argyrotsipi/train-dataset huggingface dataset:
Britain and International Security — House of Commons, 2015-07-02
Topic: Defense
Vernon Coaker (Labour, Centre-left): The right hon. Gentleman asks a fair question, but he should also reflect on what I have tried to say, which is that we will consider the Government’s proposals. As yet, the Government have made no proposals. This is not about preparing the ground; it is about saying what action we will take. The right hon. Gentleman will unite with everyone in the House in asking what we must do to tackle extremism and terrorism, and we must consider any proposals that the Government may bring forward Neither the right hon. Gentleman nor I have access to the intelligence or military advice that is available to the Defence Secretary, and we must consider what that advice might include. If military or intelligence advice suggests that a headquarters is directing terrorism across the world from parts of Syria, and that those who are conducting terrorist activities and killing British citizens who are on holiday do so on the directions of people in northern Syria—[Interruption.] UK citizens—English, Scottish, Welsh, Northern Irish or whatever: all citizens who are under threat from terrorism. All I say is that it would be right and proper to consider that information, and take whatever action is felt appropriate to deal with it. That is not the same as saying to the Government, "It does not matter what you say. We will support you". It means that we will be responsible—as will the right hon. Gentleman—and consider what advice the Government have received and what action we should or should not take.
Britain and International Security — House of Commons, 2015-07-02
Topic: Defense
Vernon Coaker (Labour, Centre-left): I accept that point. Of course the situation in Syria is complex, as I stated earlier. All I say to the House is that we will consider any proposals that the Defence Secretary brings forward and, like the right hon. Gentleman, we are united in tackling Islamic extremism and terrorism. There is no difference between us on that. When the Defence Secretary comes forward with proposals—if he does—we must consider them and see whether we can support any such action. That is all I am saying I was speaking about Britain’s global role and how we cannot remove ourselves from that responsibility. We are uniquely placed: a P5 member, a leading EU country, the second largest contributor to NATO, a founding member of the G7 and—this is often missed out—a central partner in the Commonwealth. We are the only country that is part of all those things. That is not overblown rhetoric, jingoism or national chauvinism. We must be confident in the role that we could, should and will play. By the end of the decade we will have taken the decision to renew the nuclear deterrent, which we support, delivered new attack submarines, and be close to the regeneration of carrier strike. We are still a significant military force, and that is allied to our considerable political influence in the decision-making bodies of the world, and the defence engagement that we undertake in all regions by advising, supporting and training our friends. Such work is often unrecognised but it is crucial none the less. We must also accept that our armed forces have been shaped by more than a decade of conflict, and the British public have become far more sceptical about the use of military force. The case for our military must be made by us all Our highly capable armed forces are vital to the UK and its interests. Indeed, military power is not an alternative to, but acts as a support for, political solutions. Our armed forces project power on a global scale and deter potential enemies. The lesson of history is that deterrence, alongside politics, is the best course of action. In the modern world we must treat defence and security as separate sides of the same coin because we must do all we can to prevent a latent threat from becoming a patent one. We must ensure that we have responsive, high-tech armed forces with the capability to respond to emerging interconnected threats in an unpredictable security landscape, including hybrid warfare.
ISIL — House of Commons, 2015-02-23
Topic: Defense
John Woodcock (Labour, Centre-left): Does the Secretary of State think that it is acceptable that none of the service chiefs who gave evidence to the Defence Committee as part of its recent inquiry was willing or able to articulate the UK’s objective or strategic plan in Iraq? What exactly is our plan?
ISIL — House of Commons, 2015-02-23
Topic: Defense
Ian Colin Lucas (Labour, Centre-left): The Secretary of State is of course aware that ISIL is operating not only in Iraq, but in Syria and, unfortunately, now in Libya. Will he clarify what role the UK and its armed forces are playing in those theatres?
Service Personnel: Police Cautions — House of Commons, 2015-02-23
Topic: Defense
Questions: How many service personnel were dismissed from the Army, demoted or otherwise penalised as a result of having received a police caution between 2008 and 2011.
Madeleine Moon (Labour, Centre-left): The Minister will be aware that at least 58 of those personnel were discharged from the armed forces. On a rough calculation of losing, say, a £25,000 salary for just one year, compensation of over £1.25 million would be due. What assessment has she made of the cost to the defence budget of the military law-breaking and cover-up that was involved?
Topical Questions — House of Commons, 2015-02-23
Topic: Defense
Questions: Further to that answer, will the Secretary of State update the House on his assessment of the recent militaristic threats of action in Ukraine by Russia?; May I also congratulate the Defence Secretary on his forthright warning about an expansionist and aggressive Russia under President Putin representing a real and present danger to the Baltic states and, therefore, to NATO and European peace? May I be the third former Defence Minister from the previous SDSR to urge the Defence Secretary to use the current SDSR to improve defence capability rather than reduce it? May I also reassure him that there is a huge groundswell of opinion on the Benches behind him in support of an increase in defence spending and certainly not in support of a cut?; The RAF has been using precision munitions effectively in Iraq, which, as far as is possible, are good at minimising collateral damage. Further to the earlier comments by the Secretary of State, will the Minister reassure the House that that important capability will not be lost when the Tornado combat jet is retired in 2019?; What assurance can the Minister give that the costs of the new Type 26 global combat ship will not rise ever upwards? How much clout does his Department have in avoiding some of the mistakes of the past?; As civil nuclear developments expand the market for skilled nuclear engineers, what steps is the Minister taking to ensure that we maintain the skills levels of the hundreds of nuclear engineers at the Atomic Weapons Establishment in Berkshire?; In addition to the training that my right hon. Friend mentioned earlier, will he tell the House what equipment the British Government are providing to the Kurdish peshmerga, and whether they are providing any equipment on behalf of other countries to assist their fight against ISIL?; Will my right hon. Friend join me in paying tribute to our fast jet airmen, who help keep our skies safe and are dealing with the increasingly frequent Russian incursions?; May I support the Defence Secretary’s warning about the danger that Russia poses to world peace? We should look at supporting brave Ukraine before Mariupol is put under pressure or falls.
Barry John Sheerman (Labour, Centre-left): If the Secretary of State is so pleased with our present defence capacity, will he say when was the last time an American President begged a British Prime Minister not to run down British forces any further?
European Council — House of Commons, 2015-02-23
Topic: Defense
Andrew John Gwynne (Labour, Centre-left): Last week, the Defence Secretary said that he was worried about President Putin’s pressure on the Baltic states, which are in the EU and NATO, and the consequential testing of NATO that that is bringing about. Will the Prime Minister update the House on whether the NATO rapid reaction force is having the desired effect, and explain whether he thinks that Britain could do more to contribute?
European Council — House of Commons, 2015-02-23
Topic: Defense
Nia Rhiannon Griffith (Labour, Centre-left): Returning to the serious situation in Ukraine, the deadline of Thursday for the withdrawal of heavy artillery from the front line is fast approaching. I would be grateful if the Prime Minister gave his analysis of what progress is being made, told us whether he thinks the deadline will be met and said what plan of action he has if the deadline is not met.
Points of Order — House of Commons, 2015-01-26
Topic: Health
Helen Mary Jones (Labour, Centre-left): On a point of order, Mr Speaker. Last weekend it was revealed that the general secretary of a party that is represented in this House had compared the NHS to Nazi Germany. That remark not only plumbs unfathomable depths of ignorance but, at a time when we are commemorating the holocaust and celebrating the dedicated team that aided the recovery of Pauline Cafferkey, is also morally repugnant. Can you advise whether there is any way for this House to express its disapprobation of those comments and its support for our many dedicated NHS staff, who deserve better from people who seek to be public representatives?
Sustainable Development Goals — House of Commons, 2015-06-03
Topic: Health
Katherine Anne Green (Labour, Centre-left): Last year, I visited Rwanda with Voluntary Service Overseas—I draw Members’ attention to my entry in the Register of Members’ Financial Interests—and I saw for myself the enduring impact that the collapse of its healthcare system 20 years ago has continued to have on levels of disability and poor mental health. Will the Secretary of State tell us what the Government have done to ensure that universal health coverage remains an underpinning principle of the sustainable development goals and the aid agenda?
GP Services — House of Commons, 2015-02-05
Topic: Health
John Derek Twigg (Labour, Centre-left): The hon. Gentleman raises an important point and he is absolutely correct. I will refer to that later in my speech There can be no doubt that GP recruitment has not kept up with the demands of our population. That is the key problem today. In addition, the pressure on hospitals has increased massively because if people cannot see their GP they often go to A and E. That has been a problem in areas such as mine. There is also the inability of hospitals to discharge frail, elderly people from wards into the community because of the shortage of care in the community. Councils face massive budget cuts, so there are pressures all round. There are pressures on GPs in relation to access and there are pressures on hospitals and elsewhere I want to raise a particularly important point with the Minister that I have raised before. The Government are proposing to demand a 3.8% efficiency saving in the national tariff for 2015-16. That will push many hospitals to breaking point and possibly endanger patient safety. I hope that the Minister will look at that again. Members should read the briefing on that from NHS Providers There is clearly a view among many that general practice is heading for some sort of crisis. One GP in Halton told me recently: "The overwhelming problem is the manpower crisis and the rock bottom morale of the Profession, which are interlinked. We are unable to recruit new GPs into practice or medical students into our specialty, training places are left unfilled and there are vacancies all over the country with very few applicants." It is hardly surprising we have that problem when we consider what the RCGP has said: "Funding for general practice has fallen to an all-time low of only 8.3% of the overall NHS budget…GP surgeries are now seeing 372 million patients a day, compared to 300 million a day in 2008." Some family doctors are seeing 40 to 60 patients a day. That is unsustainable in the long term. Some 49% of GPs say that they can no longer guarantee safe care to their patients The RCGP tells me that the average coverage is 6.9 GPs per 10,000 of population. That is the lowest level of coverage since 2011. The RCGP estimates that up to 543 practices in England could face closure due to the fact that 90% of GPs working in those practices are 60 or over or are likely to retire soon. The hon. Member for Kettering (Mr Hollobone) made that point.
GP Services — House of Commons, 2015-02-05
Topic: Health
Stephen James McCabe (Labour, Centre-left): I certainly agree with my hon. Friend’s point, but does he also agree that the constant stop-go policies and the changes in contracts and the confusion over NHS England and clinical commissioning groups is adding to that problem? In my constituency we have the Bournbrook Varsity practice. It expanded and did everything that was asked of it by the primary care trust to create a broader health service. It now finds itself about to be penalised, have its funding cut and have to reduce staff in an area where there is a huge student population. Those students will inevitably gravitate to A and E if this service goes.
GP Services — House of Commons, 2015-02-05
Topic: Health
John Derek Twigg (Labour, Centre-left): My hon. Friend raises an important point, and I know how committed he is to having a well-run health service. That is an important issue for his constituency. The structural changes that take place on a regular basis have been one of the complaints made by people who work in the health service.
GP Services — House of Commons, 2015-02-05
Topic: Health
Barry John Sheerman (Labour, Centre-left): In the most stressful bits of the GP world, GPs are retiring very early, which is a great loss and is very worrying. I met two GPs recently who are retiring very early with so much still left to give. We are also finding that among A and E specialists. What a strange world it is when we cannot recruit doctors into general practice or A and E at a time when we need them so much.
GP Services — House of Commons, 2015-02-05
Topic: Health
John Derek Twigg (Labour, Centre-left): My hon. Friend makes a powerful point and he is absolutely spot-on. That links with the comments made by other Members about GPs deciding to retire early because of the pressures and because they feel their profession is being let down and is not what it was when they began their career. Getting younger people into the profession is becoming more difficult. I will come to that The British Medical Association is concerned that there are inadequate numbers of GPs to meet the demand of a rising population, and in recent years annual increases in the number of GPs have been lower than the rate of population growth. That is a key part of this argument. The number of GPs we need is just not keeping up with the demands of the population.
GP Services — House of Commons, 2015-02-05
Topic: Health
John Derek Twigg (Labour, Centre-left): As I will come to later in my speech, there are a number of things that the Government coming into office after the May election will have to deal with to address the sustainability of GP services. They will have to consider whether the training is correct and whether there are enough incentives for young people to go into general practice, or, indeed, other parts of the NHS. That will be an important part of any sustainable plan to make sure we have enough doctors throughout the health service, and in particular GPs. That is a point that needs addressing The British Medical Association is also concerned that not enough foundation doctors are choosing to pursue a career in general practice. Application rates for training programmes continue to fall year on year. According to figures from the National Recruitment Office for GP Training, the number of applications for 2014 was 5,477, which was a reduction from 6,034 in 2013. I am told that this is leaving GP vacancies unfilled in parts of the UK: in the east midlands and Merseyside just 62% and 72% respectively of vacancies are filled. To come back to the point Members have been making, 9% of the general practice work force are aged over 60 and 38% are aged 50 or over. Just 27% of the general practice work force are under 40 years of age. One of the reasons for speaking today is to deal with the access problems. I am sure most, if not all, MPs will have had complaints about that raised with them by constituents and by GPs Last year, Healthwatch Halton carried out a GP access and out-of-hours provision survey, and it is important to share some of the key results with the House: 56% of people rated booking an appointment with their GP as "very difficult" or "not easy"; 33% of people rated the length of time it took to get through to their GP practice as "poor" or "very poor"; and 62% of people would like their practice to be open longer, particularly at weekends and in the evenings. That is a particularly important point when considering whether GPs are accessible and we should move to weekend working, which we have had and are debating. However, doing that requires resources. Importantly, a sizeable proportion—32%—were unhappy with the way in which their complaints were handled. That is roughly in line with national findings. On the very big plus side, the general satisfaction level of people with their GP was more than 90%, which is important The figures provided to me for Halton by the Royal College of General Practitioners—my constituency covers most but not all of Halton; some is covered by the hon. Member for Weaver Vale (Graham Evans)—show that we have 66 full-time equivalent GPs and that we need to increase that by 24, or 37%, by 2020. In one of the most deprived boroughs in the country we already have a shortage of GPs. My area deals with some of the most difficult health problems—high cancer rates, and high levels of chest disease and of heart disease—so being able to access a GP, and quickly, is very important. Any shortage has an impact on all that.
GP Services — House of Commons, 2015-02-05
Topic: Health
John Derek Twigg (Labour, Centre-left): I cannot answer the hon. Lady’s question because I do not have those figures in front of me. I am sure that if she talks to the Royal College of General Practitioners or the BMA she will be able to find all those figures. I am sure she understands that I represent one of the most deprived urban constituencies in the country and so I am going to focus on that, as I am sure she would focus on her constituency Let me re-emphasise a point I made earlier: whoever forms the Government after 7 May, they will have to come forward with solutions to the mounting pressure on general practice and the NHS overall. There needs to be long-term, sustainable investment in GP services in order to attract, retain and expand the number of GPs. Retention is just as important as recruitment—a point made in the comments about GPs retiring early.
GP Services — House of Commons, 2015-02-05
Topic: Health
John Derek Twigg (Labour, Centre-left): The Minister makes an interesting point. At Prime Minister’s Question Time, we keep hearing the Prime Minister say, "Look how many extra GPs and nurses we have recruited," but how long does it take to train them? I suggest that the Minister look at the figures on the number of additional GPs and nurses recruited between 2003 and 2009.
GP Services — House of Commons, 2015-02-05
Topic: Health
John Derek Twigg (Labour, Centre-left): Again, that is an interesting point. There is a perception that every GP practice provided out-of-hours cover with the GPs themselves going out to see their patients. Of course, some of them did that, but many did not. Many of them were already using locums. During my childhood, I was a particularly bad asthmatic, and most of the doctors who came out to see me were locums, not my GP. We must look at how we organise out-of-hours services, but the key thing to focus on today is that we have not got enough GPs.
GP Services — House of Commons, 2015-02-05
Topic: Health
John Derek Twigg (Labour, Centre-left): I know the Minister’s background, but he should read the figures on the number of GPs recruited by Labour when we were in power. Between 2000 and 2009, there were thousands of extra GPs, compared with the additional recruitment since this Government came to power. He should compare the two records I will not take any more interventions, Mr Speaker, because other Members want to speak Many local initiatives are trying to deal with the crisis in general practice and gaining access to GPs, or certainly to mitigate the effect. Clinical commissioning groups, such as Halton CCG, are working closely with partners to develop a strategy within the financial constraints. Halton CCG has told me: "Delivery may be across the whole CCG on a Halton-wide footprint; by bringing more than one GP practice together to service distinct communities through a ‘hub’ based approach; by sustaining individual practices wherever appropriate and by giving local people and communities more opportunities to self-care and create resilience" It is working with partners to try to improve the situation, despite the financial constraints and the shortage of GPs, but we must attract more GPs The Royal College of GPs has told me that, in its view, it is vital that we increase the share of the NHS budget spent on general practice in England from 8.3% to 11%. That is one of the key parts of its campaign. That increase would help to reduce pressure on other parts of the NHS by supporting the delivery of more patient care in the community and keeping people out of hospital wherever possible The fact is that general practice cannot go on in this state. We need a sustainable, funded plan to ensure we have enough GPs to meet the population’s needs and to provide better care outside hospital. Clearly, patients should not have to wait days and sometimes weeks to see a GP or be constantly denied the opportunity to see the GP of their choice. We need to relieve the pressure on hard-pressed GPs, by ensuring that general practice is where more young doctors want a career, and in doing so we would have much better integrated care. We need better buildings to make general practice a more attractive place. We must of course constantly challenge the medical profession on how they can work better and deliver better services to patients within available resources. In the end, both politicians and clinicians must put the interests of patients first, while getting the best value for the taxpayer.