argyrotsipi/train-dataset huggingface dataset:
Priorities for Government — House of Commons, 2019-07-25
Topic: Defense
John Woodcock (Independent, Unknown): There was no mention of defence in the Prime Minister’s statement, and still less of nuclear deterrence. Does he recognise that we are in a race against time to build the new Dreadnought class of submarines in order to maintain continuous at-sea deterrence? Will he throw the whole weight of Government behind that vital task?
A and E (Major Incidents) — House of Commons, 2015-01-07
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We have looked into that matter in huge detail. There are probably three broad factors that are behind the increase in demand. One is the ageing population. There are 350,000 more people over the age of 75 than four years ago. The point is that if someone of that age goes into A and E in the winter, there is an 80% chance they will be admitted to hospital and quite a large chance they will stay in hospital for some time. The second factor is changing consumer expectation among younger people who want faster health care—[Interruption.] That is what Professor Keith Willett, the director of emergency care at NHS England, said, and Opposition Members should listen to what our clinical leaders are saying. The third factor is a refusal by NHS trusts to do what they were pressurised to do in the past, which is to cut corners to hit targets.
Higher Education and Research Bill — House of Lords, 2017-01-23
Topic: Health
Alison Wolf (Crossbench, Unknown): I thank the Minister most sincerely for what he has just told us and for—I do not want to call it a gloss—the additional information he has provided. I am extremely relieved to know that it is clearly the intent of the Government that the OfS should have a wide range of actions and get deeply involved not merely in risk regulation but in avoidance of catastrophe, which I have alluded to. I am extremely grateful to the Minister, I am delighted to have had the points of fact he has just given us placed on the record, and I beg leave to withdraw the amendment.
Access to Palliative Care Bill [HL] — House of Lords, 2015-10-23
Topic: Health
Robert Maclennan (Liberal Democrats, Centre to centre-left): My Lords, it is a privilege to follow the noble Lord, Lord Howarth, who focused very much on the area I intend to speak about, which is children. I am grateful to the noble Baroness, Lady Finlay of Llandaff, for bringing forward this Bill because I believe that the best palliative care is helpful to families as well as to dying people. We need to spread this form of care, which at its best can be very good, across the country The Royal College of Physicians points out that only 21% of sites have access to face-to-face palliative care seven days a week, which is a recommendation that has long been advanced. It also shows in its National Care of the Dying Audit—Hospitals, which was completed in 2014, that mandatory training in care of the dying was required for doctors in only 19% of trusts and for nurses in 28%, despite national recommendations that such training should be provided. That is not satisfactory and this Bill should help the position considerably. The audit also mentions that 53% of trusts have a named board member with responsibility for care of the dying, but 47% do not. That seems unacceptable, and I hope that it will be taken into account in the implementation of this Bill The clinical reader in palliative medicine at Oxford University, who no doubt sent his letter to most Members of the House, points out that there needs to be an awareness that palliative care is a form of emergency medicine and intensive care. It needs to be proactive to prevent crises as well as reactive to cries for help, and that sensitive communication skills embedded within a holistic approach is key to quality palliative care On the issue of children, we have had an extensive and thoughtful briefing from the charity Together for Short Lives. It is somewhat disturbing that the number of children with life-threatening and life-limiting conditions has gone up from 30,000 10 years ago to 40,000 today. It is clear that we need to be specific about how to help children and young people. The noble Lord, Lord Howarth, was very specific and I embrace what he had to say. However, we have heard that between 2013-14 and 2014-15, 23% of children’s hospices have had their funding cut as a result of financial restrictions on NHS commissioners. I hope that that will be noted by the Government and that their response will be positive. The treatment for young people with the expectation of short lives is clearly different from that for older people reaching the end of their normal lives. It requires specialist education, and I hope that that will be considered. The professional skills, experience and competencies needed to care for children and young people are not adequate, and should be a necessary part of the education of nurses and doctors.
Trident Missile Test — House of Lords, 2017-01-23
Topic: Defense
Peter John Hennessy (Crossbench, Unknown): My Lords, I declare an interest in that I witnessed the launch in question from the survey vessel two and half miles away from where the missile came out of the sea. I put it to the Minister, with great respect, that it would make it much easier for those of us who very powerfully support the independent deterrent, and the building of the four "Dreadnought" submarines in the successor class, to make the case generally in the country when we are interviewed in the media if the Minister could assure us that a full analysis has been successfully made of whatever went wrong—I have no knowledge at all of the nature of what went wrong—and that remedies have been put in place. I understand that every particle of a D5 missile is riddled with the highest security classifications, but in this case, such an assurance could be possible and would be very welcome.
Health and Social Care (Safety and Quality) Bill — House of Lords, 2015-02-06
Topic: Health
Norman Warner (Labour, Centre-left): Will the Minister clarify something that he said in relation to what I said in my speech? He said that the Bill cannot cover children in relation to health and social care. I have just read the Long Title and the Title. I can see nothing there that specifies particularly adults or excludes children. I would welcome it if he could write to me to explain what the legal judgment is as to why an amendment that relates to health and social services only—not police, not education—should not be included in the Bill in respect of children.
Nuclear Treaty: US Withdrawal — House of Commons, 2018-10-25
Topic: Defense
David Jonathan Edwards (Plaid Cymru, Centre-left to left): Just to be clear, if the INF treaty falls apart that would mean the relocation of short-range and medium-range nuclear missiles on UK soil. The UK Government have not been critical of President Trump’s diplomatic moves, so can I take it that they would not stand in the way of the relocation of those missiles on UK soil?
Yarl’s Wood Immigration Removal Centre — House of Lords, 2015-03-03
Topic: Health
Michael Bates (Conservative, Centre-right): There were to be 66%. Under its contract, Serco has to deliver that by 2015. We will make sure that it brings that forward. In addition, it has moved to ensure that there are body-worn cameras there, which can catch any incorrect activity and record it. That is a very good step. I will also take this opportunity to clarify something during that exchange on the Question the noble Baroness asked last week. The noble Lord, Lord Hylton, asked about the number of suicides and self-harm, but I heard it to be a question about suicides and said that there were none. Sadly, there are of course instances of self-harm, which are deeply regrettable and need to be investigated. I apologise for getting that wrong.
A and E (Major Incidents) — House of Commons, 2015-01-07
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We are doing an enormous amount to support social care. Some £3.9 billion of NHS funds has been given to the social care system over this Parliament, and we have strongly encouraged local authorities to ensure that any savings they have to make are done through efficiency savings, not cuts to front-line services. The hon. Lady’s local hospital has received £11 million in funding to help it through the winter. We are doing a huge amount to support the NHS through a difficult period, and she should support those efforts.
Cities and Local Government Devolution Bill [HL] — House of Lords, 2015-07-15
Topic: Health
Joan Walmsley (Liberal Democrats, Centre to centre-left): I was just saying that the noble Baroness said that the Secretary of State could impose conditions such as meeting the current statutory duties of the Secretary of State or NHS England. I wondered whether there would be any circumstances in which the Secretary of State should not impose such conditions, because I think that they are pretty fundamental to standards.
Mental Health: Out-of-Area Placements — House of Commons, 2015-12-03
Topic: Health
Norman Peter Lamb (Liberal Democrats, Centre to centre-left): It is a great pleasure to be able to raise a very important issue for debate, albeit three hours earlier than expected. It is good to see the Minister for Community and Social Care taking his seat I want to raise an issue of profound importance. It is a practice which I think is intolerable but which carries on every week of the year and probably every day of the year: the shunting of people around the country, sometimes a long distance away from home, at a moment of mental health crisis. Typically, someone at a moment of acute crisis would be taken into hospital but there would be no bed available for them, so they would be taken away somewhere else in the country. There are numerous stories of people being taken hundreds of miles away from home on a regular basis Such practice would never be tolerated in physical health services. Let us imagine, for example, someone who had had a stroke or with a heart condition being taken by ambulance and being told, "I’m sorry, there’s no room at the local hospital. We’re taking you to Cumbria from Norfolk." It would be an outrage. It would be regarded as a scandal, so it does not happen—yet it happens every week of the year in mental health. I regard that as discrimination at the heart of our NHS and it is one of the very many examples of how people who suffer from acute mental ill health are disadvantaged by the system Incidentally, I make no criticism of any individual Government; this practice always happened, but there has been a rise in the number of instances, which I will come to in a little while. In many ways, someone suffering from mental ill health does not get the same right of access to treatment at a moment of need as someone with a physical health problem. If any of us in the Chamber stopped and thought about it for a moment, we would conclude that we cannot begin to justify that, and that there must be a programme designed to achieve genuine equality of access to support at that moment of need.
Psychoactive Substances Bill [HL] — House of Lords, 2015-06-09
Topic: Health
Kamlesh Patel (Labour, Centre-left): I have just one question about the Department of Health and Public Health England. Many noble Lords have said that they would prefer to see this legislation under the health remit. I just cannot see where Public Health England and the Department of Health have been engaged or involved in taking this Bill forward, and it would be useful to have a view on that.
Psychoactive Substances Bill [HL] — House of Lords, 2015-06-09
Topic: Health
Robert Maurice Lipson Winston (Labour, Centre-left): I apologise for interrupting at the end of the debate. I was held up at Imperial College, which is why I did not put my name down to speak. When I was chairman of the Science and Technology Select Committee some years ago, we looked intensively at the medicinal uses of cannabis. One of the pieces of evidence was very compelling and enabled us to think about rather permissive legislation. It was that a number of people who had medical conditions, such as glaucoma and multiple sclerosis, took cannabis, which was not prescribed, to relieve their symptoms. They were very clear that they did not want a high. They did not want to get intoxicated. They monitored how much they were taking so that they were in complete control. Will the Minister clarify the position? Possession of those drugs would still be legal, but any attempt to obtain them would involve those people in an illegal act, would it not?
Maternity Services in Morecambe Bay — House of Lords, 2015-03-03
Topic: Health
Frederick Richard Penn Curzon (Conservative, Centre-right): My Lords, as regards Northallerton, our approach as Ministers and in the department is that service reconfiguration has to be a matter for local decision-making. We do not, as a rule, interfere with those decisions unless there is a referral from an overview and scrutiny committee in the statutory manner. I hope the noble Baroness will therefore understand that I am rather precluded from commenting on that local situation. Nevertheless, on her first point, we have asked the trust to implement the recommendations that have been assigned to it in the report. We have asked Monitor to ensure that this happens within the designated timescales to give maximum reassurance to the patients and families who are using the hospital that time is not being wasted. At a local level, the trust is in special measures. It has put in place a largely new management team, which is working towards delivering against its agreed improvement plan. Progress against that plan is being closely monitored by the quality surveillance group, thereby ensuring that the trust, CCGs, regulators and others are working together in the best interests of the local population.
Mental Health: Out-of-Area Placements — House of Commons, 2015-12-03
Topic: Health
Mark Fraser Williams (Liberal Democrats, Centre to centre-left): It would be wrong not to acknowledge in my area the Dyfed-Powys police and how the health board has embarked on such an initiative. My right hon. Friend will acknowledge that areas such as mine face the challenge of rurality and making those services available where they are needed. There is still a fear that all too often the need is not met.
Mental Health: Out-of-Area Placements — House of Commons, 2015-12-03
Topic: Health
Norman Peter Lamb (Liberal Democrats, Centre to centre-left): I agree. My own county of Norfolk, with its widely dispersed rural communities, suffers from the same challenges. Sometimes having a nurse in a car with a couple of police officers does not work in a big rural area. However, we can do other things, like having a nurse embedded in the police operations room so that whenever an issue arises they can speak immediately by telephone or, if necessary, get a resource to the scene. Depending on the geography, there are ways of dealing with those challenges. We need to be much smarter in doing that. I applaud the innovation across the country Our whole approach in the crisis care concordat was rather different from the traditional Government approach, which is sort of to impose a straitjacket. The crisis care concordat said, "These are the principles. You come up with your plan for implementing them, working with the police, mental health services and the local authority, in a way that works for your locality." That generated the most amazing degree of innovation across the country, and real progress has been made. Although I initiated it, I have enormous admiration for the people on the ground who got on and did it. It was inspiring.
Mental Health: Out-of-Area Placements — House of Commons, 2015-12-03
Topic: Health
Thomas Anthony Brake (Liberal Democrats, Centre to centre-left): I want to return to the point my right hon. Friend started with. We had an issue in Sutton where the mental health facility is based on what had been the Sutton hospital site—it was shut down mainly because Legionnaires’ bacteria were discovered. Patients now have to travel to Springfield hospital. As we see more people being treated at home, which is what we want, and therefore fewer people in acute crisis, how does he deal with the fact that, because hopefully fewer people will need to be treated in specialist centres, there is likely to be a smaller number of them?
Psychoactive Substances [HL] — House of Lords, 2015-06-16
Topic: Health
Michael Bates (Conservative, Centre-right): That it be an instruction to the Committee of the Whole House to which the Psychoactive Substances Bill [HL] has been committed that they consider the bill in the following order: Clauses 1 to 3, Schedule 1, Clauses 4 to 36, Schedule 2, Clauses 37 to 52, Schedule 3, Clauses 53 and 54, Schedule 4, Clauses 55 to 57, Title.
Mental Health: Out-of-Area Placements — House of Commons, 2015-12-03
Topic: Health
Norman Peter Lamb (Liberal Democrats, Centre to centre-left): I agree. There should be a level playing field, which there is not at present. We now have the unacceptable situation that data are incomplete because some private providers refuse to play ball. That leaves one suspicious, because if they do not provide data about how many people are held, it is impossible to hold the system to account or, indeed, to hold such private providers to account. The Minister must find a way to hold those providers to account and to ensure that they return the data they are obliged to provide A horrific number of people are still sent a considerable distance away from home. In August, 501 people were sent more than 50 km away from home. Surely that practice is intolerable, given what I have said about the increased risk of suicide, the fact that it does not provide therapeutic care and that it can lead to someone being confined for 10 days at enormous cost to the public purse. It seems to me that this is the most outrageous misuse of public money There are areas where that problem is persistently at its greatest. In August, the Devon Partnership NHS Trust had 45 people in out-of-area placements. The caveat is that we do not know precisely where responsibility lies, and whether this is a commissioning or a provider issue. However, that is the local provider, and one would normally expect such people to be in a bed provided by the local provider. The figure of 45 people means that significantly more than one person a day is shunted more than 50 km away from home, which is outrageous.
Mental Health: Out-of-Area Placements — House of Commons, 2015-12-03
Topic: Health
Norman Peter Lamb (Liberal Democrats, Centre to centre-left): I appreciate the Minister’s reassurance. One of the issues highlighted in my constituent’s case was the fact that he was transported very late at night, arriving at about 1 am, and there was another person from Norfolk in the same unit that same week who was collected at 1 am from the unit to be brought back to Norfolk. This treats people like chattel; it does not treat them as human beings. Is the Minister prepared to highlight to the Care Quality Commission that it should investigate and explore that particular aspect—the transporting of people—because having to travel in a minibus with someone who does not talk to them for three hours, and arriving very late at night is simply outrageous?
Mental Health: Out-of-Area Placements — House of Commons, 2015-12-03
Topic: Health
Norman Peter Lamb (Liberal Democrats, Centre to centre-left): Can the Minister confirm the likely publication date of the taskforce’s report? I think he said it would be in the new year, but can he give me his best estimate of a specific date? Also, I would like to acknowledge that the Norfolk and Suffolk NHS Foundation Trust has made real progress. The number of people being sent out of area has come down significantly, and that needs to be recognised.
Mental Health: Out-of-Area Placements — House of Commons, 2015-12-03
Topic: Health
Norman Peter Lamb (Liberal Democrats, Centre to centre-left): One of the recommendations from the taskforce that NHS England established to look at tier 4 services, at the number of beds required across the system and at the variability of the services was that treatment should always be contained within a region —in other words, that no child who lives in the south-west should ever go out of the south-west for treatment. I cannot remember where the child from Torbay had to go—
A and E (Major Incidents) — House of Commons, 2015-01-07
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I agree with pretty much all the College of Emergency Medicine’s 10-point plan. That has very much informed our approach to helping the NHS over this winter. Co-location of GP surgeries on hospital sites is very helpful, but we also need more proactive care for the most vulnerable older people before they feel the need to go to hospital. That will be at the heart of the changes that we want to see.
Assisted Dying (No. 2) Bill — House of Commons, 2015-09-11
Topic: Health
Alexander Morrison Carmichael (Liberal Democrats, Centre to centre-left): The hon. Lady is talking about the consequences of giving the Bill a Second Reading. Will she address for a second, though, the consequences of not giving the Bill a Second Reading? Assisted suicide will be available; it will simply be available to those who have the means and the determination to go elsewhere. What does she think should happen for these people, and for those who are currently protected from prosecution by the DPP’s guidelines?