argyrotsipi/train-dataset huggingface dataset:
Axial Spondyloarthritis — House of Commons, 2020-09-17
Topic: Health
Thomas William Randall (Conservative, Centre-right): In last night’s Adjournment debate, the hon. Member for Pontypridd (Alex Davies-Jones) said that she felt like a proper MP after the hon. Gentleman intervened on her in an Adjournment debate, and I echo those sentiments. He is completely right about the delay, which I will come on to in a moment, and about the role that support groups can play in showing that people are not alone in having the condition and in providing moral and practical support. I hope that now awareness has been raised, there will be more than two groups in Northern Ireland in due course As I was saying, there are a quarter of a million people with AS, which makes it more prevalent than multiple sclerosis and Parkinson’s combined. Hon. Members may say, "Well, so what?" AS is incurable and it can be managed through medication, physiotherapy or exercise, but what makes it worthy of particular concern and debate is, as outlined earlier, the delay to diagnosis The symptoms of AS can be difficult to diagnose. I was passed between neurologists, geneticists and other specialists as various conditions were ruled out, before a rheumatologist finally diagnosed AS when I was about 20. I was very lucky that I had to wait only a couple of years before getting my diagnosis, but on average, there is a delay of eight and a half years between the onset of AS symptoms and diagnosis in the UK.
Axial Spondyloarthritis — House of Commons, 2020-09-17
Topic: Health
Gareth Andrew Bacon (Conservative, Centre-right): I commend my hon. Friend’s bravery in refusing to allow the condition to prevent him from gaining a place in this House and in attempting to draw more attention to the condition. How does the UK compare internationally in terms of the delay that various hon. Members have discussed between the onset of symptoms and diagnosis?
Axial Spondyloarthritis — House of Commons, 2020-09-17
Topic: Health
Thomas William Randall (Conservative, Centre-right): I think in comparable countries such as Germany, France and Italy it is four, five or six years. Certainly, I think the delay to diagnosis in the UK is one of the longest in Europe, and that is something that needs to be remedied. Obviously, during that delay of eight and a half years, the condition can deteriorate considerably. One does not need to be an expert to understand the clinical, economic and human burden of delayed diagnosis.
Axial Spondyloarthritis — House of Commons, 2020-09-17
Topic: Health
Anthony Howe Browne (Conservative, Centre-right): I congratulate my hon. Friend on securing the debate on this important issue, and I pay tribute to his bravery in overcoming his condition and ensuring it did not prevent him coming to this House I have a family member, a friend and a constituent who suffer from AS, and I know well the problems with delayed diagnosis. My constituent Frances Reid started having symptoms 10 years ago. She went from doctor to doctor to doctor but did not get diagnosed. She was diagnosed only one year ago, and she now has pains across her entire body and needs joint replacements. She is in so much pain that she wakes up eight to 10 times a night. In contrast, a friend from Canada was diagnosed really early. With treatment and exercise, he leads a full life. What lessons can we learn from countries that have quicker diagnosis and what would my hon. Friend like to see here?
Axial Spondyloarthritis — House of Commons, 2020-09-17
Topic: Health
Thomas William Randall (Conservative, Centre-right): My hon. Friend neatly explains the consequences of delayed diagnosis. A recent systematic review of the available literature found that, overall, patients with a delayed diagnosis of AS had worse clinical outcomes, including higher disease activity, worse physical function and more structural damage compared with patients who had an earlier diagnosis. Those with a delayed diagnosis also had higher healthcare costs and a greater likelihood of work disability, as well as a worse quality of life, including a greater likelihood of depression. Those are the consequences of not giving a prompt diagnosis. We spoke earlier about the National Axial Spondyloarthritis Society, or NASS, which has identified four factors that contribute to delay: a lack of awareness among the public that AS might be the cause of their chronic pain; GPs failing to recognise the features of AS; referral to non-rheumatologists who might not promptly recognise AS; and failure by rheumatology and radiology teams to optimally request or interpret investigations. AS cannot be cured, but reducing the eight-and-a-half-year average delay in diagnosis will lead to better outcomes for those living with the condition The all-party group for axial spondyloarthritis, of which I am a vice-chair, suggests three steps that would help to reduce the delay in diagnosis. The first is the adoption of a local inflammatory back pain pathway to support swift referral from primary care directly to rheumatology. Low levels of referral to rheumatology from primary care represent one of the key barriers to achieving an early diagnosis of AS, and a national audit by the APPG found that 79% of clinical commissioning groups do not have a specified inflammatory back pain pathway in place, despite NICE guidelines recommending that.
Axial Spondyloarthritis — House of Commons, 2020-09-17
Topic: Health
Jerome Patrick Burke Mayhew (Conservative, Centre-right): My hon. Friend makes reference to the NICE guidelines and the quality standard on spondyloarthritis not being implemented by 79% of clinical commissioning groups. Does he agree that that simply relates to primary carers referring directly to rheumatology departments, which is not a cost issue but one of professional education?
Axial Spondyloarthritis — House of Commons, 2020-09-17
Topic: Health
Thomas William Randall (Conservative, Centre-right): My hon. Friend is absolutely right, and that neatly leads me on to the APPG’s second proposal. I appreciate that the NHS is rather busy at the moment with public health messaging of one kind or another, but awareness of AS remains low and support for an awareness campaign would help to significantly raise the visibility of the condition not only among the public, but for example among GPs Thirdly, the APPG suggests encouraging the routine adoption of minimum service specifications across the NHS to help to reassure patients, particularly in the context of covid-19 and the difficulties many patients face in accessing key services during the recent lockdown. I would welcome any opportunity to meet Ministers separately to discuss those proposals in detail, if that were possible I will leave the last word to Zoë Clark, who addressed the APPG’s last physical meeting in January. She told attendees how, after getting AS symptoms aged 20, incorrect diagnoses and the impact of her condition left her socially isolated and unable to live independently, at a time when she was trying to complete a demanding four-year master’s degree in osteopathy. She said that living with undiagnosed AS was a frightening time and she ended up having to largely sacrifice her social life, due to the difficulties of balancing her degree with the pain and fatigue she regularly experienced No one should have to wait eight and a half years to find out what is wrong with them. I hope that we can begin to put that right.
Mobile Homes Act 1983 (Amendment) Bill — House of Commons, 2020-10-23
Topic: Health
Christian Wakeford (Conservative, Centre-right): I completely agree with my hon. Friend the Member for Christchurch and commend him and anyone who would want to change RPI to CPI. The Minister is making a good point: we need to be bringing forward our good providers and work with them through consultation. Does she agree, however, that now is perhaps not the right time, as a lot of the sector is on its knees because of the pandemic, so we need to consult them, to make sure there is a sector to go back to post covid and to do everything we can to support them?
Coronavirus Job Retention Scheme — House of Commons, 2020-11-11
Topic: Health
Alister William Jack (Conservative, Centre-right): We have invested more than £230 million in manufacturing any successful vaccine. The vaccines have been procured and paid for by the UK Government on behalf of everyone in the United Kingdom. Doses will be distributed fairly and across all parts of the United Kingdom according to population share.
Co-ordinated Response to Covid-19: Devolved Administrations — House of Commons, 2020-11-11
Topic: Health
Iain Aitken Stewart (Conservative, Centre-right): An effective response to covid-19 does indeed need to be a co-ordinated response across the UK. On 25 September, the UK Government and the three devolved Administrations published a joint statement on our collective approach to responding to covid-19. There are very regular meetings at both ministerial and officials levels.
Co-ordinated Response to Covid-19: Devolved Administrations — House of Commons, 2020-11-11
Topic: Health
Iain Aitken Stewart (Conservative, Centre-right): I am glad that the hon. Gentleman has not vaporised into thin air. The lockdown scheme extends across the UK and is available whether a part of the UK—or a part of each nation within the UK—is in lock- down or not. It is there for everyone.
Co-ordinated Response to Covid-19: Devolved Administrations — House of Commons, 2020-11-11
Topic: Health
Iain Aitken Stewart (Conservative, Centre-right): I am grateful for the hon. Gentleman’s question. Referring to his initial comments, I was delighted that President-elect Biden spoke to our Prime Minister ahead of any other European country, contrary to what some of the naysayers in the media were predicting The hon. Gentleman’s substantial question is a very important one and it illustrates the extent to which the UK Government and the devolved Administrations can and should work together. The vaccine—as he said, we are not quite there yet, but it gives very strong hope—is purchased by the UK Government on behalf of the whole UK. The distribution, the prioritisation of the vaccine will be a matter for the devolved Administrations. However, we are in regular contact and stand ready to assist with any logistics that will be required to make sure that it is distributed on the basis of clinical priority and not any other needs.
Strengthening the Union — House of Commons, 2020-11-11
Topic: Defense
Caroline Ansell (Conservative, Centre-right): My great grandfather served in the infantry regiment of the Argyll and Sutherland. Will my right hon. Friend join me in commemorating all those Scottish servicemen who fought in the British Army for the freedom of the United Kingdom and the world, and in thanking servicemen and women today in Scotland who are engaged in our fight against the virus?
Strengthening the Union — House of Commons, 2020-11-11
Topic: Defense
Alister William Jack (Conservative, Centre-right): I am more than happy to join my hon. Friend in thanking today’s servicemen and women, and I am sure the whole House will join me in remembering all those who laid down their lives in defence of our country and the freedoms that we enjoy today.
Strengthening the Union — House of Commons, 2020-11-11
Topic: Health
Simon James Jupp (Conservative, Centre-right): I represent a constituency that is geographically distant from Scotland, but I know people from Scotland who have made East Devon their home. They, like me, believe we are stronger together and cherish our precious Union. Does my right hon. Friend agree that the UK Government’s efforts during the pandemic—not least the furlough scheme and the £8.2 billion to Scottish public services—show that we have a common drive to defeat the virus, whether in Edinburgh or Exeter, and the SNP needs to focus on delivery, not division?
Engagements — House of Commons, 2020-11-11
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): I think the right hon. and learned Gentleman is referring to the vaccines taskforce, and after days in which the Labour party has attacked the vaccines taskforce, I think it might be in order for him to pay tribute to it for securing 40 million doses. By the way, the expenditure to which he refers was to help to raise awareness of vaccines, to fight the anti-vaxxers and to persuade the people of this country—300,000—to take part in trials without which we cannot have vaccines. So I think he should take it back.
Engagements — House of Commons, 2020-11-11
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): We are in the middle of a global pandemic in which this Government have so far secured and delivered 32 billion items of personal protective equipment; and, yes, it is absolutely correct that it has been necessary to work with the private sector and with manufacturers who provide such equipment, some of them more effectively than others, but it is the private sector that in the end makes the PPE, it is the private sector that provides the testing equipment, and it is the private sector that, no matter how much the Labour party may hate it, provides the vaccines and the scientific breakthroughs.
Engagements — House of Commons, 2020-11-11
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): What I would say to Chris—and what I say to the right hon. and learned Gentleman and to the whole country—is the best way to get his job working again, the best way to get this country back on its feet, is to continue on the path that we are driving the virus down. It is a week since we entered into the tough autumn measures that we are now in. I am grateful to the people of this country for the sacrifices that they are making, and I am particularly grateful to the people of Liverpool and elsewhere—tens of thousands of people in Liverpool are taking part in the mass testing work that is going on there. It is fantastic news that we now have the realistic prospect of a vaccine Science has given us two big boxing gloves, as it were, with which to pummel this virus, but neither of them is capable of delivering a knockout blow on its own. That is why this country needs to continue to work hard, to keep discipline and to observe the measures that we have put in. I am grateful for the support that the Labour party is now giving for those measures. That is the way to do it: hands, face, space; follow the guidance, protect the NHS and save lives.
Engagements — House of Commons, 2020-11-11
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): We are looking into the issue of repeat calls, but to say that the test and trace system has been a waste of time and money, which I think is what I heard the hon. Member say—I could not disagree more. It has enabled us to locate where the disease is surging, to take appropriate measures and to allow people in huge numbers to get tested. More people have been tested in this country than in any other country in Europe. The PCR tests that NHS Test and Trace is conducting are of real value in fighting the disease, and now we are rolling out the lateral flow rapid turnaround tests as well.
Engagements — House of Commons, 2020-11-11
Topic: Health
Julian Charles Sturdy (Conservative, Centre-right): With yesterday’s positive news on the covid vaccine and the roll-out of mass testing, and as York’s virus figures continue to fall well below the level at which we were put into tier 2, can the Prime Minister give York some hope of sustaining our great city by clearly outlining the criteria under which from 2 December we can escape immediately into tier 1? Will he also urge York council to take up the Government’s offer of mass testing?
Engagements — House of Commons, 2020-11-11
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): Yes, indeed I urge York council and councils across the land to take up the offer of mass lateral flow testing—it is a very exciting possibility. It is, as I said, one of the boxing gloves we hope to wield to pummel this disease into submission—the other is the prospect of a vaccine—and that is what we will do continuously throughout the weeks and months ahead. But I must stress that the way to get ourselves in the best position to achieve that is to make the current restrictions work so that we can come out well, back into the tiers on 2 December.
Engagements — House of Commons, 2020-11-11
Topic: Defense
Christopher Mark Clarkson (Conservative, Centre-right): This Armistice Day, restrictions mean that we cannot mark the occasion with services as we normally would. However, in Heywood and Middleton, veterans associations are following the guidance to mark the day in a covid-safe way. Will my right hon. Friend the Prime Minister join me in praising them, the Royal British Legion and, indeed, all those across the United Kingdom who are doing their best to ensure that we can pay tribute to those who made the ultimate sacrifice?
Engagements — House of Commons, 2020-11-11
Topic: Defense
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): Yes indeed. It was really impressive to see the way the Royal British Legion organised covid-secure memorials across the country in the way that it did. As we salute our veterans, I just want to remind the House that we have launched a new railcard for our veterans and their families that will entitle them to substantial reductions in rail fares, and that we are introducing a national insurance break for employers of veterans in their first year of employment.
Engagements — House of Commons, 2020-11-11
Topic: Health
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): Of course we publish all contracts, and quite right. I would just respectfully remind the hon. Lady, as I reminded the Leader of the Opposition earlier, that it is absolutely necessary in a massive global pandemic to work with those in the private sector, not to scorn them or despise them, and to understand that it is they who make the PPE and the tests. Indeed, it is thanks to the researches of giant conglomerates—which Labour would break up if it could—that we have the possibility of a vaccine.
Engagements — House of Commons, 2020-11-11
Topic: Defense
Andrew Edmund Armstrong Selous (Conservative, Centre-right): On Armistice Day, as we remember those who gave their lives for our country and those who still serve, will the Prime Minister give a positive response to the "Living in our shoes: understanding the needs of UK Armed Forces families" report on making life better for our armed forces families? These wonderful people put up with more separation, moving of family homes and worry about the safety of their loved ones than anyone else, and looking after them should be a national priority.
Engagements — House of Commons, 2020-11-11
Topic: Defense
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): Our armed services simply could not function without the support of their families, and I thank my hon. Friend for what he is doing to raise this issue and for the comprehensive piece of research that he refers to. We are making good progress on increasing childcare provision for armed services families and on our support for employment of partners of members of the armed services.
Covid-19 Lockdown: Homelessness and Rough Sleepers — House of Commons, 2020-11-11
Topic: Health
Kelly Jane Tolhurst (Conservative, Centre-right): I thank my hon. Friend for the work that she has done in this area and the passion that she has in working with me and the Department to tackle this issue. She is absolutely right. It is so important that we are working with local authorities and that money is going to organisations to develop programmes to help with prevention, to deliver support and to provide the mentoring that is so valuable. It is all very well for me as a Minister to stand here today and say what we are doing, but people who have had real-life experience and understand what the reality is are able to impart that and then hold the hand of those individuals who are affected as they navigate the system. That is so invaluable.
Remembrance, UK Armed Forces and Society — House of Commons, 2020-11-11
Topic: Defense
James Stephen Heappey (Conservative, Centre-right): The hon. Member is a keen supporter of our armed forces, and I can tell him that the great pleasure of serving in his beautiful corner of the world, as I have done, is not the stunning landscape or the Bushmills, but the Tayto chips in our packed lunches on the ranges Beyond the support of the community are our amazing service charities. So many of them do great work for our armed forces all year round, but at this time of year it is particularly important to reflect on the contribution of the Royal British Legion and the importance of its poppy appeal. It is an amazing commitment from poppy collectors all over the country that normally they go out in all weathers, from dawn till dusk, to sell poppies wherever they can. This year, of course, they have been more limited in what they have been able to do, but again and again I have seen in my constituency, and I know colleagues will have seen likewise, that they have done everything they can—within the law—to get out and raise as much money as they can for this important cause. We are all hugely grateful to them for doing so. I know that we would all want anybody watching today’s proceedings or reflecting on the fact that today is Armistice Day and they are yet to get their poppy to know that there is still time and that their money makes a real difference, in looking after both the families of those who have given their lives in conflict and those who have been forever scarred by their service That leads me to the service of our armed forces and the unlimited liability that they accept in the service of our nation—to do anything, anywhere, at any time, if this House and Her Majesty’s Government will it. That is an extraordinary thing to sign up and do. Some of us have done it for a few years. Some of us have done it for entire careers. Some of us have not done it at all, but to those who continue to serve, what matters is not whether a person has served but that they pause and reflect that as they go on with their life, and as their family are leading their lives, those who serve have accepted a responsibility on behalf of the nation to drop everything and leave at any moment to go and do whatever the nation requires anywhere in the world. That is an amazing act of selflessness that we should all be grateful for.
Remembrance, UK Armed Forces and Society — House of Commons, 2020-11-11
Topic: Defense
Tobias Martin Ellwood (Conservative, Centre-right): It is a pleasure to speak in this important debate. Defence is a subject that we do not discuss enough, so I suspect that, just as the right hon. Member for Wentworth and Dearne (John Healey) said, we will wander away from giving gratitude to those in the past and look at some future challenges. I am pleased to see my fellow Rifleman, the Minister for the Armed Forces, my hon. Friend the Member for Wells (James Heappey), in his place. The whole House joins him in saying thank you to our gallant, brave warriors, who have defended our shores, skies and interests over the years. It is important that despite the pandemic, we are able to continue to say thank you We pay tribute to those in the past, whom we all appreciate. I recall sitting on my grandfather’s knee when he explained the first world war medals that he had been awarded. That created a bond with me that has never gone away. It perhaps influenced me in stepping forward, wanting to serve. That link between myself and those in the armed forces is different from that between society and our armed forces today, as our armed forces have shrunk. We have seen vivid illustrations of some perceptions of what they now do, so part of what we are doing today is about educating the next generation on the importance and value that we in Britain bestow on our armed forces, which is perhaps uniquely different from what happens in other countries around the world.