argyrotsipi/train-dataset huggingface dataset:
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Let me gently tell the hon. Lady the facts about what the contract involves. It involves the maximum number of hours that any junior doctor can be asked to work in any week coming down from 91 to 72. It involves reducing the number of nights and long days they can work, as we discussed earlier. It is a safer contract. The reason morale is low is that, rather than negotiating sensibly, the BMA has gone for an outright win, which was a very big mistake. We could have had a negotiated solution a long time ago. In that situation, a Health Secretary has to do what is right for patients, and that is what we are doing.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Steven John Baker (Conservative, Centre-right): I have long found that the BMA is not universally admired by doctors, perhaps because of its long history of putting doctors’ interests ahead of patients’ interests. Will the Secretary of State ensure that he does not inadvertently drive doctors into the arms of the BMA, and will he look into adopting some of the old left ideas of mutuality, which would reconnect doctors to the interests of their patients?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend and I have discussed that recently, and I do think that the mutual structure is something we should be open-minded about. When junior doctors go on to the new contracts, which will happen in stages starting this August, they will find that it is safer and better and that they have more predictable shift patterns. It will enable them to have a better quality of life. Then they will realise just how badly represented they have been by the BMA.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We do believe we will be able to keep all A&E departments open tomorrow and the next day, during the days of the strike, but that does not mean there will not be huge pressure on hospitals, which is why we are urging people to go to A&E only if they really need to. I would simply say to the hon. Gentleman that this disruption is the responsibility of the people who are choosing to withdraw emergency care for the first time in the history of the NHS.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Andrew James Bridgen (Conservative, Centre-right): Can I ask my right hon. Friend to stick to his guns and not to give in to the unreasonable demands of the BMA? Doctors are among the most highly remunerated of our public servants—far better remunerated than members of the police or the armed services, who are essential workers and who are barred by law from taking strike action. Can I urge my right hon. Friend to review the situation with regard to A&E medics?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Interestingly, A&E departments will benefit from the new contract because there are special premiums to encourage more people to go into A&E as a specialty. However, on his broader point, I agree: when someone is paid a high salary, that comes with the responsibilities of a profession. That is why, however much people disagree with the new contract, and however much they may not agree with the Government’s plans for a seven-day NHS, it is totally inappropriate to withdraw emergency care in the way that will happen tomorrow and the next day. That is why doctors should be very careful about the impact this will have on their status in the country.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We are taking serious action to bring that deficit down. In particular, one thing we need to do to do that is to reduce the use of agency staff. That will help with the provision of more full-time staff in the NHS, which will be good for the junior doctor workforce.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Gary Nicholas Streeter (Conservative, Centre-right): I commend my right hon. Friend for the way he is conducting himself in this matter. Will he remind the House of when the BMA’s junior doctors negotiating committee first refused to meet him because it wanted to achieve a political outcome rather than a resolved settlement?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Regrettably, there has not been only one occasion. In the October before the election, the junior doctors committee walked out of talks after extensive efforts to negotiate a new contract. We then had the independent pay review body process. Then—this was the most shocking thing of all—we had the decision of the committee to ballot for strike action before it had even been prepared to sit down and talk to me about what the new contract involved. That has been at the heart of so many misunderstandings about this contract and has led to so much disappointment on all sides. If the committee had sat down and talked to us, it would have discovered that we all want the same thing: a safer, seven-day NHS.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): If the right hon. Lady is asking whether I will compromise in my pursuit of a safer NHS for her constituents and my constituents, the answer is I will not. I am the Health Secretary who had to deal with Mid Staffs and with a huge number of hospitals up and down the country that the Labour party, when in power, did nothing to turn around. We dealt with that. We put 27 hospitals into special measures. We have dramatically increased the number of doctors and nurses in our hospital wards because we care about a safer NHS. When there are issues about weekend care, the right thing to do is to address those issues, not to duck them.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I absolutely give my hon. Friend that commitment. He is absolutely right to say that professionals should not withdraw emergency care in pursuance of a pay dispute. It is totally and utterly inappropriate. It is not just me saying that; it is what very experienced doctors such as Professor Bruce Keogh are saying. This is the wrong way to go about this dispute. In the end, the public recognise a simple truth: you cannot choose which day of the week you get ill. If we are to have the best health service in the world, we need to reflect that in the medical cover we provide at the weekends as well as during the week.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We are constantly monitoring what will happen with the new contract, and we want to make sure that we get it absolutely right. If the hon. Lady makes such a plea to me, she should also talk to the BMA and say that the way to make sure we implement this contract correctly is to sit down with the Government and talk about how to make it successful, rather than to refuse to talk to us, which is what is happening at Hull Royal infirmary and many other hospitals.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy John Elton Lefroy (Conservative, Centre-right): I briefly attended a medical conference over the weekend, where doctors said they were hugely concerned about the impact on the vast majority of junior doctors who neither wish to strike nor believe that the contract is satisfactory, for the reason given by my hon. Friend the Member for St Albans (Mrs Main), when she was in the Chamber. They are being put in an impossible position. I really urge the BMA to withdraw the threat of strike action and the Secretary of State to make it quite clear that he will do whatever it takes in sitting down to resolve this issue for the sake of all our patients and their safety.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I am absolutely prepared to talk about anything that could be improved in the contract that will be introduced and, indeed, extra-contractual things such as the way in which rota gaps are filled and the training process. However, at the moment we do not have such a dialogue, and that has been the problem. The imposition of a new contract is the last thing in the world that we wanted as a Government. It followed 75 meetings—it was a totally exhaustive process—but in the end we found that our counterparty was not interested in sitting down to talk about this; it just wanted a political win. We had to make an absolutely invidious choice about doing the right thing to make patients safer. I wish we had not got to that point. We have got to it and we need to carry on, but the door is always open for further talks and discussions.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Henry Edward Millar Smith (Conservative, Centre-right): I am grateful to my right hon. Friend for visiting my constituency earlier this month. In the last decade, the previous Labour Government removed medical services from Crawley hospital; now, we have a 24/7 urgent treatment service and a doctors out-of-hours service. Does my right hon. Friend share the dismay of my local patients that the BMA is essentially asking junior doctors to go against their Hippocratic oath?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I think many people inside and outside the medical profession are deeply upset that that is happening. I really enjoyed my visit to my hon. Friend’s constituency, and we will continue to invest in his local health services. I think that his constituents will be upset by the fact that the pay and conditions many of them have for working at weekends go nowhere near what is being offered to junior doctors under the new contract. In that sense, it is totally disproportionate to withdraw emergency care, which is such an extreme measure and has never happened before.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I welcome any genuine attempt to try to resolve this issue, but Health Education England has said that it does not believe that that cross-party approach is workable. As I have said to the hon. Gentleman before, having pilots of seven-day care and new junior doctor contracts would mean that we took too long to deliver a key manifesto promise.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Rebecca Faye Clark (Pow) (Conservative, Centre-right): Farmers in Taunton Deane, as well as retail workers, journalists and bus drivers, all work across the week, and we need the NHS to do so as well. We cannot choose which day our children fall sick, and it makes absolute sense for the NHS to operate seven days a week for the sake of patients. It is crucial for the BMA to join the Government and resolve these well-thought-out plans. I urge the Secretary of State to keep up the good work.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I thank my hon. Friend, who eloquently makes the point that this is a moment of opportunity for the NHS. We have been through some terrible problems at Mid Staffs and a number of other hospitals where there were serious issues with the quality of care, and now we are going on a journey to make the NHS one of the safest healthcare systems in the world. That means facing up to these problems, not ducking them, and that is what is going to happen for the time that I am Health Secretary.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): As I have said many times, were we to do that we would be giving the BMA a veto over a manifesto commitment, and no union should have a veto over what an elected Government do. I hope that what I said in my statement will give comfort to the hon. Lady and some of her constituents that we are increasing staffing levels in the NHS to deal with the extra pressures. With regard to unworkable rotas, perhaps she will go and tell the BMA to sit round the table and talk to its local trust managements so that we can get those rotas to work, because the way to sort out these problems is to sit down and discuss them.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Antoinette Geraldine Sherratt (Sandbach) (Conservative, Centre-right): Will the Secretary of State join me in thanking the consultants and nurses at Leighton hospital and Countess of Chester hospital who will be working extra hours in order to give as much patient cover as they can? Does not the recent leak of emails from members of the junior doctors committee last week show that they utterly reject any compromise and that any offer at this stage is simply not a serious offer?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I thank my hon. Friend for what she says about consultants in her local trust and, indeed, up and down the country, as well as nurses, paramedics and many other people who will be working to keep the public safe. I salute all of them. She is absolutely right: those leaked emails show that those on the junior doctors committee know that had they been prepared to negotiate on Saturday pay we would not have had an imposed contract, so it was completely in their hands to avoid this outcome. They chose not to do that; they wanted war. That was a totally irresponsible thing to do. They need to recognise that the way we will build a safer NHS is by sitting round and talking to a Government who want to create it.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend—the one Conservative who signed up to that proposal—when he was Health Minister proposed a contract that was much tougher on junior doctors than the contract we have ended up introducing. This has been a very interesting U-turn on his part.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Oliver Newton Colvile (Conservative, Centre-right): To take pressure off GPs, A&E units and junior doctors, may I urge my right hon. Friend to make full use of the pharmacy network and ensure that it can play its full part in a seven-day national health service?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): No health statement would be complete without a mention by my hon. Friend of the important role that pharmacies can play in solving absolutely any problem that the NHS faces. Once again, I commend his excellent contribution.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Because on that one issue—Saturday pay—the BMA said in writing last November that it would negotiate, but it tore up that agreement and said that it was not prepared to negotiate even one iota. That was why the agreement fell apart. The BMA could easily, had it stuck to its word, have negotiated an agreement and we would not have a strike today. The Government have been totally reasonable and fair throughout. The BMA has not. It is the BMA’s choice to call these strikes. It should think again, because this is the wrong thing for patients and the wrong thing for the NHS.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Christopher John Pincher (Conservative, Centre-right): Many of our constituents will be concerned, and indeed angry, at the thought that some of the most vulnerable people in our society—the old, the young and the sick—are being put at risk by what they will see as some of the most advantaged people in our society. Does my right hon. Friend agree that this could do tremendous reputational harm to the medical profession, and that that will do more to damage the morale of the medical profession than any bluster from the Opposition or the BMA?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I totally agree with my hon. Friend. Medicine is a profession. It has very important values attached to it, the most famous of which are the Hippocratic oath and "do no harm". It is a step too far to say that in pursuance of a pay dispute and more pay on a Saturday, you are prepared to withdraw emergency care from vulnerable patients. That is the wrong call for the medical profession, when the alternative on the table is to sit down and talk with a Government who want to work with the medical profession to provide safer NHS care.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
David Thomas Morris (Conservative, Centre-right): A doctor who is a constituent and on the board of the BMA said in 2014 that he became politicised in the 1990s because he once crashed a car as a result of the gruelling hours he worked as a junior doctor. Does my right hon. Friend agree that with all the revisions to the proposals for doctors’ hours, this should be a thing of the past?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I totally agree with that. That is why, since then, junior doctors’ hours have been reduced, and under the new contract we are reducing yet again the maximum hours that junior doctors can be asked to work. Every doctor should welcome the new agreement, but because, unfortunately, the BMA has not chosen to negotiate sensibly despite exhaustive efforts, we are left with the very difficult decision as to whether we proceed with our plans for a seven-day NHS or whether we give up. I think that elected Governments should never give up on manifesto promises.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Robert John Blackman (Conservative, Centre-right): Junior doctors went into medicine to save lives, not to place them at risk. Does my right hon. Friend agree that by striking, junior doctors are putting people at risk? Can he confirm what the position would be if he had allowed contracts to lapse, and what the effect would be on the national health service?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I agree that the strikes are putting patients at risk. I think that what my hon. Friend means by the second part of his question is: what would have happened if we had just allowed the current contracts to roll over? The answer is that we would not have made progress towards a safer seven-day NHS, which will be of enormous benefit to his constituents and mine.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Mark Steven Spencer (Conservative, Centre-right): Will the Secretary of State use the Dispatch Box this afternoon to appeal directly to junior doctors to ignore the militant BMA, to turn up to work tomorrow, to acknowledge that the Government have met the BMA over 70 times and made more than 70 concessions round the negotiating table, and to put patients first and make sure that my constituents get the level of health service, seven days a week, that they so deserve?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend speaks extremely wisely. I say to every junior doctor in the country that what they want from our NHS—safe service and safe care for patients across every day of the week—is what we want as well. This Government are committed to the NHS. We are this year putting the sixth biggest increase in resources into the NHS in its history, so we are putting our money where our mouth is. We want to sit down with the medical profession and make this work for patients.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Philip Thomas Hollobone (Conservative, Centre-right): Will my right hon. Friend tell me whether my understanding of the Saturday pay dispute is correct? On the one hand the BMA wants time and a half throughout a Saturday. On the other, Her Majesty’s Government are offering time and a half between midnight on Friday and 7 on a Saturday morning, time plus 30% between 7 o’clock in the morning and 5 o’clock in the afternoon for those who have worked more than one in four Saturdays, time plus 30% between 5 o’clock in the afternoon and 9 o’clock, and time and a half between 9 o’clock and midnight. My constituents in Kettering had sympathy for the junior doctors but are totally opposed to the withdrawal of lifesaving emergency care, especially when the difference between the doctors’ position and that of the Government is so narrow.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Kevin John Foster (Conservative, Centre-right): I know my right hon. Friend will agree that a dispute over pay cannot justify a threat to withdraw emergency cover. Will he confirm that after the new contract comes in no doctor will be treating patients while working their 91st hour in the same week, and that he will be looking at the availability not just of junior doctors but of other support services that are needed to deliver the seven-day services we have pledged to provide?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Absolutely. My hon. Friend is quite right to point out that the seven-day NHS vision is not just about junior doctors but about support services for junior doctors that will make the provision of care to their patients at weekends not just better for those patients but much more rewarding for them. It is immensely frustrating for doctors not to be able to get diagnostic tests back quickly because it is the weekend. We want to sort out all those problems. That will be better for doctors and better for patients.
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Alexander John Gervase Chalk (Conservative, Centre-right): Whatever the objections to this contract, and however sincerely they are held, withdrawing emergency care for seriously ill patients cannot be on the list of options. On Saturday pay, will the Secretary of State bring absolute clarity to something that may have been misrepresented, or at least misunderstood: will doctors who work regular Saturdays —that is, more than one in four—continue to receive a pay uplift?
Junior Doctors Contracts — House of Commons, 2016-04-25
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Yes, they will. That is the main outstanding issue of a very small handful of issues that were not resolved. We went a very long way towards what the BMA wanted. We are reducing premium rates for Saturday pay, but are making up for that with a 13.5% increase in basic pay. That will mean that hospitals can roster more doctors at weekends and that the doctors who work the most weekends will continue to get premium pay for that extra work. It is a good thing for doctors and for patients