argyrotsipi/train-dataset huggingface dataset:
Points of Order — House of Commons, 2015-03-11
Topic: Health
Christopher John Bryant (Labour, Centre-left): indicated dissent. Bills Presented Standardised Testing for Diabetes (People Aged 40 and Over) Presentation and First Reading (Standing Order No. 57) Keith Vaz, Mike Freer, Andrew George, Grahame M. Morris, Jim Shannon, Mark Durkan, Mark Reckless, Mr Adrian Sanders, Dr Julian Huppert, Valerie Vaz, John Robertson, Mr Jim Cunningham, Mr Alan Campbell and Phil Wilson presented a Bill to require the Secretary of State to provide annual standardised tests for diabetes for those aged 40 and over; and for connected purposes Bill read the First time; to be read a Second time on Friday 27 March, and to be printed (Bill 186). National Health Service Presentation and First Reading (Standing Order No. 57) Caroline Lucas, Andrew George, John Pugh, Mr Michael Meacher, Chris Williamson, Mr Roger Godsiff, Kelvin Hopkins, Jeremy Corbyn, John McDonnell, Dr Eilidh Whiteford, Hywel Williams and Katy Clark presented a Bill to re-establish the Secretary of State’s legal duty as to the National Health Service in England and to make provision about the other duties of the Secretary of State in that regard; to make provision about the administration and accountability of the National Health Service in England; to repeal section 1 of the National Health Service (Private Finance) Act 1997 and sections 38 and 39 of the Immigration Act 2014; to make provision about the application of international law in relation to health services in the United Kingdom; and for connected purposes Bill read the First time; to be read a Second time on Friday 27 March, and to be printed (Bill 187).
Police Officers (Security) — House of Commons, 2015-06-24
Topic: Defense
Stephen Pelham Pound (Labour, Centre-left): With your permission, Mr Speaker, may I pay tribute to the outgoing Minister, the hon. Member for South West Wiltshire (Dr Murrison), who has many friends in this House and made many friends in Northern Ireland? He is remembered with affection and respect. I welcome the new Minister, the fifth I have shadowed, to the Dispatch Box, and note that among them have been one Royal Navy surgeon and three former Army officers, all of whom wore their uniform with great distinction—much more than I did, although admittedly the opportunity for gallantry is limited for London Transport bus conductors Last year there were 550 twelfth of July parades and the vast majority went off peacefully. Does the Minister not agree that further reductions in the PSNI budget threaten the stability of the peace process, and will he make a statement?
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): I thank the right hon. Gentleman for that question. If he paid attention to the Francis report, he would learn that it was not the targets themselves that were to blame for the Mid Staffs tragedy, but the way they were applied in that hospital. That is clearly stated in both the first and second Francis inquiries; indeed, it was a point that the Prime Minister made on the Floor of this House when he reported to Members. In the past 100 weeks, nearly 2.4 million patients have waited more than four hours in hospital accident and emergency units in England.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): I am grateful to the hon. Gentleman for that question. Had he been in this House longer and paid more attention to these issues, he would know that the datasets comparable between England and Wales are not actually the same. He would know also that the last time we had a Conservative Government people in Wales were waiting two years for operations, and that nobody campaigns more than I do on behalf of hospitals in my area on the waiting times there In the past 100 weeks nearly 2.4 million patients have waited more than four hours in hospital accident and emergency units in England; almost half a million people have spent more than four hours on a trolley waiting to be admitted; and more than 1,500 have waited more than 12 hours to be admitted Those figures offer a stark analysis of the difficulties facing accident and emergency. Even in this week of the summer solstice, this Government’s A&E winter crisis shows no signs of abating. In a debate in January the Secretary of State for Health said that the NHS had just been through a tough winter, but the evidence from NHS England shows that accident and emergency departments have had two tough winters and are well on their way to a third tough summer. Under this Government accident and emergency is experiencing a permanent winter.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Barry Strachan Gardiner (Labour, Centre-left): My hon. Friend will know that Northwick Park hospital in my constituency has had some of the worst waiting times in the country over the past year. Does he understand, and will he address in his remarks, the fact that the ageing population—those over the age of 80—in Brent has increased by 50%, yet the funding available to cope with that increase has been reduced by 25%? It means that, of the 250 people who attend A&E each day, 100 are dementia patients who become bed blockers because the integrated care package is not in place and is not working.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): My hon. Friend makes an excellent point. He is right to mention those issues, which I will come to later. I pay tribute to him for doing so The reason for those pressures on A&E, in addition to the issues that my hon. Friend raises, is the sharp increase in people attending A&E since 2010. In the past the Secretary of State has tried to claim that the increase is the fault of the previous Labour Government, but that is patently nonsense. Annual attendances at hospital accident and emergency units increased by 60,000 in the four years before 2010, whereas in the four years after they increased by nearly 600,000—10 times faster. The reality is that A&E dramatically improved between 2004 and 2010, when 98% of patients were seen within four hours. This is a crisis that only started on the Tories’ watch—after they made it harder to see a GP, after they started stripping back social care services and after they launched their damaging top-down reorganisation.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): The hon. Gentleman has made that point on the Floor of the House on many occasions, and he has been a constant voice with regard to the hospital services used by his constituents. That was a decision made by clinicians in the area, and he will recognise that. He will recognise also how much the framework has changed and how much more difficult the Government have made it for communities such as his to have their say on health reconfiguration.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Dawn Petula Butler (Labour, Centre-left): My hon. Friend the Member for Brent North (Barry Gardiner) mentioned the distressing figures at Northwick Park hospital, but the Government’s solution was to close Central Middlesex hospital’s A&E. Does my hon. Friend the Member for Copeland (Mr Reed) think that that added to the crisis or made it better?
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): My hon. Friend puts her finger on the problem precisely. It is absolute madness, and it is happening at trusts throughout England, as their deficits edge up towards £1 billion for this financial year The number of patients waiting more than four hours each year has rocketed by more than 1 million, meaning that there are now almost four times as many people as there were five years ago waiting more than four hours. That is a damning record, and based on the performance over the previous Parliament five more years of the same will see almost 2.5 million patients each year waiting more than four hours by 2020. For the benefit of patients, medical professionals and the healthcare system as a whole, that cannot be allowed to continue.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): If the hon. Gentleman wants to compare the records of this Government and the previous one, we will do that all day long and he will come out on the wrong side of that debate. On the ageing society, we would think from listening to Ministers and Government Back Benchers that this has just been sprung upon us. He is right to say that it has been coming for a long time, but we did an awful lot more to address it than this Government are doing. I will go on to explain why in just a moment A real worry for the NHS, and for those of us who use it or work within it every day, is the Government’s plan to suspend the work of the National Institute for Health and Care Excellence on its safe staffing programme. That move is a rejection of a key recommendation made by the Francis report, and in response to the move, Sir Robert Francis said: "I specifically recommended the work which NICE has been undertaking for a reason…I would not be surprised if this news generates a significant level of concern, and it seems a shame that the work of NICE has been stopped." Dr Clifford Mann, president of the Royal College of Emergency Medicine, has said: "There are real pressures on nursing levels in Emergency Departments." He has also said: "We are concerned about patient safety and staff welfare." I would be grateful if the Minister could explain to me, and to Sir Robert Francis, why on earth the Government have suspended this crucial work.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): That is the kind of magical thinking that afflicts Conservative thinking. The hon. Gentleman will be aware that at the last general election we talked about a specific £2.5 billion fund to train 20,000 more nurses, 8,000 more GPs and so on. What we always said was that the NHS would get the money it deserves, quite separately from that £2.5 billion, from a Labour Government. That remains the case and he knows that that is the truth. It is true that certain societal changes, including the ageing society, pose new challenges and offer new pressures for the NHS, but the service is also under increasing financial pressure as a direct result of Government policy.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Joan Marie Ryan (Labour, Centre-left): May I tell my hon. Friend that we should not recommend to anybody that they rely upon the promises of the Conservative party, because it promised to keep Chase Farm’s A&E unit open—the Prime Minister himself promised that at the 2010 election—but then he closed it? Every A&E department in the surrounding area that now serves the people of Enfield—those of the Royal Free, Barnet and North Middlesex hospitals—continually miss their A&E waiting time targets.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): I am afraid the hon. Gentleman is not listening; the rules have changed. The system whereby these processes are undertaken has comprehensively changed. If he were to draw a golden thread through Conservative health policy over the past five years, it would be that the public do not matter and are not listened to, and that change is driven from the centre, irrespective of what local clinicians say.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): If the hon. Gentleman is seeking an apology, would he like to apologise for the fact that A&Es in England have missed their waiting time targets for the past 100 weeks? I do not see any trace of an apology or any scintilla of embarrassment on his face It is true that certain societal changes, including the ageing society, pose new challenges and offer new pressures for the NHS, but the service is also under increasing financial pressure as a direct result of Government policy. First, the declining access to social care and the squeeze on primary care have forced people to turn to A&E in increasing numbers and have also meant an increasing number of admissions that could have been avoided if people had received better care outside hospital. Secondly, the Government wasted £3 billion, at least, on a damaging top-down reorganisation that nobody wanted and nobody voted for, and which was hidden from the electorate. That reorganisation sucked resources from front-line patient care. We know that senior members of the Cabinet believe that the reorganisation was a catastrophic mistake. We know that, in the words of British Medical Association chair Mark Porter, "the damage done to the NHS has been profound and intense", and we know that the reorganisation has not made the NHS more productive or more efficient Thirdly, the effect of that wastage has been compounded by the short-sighted cuts to nurse training places at the beginning of the previous Parliament. That means that there are not enough staff working in hospitals—that was a key criticism by the Keogh review. In addition to compromising patient safety and clinical outcomes, this Government’s decision has left trusts over-reliant on expensive agency staff.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Madeleine Moon (Labour, Centre-left): When I worked in hospitals and was responsible for arranging community-based discharge, two major problems created a delay in discharge—I hate the expression "bed-blocking" as it is such an insult to elderly people. One was access to community care facilities—home care support—and the other was ensuring that we had community equipment, such as hospital beds, hoists or bathing equipment. If we do not have all the pieces in place, which often come not from NHS funding but from local authority funding, it will not happen. That is exacerbating the problem in A&E.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): I am grateful to the hon. Gentleman for his intervention. I absolutely agree that models such as that and local best practice can exist in pockets all over the country. It is just a shame that so many health economies are getting cut to the bone, because that stops them developing such care models. He is right that it is precisely that kind of integration that points the way to the future. Have the effects of these public health budget cuts on primary care and accident and emergency been modelled by the Department, and will the Minister share that work with the House? If that work has not been done, will he explain why? Has the Department consulted on these latest cuts, and what was the response? I now wish to turn to the situation in general practice. In the previous Parliament, we saw a marked increase in the number of people waiting longer for a GP appointment. By 2013-14, almost 6 million people could not get a GP appointment. If the trend continues, that figure could be around 10 million by the end of this Parliament. Those people are often left with little option but to turn to accident and emergency. The GP patient survey suggests that almost 1 million patients went to A&E last year because they could not get a convenient GP appointment. It is clear that the GP workforce crisis is a major driver of the issues under discussion today.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Robert Charles Douglas Flello (Labour, Centre-left): My hon. Friend is making an extremely good speech and is being very generous in giving way. On that point, Stoke-on-Trent has traditionally had far more patients per GP than the national average, and the age of that population is rapidly approaching, and often way past, retirement age. What we are seeing is not that people cannot get an appointment when it is convenient, but that they cannot get an appointment for days on end.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): My hon. Friend makes the case. What is happening in Stoke, I regret to say, appears to be something of a canary in a coal mine for the NHS around the country, and its issues will increasingly be seen in areas all over the country It is clear that the GP workforce crisis is a major driver of the problems. The number of full-time equivalent GPs per head has fallen over the past five years, even as demand has increased.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): I have been generous with time, so I must press on In 2013, the Government announced a call to action to improve general practice access and experience for patients. They set out six key indicators to rate the quality of access and experience for patients. One year later, every single indicator had shown a deterioration in performance. Fewer people described the overall experience of their surgery as good and fewer people were able to get an appointment. The Government must address that finding. Only by addressing the crisis in general practice in addition to social care can the Government begin to relieve the pressures on A&E departments When the Secretary of State and the Prime Minister discuss the NHS in this House, they like to use words such as "openness" and "transparency". Sadly, their actions betray that sentiment on a routine basis. I refer again to Professor Keogh’s seminal letter to the Secretary of State two years ago in which he refers to the use and principle of transparency in the NHS as representing "a turning point for our health service from which there is no return." Except that, for this Government, it seems that there is a return Currently, NHS England publishes the performance measures for each A&E in England every week. Those figures contain a wealth of information for each trust and it makes that data available to the public. The data show how each A&E department is performing across a range of measures, and it can be used to target specific interventions at trusts that are struggling. This reporting time period also means that issues can be identified quickly and resolved promptly. Rather than taking action to ensure that hospitals in England meet this target, the Government are seeking to hide the performance data. We will not be able to see how A&Es are performing each week; we will have to wait until the end of each month. By publishing a significant number of performance measures from across the NHS on the same day, the Government appear to have found an innovative way of burying bad news—publishing even worse news at the same time. Patients deserve better than that. Clearly, Ministers find it more palatable to be reminded of their failings just once a month, rather than at the end of each week. This move is designed to make the red box lighter and the scathing headlines kinder. Will people not conclude that the monthly publication of A&E data—unlike other monthly data sets—has nothing to do with patient care and everything to do with political and media management?
A&E Services — House of Commons, 2015-06-24
Topic: Health
Natascha Engel (Labour, Centre-left): Order. We are straying into the general election, which has passed, and away from what is on the Order Paper, which is a debate on A&E services. If the Minister could stay on that subject, I would be enormously grateful.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Helen Elizabeth Hayes (Labour, Centre-left): I want to raise a point of substance that affects my constituents. There are young people in my constituency who would love to train as nurses and work in the NHS, but by cutting the number of training places in London by 25%, the Government have made that much harder. At the same time, when I last spoke to the recently retired chief executive of King’s College Hospital NHS Foundation Trust, he told me that he was recruiting nurses in the Philippines, because there are not enough nurses—
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): I am grateful to the Minister for giving way, but he gives an absolutely fictional account of my remarks to the House. If he is so confident in his description of what is happening in the health service, can he explain why a comedy document produced by the Conservative research department says: "New polling by Conservative peer Lord Ashcroft found that 47 per cent of voters believe Labour has the best approach to the health service while just 29 per cent picked the Tories"?
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): I wish the Minister was right. I genuinely wish ours was the best A&E provision in the world. However, I have to draw his attention to an article in the International Business Times in January this year. When a journalist contacted the Department of Health to learn the basis for that claim by the Secretary of State, they were told that there was "no concrete research on which Hunt had made the statement" This is a complete fabrication. Will the Minister set the record straight?
A&E Services — House of Commons, 2015-06-24
Topic: Health
Heidi Alexander (Labour, Centre-left): The Minister is talking about the financial context. My worry is that a lot of NHS managers in London talk about a Lewisham-sized hole in the NHS budget in south-east London. We stopped the Secretary of State closing Lewisham’s A&E last time. Can the Minister promise me today that he will not be coming back to Lewisham for another go?
A&E Services — House of Commons, 2015-06-24
Topic: Health
Jamieson Ronald Reed (Labour, Centre-left): The Minister has touched repeatedly on issues of finance. He has not given an accurate reflection of the Labour party’s position going into the general election with regard to NHS funding. Let me ask him again: will he explain how the £22 billion of efficiency savings is going to be made, and will he give a guarantee that it will not affect hospital services, A&E services, staff numbers, or any front-line services in any community in this country?
A&E Services — House of Commons, 2015-06-24
Topic: Health
Marie Elizabeth Rimmer (Labour, Centre-left): A 25% reduction in the number of GPs and practice nurses has been forecast over the next five years. I have the statistics to prove that. People talk about the cost of agency staff and locums in hospitals, which is out of all proportion. There are also massive increases in costs—
A&E Services — House of Commons, 2015-06-24
Topic: Health
Iain David Wright (Labour, Centre-left): This is the first opportunity I have had to welcome you to the Chair, Madam Deputy Speaker. I am extremely pleased to see you in what I think is your rightful place I pay tribute to my hon. Friend the Member for Dewsbury (Paula Sherriff) for her excellent speech. She is part of a very talented 2015 intake—far too talented for my liking, I am afraid to say. She has already demonstrated a strong reputation for standing up for her constituency—often in the face of terrible attacks—in terms of fairness, tolerance and decency in public services. She is a strong asset to this House and I welcome her The issue of accident and emergency services is important for Hartlepool, because we lost our A&E in August 2011. That closure has been felt very deeply by my constituents, who now have to travel to North Tees, which is some 13 miles away, for accident and emergency services. Given the appalling provision of public transport, the low level of car ownership and the relative levels of deprivation, that is too far to travel for far too many of my constituents.
A&E Services — House of Commons, 2015-06-24
Topic: Health
Anna Catherine Turley (Labour, Centre-left): Will my hon. Friend comment on the impact of that A&E closure on, and its implications for, areas below the River Tees, including my constituency? In South Tees, despite the best efforts of our NHS staff, waiting times have increased and the A&E target in particular continues to be missed.