argyrotsipi/train-dataset huggingface dataset:
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Huw William Merriman (Conservative, Centre-right): I will not, I am afraid, because of time. I am sorry I would like to see more powers given to CCGs, or perhaps a tier above, to enable them to intervene where GP surgeries are not functioning as they should be. At the moment, there is no sharing of data, so CCGs cannot see where surgeries might be about to fall over. We expect CCGs to intervene and take over when things go wrong, but that is often too late, so I would like to know if more taskforces could be put in place. It is clear that the GP model that we have continued with since 1947 is not the GP model that younger GPs want to buy into: they do not necessarily want to buy into the practice model, are concerned about litigation and do not necessarily want to stay in the same place for all those years. We need great reform, therefore, and I add my support to the voices on both sides of the House saying that perhaps a royal commission is the way to take this forward.
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Stephen Charles Brine (Conservative, Centre-right): The sustainability and transformation partnerships have been established across England—I am sure that the hon. Gentleman will have engaged with the one in his area—and they take local decisions about how services are organised in local areas. I implore him to engage with his STP; indeed, I know that he is already doing so. If he wishes to talk to me about this, he can of course do so Let me respond to some more of our contributors. The hon. Member for Bristol South always speaks sensibly. She spoke about the public representation and involvement in STPs. I agree that we could do more in that area, and as the Minister responsible for STPs, I want to see that we do so. Her point was well made. The hon. Member for Crewe and Nantwich (Laura Smith) spoke about her constituent, Elle, who lost her battle with cystic fibrosis. She speaks up for her constituents well, and very emotionally, and if she continues to do that, she will do extremely well in this House The hon. Member for Stockton South (Dr Williams) is a new Member, and I already have a lot of respect for him. In his typically sensible contribution, he made some sensible suggestions for improvement in the NHS. He went on to talk about how we could do better on prevention, and he was absolutely spot on. We all agree that prevention is part of our one NHS. He said that this was not all about money, and I agree. Money is a key part of this, however, and that is why we spend 9.9% of our GDP on healthcare, which is above the EU average The hon. Member for Leicester West (Liz Kendall) said that this is not what happens every year, but the NHS is under great pressure at this time every year. A headline from The Guardian newspaper on 27 October 2001 stated "NHS faces another winter of crisis". The NHS is often under pressure at this time of year, and the important thing is how we prepare for that. As I have said, we are better prepared than ever. It is a shame that the hon. Lady is not listening to my response. [Interruption.]
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Stephen Charles Brine (Conservative, Centre-right): Thank you, Madam Deputy Speaker. The Members appear to be heckling themselves The hon. Member for Wirral West (Margaret Greenwood) said that the NHS was a political organisation. I totally disagree. The NHS is an organisation run by hard-working people who are public servants. They go to work every day to do a job for our constituents, and the NHS is not a political organisation. The Labour party is a political organisation, and it is politicising the NHS—
Fire and Rescue Services — House of Commons, 2018-01-08
Topic: Defense
Amber Rudd (Conservative, Centre-right): I recognise the vital role that firefighters play in the protection of communities, as demonstrated recently during the tragic fires at the Liverpool Echo Arena car park and in Manchester. Fire and rescue services have the resources they need and will receive around £2.3 billion in 2018-19 to continue their vital work. Single-purpose authorities’ non-ring-fenced reserves increased by 88% to £615 million between March 2011 and March 2017. That is equivalent to 49% of net expenditure.
Fire and Rescue Services — House of Commons, 2018-01-08
Topic: Defense
Amber Rudd (Conservative, Centre-right): I would point out to the hon. Lady the scale of the reserves that I have already highlighted and ask her to work closely with her local fire authority to ensure that it is using that money wisely. To follow up on her comments, I have the utmost respect and admiration for the firefighters who did such an excellent job in that particular incident.
Police and Fire Services: Collaboration — House of Commons, 2018-01-08
Topic: Defense
Nicholas Richard Hurd (Conservative, Centre-right): My hon. Friend makes an important point. I would say two things. First, joint police and fire governance will improve accountability because there will be a single point of accountability, democratically elected. Secondly, in relation to the efficiency and integrity of fire services, I hope that he will welcome a very significant reform introduced by this Government—the introduction of independent inspection of fire services.
Police and Fire Services: Collaboration — House of Commons, 2018-01-08
Topic: Defense
James Whiteside Gray (Conservative, Centre-right): Like my hon. Friend the Member for South Dorset (Richard Drax), I was very uneasy about the amalgamation of the Wiltshire fire service and the Dorset fire service last year. Does my hon. Friend the Minister not agree that it makes subsequent co-operation with the ambulance service or the local authority very much more difficult? Is their amalgamation irreversible, and if so, what will he do about the other amalgamations he seeks?
Mental Health Assessments: Detention — House of Commons, 2018-01-08
Topic: Health
Questions: How many people have been unlawfully detained for more than 24 hours while awaiting a mental health assessment in each of the last three years.
Michael Jon Wood (Conservative, Centre-right): Does the Minister agree that a police cell or a police station is not a suitable place for an innocent person suffering from mental health problems, and will she support initiatives such as the mental health triage projects in the West Midlands to make sure that people with mental health problems get the medical support they need when they need it?
Mental Health Assessments: Detention — House of Commons, 2018-01-08
Topic: Health
Questions: How many people have been unlawfully detained for more than 24 hours while awaiting a mental health assessment in each of the last three years.
Victoria Atkins (Conservative, Centre-right): Very much so. My hon. Friend will be pleased to know that health places were used as places of safety in more than 26,000 cases last year, compared with 1,029 cases of using cells, but we are determined to try to sort this out.
Mental Health Assessments: Detention — House of Commons, 2018-01-08
Topic: Health
Questions: How many people have been unlawfully detained for more than 24 hours while awaiting a mental health assessment in each of the last three years.
Victoria Atkins (Conservative, Centre-right): As I say, we are determined to ensure that places of safety are in appropriate places—health places—and we are investing £30 million to try to ensure that happens. If there are any individual cases that the right hon. Lady would like to bring to my attention, I will of course consider and review them very carefully.
Immigration: Effect on the Economy — House of Commons, 2018-01-08
Topic: Health
Amber Rudd (Conservative, Centre-right): We really value the incredibly important work that EU migrants do in our health service, and there are no plans to restrict the way in which they can come and work here. They make such an important contribution. I am aware that some of them have gone back to work in countries that have had a strong economic recovery, such as Spain. There has also been a higher level of English language test to make sure that all health professionals in our service are able to communicate very clearly and effectively with patients.
Border Force: Boats — House of Commons, 2018-01-08
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): By the end of the financial year, the Border Force maritime fleet will have six CPVs and three cutters in the UK, plus two cutters deployed overseas to deal with the issue upstream—one in the Aegean and one in the central Mediterranean. Border Force has invested £108 million in new technology and capability to deal with some of those challenges and will commit a further £71 million this year.
Border Force: Boats — House of Commons, 2018-01-08
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): The key to improving our coastal security is better collection and exploitation of data. Some of that happens through full-time people, but it also happens through the many volunteers who populate the coastal paths and watch stations of our communities. That is why Border Force has set up the multi-agency general maritime intelligence bureau to bring together the existing organisations of HM Coastguard, HM Revenue and Customs, Border Force, the Ministry of Defence, and the bureaux linked directly to the National Maritime Information Centre.
Border Force: Boats — House of Commons, 2018-01-08
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): The only people who are doomed are the Scottish National party. Unlike the hon. Gentleman, I have actually worn a uniform. He will know that uniformed services rely on a range of specials and Territorial Army support to meet the specialist requirement we need. All uniformed services should be able to take advantage of the good will people want to provide, and if we want to use specials and Territorial Army support, we will.
Border Force: Boats — House of Commons, 2018-01-08
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): I am sure the hon. Gentleman wants to make sure that our naval ships put to sea are properly serviced and properly equipped for their latest patrol. That is why ships tie up in port—not for any other reason—and why we deploy ships when needed to match the threat. He will also know that fishery protection vessels are often up and down the north-east of Scotland, where his constituency is located.
Topical Questions — House of Commons, 2018-01-08
Topic: Defense
Questions: Thank you, Mr Speaker. I apologise for not wishing you a very happy new year from the sunny shores of Clacton-on-Sea.Does my hon. Friend agree that sheer numbers of police is not the whole answer in tackling crime? In Clacton, Tendring District Council and Essex police have established a successful community safety hub with some 47 partners. Will the Minister please come to sunny Clacton to see how the scheme has been working and to look at some of the successes that we have achieved for ourselves?; Given cuts to police numbers and resources, how many police forces have notified the Home Office that they will not be pursuing certain types of crime?; Ministers have already spoken about online crime. My constituent Anne Gleed was defrauded out of a considerable sum when she was given false bank account details for the seller of a car after her emails were hacked. She reported the matter on the same day, but has been unable to recover her funds. This is an authorised push payment scam. What are the Government able to do to reduce crimes of that nature?; Since 2010, according to the Fire Brigades Union, Cheshire fire service has lost more than 170 firefighters, incident response times are up, the number of available appliances is down, and casualties are rising year on year. Will the Minister now accept that his Government’s cuts are having a detrimental effect on local services?
Nicholas Richard Hurd (Conservative, Centre-right): Funding for fire services is basically being held flat against a backdrop of a welcome decline in fire incidents. At the same time, the single fire authority system is sitting on hundreds of millions of pounds of public money in reserves, so we still believe that fire services are adequately resourced.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Kenneth Clarke (Conservative, Centre-right): NHS acute services have never been better and are among the best in the world. As the Minister just said, every year we have this slightly ritual exchange about winter pressures, but does he accept that the problems are changing because of the increased number of elderly people in the population and the increased urgency of the need to solve the problem of how to admit them promptly to the right part of the service and then discharge them properly and safely as soon as they are recovered? Will he advertise further to the many people who are not aware of it the availability of emergency GP services? Will he concentrate on the reform and integration of the community care system, the social care system and the primary care services and make sure that co-operation among them is steadily improved so that they can cope better in future years, because this problem is undoubtedly going to develop?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I am grateful to my right hon. and learned Friend for making those points. He brings to the House considerable experience of what it is like to be responsible for the NHS. He is absolutely right: the number of over-80s who are presenting to hospital A&Es is going up exponentially each year. Hospitals need to adapt the way that they treat such patients to try to keep them as healthy as possible so that they can live independently for as long as possible. That is why many hospitals are now introducing frail elderly units close to or at the front door of A&E departments so that they can turn around patients and avoid admissions. My right hon. and learned Friend is also right to point to the increasing integration between the NHS and social care that is necessary to encourage more people to live independently out of hospital and leave emergency departments for those people who are urgently ill.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): As I have already said, the social care funding has gone up very significantly this year, and there is a second billion pounds to go into social care over the next two years. The hon. Lady is right to point to Scotland having a slightly better A&E performance than England, and the two countries are far better in performance terms than any other country that we regularly monitor, but she has to be a little careful when she talks about how Scotland is performing so much better. She talked about waits. It is the case that the over-12-hour trolley waits in England for November were half the rate of over-12-hour trolley waits in Scotland. We are providing information, and we are increasingly trying to be more transparent about the impact of winter on our health service in England. I strongly encourage her to take back to her colleagues in the Scottish Government the amount of data that is being published in England and to see whether they can try to match it.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): I join the Minister in thanking NHS staff and in commenting that there is nothing new about winter pressures in the NHS. What is different is that they are extending now into traditionally quieter months, and that the depth of those pressures is so much more profound over the current winter, because there has been a failure over successive Governments to plan sufficiently for the scale of the increased demand across both health and social care. Will the Minister think about the forthcoming Green Paper for social care and think about combining it with health, so that we can see this as a truly across-system approach? I would also like to reiterate the points made by the hon. Member for Central Ayrshire (Dr Whitford) about the role of bed-occupancy levels. Can the Minister tell us what the current bed-occupancy levels are in the NHS in England?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): On the last point, I can confirm to my hon. Friend that, at Christmas eve, the bed occupancy rate was 84.2%, below the target of 85% that we set going into this particular winter period. Of course the rate fluctuates daily and I do not have the figures for the most recent days. We did at least start this holiday period in that position, which is a great tribute to the work done in preparing for winter. I wish to reiterate to her, as I did to my right hon. and learned Friend, the importance of the integration work being done through the sustainability and transformation partnership process between NHS organisations and social care providers. It is part of the solution for the longer-term arrangements that we need to put in place to try to make sure that people who are living longer live better, more healthily and in a more independent way out of hospital.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): Many areas of the country are doing very well with their waiting times. There are some—this tends to be concentrated in a relatively small number of trusts—where the referral to treatment targets are not being met, and need to be met. Part of the funding settlement achieved in the Budget in November is designed to bring down waiting time targets, to get more people treated within an 18-week period. That will clearly exacerbate the problem during this immediate period in which procedures are being deferred, but we hope that it will not last long.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): As I said in my initial response to the question, it is very important that we improve patient flow through hospitals. One of the critical features that enables this is ensuring that patients can be discharged when they are medically fit. We have put a huge amount of effort into this during the past nine months or so. I am pleased to say that some progress is being made, but we absolutely need to focus on this area. Again, there is huge variability between systems across the country. Some have virtually no delayed transfers of care, but the numbers of DToCs in other areas are much too high. We need to learn from the areas that are doing it right and introduce that in areas that are not.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): As the Secretary of State and the Prime Minister have said, we are always interested to hear ideas for improving the health service. At the moment, we have confidence in the five year forward view; that is the route that we are taking to bring the health service forwards and make it completely fit for the future. If the right hon. Gentleman has specific points that he would like to make, I am always ready to listen.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): It has been an extraordinarily difficult winter for hospitals serving my constituents in Kent. May I, too, thank NHS staff for the efforts that they have made to provide the best possible care? I welcome the extra money from the Government that has helped to open extra beds out of hospitals and to employ extra staff, particularly GPs and A&E staff. Will the Minister looks carefully at future capital funding bids and at Kent’s proposal for a medical school, so that we are better prepared for future winters and have the buildings and staff that we need?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): My hon. Friend is a consistent champion of efforts to improve health facilities in her constituency. I am acutely aware of the challenge of medical training places in Canterbury, which was one of the reasons that we met last year to discuss what could be done to encourage medical students to come to Kent. I am not able to give her any specific guidance on the allocation of new medical training places because that recommendation will be coming to me over the next few months from Health Education England. We look forward to making decisions on that, and I specifically included in the criteria that rural and coastal areas should have good representation.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I cannot comment on what the right hon. Lady says happened in her hospital regarding individual patients. I acknowledge that there has clearly been a lot of pressure on space for beds, which is in large part down to a multiplicity of factors including the high bed occupancy to cope with the high admission rate. I say gently to the right hon. Lady that her area has received £3.3 million to help to cope with winter pressures; that is not an insignificant amount. As to nursing vacancies, we absolutely recognise that we need to increase the number of nurses in this country, which is why we announced last October a 25% increase in nurses in training. That will start to take effect from next September. In addition, we have introduced the new alternative route into nursing of the nursing associate role, and we expect several thousand of those to start shortly.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I do not think my hon. Friend will be surprised if I say no, I do not agree that the system is broken. I do accept that it requires more funding, and that is why more funding was provided. It also requires local authorities to work more closely alongside the NHS to try to share these problems and find solutions together.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Margaret Ann Throup (Conservative, Centre-right): My constituents can access Derby and Nottingham hospitals. The two trusts have been allocated an extra almost £7 million for winter preparedness. Will the Minister reassure me and my constituents that there will be a full analysis of how that extra money is spent, so that we can learn lessons to make sure that we build on good practices for next year?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I am pleased that my hon. Friend welcomes the extra money provided in her area. I can confirm that once this winter period is behind us, we will absolutely look to learn lessons on what works best in ensuring that we get patients seen to as quickly as possible.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I confirmed to the House at the beginning of my remarks that we believe that planning is essential. We started planning for this winter at the end of last winter, and I expect that we will continue to do so for the coming winter. As for what happens in individual hospitals with the individual pressures that they have, it is down to the local NHS leaders and clinicians to determine what capacity they need, and they need to plan for that, too.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Kelly Jane Tolhurst (Conservative, Centre-right): In Medway, we have seen great pressures in the system over the past few weeks. We have seen advance planning at Medway Maritime Hospital and extra funding going into the clinical commissioning group. Does my hon. Friend agree that the staff at the hospital have done an outstanding job so soon after coming out of special measures and that it is important that we should hold the CCG to account on where this money is spent?