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tv   BBC News  BBC News  October 3, 2023 11:00am-11:31am BST

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�* from �*from the from the steve barcla as the three-da doctors _ from the steve i barclay as the three-day doctors can barclay as the three—day doctors can strike continues. let's go live to nick eardley at the conference in manchester. now as i said, these ministers are going to be trying to change the conversation, to move the focus from hsz conversation, to move the focus from hs2 over to their own agendas. how successful you think will be? it’s hs2 over to their own agendas. how successful you think will be? it’s a successful you think will be? it's a really good _ successful you think will be? it's a really good question. _ successful you think will be? it's a really good question. they - successful you think will be? it�*s —. really good question. they are struggling to do it at the moment is the honest answer. and over the next hour we will get some policy from government ministers and get them talking about parts of the governments agenda that are really important, but what the conference is so far failing to do important, but what the conference is so farfailing to do is grasp of the political imagination. and say
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here is the big thing that the conservatives want to do in the run—up to a general election next year. they think the conservative electorate that will lead to them winning the general election, instead what you have is a few announcements, some of which are important to individual people but haven't really quite got the tory party on the front foot. the speeches we see over the next wee while will be significant, particularly the health secretary given the challenges that the health sector is facing. more broadly getting they will have their work cut out. do getting they will have their work cut out. ,., getting they will have their work cut out. p, . getting they will have their work cut out. ,., ., ., , , getting they will have their work cut out. ., ., , , ., getting they will have their work cut out. . ., , , ., ., cut out. do we have a sense of what steve barclay _ cut out. do we have a sense of what steve barclay is _ cut out. do we have a sense of what steve barclay is going _ cut out. do we have a sense of what steve barclay is going to _ cut out. do we have a sense of what steve barclay is going to say - cut out. do we have a sense of what steve barclay is going to say in - cut out. do we have a sense of what steve barclay is going to say in his l steve barclay is going to say in his speech. this will be taking place in the backdrop of the ongoing strikes.
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it's a really awkward backdrop for stephen barclay. constantly talked about bringing down waiting lists, trying to improve some of more significant waiting lists you get in the nhs and that's been made harder ljy the nhs and that's been made harder by the fact that the strikes are taking place and i think it will address that and want to address the broader questions of nhs funding. i suspect there will be a lot of politics in there. one theme people will have picked up on in the speeches we've been carrying on the bbc in the last few days is that the speeches follow a bit of a pattern, here is what we have done as a government and here is what we want to do and here is the political attack on the labour party on the thing we don't think the opposition party will do so we will hear a lot more of that over the next few wiles, especially in stephen barclay�*s beach but it all comes down to the question of probably in the last conference before a general election, can the conservatives give
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themselves the rocket boosters they really need to take off and bring out some of the gaps in the polls closer together.— out some of the gaps in the polls closer together. we've heard lots of different opinion _ closer together. we've heard lots of different opinion in _ closer together. we've heard lots of different opinion in the _ closer together. we've heard lots of different opinion in the tory - closer together. we've heard lots of different opinion in the tory party i different opinion in the tory party about what to do about raising taxes and disagreement within the party about what to do about the all—important hs2 line but is there agreement when it comes to health policy? agreement when it comes to health oli ? �* , ,, , ., ., policy? broadly the nhs is going to be an important — policy? broadly the nhs is going to be an important quarter _ policy? broadly the nhs is going to be an important quarter stone - policy? broadly the nhs is going to be an important quarter stone of i policy? broadly the nhs is going to l be an important quarter stone of any health policy and there is often there is debate about funding and if you can keep putting money into the health service and whether the private sector has more of a role to play and that comes up, more broadly, it's pretty obvious they're
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going to putting money into the nhs and they won't budge on pay when it comes to getjunior doctors of the picket lines and there is a sense that parts of the health service at the moment feel stuck. stephen barclay has negotiated with some of the health unions and here he is now on the stage. b5 the health unions and here he is now on the stage-— on the stage. as health and social care secretary _ on the stage. as health and social care secretary what _ on the stage. as health and social care secretary what drives - on the stage. as health and social care secretary what drives me - on the stage. as health and social care secretary what drives me is l care secretary what drives me is getting people the care they need more quickly. boosting capacity, expanding our workforce and embracing technology that will help them tackle waiting lists. but today i also want to tell you about the long—term decisions we are taking to support the nhs, to give patients more control and choice and to take on those like the militant union leaders supporting them on the
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picket line who want to block the changes. . we are creating 10,000 hospital at home places for patients to receive care in their own home. and we are making the biggest ever increase in social care funding with a record uplift in the autumn statement last year. but, conference, as conservatives what matters to me most is not inputs, but the outcomes for patients. and we are making sure we are making significant progress with the help of new technology. take strokes. we are using ai with the help of new technology. take strokes. we are using al to speed up brain scans meaning thousands of patients have fully recovered who may not have. and by the end of the year this technology will be available in all stroke
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units in england. and we are also upgrading the nhs to offer patients a choice of up to five different health care providers, including independent providers following gp referrals, which the patients' association can reduce weights by up to three months. but i also know it can sometimes take too long to roll out new innovations nationally, even when they have been proven to work in local pilots. so today, conference i am announcing the creation of a £30 million fund to speed up the adoption of tech in the nhs. clearthis speed up the adoption of tech in the nhs. clear this will enable clinicians to adopt proven technology that can improve patient care, and these could include new tools to detect cancer sooner and help people receive treatment in
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their own home, or increase productivity to tackle waiting lists. projects will be delivered in this financial year, giving benefits to patients as quickly as possible. and we are focused on getting the latest technology into the hands of doctors and nurses and that is the mission i share with my fantastic ministerial team all supported by our brilliant pps team and our fabulous whips. applause but conference, i want to be clear, we want to give patients more choice and control over their care, and we can only do that with long—term thinking. take our long—term workforce plan, the largest expansion in training in the history
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of the nhs, the first time in the history of the nhs that a government has been willing to set out a plan for the next 15 years for recruiting and training doctors, nurses, paramedics and other vital staff. and to show we are delivering on the plan, i'm delighted to announce today we are making additional medical school places available at universities for next september. most of these places will be targeted towards three new medical schools with further in the north—west university of central lancashire. this is alongside our new pilot for medical degree apprenticeships and a new route into medicine for young people earning to train to become a doctor, but who wants to take a vocational route?
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because our party because a party of real opportunity for anyone, no matter where you come from. and our conference, our plan, is notjust about more staff but it's about using the powerful moment for reform and brexit freedoms, shorter degrees, new roles and more ways onto the nhs career ladder. better for patients and the taxpayer. my own background in the private sector taught me that organisations run more efficiently when they look at outcomes not the inputs. being focused on the end point means you cut down on waste. and that's why i brought in the former chief executive of marks & spencer to scrutinise our department's spending. with a budget of £190
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billion, liz was opportunities to get more resource from the back room to the front line. when i was appointed i put an immediate recruitment freeze in place which reduce department head count by a six. and that's more money on the front line in the back office? applause. to deliver the long—term change the nhs needs, we need a relentless focus on patient outcomes which means prioritising front line resources. it does not mean spending huge sums of taxpayer money on diversity consultants, or hiring bloated internal —— bloated diversity and inclusion teams and it doesn't mean ignoring patient voices, especially women's voices when it comes to the importance of
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biological sex in health care. if we do not get this right now, the long—term consequences could be very serious for the protection of women and future generations and, conference and we know what a woman is and i know the vast majority of nhs staff and patients do as well. and that's why audit the reversible changes to the website that changed terminology for women including cervical cancer and stop the nhs ordering staff to declare pronouns to each new patient, and that's why today i am going further. by announcing that we will change the nhs constitute following a consultation later this year to make sure we respect the privacy, dignity and safety of all patients that recognise the importance of
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different biological needs and protect the rights of women. if all of that seems like simple common sense, that's because it is. and yet every step of the way we have faced opposition from the usual suspects. when we were simply trying to do the best for patients. you probably saw some of them on your way in this morning. the militant bma leadership whose strikes have resulted in countless cancelled appointments and pose a serious threat to the nhs's recovery from the pandemic. the consultants and junior doctors committee are relentlessly demanding massive pay rises even if it means diverting resources from patients, and despite junior doctors having already received a pay rise of up to 10.3%. but it does not end there. they are
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even threatening to take the government to court over our plans to let patients see their own test results, on their own phones, rather than taking a gp appointment. this clearly shows that the bma leadership is not on the side of change and they are not on the side of patients. applause. and then there's labour. keir starmer�*s mps continue to join the bma on the picket line. you only have to look at his own plans for the nhs to see that labour will always bottle it and take the easy way out. but his own proposals published there was nothing on reform, no new roles, just more of the same. he shadow health team went even back our roll—out of new
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obesity drugs on the nhs by a primary care. game changing new treatments that could give people struggling to lose weight a real helping hand. labour don't want to embrace innovation and instead the left like to lecture people on what they eat and drink. and look at labour run london. khan has banned wimbledon adverts on the underground, why? because photos of strawberries and cream breach health advertising rules set by city hall. and in wales labour has banned the meal deals that include a sandwich with a bag of crisps at a time when families are concerned about the cost of living. keir starmer says that wales is the blueprint for what labour can do in england. but their record on health makes for grim reading. as a result of labour's short—term thinking, patients in wales are twice as likely to be
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waiting for treatment than in england. no wonder that the number of patients in wales escaping to seek treatment in england has increased by 40% in two years. so the next time you hear labour telling people they have easy answers to the challenges the whole system faces, remind them that labour is letting people down in wales. applause. conference, it's only by taking on those who resist change that we can make sure the nhs is there for us and our loved ones in the future. so let's stand up to militant bma leadership that does not accept the need for reform. let's challenge the ideologues who silenced the voice of women, and let's be very clear that we will not take lectures from a labour party that has utterly failed patients in wales. conference, we will achieve it by coming together as
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conservatives, showing our values and vision and drive to deliver nhs that gives people more choice, more control, and above all, puts patients first. applause. applause. that was steve barclay, the health secretary giving his speech at the tory party conference, starting with discussion of putting the latest technology into the hands of doctors and nurses but then not very long after talking about the militant bma leadership standing firm on standing firm on the governments position on the strike and we will now cross to
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michelle donnellan, the technology secretary who is starting her speak. first ever secretary of state for science, innovation and technology. the department that is working with industry and research to create the opportunities of tomorrow. i want to start by thanking my amazing ministerial team, start by thanking my amazing ministerialteam, our start by thanking my amazing ministerial team, our ever zestful science superpower george freeman, the tireless tech titan the paul scully, the baron of broadband, john whittingdale, and our in—house entrepreneur, and of course my brilliant pps, paul bristow. applause. brilliant pps, paul bristow. applause-— brilliant pps, paul bristow. applause. ~ ~ , applause. when the prime minister created the department, _ applause. when the prime minister created the department, some - created the department, some questioned why the department was a priority but they weren't saying that when our tech sector worth over one —— worth over $1 trillion was under threat in memory, when the uk arm of silicon valley stood on the brink of collapse, putting thousands
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of british tech businesses and jobs in danger, but in the space ofjust three days my department helped secure the sale of the bank, saving those businesses and protecting those businesses and protecting those jobs. those businesses and protecting thosejobs. an conference, we have continued to prove them wrong. we are utilising science, technology and innovation to help us all live longer, healthier, easier, happier lives with the people we love. in the last eight months over 2 million homes have been connected to gigabit broadband and by the time i've finished his speech, 71 more will have. over53,000 finished his speech, 71 more will have. over 53,000 people have got newjobs in 31 new —— 31,000 new british tech businesses and we have agreed a disc —— a bespoke new deal tojoin arise and agreed a disc —— a bespoke new deal to join arise and we will protect a0 million children because of the online safety bill. these are the only changes that have happened. we have crowned our new king, labour
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have crowned our new king, labour have appointed another shadow cabinet and i welcomed my baby boy in may. cabinet and i welcomed my baby boy in ma . �* ~ ,, cabinet and i welcomed my baby boy in may-_ and _ cabinet and i welcomed my baby boy in may-_ and yes. - cabinet and i welcomed my baby boy| in may._ and yes, there's in may. applause. . and yes, there's been plenty — in may. applause. . and yes, there's been plenty of — in may. applause. . and yes, there's been plenty of late — in may. applause. . and yes, there's been plenty of late nine _ in may. applause. . and yes, there's been plenty of late nine tantrum, - been plenty of late nine tantrum, incoherent screaming and dummies been thrown out of the pram but i'm told this is perfectly normal behaviour from a labour shadow cabinet. they flip—flopped on everything from the eu to schools, to housing to ulez, in contrast with the conservative guy making longer term decisions for a brighterfuture and we have an opportunity to make this technology... the and we have an opportunity to make this technology. . ._ this technology... the technology secretary michelle _ this technology... the technology secretary michelle donnellan - secretary michelle donnellan speaking there. just before that we listen to the health secretary steve barclay speaking, so let's cross back to nick eardley. i know that you are listening carefully to steve ba rclay�*s you are listening carefully to steve barclay�*s beach. what stuck out for
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you? barclay's beach. what stuck out for ou? ., , barclay's beach. what stuck out for ou? . , . , barclay's beach. what stuck out for ou? ., , barclay's beach. what stuck out for ou? . , ., , you? there was a bit about money in there and talk— you? there was a bit about money in there and talk of— you? there was a bit about money in there and talk of more _ you? there was a bit about money in there and talk of more funding - you? there was a bit about money in there and talk of more funding to - there and talk of more funding to help with financial funding of nhs technology in that announcement of protection for women's rights on nhs wards and something we've heard a bit about in the conservative party in the last few months and the way that different people are tackling and trans— patients, and clearly the governor thinking there is some political leverage on that issue but i was also really struck by the way that stephen barclay attacked the unions, the bma and said they were militant, not on the side of patients. let's chat this with over with gillian hartley, which is the memory chip organisation for nhs trust. gillian, thank you for speaking to us —— membership
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organisation. that language talking to stephen barclay, does that help? we do need a speedy resolution to industrial action because it's having such a big impact at the moment on the nhs in three ways. first of all four patients in terms of the length of time they are having to wait and the disruption to appointments, and we are getting reports today of longer waits in emergency departments as a consequence of the current action and secondly the cost. we are over £1 billion and counting in terms of the cost of the strikes and then there is the impact on morale in nhs organisations, so i really do think that in the interests of getting a resolution around industrial action that will be the single biggest issue we can have to drive improvement in waiting list reduction and reduce the disruption to patients, we really want to see constructive dialogue and i think thatis constructive dialogue and i think that is a key message. did constructive dialogue and i think that is a key message.— that is a key message. did that sound like _
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that is a key message. did that sound like constructive - that is a key message. did that| sound like constructive dialogue that is a key message. did that. sound like constructive dialogue to you, calling the unions militant? i think we need to get people around the table and talk and any solutions will come from productive dialogue, so it is important that there is, behind the scenes, in any way at all, to try to get parties around the table, to find a resolution to this because over a million appointments and procedures have been disrupted thus far and we are heading into a challenging winter, so trusts are saying to us that we really need to get this resolved in order for us to manage through what is likely to be a challenging winter period for the nhs. abs, is likely to be a challenging winter period for the nhs. b, iat is likely to be a challenging winter period for the nhs.— is likely to be a challenging winter period for the nhs. a lot of people watchin: period for the nhs. a lot of people watching at — period for the nhs. a lot of people watching at home _ period for the nhs. a lot of people watching at home will _ period for the nhs. a lot of people watching at home will have - period for the nhs. a lot of people watching at home will have seen i period for the nhs. a lot of people | watching at home will have seen the impact themselves when it comes to appointment cancellations and things like that, but perhaps you can paint as a picture about what is going on in hospitals on those days when junior doctors are, or clinicians,
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or both, are striking. how much is that strain putting your members under? ., ., ,, ., ., ., , that strain putting your members under? ., ., ,, ., ., ., under? enormous strain. not only are the issues on — under? enormous strain. not only are the issues on the _ under? enormous strain. not only are the issues on the strike _ under? enormous strain. not only are the issues on the strike days - under? enormous strain. not only are the issues on the strike days when - the issues on the strike days when trusts have to postpone the vast majority of planned care and focus on emergency care but even then that can be stretched given the reduced staffing levels but there is also a run—up to strike action where the days and weeks of preparation for this, the preparation after working through the patients to have been disrupted and getting patients back in and this is taking up a lot of time for organisations, which could be usefully applied to things we've heard about patient choice and technology and improvement in these other things trust leaders want focus on. ., ., focus on. one of the other thing stehen focus on. one of the other thing stephen barclay _ focus on. one of the other thing stephen barclay said _ focus on. one of the other thing stephen barclay said in - focus on. one of the other thing stephen barclay said in his - focus on. one of the other thing i stephen barclay said in his speech and i'm not sure if you caught it because i know you are coming out to speak to us, but he talked about changing the nhs constitution to
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protect their biological rights of women, which sounds like a report in the telegraph that the plan there is to basically tell trans women that they don't have the same access to all women awards as biological women. i5 all women awards as biological women. , ., ., . ., , women. is that enforceable in practice? _ women. is that enforceable in practice? these _ women. is that enforceable in practice? these are _ women. is that enforceable in practice? these are proposals women. is that enforceable in i practice? these are proposals at this stage, and i think we'd want to see what the detail is behind this. i run a trust for many years and it's always an inclusive approach we take, respecting the patient dignity and wishes and trusts have managed this effectively for many years. sounds like there is a need to be a change. i sounds like there is a need to be a chance. ~' ., change. i think we need to understand _ change. i think we need to understand the _ change. i think we need to understand the detail - change. i think we need to understand the detail and | change. i think we need to i understand the detail and the change. i think we need to - understand the detail and the point behind it, buti understand the detail and the point behind it, but i would say that nhs organisations take these issues very seriously already and have put a lot of emphasis on respecting the women of emphasis on respecting the women of —— wishes of individual patients, so we would have to look at the
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detail behind the proposals do then decide and make a comment on the way forward. ., , ., decide and make a comment on the way forward. . , ., ., forward. that is fair enough. in terms of the _ forward. that is fair enough. in terms of the broader _ forward. that is fair enough. in terms of the broader picture i forward. that is fair enough. in l terms of the broader picture with the health service we know that one of the prime minister's main tasks is to bring waiting list down. but it feels like that is becoming an increasingly unreachable goal because of what you're talking about, the industrial action and also the backlog the nhs. absolutely. the number of patients waiting stands at 7.7 million, which is an increase against when the prime minister made the commitment. so he's not going to meet it? it’s so he's not going to meet it? it's auoin to so he's not going to meet it? it�*s going to be extraordinarily challenging, frankly. there is good words —— works going on in truss building elective hubs, ring fencing planned activity and all of that will help make a big difference but unless we resolve the industrial action we are not getting the same level of productivity and throughput that will eat into the backlog. bier?
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that will eat into the backlog. very interesting- _ that will eat into the backlog. very interesting. in _ that will eat into the backlog. very interesting. in the _ that will eat into the backlog. very interesting. in the broader sense, we've heard what stephen barclay set out already, but was there anything you desperately wanted to hear there that was missing? i you desperately wanted to hear there that was missing?— that was missing? i think we would have liked to _ that was missing? i think we would have liked to have _ that was missing? i think we would have liked to have heard _ that was missing? i think we would have liked to have heard more - that was missing? i think we would l have liked to have heard more about capital investment in the nhs and you mention technology that there is also the government have announced a new hospital programme and there is still a significant backlog in terms of maintenance and infrastructure across the service. he mentioned the workforce plan and the workforce is critical and honestly we welcome natalie the expansion of medical places but we still have a big issue with making sure we retain staff and keep staff in the nhs and create the right environment for staff to work in and that brings us back to the challenge around resolving industrial action to create the sense of shared purpose and togetherness that we absolutely need across the nhs right now. we togetherness that we absolutely need across the nhs right now.— across the nhs right now. we keep cominu across the nhs right now. we keep coming back _ across the nhs right now. we keep coming back to _ across the nhs right now. we keep coming back to industrial _ across the nhs right now. we keep coming back to industrial action - across the nhs right now. we keep coming back to industrial action fori coming back to industrial action for a good reason. what happens if it is
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not solved by the time you hit the winter peak, all the time at which the nhs is under the most strain? is there a danger things start to fall over. , . . there a danger things start to fall over. , ., ., .., , over. there is a danger we carry more and _ over. there is a danger we carry more and more _ over. there is a danger we carry more and more risk _ over. there is a danger we carry more and more risk in _ over. there is a danger we carry more and more risk in the - over. there is a danger we carry| more and more risk in the sense over. there is a danger we carry - more and more risk in the sense that we had more demand through the winter, all of the things we were tracking in terms of flu, covid etc, moving into a winter season, it's really important we are as resilient as possible. the nhs has put together a strong plan for winter but it could be compromised by industrial action unless we get that resolved, so that is worrying organisations absolutely. julian hartle , organisations absolutely. julian hartley, thank _ organisations absolutely. julian hartley, thank you _ organisations absolutely. julian hartley, thank you for - organisations absolutely. julian hartley, thank you for your - organisations absolutely. julian i hartley, thank you for your time. really interesting how much focus there is notjust on government but there is notjust on government but the whole nhs sector about that industrial action, the whole nhs sector about that industrialaction, but the whole nhs sector about that industrial action, but the truth is, at the moment, it doesn't seem like at the moment, it doesn't seem like a breakthrough is anywhere near happening with the junior doctors
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and the others who are on strike as well, so the situation seems a bit stuck at the moment and i'm not all that sure that the comments from the health secretary talking about unions not being on the side of patients under the militant is going to necessarily do much to improve that situation. fascinating conversation. we are still watching the technology secretary giving her speech, and we are waiting for michael gove, the levelling up and housing secretary to begin speaking after michelle donnellan has finished. let's listen to her for another minute or two. i finished. let's listen to her for another minute or two.- finished. let's listen to her for another minute or two. i will stand u . another minute or two. i will stand u- for another minute or two. i will stand up for these _ another minute or two. i will stand up for these core _ another minute or two. i will stand up for these core values. - another minute or two. i will stand up for these core values. but - up for these core values. but increasingly, thanks to the slow creep of wokism, this guiding light thatcher referred to is under attack. keir starmer has said that theseissues attack. keir starmer has said that these issues don't matter to the
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public. he thinks the legitimate concerns of the scientific community and millions of britain don't matter. well conference, ithink and millions of britain don't matter. well conference, i think it does matter. i think it matters when scientists are told by university bureaucrats that they cannot ask legitimate research questions about biological sex. and i think it matters when scotland's chief of stat issues guidance stating that data on sex can only be collected in exceptional circumstances, and i think it matters when the ons has to be taken to the high court because it —— it's a census guide and says it's possible to change a biological sex. i think it matters that in 2021 police scotland announced that a male rapist who self identifies as a woman would then be recorded statistically as a female rapist by the police. any credible scientist will tell you
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that gender and sex are two different things. to that gender and sex are two different things.— different things. to suggest otherwise — different things. to suggest otherwise is _ different things. to suggest otherwise is not _ different things. to suggest otherwise is not only - different things. to suggest - otherwise is not only scientifically illiterate, it actually damages scientific research and statistics in everything from populations to medicine to sport. and unlike comrade keir starmer, we will not sit idly by and watch an intolerant view stifled the light of silence that lead us in the right direction. so today i am launching a review into the use of sex and gender questions in scientific research and statistics... questions in scientific research and statistics- - -— statistics... technology secretary s - eakin . statistics... technology secretary speaking at _ statistics... technology secretary speaking at the _ statistics... technology secretary speaking at the conservative - statistics. . . technology secretary l speaking at the conservative party conference. nick eardley, our political correspondent who is with us as well, i wonder if we can turn to the topic of hs2. we said this is theissue to the topic of hs2. we said this is the issue that so far has been hanging over the tory party
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conference, even though we

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