argyrotsipi/train-dataset huggingface dataset:
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I gently say to the right hon. Gentleman that when 111 was set up it had the support of the Opposition. The shadow Health Secretary at the time looked at the risk register. The number of calls has increased dramatically partly because demand for NHS services has increased dramatically. That does not mean to say that there are not important things that need to be improved. We need to look honestly at what went wrong. The 111 service was one of the four areas where we should have done better. I am happy to look carefully at what is happening with 111 in the south-west. One improvement is that, in many areas, we are integrating the commissioning of 111 with the Ambulance Service, and that is something that happens in the south-west. On the whole, that has been a positive experience, but I know that there have been problems in the south-west, and I am happy to look further at them.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Robin Caspar Walker (Conservative, Centre-right): May I associate myself with those who have paid tribute and expressed condolences to the Mead family? Given the seriousness of this case, which we learned about today, what more can the Secretary of State do to reassure us about the clinical input and expert oversight of the NHS 111 service and its methods?
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): All 111 services have clinicians present at call centres, so it is about not the availability of clinicians, but the speed with which they are involved in cases where they can make a difference. It is also about the training of those clinicians so that they can recognise horrible infections such as sepsis quickly. It is a combination of things. The important thing here is that if we are to give the public confidence in a simpler system where they have a single point of contact—albeit a phone line or a website—they need to be confident that if they are not immediately speaking to someone who is clinically trained they will be put through to such a person if it is necessary. We have not earned that confidence yet, which is why it is so important that we learn lessons from what happened in this tragic case.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I understand what the right hon. Lady is saying, and of course I would listen to her because of her experience, but I reassure her that that is not the only thing that we are doing; we are doing lots of other things. The report makes many recommendations, one of which is to look at the algorithms that the call-handlers use to make sure that they are more sensitive to some of the red-flag signs of sepsis, meningitis and other conditions. There are lots of other recommendations. They include earlier access to clinicians where appropriate, and recommendations on the training of clinicians in the out-of-hours service, the training of GPs and the training of people in hospitals. So we will be undertaking a much bigger body of work as a result of this review.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Chloe Rebecca Smith (Conservative, Centre-right): I welcome my right hon. Friend’s commitment to support CCGs to commission the 111 service and the out-of-hours service together where appropriate. He may be aware of some concerns in Norfolk about our out-of-hours service. What else is he doing to recruit, retain and support GPs in providing the round-the-clock care that people clearly need?
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I have said before at this Dispatch Box that successive Governments of both parties have under-invested in general practice, and that is part of the reason why it takes too long for many people to get a GP appointment. It is why we have said that we want to have about 5,000 more doctors working in general practice by the end of this Parliament. That is an important part of what we want to do The other side is improving our offer to the public. When you have a child with a fever, and you are not sure, and it is the weekend, very often you have a choice between an out-of-hours GP appointment, a weekend appointment at your GP surgery, calling 111 or showing up at an A&E department. It is just confusing to know the right thing to do. If we are to improve standards of care, we need to standardise safety standards across the NHS, including for spotting potential sepsis cases, and that means a much simpler system.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We believe from the independent case note analysis that has been done across the NHS, not just for sepsis but for hospital deaths, that there are around 200 avoidable deaths every week. That is something we share with other health systems; it is not just an NHS phenomenon. It is why we are asking hospitals to publish their estimated avoidable death rates, and we are having an international summit on that next month We think there are about 12,000 avoidable deaths from sepsis every year, and that is as a result of a combination of different parts of the NHS—GP, hospital or the 111 system—not spotting the signs earlier. That is what we are determined to put right.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Anne-Marie Belinda Trevelyan (Conservative, Centre-right): Looking across the NHS at how we ensure that learning and behaviour change, can the Secretary of State update the House on how the hospital payment system is changing to incentivise new diagnosis and better outcomes?
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend is right to say that we are doing that for hospitals. When I talk about 200 avoidable deaths every week, that is hospital deaths, not deaths as a result of problems in the 111 service. It is much harder to quantify avoidable deaths outside hospital, but we are determined to do that, and we are going further and faster than any other country that I am aware of as part of our commitment to make the NHS the safest system anywhere in the world.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): No one could have done more than this Government to tackle the issue of avoidable deaths across the NHS. It is much harder to identify when a death was avoidable when it happens outside hospital. As part of our work on reducing the number of avoidable deaths in the wake of what happened at Mid Staffs, we are looking at how we could improve primary care generally. Our first priority is to reduce the number of avoidable deaths in hospital and to learn from reports such as this one when they point to improvements that need to be made in the 111 service.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Victoria Atkins (Conservative, Centre-right): I join in the condolences that have been expressed in the House. By way of tribute to Mr and Mrs Mead’s campaign to raise awareness of sepsis and its symptoms, I wonder whether each and every parent can take a small but practical step today and google the symptoms of sepsis so that we know when things are not right with our children and are better armed to tackle doctors when we are not getting the answer that we need. I did exactly that this morning after hearing Mrs Mead’s very moving interview on the radio.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I thank my hon. Friend for that important intervention. If we are going to deal with the 1,000 tragic sepsis deaths among children every year, it needs a sustained effort from all of us, not just the NHS. I will take away the action of looking at what Public Health England is doing to raise public awareness. The Minister for Public Health, my hon. Friend the Member for Battersea (Jane Ellison), will look at what health visitors can do to boost awareness of sepsis, but in the end we all have a responsibility to understand the symptoms better.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Not at all. I gently urge Opposition Members not to fall into the trap of trying to make political capital when tragedies such as this happen. In the wake of the Francis report on Mid Staffs, this Department has done more than any Government have ever done to improve the safety of care in the NHS. If you take the four most common harms—urinary tract infections, venous thromboembolisms, pressure ulcers and falls—the number of deaths in hospitals has fallen by 45% in the past three years. We are making sustained progress in improving the level of safety and care in the NHS, but we are never complacent, which is why are taking so seriously the report issued today.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Kevin Paul Hollinrake (Conservative, Centre-right): This is a tragic case, and our thoughts today are with the Mead family. Reluctance to prescribe antibiotics due to the dangers of antimicrobial resistance played a key part in this tragedy. Does the Secretary of State agree that this is a significant global problem, and we need to commit significant investment to it?
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I am grateful to my hon. Friend for raising that issue, which has not been raised so far this afternoon. He is right. We have a pressing global need—not just a UK need—to reduce the inappropriate prescribing of antibiotics. That is why training of clinicians is so important. In the case of sepsis, not only is the prescribing of antibiotics appropriate but it is essential and it is essential to do it quickly. We need to make sure that, as we train GPs to reduce their prescribing of antibiotics so that we do not develop the resistance to antibiotics that could be so disastrous for global health, they do not avoid prescribing them when they are absolutely essential.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I do agree that we need more clinicians in primary care. We also need to invest in secondary care, which is why the hon. Lady has a new A&E centre opening in Hull, which I am sure she welcomes. We need more clinicians in primary care so that we can deal with these issues more quickly, before people need hospital care and to spot conditions such as sepsis. This Government are investing £10 billion in the NHS annually in real terms in order to step up the improvement in the services that we offer.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We will certainly look at whether we need to have more clinicians in 111. We do have clinicians available in 111. My own view is that it is the separation of the out-of-hours services and the 111 service that is at the heart of the problem that we are looking to deal with, but as part of the review we will look at the availability of clinicians in 111.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I can reassure the hon. Gentleman that we are looking at all these things. As with the issue of the prescribing of antibiotics raised by my hon. Friend the Member for Thirsk and Malton (Kevin Hollinrake), of course we want GPs to avoid inappropriate referrals to secondary care, but it is vital that where a referral is needed, it happens. We see this not just in cases of sepsis, but in cases of cancer. It is vital that we get better at catching cancers earlier if there is to be a successful outcome to the treatment, so the hon. Gentleman is absolutely right. That will be looked at.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): The hon. Lady is right about the importance of involving patients when such tragedies occur, and I said in my response to the urgent question how grateful I was to the Mead family for their co-operation. One of the things the report identifies as important is earlier involvement and more listening to parents and families in such situations. I caution the hon. Lady against a blanket dismissal of the service offered by 111. There are many clinicians and call-handlers who work extremely hard and who deal with about a million calls a month, and the vast majority of those cases have satisfactory outcomes. But does that mean that there are not significant improvements that we need to make to that service? No, it does not. Of course there are things that need to be done better and we must learn the lessons from this terrible report.
William Mead: 111 Helpline — House of Commons, 2016-01-26
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I think that is a misrepresentation of what happens with 111. There are clinicians in every 111 call centre. There are not physically enough doctors and nurses to have doctors and nurses answering every single call, and indeed the advice from the clinicians in the NHS responsible for the 111 service is that that would not be appropriate. If we are to do the triage that the hon. Lady talks about, what matters is that where a clinician needs to be involved, they are involved more quickly than happened in the current case. That is the lesson that this Government are determined to learn.
Charities (Protection and Social Investment) Bill [Lords] — House of Commons, 2016-01-26
Topic: Health
Margaret Ann Throup (Conservative, Centre-right): I fear that under new clause 3, the hard-earned money that people donate to charities would be spent on political campaigning, rather than the initial cause to which they donate, such as true medical research. That is why the new clause is flawed.
Sutton Coldfield Green Belt — House of Commons, 2016-01-26
Topic: Health
Andrew John Bower Mitchell (Conservative, Centre-right): Of course the Minister cannot comment on the substance of what our hon. Friend has said, but I am sure he will agree that, were it to be the case that the hospitals, already very challenged, had not even been consulted by the authority, that would indeed be very remiss and would suggest that the full duty had not been exercised by the local authority and planning inspector in their researches.
Driving Test Centres: Waiting Times — House of Commons, 2016-03-10
Topic: Health
Thomas Christopher John Pursglove (Conservative, Centre-right): What assessment has the Minister made of email cancellations? I have been made aware of a number of cases where people have received them just minutes before tests were due to start. I would be interested to know the impact that is having on waiting times.
Apprenticeships — House of Commons, 2016-03-10
Topic: Defense
Giacomo Lopresti (Conservative, Centre-right): I congratulate my hon. Friend on his statement and I agree with him. I, too, am an evangelical supporter of apprenticeships. We in the office have an apprentice, young Jake Carruthers, who is doing an amazing job. Does my hon. Friend agree that apprenticeships perform a valuable role in protecting our country, not only in maintaining and enhancing our sovereign defence capability, but through the large number offered throughout the armed forces?
Apprenticeships — House of Commons, 2016-03-10
Topic: Defense
Nicholas Edward Coleridge Boles (Conservative, Centre-right): The armed forces really are leading the way on this, and they have done so for a very long time. I would like to put on record my thanks to my right hon. Friend the Secretary of State for Defence, who takes a particularly keen interest. The armed forces are confident that, between them, they will be able to create 100,000 apprenticeships in the life of this Parliament, contributing massively to our target. As so often, where the armed forces lead, we should follow.
Northern Ireland (Stormont Agreement and Implementation Plan) Bill — House of Commons, 2016-03-10
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): The IRC, obviously in conjunction with the duties I mentioned, will be free to report on anything of that nature. It is not only the UK Government who are keen to pursue this, but the Government of the Republic of Ireland. I think that both Governments recognise that this cannot be done in a vacuum, with Northern Ireland entirely carved out of paramilitary activity on the island of Ireland In respect of the duties not to prejudice national security interests and not to put at risk the life or safety of any person, the Secretary of State must issue guidance to the commission about the exercise of its functions, in so far as the commission’s functions touch on the disclosure of information that might be prejudicial to those duties.
Northern Ireland (Stormont Agreement and Implementation Plan) Bill — House of Commons, 2016-03-10
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): Parliament will certainly have an opportunity to scrutinise the guidance as published. As for the timescale, that will be dictated by how quickly the nominations of the commissioners are made. However, we do not take this lightly. The guidance is very important and everyone needs to know where they stand with it, which is why I welcome the fact that it is going to be published. I will get some clarity for the hon. Gentleman on whether the guidance will be done by regulation The guidance referred to in clause 2(5)(a) is intended to assist the commission in the discharge of its duty under clause 2(3)(a), which is not to do anything that would prejudice national security. However, we recognise that, while many of the same principles may apply to the protection of national security interests in Ireland as in the United Kingdom, it is not appropriate for the Government to issue detailed guidance about national security matters in another jurisdiction, and it was never the Government’s intention to attempt to do so.
Northern Ireland (Stormont Agreement and Implementation Plan) Bill — House of Commons, 2016-03-10
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): I think the best solution is for me to write to my hon. Friend on that technical question. I do not think that anyone in the United Kingdom, or in any democracy, would propose supporting paramilitaries, be they here or abroad
Northern Ireland (Stormont Agreement and Implementation Plan) Bill — House of Commons, 2016-03-10
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): The aftercare service is available to former members of both the Royal Irish Regiment and the UDR, and it has, in effect, been moved into a main initiative to carry on looking after them. I visited the service last year and it provides excellent support Members of the armed forces and, indeed, the security forces are, of course, at the forefront of our minds with regard to providing that support. It will be up to Combat Stress and the armed forces to decide how they divide the money and deliver the service.
Northern Ireland (Stormont Agreement and Implementation Plan) Bill — House of Commons, 2016-03-10
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): I share the right hon. Gentleman’s frustration. That is why, when I was appointed, instead of waiting on areas like mental health, I went around the problem, approached Combat Stress and said, "What’s important to veterans and victims is outcomes and getting a service. I’m not too fussed who delivers it. I just want to get the service delivered to them." I hope that is partly why we have got where we have with Combat Stress, but I am happy to listen to other areas of frustration and see what we can do to deliver the service.
Northern Ireland (Stormont Agreement and Implementation Plan) Bill — House of Commons, 2016-03-10
Topic: Defense
Robert Alexander Stewart (Conservative, Centre-right): I thank the hon. Gentleman for being so generous about my record in Northern Ireland. I want to back up something that the right hon. Member for Lagan Valley (Mr Donaldson) has said. In 1988, an IRA gun team came to my house in Brussels to kill me. They were stopped because my son Alexander, aged 11, thought that something was fishy about three men asking to speak to his daddy. They went away and they killed two RAF servicemen up the road. The victims were not just in the UK; they were also on the continent of Europe, and probably elsewhere too.
Cathedrals — House of Commons, 2016-03-17
Topic: Culture
Caroline Alice Spelman (Conservative, Centre-right): It is clear from the increasing attendance figures that Church of England cathedrals do bring more people together. It is also significant that, in the last decade, there has been a 14% increase in the number of educational visits, which demonstrates that cathedrals appeal to all generations.
Macur Review — House of Commons, 2016-03-17
Topic: Health
Robin Caspar Walker (Conservative, Centre-right): The Secretary of State was right to acknowledge the anguish and suffering that these events have caused and the fact that the police need to continue inquiries in respect of any of the perpetrators. Does he agree that it is vital that victims get support with mental health services and therapy? Will he be making representations to make sure that some of the money the Government are rightly investing in mental health goes to help victims of these types of terrible crimes?
Small Production Companies: Cornwall — House of Commons, 2016-01-21
Topic: Culture
Edward Vaizey (Conservative, Centre-right): I hope you will indulge me, Mr Speaker, if I briefly pay tribute to the great George Weidenfeld, who died yesterday. He was a great patron and supporter of the arts The Government have taken steps to support small production companies across the UK through tax reliefs and grant schemes. In the last two years, Creative England has supported 51 productions in Cornwall, which has led to 439 shooting days in the county and an estimated on-location spend of nearly £7.5 million.
Small Production Companies: Cornwall — House of Commons, 2016-01-21
Topic: Culture
Scott Leslie Mann (Conservative, Centre-right): Tourism in North Cornwall has benefited hugely from the "Poldark" effect, but other television dramas are also produced across our beautiful coastline, including "Doc Martin" in Port Isaac and "Jamaica Inn", filmed on Bodmin moor. Will my hon. Friend assure me that he will continue to support the film industry in my part of the country?
Small Production Companies: Cornwall — House of Commons, 2016-01-21
Topic: Culture
Edward Vaizey (Conservative, Centre-right): Of course. I am well aware of the "Poldark" effect. In fact, I am often mistaken for Aidan Turner’s body double. There are 13 great production companies in Cornwall. Our film tax relief has brought more than £7 billion of film investment to the UK as a whole, and I can assure my hon. Friend that we will continue to support productions in Cornwall.
Channel 4 — House of Commons, 2016-01-21
Topic: Culture
John Flasby Lawrance Whittingdale (Conservative, Centre-right): I absolutely agree with the hon. Gentleman. The challenge of increasing diversity applies across all broadcasters. It is something that I know my hon. Friend the Minister for Culture and the Digital Economy has paid close attention to—and indeed he was speaking only this week with Idris Elba, who is another person who competes with him in terms of his own attraction.