argyrotsipi/train-dataset huggingface dataset:
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I am grateful to my right hon. Friend for that warm welcome. I was Minister of State when he was Secretary of State, and hugely valued the expertise, diligence and insight that he brought in that role, which provide useful context as I take on my new duties. He is absolutely right; indeed, he will recall, in 2018, looking in detail at delayed discharge, and work on that key issue continues. For example, on 1 July the NHS launched a 100-day sprint looking at all the known interventions. One issue that he and I have discussed in the past is how to socialise best practice and industrialise innovation at scale, and we are looking specifically at that. There is also a call for expressions of interest in pioneer science to better use tech and innovation on delayed discharge, and of course there is £2.6 billion of investment in the better care fund to support that integration work through the integrated care boards.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): The hon. Lady brings great practical insight on these issues from her profession as a nurse. The point she raises, as did my right hon. Friend the Member for South West Surrey (Jeremy Hunt), is absolutely right—delayed discharge has long been a key issue. That is why we have made the tough decisions we have on national insurance and why we brought forward the changes on integrated care boards. It is an area of common ground across the House that we need to work better to address delayed discharge, which blocks the pipe and, in turn, delays ambulance handovers and causes problems at an earlier stage. It is a key issue. I have set out a number of practical measures that we are taking, and further work is ongoing.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Timothy Paul Loughton (Conservative, Centre-right): On Friday afternoon, I spent a shift with the A&E staff at the fantastic Worthing Hospital, which is clearly being impacted, in particular, by older people affected by the heat. The staff said to me—the Chairman of the Health Committee mentioned this—that more than 15% of the beds are being occupied by people medically fit to be discharged. They also said that a huge amount of their time is being taken up by people with mental health problems, including those being brought in by the police, most inappropriately. What more can be done to make sure that people with mental illness are being looked after away from A&E departments, as is far more appropriate, and to speed up the process of freeing up those beds?
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): My hon. Friend is absolutely right on mental health and where a patient is violent, as I saw for myself on my visit to Bedford, for example, that can be unsettling for A&E. I am happy to have further conversations with him on what measures can be taken. The fact is there is no single intervention in this space; it is a question of looking at the integrated approach. That is what the call for evidence is about. Also key is understanding the data and seeing where it can better target action on areas such as mental health that can have a disproportionate impact.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): The principle of subsidiarity is that, as part of the extreme heat plans, local trusts make decisions locally on targeting resource, whether that has an impact on outpatients or other services, to meet the increased pressure. The hon. Lady is absolutely right that there is significant increased pressure, as we see in the call volumes coming in to 999 and 111. Part of the contingency plans that are in place is to surge resource, but it is also partly about being clear where risk best sits. At the heart of the letter from NHS medical director Stephen Powis on Friday was the importance of not pushing risk out into the community where it is an unmet need, or into the ambulance, where it is best that patients are, but having that risk more on the ward, where a patient is known and can receive care. Local contingency plans are in place to allocate resource to meet that.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Miriam Jane Alice Davies (Conservative, Centre-right): I pay tribute to all my Mid Sussex constituents on the frontline of all our emergency services in this extreme heat. They are absolutely continuing their heroic efforts, whether on the NHS backlog, managing discharges, as we have heard, or managing the impact of covid. Following recent media reports, will the Secretary of State note the constraints in certain ambulances, which my constituents have also raised, with cabs being too small and seatbelt use impacted for those over 6 feet tall? The impact of those new ambulances is on the agenda at a meeting for West Sussex MPs with SECAmb—South East Coast Ambulance Service NHS Trust—this Friday.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): The hon. Gentleman is right that the west midlands in particular has been under significant pressure, and 111 ambulance service response times are significantly challenged, which is driven by wider system pressure and delayed handing over of patients. The measures taken through the national support that is going in include handover delay improvements, on which works is taking place across all integrated care boards. NHS England has allocated an additional £150 million to support the system, and an extra £20 million of capital is going into fleet. Given that I am new in post, I am happy to meet the hon. Gentleman to discuss any specific issues about the West Midlands ambulance service’s performance.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): May I congratulate my right hon. Friend on his new role and say how important, given this particular crisis, his previous experience as Minister of State for Health is? He took over that role from me, and he had ministerial responsibility for ambulances On Friday, I attended an ambulance summit with other Shropshire and Telford MPs, West Midlands ambulance service and NHS leaders in Shropshire, where we were told that one of the critical issues in ambulance response is the handover wait times at hospitals. Royal Shrewsbury Hospital was averaging two and a half hours for handover in the first two weeks of July, and the Princess Royal Hospital in Telford was at three hours The problem is not so much conveyance by ambulance because it is hard to reach patients, but ambulatory walk-ins at our hospitals increasing the volumes of patients being seen in A&E. The problem with that increase in patient volume is patient flow and discharge at the far end. May I suggest that the quick win would be to increase resources for social care, particularly for domiciliary care workers who at present, particularly in rural areas, have to pay for their own transport to get from one patient to another? If we could improve those conditions, it would boost the ability to discharge patients.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): My right hon. Friend, partly through the direct experience he brings to these issues, highlights the integrated nature of the challenge we face and in particular the importance of getting the right domiciliary care and care home support in place. Part of that challenge in the coming weeks, ahead of any autumn and winter pressure, will be to understand what the capacity is and what the constraints on it are, so that through the integrated care boards we can better focus on unlocking that capacity to relieve the pressure on ambulance handovers, as he sets out.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I broadly agree with the hon. Lady on providing targeted support, particularly to those in domiciliary care; we are working with those in primary care on that. In coming days, that will happen specifically through local resilience forums, but in the medium term it will be more through the integrated care boards. That is part of a wider package of support measures that need to be put in place. It will include working with primary care, looking at mental health support, and looking at what can be done to raise productivity through better use of innovation and technology. We will look at all the interventions available across the board to assist us in dealing with the pressures that she highlights.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): I spent this weekend on duty, in my role with the Yorkshire ambulance service. I remind my right hon. Friend of the important work and extra resilience that community first responders will provide in the next few days, as they are stepped up and attend the most serious 999 calls. The reality is that even before this situation, when attending very serious cases, we were often waiting much longer than we did in the past for back-up from the crew. Will he look at a model that I have pushed before: the advanced paramedic model, which gives paramedics more clinical confidence to discharge patients to their home, and so reduces demand on hospitals?
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I am happy to look at that, and I thank my hon. Friend for his service locally. I am keen to follow up on his point, because it is absolutely right. From the feedback from ambulance trusts so far, it seems that category 2 average response times were broadly stable at the weekend, but how we triage, how we categorise calls, and what additional support can be given by considering the skills mix are all factors in improving performance.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): Through initiatives such as the better care fund and the £2.6 billion of investment, we are looking at how to allocate funds in an integrated way. That requires better integration of data between the care sector and the NHS, and that is an area that I am keen to explore.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Lee Anderson (Conservative, Centre-right): I recently had the good fortune to spend a few hours with an ambulance driver from Ashfield who drives for the East Midlands ambulance service. He told me that he is so frustrated, because a lot of the time, the ambulance gets to the caller, and the person simply does not need an ambulance. He raised this with his bosses, but they are scared to admit that. Is it not about time that somebody from the Department of Health and Social Care had an honest conversation with the people who actually do the graft—the drivers and the ambulance staff?
Closure of Sandfield House — House of Commons, 2018-07-04
Topic: Health
Nicholas Dakin (Labour, Centre-left): Mental health services are a very important part of the provision in north Lincolnshire. I pay tribute to Catherine Lydon and others who have helped to pull this petition together of many hundreds of people locally, who are concerned about the closure of Sandfield House, which provides important and effective mental health services to local people The Petition states: The petition of residents of North Lincolnshire, Declares that Rotherham, Doncaster and South Humber Mental Health NHS Foundation were given notice to cease operating at the site of Sandfield House by North Lincolnshire Council; and further notes that the closure of the community resource would affect more than 1000 people who are being treated there The petitioners therefore request that the House of Commons urges the Government to intervene with North Lincolnshire Council to stop the closure of Sandfield House And the petitioners remain, etc [P002167]
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I know the hon. Gentleman is co-chairing, with the Minister for Care and Mental Health, a strategy board looking at these issues, and I would be very keen to explore that with him in due course. There is an opportunity—not just from a health perspective, but from a levelling up perspective—to look at the pockets where there are gaps in the way he sets out, and to see how we can get better coverage geographically as well as address the very real health needs he identifies.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Mark Julian Francis Pawsey (Conservative, Centre-right): My constituents attribute the deteriorating response times in Rugby to the decision of the West Midlands ambulance service to close our community ambulance station at the Hospital of St Cross—a decision taken without reference to doctors, councillors, residents or the local MP. Does the Secretary of State agree that decisions of that nature should be made only after consultation and with the support of local stakeholders?
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): That specific point about where risk best sits within the system was addressed in the letter from the NHS medical director on Friday. Of course, the best way of addressing that risk is to address the issue of delayed discharge. We are getting people out of hospital through initiatives such as the better care fund, the £2.6 billion of investment and the use of integrated care boards. Their use will enable us to take a more integrated approach to unblocking those who are in hospital unnecessarily, which is not only very expensive but fundamentally bad for their care. It is important that we address delayed discharge as a key priority.
Ambulance Pressures — House of Commons, 2022-07-18
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I am happy to look at any specific issues that flow from the hon. Gentleman’s constituency case. The more we can use tech and innovation better to address those issues at pace, the more that will ultimately lead to better patient outcomes.
Confidence in Her Majesty’s Government — House of Commons, 2022-07-18
Topic: Health
Michael Louis David Fabricant (Conservative, Centre-right): I am grateful to my right hon. Friend for giving way. I personally think that our party is making the same mistake the Labour party made when it knifed Tony Blair. Is my right hon. Friend aware that the excess death rates in Europe show that, thanks to his early intervention with the vaccine, fewer people died in the United Kingdom than in the majority of other European countries? And thanks to his intervention, Kyiv is still a part of Ukraine and not a part of Russia.
Confidence in Her Majesty’s Government — House of Commons, 2022-07-18
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): I thank my hon. Friend very much. He is absolutely right in what he says about the record of the NHS and the record of this country in beating back covid. What a pity it was that the right hon. and learned Gentleman, the Leader of the Opposition, came so many times to this place and said that we had the worst record in Europe. He has never taken it back, Mr Speaker. Perhaps he will do so in the course of the debate to come.
Confidence in Her Majesty’s Government — House of Commons, 2022-07-18
Topic: Health
Marco Longhi (Conservative, Centre-right): One might think that Her Majesty’s Opposition had better things to do than waste valuable parliamentary time, and one might have thought they would respect parliamentary conventions in the preparation of a motion of confidence, but they failed in doing that, too. No matter, as this Government have again shown them how it is done, hence this debate. Here we are, playing these silly games while we have a war on our hands and several issues to deal with at home and overseas. [Interruption.] We are having this debate because of parliamentary convention, and this is the way to do it Much has been said about leadership in recent days, weeks and months, but no leadership has been found emanating from the Opposition, just the usual stone throwing from a party that is so out of touch with the people of this country that it felt its motion—the one that needed to be corrected—was the best way to spend valuable time Let us talk about leadership. This Government responded to covid by leading the western hemisphere’s response. Brexit, which Opposition Members all voted against, allowed us to fund and procure a vaccine, and to get it into people’s arms faster than pretty much anywhere else on the planet, saving lives quicker than anywhere else on the planet. What did Labour do? It opposed procurement and then criticised every move, with Captain Hindsight at the helm.
Confidence in Her Majesty’s Government — House of Commons, 2022-07-18
Topic: Defense
Marco Longhi (Conservative, Centre-right): Ukraine. I stand corrected. Absolutely. On Ukraine, this Prime Minister and our country are the ones revered most by the Ukrainian politicians and people, and hated most by Putin. That does not happen by chance; it requires leadership. So what have Labour Members to say about defence? They say, "Defund it." That is what they have always wanted. [Interruption.] They have always wanted to defund it. If the Leader of the Opposition had been successful in electing the right hon. Member for Islington North (Jeremy Corbyn), we all know that we would now be without a nuclear arsenal Those are the two huge issues confronted head-on by this Government, in addition to delivering the programme set out in the 2019 manifesto—one that is bringing real change in my constituency. So let us have this vote tonight and let us send a message out to the nation about what the Labour party is all about. I will not say "what the Labour party stands for", because I do not think anybody really knows.
Confidence in Her Majesty’s Government — House of Commons, 2022-07-18
Topic: Health
Anna Firth (Conservative, Centre-right): No, because of the time. The speed and take-up of our vaccine programme allowed us to lift our restrictions quicker than any other country in Europe, restoring freedom to people and benefiting our economy. This has been possible only because of this Conservative Government and because of Brexit, which was totally opposed by the Labour party If the Labour party had been in charge, more people would have died while we waited for the EU’s vaccines. We would have been in lockdown for longer, damaging not just our economy but people’s mental health. Also, the NHS would not have been so well funded and would have been less able to cope with covid when it happened—[Interruption.]
Confidence in Her Majesty’s Government — House of Commons, 2022-07-18
Topic: Health
Richard Michael John Ogilvie Graham (Conservative, Centre-right): I would have preferred, as I think my constituents would, these many long hours of debate on confidence in the Government to have been spent discussing the safety of our children and the Online Safety Bill. This is a difficult moment for Labour Members, as they all stood to make the right hon. Member for Islington North (Jeremy Corbyn), who is aware of roughly what I will say, the Prime Minister of our nation. How would he have fared with his plan for a second referendum on the EU, which he did not even personally believe in? Would he have created the private sector-led vaccine taskforce? When Dame Kate Bingham was first appointed to it, there was no shortage of Opposition Members saying that it was a crony appointment. It was, in fact, a brilliant move, and she worked closely with our multinational pharmaceutical companies, which the right hon. Member for Islington North would happily have abolished, along with our intelligence agencies.
Confidence in Her Majesty’s Government — House of Commons, 2022-07-18
Topic: Defense
Dominic Rennie Raab (Conservative, Centre-right): My hon. Friend raises an interesting point, which I believe is now a matter of public record. The right hon. Member for Ashton-under-Lyne backed a leader who the former head of MI6 said—I will quote, so we have this accurately for the record—denigrated his own country and "embraced the interests of its enemies and opponents" That is who Labour supported. The Opposition have no business talking about national security I am proud of the record of this Government under this Prime Minister. Labour Members want to talk about trust, but they cannot be trusted on jobs, they cannot be trusted to keep our streets safe and they cannot be trusted with our national security. I commend this motion to the House Question put.
Cross-border Healthcare — House of Commons, 2022-07-06
Topic: Health
David Thomas Charles Davies (Conservative, Centre-right): The UK Government will continue to work closely with the devolved Administrations to ensure that everyone across the UK gets the healthcare they need. There is a memorandum of understanding with the Welsh NHS, which has been essential in resolving a number of long-standing issues over patients’ rights across the border.
Cross-border Healthcare — House of Commons, 2022-07-06
Topic: Health
Alun Craig Williams (Conservative, Centre-right): I thank the Minister for that answer, and I am delighted that my hon. Friend the Member for Shrewsbury and Atcham (Daniel Kawczynski) is to the left of me. We have been working hard to try to get the Welsh Government and the Department of Health and Social Care together to talk about ambulance times. My constituents are suffering, because if they get into a Welsh ambulance or an English ambulance, they still go to the same district general hospital in Shrewsbury. Will the Minister pull together the two Governments to talk about ambulance waiting times in Shrewsbury?
Cross-border Healthcare — House of Commons, 2022-07-06
Topic: Health
David Thomas Charles Davies (Conservative, Centre-right): I would certainly be happy to write to the Department of Health and Social Care. I am afraid that I am not responsible for the Welsh Government, but I would be pleased to see them working harder to ensure that patients in his constituency get access to the healthcare they need. For 21 years, the NHS in Wales has been run by the Labour party, and one in four people are now waiting more than 12 months for treatment, and that is an absolute disgrace that Opposition Members are responsible for.
Cross-border Healthcare — House of Commons, 2022-07-06
Topic: Health
David Thomas Charles Davies (Conservative, Centre-right): The Wrexham-Bidston line is one of a number of lines that are being looked at, including the south Wales relief line and the north Wales coast line. The reality is that constituents in Wales are fed up with having to wait more than 12 months for treatment, and the reason for that is 21 years of Labour Government running the NHS in Wales. Their record is an absolute disgrace.