argyrotsipi/train-dataset huggingface dataset:
Engagements — House of Commons, 2018-01-24
Topic: Health
Jeremy Bernard Corbyn (Labour, Centre-left): The Prime Minister must be aware of ambulances backed up in hospital car parks, with nurses treating patients in the back of ambulances. Ambulance drivers and paramedics desperate to get on to deal with the next patient cannot leave because the patient they are dealing with at that moment cannot get into the A&E department. It has been reported that a man froze to death waiting 16 hours for an ambulance. Last week, a gentleman called Chris wrote to me, saying: "My friend’s 93 year old father waited 4 hours for an ambulance after a fall." These are not isolated cases; they are common parlance all over the country. It needs money, it needs support, and it needs it now The Prime Minister is frankly in denial about the state of the NHS. Even the absent Foreign Secretary recognises it, but the Prime Minister is not listening. People using the NHS can see from their own experience that it is being starved of resources. People are dying unnecessarily in the back of ambulances and in hospital corridors. GP numbers are down, nurses are leaving, the NHS is in crisis—[Interruption.] Tory MPs might not like it, but I ask this question of the Prime Minister: when is she going to face up to the reality and take action to save the NHS from death by a thousand cuts?
Carillion and Public Sector Outsourcing — House of Commons, 2018-01-24
Topic: Health
Louise Joyce Ellman (Labour, Centre-left): It is good to see you back in the Chair, Mr Deputy Speaker I will focus on the impact of Carillion’s collapse on the completion of the new Royal Liverpool Hospital. I am extremely concerned about subcontractors that have not been paid for work done, apprentices uncertain of their future, pensions at risk and the prospect of workers losing their jobs. However, in the short time available I will focus on the importance of securing a date for the completion of the new Royal, where 90% of the £365 million contract has been completed. I am told that the "hospital company"—the private finance initiative company set up to build the hospital—can appoint a contractor to complete the job, and that the cost will be met from insurance, but no date has yet been given There is an added complication. The hospital company is owned by PIP Infrastructure Investment Ltd and Carillion Private Finance (Health) Ltd. Carillion Private Finance (Health) Ltd is controlled by Carillion Private Finance Ltd and is a "subsidiary undertaking" of Carillion plc, and Carillion plc is one of the Carillion companies that is in compulsory liquidation. What does this complex web mean for the appointment of a new contractor and the completion of the hospital When I raised this issue in the House previously, I was told by the Minister that the matter could be dealt with simply and that it was for the existing hospital to resolve, but that is not the case. Assurances that the hospital will be completed are simply not enough. I want firm dates for when a new contractor will be appointed and when that new hospital will be open for business. As a matter of urgency, the people of Liverpool need the services that the hospital will provide. Carillion’s collapse must not leave Liverpool in the lurch. I call on the Minister to give the answers, and to give them now.
Carillion and Public Sector Outsourcing — House of Commons, 2018-01-24
Topic: Defense
James Richard Frith (Labour, Centre-left): Hargreaves is a company in Ramsbottom in my constituency that is contracted to put fire extinguisher equipment into the hospital. It has been asked by PWC to go in and complete the work, but PWC has also acknowledged that its retention fee is lost and that it should not expect to be paid for completing that work. Will the Minister give special attention to that issue?
South-eastern Rail Franchise — House of Commons, 2018-01-24
Topic: Health
Teresa Pearce (Labour, Centre-left): Is the Minister aware that the line from Bexleyheath to Victoria has a stop at a major hospital, and many people on that line work there or have to attend as patients? Will there not be a huge effect on that line?
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Lindsay Harvey Hoyle (Labour, Centre-left): We now come to the Backbench debate on surgical mesh, in which Emma Hardy is to move the motion. As is the custom, she has around 15 minutes. I am sure there could be a little leeway, but Members should be aware we have an important debate to follow.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): I beg to move, That this House commends the recent announcement of a retrospective audit into surgical mesh for pelvic organ prolapse and stress urinary incontinence; notes that vaginal mesh has been banned in other jurisdictions such as New Zealand; further notes that NICE guidance recommends against the use of surgical mesh for pelvic organ prolapse and that no NICE recommendations have been made for stress urinary incontinence; notes that Sheffield University recently announced the development of a new mesh material; and calls on the Government to suspend prolapse and incontinence mesh operations while the audit is being carried out, to bring forward the NICE guidelines for mesh in stress related urinary incontinence from 2019 to 2018, and to commit to a full public inquiry into mesh if the audit suggests that this is the best course of action I pay tribute to the Backbench Business Committee for enabling this debate to take place and to the fantastic work done by the all-party parliamentary group on surgical mesh implants, of which I am a vice chair, and which is led by my hon. Friend the Member for Pontypridd (Owen Smith). I also thank the hon. Members for East Renfrewshire (Paul Masterton) and for Glasgow North West (Carol Monaghan) for their support in bringing forward this debate, as well as the amazing Kath Sansom and the campaign group Sling the Mesh—many of the women up in the Gallery have done so much to bring this to public attention. It is for the members of this group and everybody else affected by this scandal that I rise to speak today.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Mark Richard Tami (Labour, Centre-left): Is my hon. Friend as alarmed as I am—she clearly is—that today and tomorrow women will be having operations that might well cause them complications in the future? Does she agree that these operations should be stopped until we find out the truth?
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): I absolutely agree. One of the main points I wish to make is the urgent need to suspend the use of mesh The issue of surgical mesh was brought to my attention by a constituent of mine called Angie, an incredibly brave woman who used to be very fit and healthy, but who, after having incontinence following the birth of her twins and a hysterectomy, was advised to have this mesh operation. She is now unable to work, in constant pain and suffering, cannot take part in sports and has problems sleeping. I remember listening to what she said to me and feeling horrified that this had happened to her. As I have learned, she is most definitely not alone. One story that moved me came in by email this week. The lady who emailed wrote: "I started noticing that something wasn’t right with me the second day after I was discharged after the operation. It started with my legs—they were extremely stiff and cold, especially my feet, I couldn’t warm them in any way. I rang the hospital, but it didn’t ring an alarm bell to them. Then after a few days, I started having a very bad stomach ache, nausea, headache, chest pain, something happened to my vision, out of the blue, I became very tired and weak, slightly dizzy. I started noticing that I couldn’t focus and think clearly, my scars didn’t heal well and suddenly after a month my biggest scar started producing very smelly discharge I requested an appointment with a GP. I was already complaining that something wasn’t right with me. Everything started after the operation…When my health and all symptoms got worse 12 weeks since the operation, I was told that my fatigue is because I have a 2 year old...Now, it’s been 14 months since my operation—I am extremely dizzy and have very poor balance. I can’t feel the ground with my legs. I’m extremely nauseous, I have bad stomach ache, migraines, breathing problems and chest pain. I’m numb. I have vision fog and very painful, sore eyes. My body can’t recognize the temperature. Either I’m too cold or I’m about to faint from the heat. I started having very bad side effects to antibiotics, supplements or even herbal teas. Before the operation, I had no side effects at all. In 8 months, I lost 12% of my total weight and now I’m 8 and a half stone and still losing weight. This mesh wipes my iron out from the system. My fertility is gone."
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): The hon. Gentleman is absolutely right. After we have moved on from looking at vaginal mesh, we need to look at rectopexy mesh and mesh that has been used in men as well. I completely agree.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Jeffrey Smith (Labour, Centre-left): I congratulate my hon. Friend on her work. The NHS audit recently looked at the women who had suffered as a result. Does she agree that it would have been helpful to look at the number of men who have been affected, so that we get a picture of the true severity?
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): Yes, my hon. Friend is right. The all-party group should push for that after we have looked at the issue For those who are more statistically minded, NHS Digital undertook the recent audit, which was published on Tuesday. The facts are these: more than 100,000 women had vaginal mesh inserted between 2008 and 2017 to treat stress urinary incontinence, which is common after childbirth.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Mark Richard Tami (Labour, Centre-left): My hon. Friend mentioned women feeling that they were alone, which is one of the main problems. I have spoken to a lot of people who were told that there was not a problem and that they were perhaps the only ones experiencing a problem. People were on a host of painkillers and were not told that others had experienced the same and that it was a much wider problem.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): Part of the scandal is how many women were treated when they went back to their doctors. The fantastic work of groups such as Sling the Mesh has brought so many women together, and shown them that they are not alone and that many others have suffered The number of subsequent gynaecology out-patient appointments per 100 people having the mesh insertion procedure is 79. There are 43 out-patient appointments per 100 for rehabilitation, physiotherapy and occupational therapy. The figures show that the number of women having the procedure has fallen during the last nine years by 48%, which says an awful lot about what doctors think These women were injured. These women were ignored. These women are the victims of a scandal.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Rupa Asha Huq (Labour, Centre-left): My hon. Friend is making a very powerful and moving speech. May I include testimony from my constituent, Adele Yemm, from Chiswick? There was a catalogue of errors with her case. She had only mild incontinence, and physiotherapy would have sorted it out. There were issues about consent—she was denied that. She had a full implant fitted. Does my hon. Friend agree that this is the biggest medical scandal since thalidomide?
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): I completely agree that this is an absolute scandal During the debate in October, I asked the Government to do four things: to commit to a full, retrospective and mandatory audit of all interventions and, if the data proves it necessary, a full public inquiry; to suspend prolapse and incontinence mesh operations while the audit is carried out; to bring forward the NICE guidelines for mesh in relation to stress-related urinary incontinence from 2019 to 2018; and to commit to raising awareness with doctors and patients alike In December, NICE issued new guidance, ruling that the evidence for the long-term effectiveness of the treatment for pelvic organ prolapse is "inadequate in quality and quantity" The NHS is not compelled to act on these guidelines, but that would amount to a de facto ban In January, the Government caved in to demands for a national audit of surgical mesh, which reported on Tuesday. The audit is not perfect. For example, it looks only at NHS hospital figures and misses off private patients and out-patients; does not include men; does not include ventral rectopexy mesh sufferers; does not cover visits to GPs; and does not indicate how many times someone has to visit their GP before being referred for out-patient treatment. However, it seems broadly to agree with what we have been saying all along: that the Government’s claim that only 1% to 3% of women suffered serious complications is just not accurate.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): I absolutely agree, and I hope that will be included in future Analysis conducted by Carl Heneghan, professor of evidence-based medicine at the University of Oxford and clinical adviser to the APPG on surgical mesh implants, reveals that the 100,516 women who have undergone mesh surgery in England since 2008 have required follow-up treatment in 993,035 out-patient appointments. He has calculated the total cost to the NHS for all incontinence and out-patient appointments to be £245 million. His analysis of the trend in out-patient appointments also shows that more are required by women as each year passes after their surgery, which is completely the opposite of what you would expect after a successful surgery The data shows that the number of operations using mesh has halved over the last decade, which shows that doctors and patients are voting with their feet and telling the world that they do not want to use mesh.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): I will have to continue In February came the welcome announcement of the Cumberlege review of how the NHS addresses concerns about vaginal mesh devices and how patients have been treated when raising those concerns. However, I remain deeply concerned that mesh has not yet been completely suspended and that it remains possible for doctors to use it, especially in the case of stress urinary incontinence. There is also still no universally available physiotherapy as standard for all new mothers, as there is in France, to stop these problems before they even arise I still believe that it is an absolute scandal that these devices were aggressively marketed to doctors and then used in patients for whom they were unsuited. We need to ensure that lessons are learned and that more steps are taken to make the medical products industry more transparent. Campaigners have even called for legislation, such as they have in America, to require doctors to declare any grants, inducements or scholarships that they receive from the industry Some patients think they are having the mesh completely removed, only to find out later that it has been only partially removed. They feel that they are suddenly better and that they are recovering only to go through the horror of having the symptoms come back later. It is important that, where possible, mesh should be removed in full Despite the fact that 100 different types of mesh are available in the UK and that we do not know whether just one type is causing the problem or 100 types; despite the fact that Carl Heneghan has raised concerns about the small amount of evidence that mesh manufacturers are required to provide before their products are approved; and despite the fact that Dr Wael Agur from the University of Glasgow, a one-time advocate of mesh surgery, is now arguing that the Medicines and Healthcare Products Regulatory Agency has only a fraction of the knowledge of the adverse effects associated with mesh, NICE is still not going to bring its guidelines for stress urinary incontinence forward from 2019 to 2018, and the Government seem more focused on process than on the actual product Suzy Elneil, consultant urologist at University College London and one of the few qualified surgeons who is able to remove mesh, tells me that she sees 15 women a week who are suffering after mesh surgery. Even if NICE releases its guidance on 1 January 2019, Suzy alone will see another 525 patients before that date— 525 more patients living in unbearable pain. I am sorry, but that is 525 people too many. The Government must press NICE to bring forward the guidelines and pay attention to the product as well as the process.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Emma Ann Hardy (Labour, Centre-left): I am sorry, but I have to continue It seems that our campaign must continue. We must ask again for renewed commitments from the Government to address these problems. Again, I ask the Government to commit to three things. First, we need a full and unequivocal suspension of mesh implant operations. Secondly, I ask them to bring forward the NICE guidelines for stress-related urinary incontinence from 2019 to 2018. Thirdly—this is a new one—will they please offer pelvic floor physiotherapy to all new mums as standard on the NHS, as happens in France, to help to restore the core after birth I end my speech with exactly the same words I used to conclude my remarks in Westminster Hall. Mesh implants have affected thousands of people all over the country. For some, the consequences of their operation will be life-changing and devastating. A Government commitment to taking these actions will not undo the suffering and pain that these women have endured, but would go a long way to making sure that nothing like this happens again This is the second time that I have spoken these words. Let us hope that justice is done before I have to speak them a third time.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Charalambos Charalambous (Labour, Centre-left): Does my hon. Friend agree that had doctors not sold mesh aggressively to women, many women may not have chosen it as a way of solving their problems and may not have had the problems and complications they have now?
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Owen Smith (Labour, Centre-left): Yes. The long and the short of it is that this has become such a widespread problem because younger women, in particular, were told by their doctor that there was a quick and easy way in which a minor inconvenience for many women—although a major inconvenience for some—could be dealt with Clearly, the scale of the side-effects was not apparent, for all the reasons my hon. Friend the Member for Kingston upon Hull West and Hessle listed, but notably because there is no long-term trials data in respect of devices. The sorts of complications that we now see emerge over a long period. That is why, in our country and across the world, such widespread concern about mesh has been emerging in every health market.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Mark Richard Tami (Labour, Centre-left): My hon. Friend mentioned removal of mesh. Does he agree that there should have been a lot more research about how easy it is to remove, because it is actually very difficult and only a few surgeons will undertake that work?
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Owen Smith (Labour, Centre-left): My hon. Friend is right. The whole point of mesh is that it is designed to induce scar tissue in order to fuse the mesh with the muscle, and therefore trying to excise the mesh is incredibly difficult. That is why there are partial removals and some women are left with pieces of mesh inside them, even after surgery. Those sorts of complications are clearly very worrying. They ought to have been explained properly to women, but obviously were not, in very many cases.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Owen Smith (Labour, Centre-left): It absolutely is not acceptable. I hope that the Minister is not going to repeat what other Ministers have said in written statements and in this place, which is that 1% to 3% is the sort of failure rate, or complication rate, that one would expect with all sorts of surgery. The reality is that the numbers are far greater than that—far, far greater—as the audit this week shows. I will come on to address that.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Lloyd Russell-Moyle (Labour, Centre-left): Does my hon. Friend share my concern that some hospitals are still advertising low failure rates, particularly for tape? That disguises the issue, particularly when they refer to failure rates in the first year and do not talk about long-term studies.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Owen Smith (Labour, Centre-left): I thank the right hon. Gentleman for giving way and for his kind remarks. Would he be surprised to learn that the chief medical officer, Dame Sally Davies, speaking alongside the Health Secretary in a Facebook Live broadcast just a few months ago, said that she thought the serious complication rate was between 15% and 20%? I have written to her asking where she got those numbers, although as far as I am aware she has not replied to me, because that is at odds with all the previous comments by Ministers and officials.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Gordon Marsden (Labour, Centre-left): I, too, have constituents who have been affected by this, and one of them has written to me to say: "I had this operation carried out—it was only effective for a few months and had failed, leaving me with constant discomfort…The operation itself was a long one and I have so far managed to put up with this discomfort as I really don’t want further surgery." Does the hon. Lady—and indeed the Minister—have any thoughts on how many people might be going under the radar because they are in a similar situation to my constituent?
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Owen Smith (Labour, Centre-left): The hon. Gentleman is making an incredibly interesting point. Does he agree that it is inexplicable that NICE continues to say that it cannot produce its new guidance until the spring of 2019, when we and the medical fraternity have been asking for it for the past two years?
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Gordon Marsden (Labour, Centre-left): Obviously, the hon. Lady has enormous personal experience of surgery and of this area. Does she agree that one of the other possible problems for some surgeons, although I hope not many, is that in this country we have historically been very bad at explaining risk-benefit analysis to patients? If people are being offered an operation for a condition that is not necessarily life threatening, the judgment in a risk-benefit analysis is very different from that for something far more serious.
Surgical Mesh — House of Commons, 2018-04-19
Topic: Health
Owen Smith (Labour, Centre-left): Does the hon. Lady agree that part of the problem is that mesh was marketed so widely as being a quick fix? Previously, far more expert urogynaecological surgeons would have undertaken what was far more difficult and invasive surgery—colposuspension or autologous sling. When it went to day-case surgery and, effectively, keyhole surgery, a much wider range of less expert surgeons was suddenly involved.