cases, where you have specialist tertiary requirements rather than more routine secondary care?”

“Is there a particular role or policy to dictate when an IPFR will be dealt with by the health board versus the JCC, or is it just a patient’s or a clinician’s choice?”

“The west is best.”

“That is very useful. I have a quick follow-up question. Do we have a rough idea of the number of duplicated tests, or delays to prescriptions, caused by the lack of a unified framework or digital system? I know that is a very difficult question, but I have to ask. Do you have any feeling about how many problems that is…”

“It is across health board areas as well.”

“Do either of you have anything to add, or is it similar?”

“Thank you all for joining us this afternoon. I have one question regarding the process for a patient who might be referred for treatment in England via the JCC process, in the unfortunate event that they have a complaint to make. I want to understand who is responsible for the treatment that they receive, and whether t…”

“Just taking two steps back, on the commissioning pathways that might exist with particular trusts in England, materially speaking or in practice, is it any different trying to establish those commissioning pathways with a hospital in England compared with a hospital in Wales that is outside your health board area?”

“Thank you, Phil. Does anyone have any differing experience or representation in the system? I see heads being shaken, so to follow up: how confident are you that that process is clear to the patient who has been referred? Would the steps outlined be detailed in any referral letter they receive, so that in the unfortuna…”

“Dr Day, I would like to follow up on that point about the lack of a unified digital platform to share patient records. All three witnesses mentioned the difficulties that the lack of interoperability between the systems causes. I have two questions. The first you have probably heard a million times, so forgive me for a…”

“I am grateful that my hon. Friend has reiterated that point, and I will do likewise. Many of my constituents who have been affected and infected by this scandal have asked me to emphasise the point that even the updated scheme does not properly recognise the long-term consequences of interferon treatment.”

“For the inquiry to secure justice for victims and survivors in Wales, it is essential that it fully understands the devolved context in Wales and the various lines of accountability that arise from it. One way to achieve that would be for Wales to receive a specific investigation as one of the inquiry’s designated loca…”

“Building on what the Minister said about employment costs, we have heard about the pressures that many hospitality businesses, particularly pubs, are feeling following the reduction to the threshold on the increase of the rates. As part of the work that the Minister is undertaking to review things in the round, could h…”

“I thank the Secretary of State for her statement and the efforts she is making to protect children and young people from the harms of social media. I welcome her sentiment that social media platforms have more to do and a greater responsibility to keep our children safe. With that in mind, will there be greater consequ…”

“I agree with the Foreign Secretary that the humanitarian situation in Gaza is grave and that renewed international energy and focus are required if the level of humanitarian aid flowing into Gaza is to be increased with the urgency the situation demands. With that in mind, will she ensure that increased international c…”

“I agree with the Foreign Secretary that the humanitarian situation in Gaza is grave and that renewed international energy and focus are required if the level of humanitarian aid flowing into Gaza is to be increased with the urgency the situation demands. With that in mind, will she ensure that increased international c…”

“I extend to the Minister a warm invitation to visit the wonderful Ceredigion Preseli coastline in the summer. We have heard much mention this afternoon of a possible reduction to the rate of VAT for hospitality and tourism businesses. Would the Government consider that? It would give many hospitality businesses not onl…”