argyrotsipi/train-dataset huggingface dataset:
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): I welcome the Minister of State, Department of Health and Social Care, my hon. Friend the Member for Gosport (Caroline Dinenage), who will respond to tonight’s debate. It is, I think, her first time in action as a Health Minister. Although this subject is not directly part of her departmental portfolio, we are grateful to her for coming to respond to the debate I obtained the debate to draw attention to the appalling standard of the patient transport services that Thames Ambulance Service Ltd has been providing to my constituents in north Lincolnshire. That concern is shared by other local Members of Parliament—indeed, all of us, not just across north Lincolnshire but through to the City of Hull, where Thames Ambulance Service also provides patient transport services. A common theme that constituents have raised with me and my team is that they themselves raised these concerns with Thames Ambulance Service but received no satisfactory response from the company. Having loved ones stranded when at their most vulnerable, following chemotherapy, or learning that elderly relatives with severe dementia or Alzheimer’s have been stranded or forgotten in very low temperatures, is of course very emotive for family members. Their questions to Thames Ambulance Service often go unanswered, in a thoroughly unacceptable way.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): I am sorry to learn that the experiences extend also to County Durham, because going to hospital is stressful enough in and of itself, particularly if one is very elderly or very vulnerable, as many people who use these services are, but especially so if one is not sure whether one will get home at the end of one’s treatment or after an appointment This is not, of course, a reflection on the frontline staff of Thames Ambulance Service, who are doing their very best in very difficult circumstances. I will come on to what some of the whistleblowers who have contacted us from that service have told us.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): I thank my hon. Friend and neighbour for that intervention. This is the problem. In many ways, it is nice that Thames Ambulance Service have met him. The correspondence that I have repeatedly sent them, chased by their official complaints procedure, by their chief executive, has not been responded to. So constituents who have not had a response have come to me, and I have then gone to Thames Ambulance Service, which has not responded to me. The service has not got any better. I will cite a few of the examples that my constituents have given, which are similar to my hon. Friend’s experience These experiences are being wrought on very vulnerable people. I want to go through a number of examples from my constituency. I will not name patients.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): It is saddening that the same experiences are happening just across the river in the city of Hull as well. This appears to be a consistent theme wherever this company provides ambulance transport services. Unfortunately, the hon. Lady describes an experience that many of my constituents have shared In fairness to the north Lincolnshire clinical commissioning group, it has, through the scrutiny processes at North Lincolnshire Council, effectively put the company on notice and informed it that the service is not good enough. Despite that, the improvements have not happened.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): I could not disagree with a word the hon. Lady said. She has stolen my thunder—[Interruption.] No, it is good! I was going to come on to the company’s treatment of volunteer drivers. Not only has it said that it will not pay them for mileage unless a patient is in the vehicle, but at three months’ notice it told them that if their vehicles were more than five years old, they could no longer be volunteer drivers. Despite that having been its policy for a considerable time, a company cannot give volunteers three months’ notice like that—say, effectively, "Change your vehicle or give up on the service." Through its own actions, the company has made an already struggling service much worse. It has absolutely brought the situation on itself I have dealt with the issue of volunteer drivers, and I thank the hon. Member for Great Grimsby (Melanie Onn) for raising it. I want to give a couple of examples from my constituency to demonstrate how poor the service has been. One of my constituents in Brigg was given short notice that their transport was to be cancelled because there were no ambulances. That meant that this person, who suffers from mobility issues, had to cancel an important scan. It is impossible for them to get in or out of vehicles unless they have been specially arranged The mother of another constituent from Crowle on the Isle of Axholme is 87 years old; she suffers from dementia, is partially sighted and has been repeatedly left stranded following appointments arranged way in advance. My constituent has completely lost trust in the service and family members have had to take time off work to ensure that the lady gets to hospital. The service is there to ensure that that does not have to happen. The situation is completely unacceptable Another constituent from the Isle of Axholme has repeatedly been left stranded and unable to book an ambulance. They have been forced to use expensive taxis, which meant that the trip doubled in length. On one occasion the service failed to fulfil a pick-up arranged in advance, and that again required them to use a taxi. The service is totally unacceptable.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Martin John Vickers (Conservative, Centre-right): Like the Opposition Members and my hon. Friend, I have a long list of complaints from constituents, but I want to highlight a particularly bad case. On two occasions—once at Scunthorpe Hospital and once at Grimsby Hospital—a 91-year-old gentleman in Barton-upon-Humber had to wait for four hours before transport was provided to get him home. On one occasion, he did not get home until past midnight. The situation is extremely serious.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): Absolutely. As my hon. Friend has highlighted again in this debate, we are not talking about one or two cases: Members of Parliament across our area have multiple cases. I want to highlight another one. Another constituent of mine, this time from Burton-upon-Stather, has to attend Castle Hill Hospital for chemotherapy every single day. His experience is of ambulances frequently being late, of other patients missing their appointments and of late collection for following treatment. As he has pointed out, receiving chemotherapy means that he is already very ill and weakened, but not just once but regularly he has had to wait up to three hours for an ambulance to collect him. He has also had issues with the booking system and trying to get a place at all. My final example is of another constituent living just outside Burton-upon-Stather: 82 years old, suffering from Alzheimer’s, in a wheelchair and with very poor mobility, he is totally dependent on the assistance of others to get to and from hospital. Again, his experience is of frequently waiting for the service to collect him from Scunthorpe Hospital. Not so long ago, during snowy, freezing weather, he was left for over three hours in a hospital doorway, waiting for a lift. In the end, hospital staff intervened and brought him inside to warm up, but yet again the experience of the complaints process was that Thames Ambulance Service was wholly unresponsive in dealing with complaints.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): It has a whole knock-on effect, whether it be individuals having to find their own transport, missed appointments or rescheduled appointments—it is all incredibly expensive—and it is not just patients who have these terrible experiences, of course; it is also the drivers. I have had whistleblowers from the service contact my office. One said they come on duty at 12 o’clock and are expected at the same time to be at Castle Hill Hospital in Hull with patients. They have described themselves as being at their wits’ end and thoroughly stressed. One contacted me recently about a 100-year-old lady who had to wait three and a half hours to get home.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): That is absolutely right. There is an argument for saying that those who provide the emergency services—East Midlands Ambulance Service in the case of Scunthorpe—are better able to provide the patient transport services, just as in Goole we would want Yorkshire Ambulance Service to provide the patient transport. There seems to be some sense in that, unless it is a very strong local community transport organisation that we know we can trust. Yes, there are always examples of failure, but we did not have this recurrent theme of failure under the previous system.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): It is incredible that what is judged to be a failing trust has a failing transport patient service that is making it even more difficult for it to get out of special measures. That is another reason I brought this matter to the House today Following on from the intervention of the hon. Member for Scunthorpe (Nic Dakin), one of my requests is to the Department for Transport—so not directly in the gift of the Minister in the Department of Health and Social Care—which is currently undertaking a transport accessibility consultation. It might be sensible if the issue of patient transport were to be wound up as part of that. That is one of my asks. I know that the Minister cannot respond, as it is not her Department, but it would be useful if she could pursue it interdepartmentally I want to give the Minister enough time to respond, so I will not say much more, but the concerns that I have described are shared by the clinical commissioning group, which has raised these issues with North Lincolnshire Council’s health scrutiny panel on a number of occasions and has told the panel that there will be further sanctions if the service does not improve. Sadly, that was said at the end of October, and, as other Members’ interventions have made clear, there has been no turnaround since then.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Martin John Vickers (Conservative, Centre-right): I agree with my hon. Friend that action needs to be taken. Does he agree that the service has had long enough to get its act together, and that the Minister ought to be consulting the local health trust and the CCG with a view to terminating the contract?
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Andrew Theakstone Percy (Conservative, Centre-right): I think that that is absolutely true. The chairman of the scrutiny panel, Holly Mumby-Croft, who is a councillor for the Broughton and Appleby ward in my constituency, has said that the "volume of people" who have contacted the panel directly is "very unusual". It is for people to go directly to a scrutiny panel; not many are aware of the position of the council. That alone suggests that the problem cannot be solved through the usual channels. After the most recent appearance of Thames Ambulance Service before the panel, the chairman said: "I have seen actually no improvement. None at all. It is worse." There is something seriously failing here, and it is putting the performance of our local hospitals at risk. More important, it is having a huge impact on our constituents I realise that the Government did not commission the service, and that it was commissioned by the CCG, which is responsible for the performance of the contract. However, I have some asks of the Minister Could the whole issue of patient transport be considered as part of the consultation that is currently being undertaken by the Department for Transport? Will the Minister and the Department look at the performance of Thames Ambulance Service in north Lincolnshire, and perhaps also in Hull, to see whether anything can be done directly by the Department to improve its performance? Will they, if necessary, look into what powers are available to establish whether or not this is a business that should be operating within the health service at all? If it is routinely leaving people with three and a half to four hours to get home, surely we need to ask, whether through NHS England or locally, whether this organisation should be allowed to provide transport services I accept that responsibility lies directly with the commissioners. I therefore urge the Minister to engage with the north Lincolnshire CCG and put maximum pressure on it to ensure that the powers made available in the contract tender to impose fines or even terminate the contract are used if there are not serious improvements very quickly. I have no confidence that the service will improve. I think it is time that the contract was terminated, and that either the local authority or the local ambulance service has another opportunity to tender. All of us in our area want the same thing. We want a patient transport service that does what it is meant to do: take people to hospital and get them home in a timely manner I look forward to the Minister’s response.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Caroline Julia Dinenage (Conservative, Centre-right): I congratulate my hon. Friend the Member for Brigg and Goole (Andrew Percy) on securing the debate. As he has so elegantly articulated, the provision of patient transport services is important to many people throughout the country Let me take this opportunity to give heartfelt thanks to all the staff in the health and care system. They work tirelessly in often difficult circumstances, routinely going above and beyond the call of duty to keep patients safe. Those dedicated people make our NHS truly great. No one knows that better than my hon. Friend, who spends weekends volunteering as a first responder with the Yorkshire Ambulance Service. He deserves massive thanks for everything that he does in that role, as do all first responders up and down the country We recognise that effective patient transport services are vitally important, not only to ensure the provision of high-quality, safe services for patients, but to ensure that patient flow through hospitals is not slowed by missed medical appointments or delayed patient discharges. We are clear that local NHS CCGs must ensure that reliable, safe and comfortable patient transport services are delivered and maintained Patient transport services, like almost all other health services, are locally commissioned and provided to ensure that they are well adapted to local conditions. It is for local CCGs to set appropriate expectations of service with their providers and to take swift action where they fall short. However, that is not to say that the Government have no expectations of how these services should be delivered and should function. There is well-established national guidance on who is eligible to use patient transport services which makes it very clear that patients should reach appointments in reasonable time and comfort without detriment to their medical condition. NHS England has also communicated with the CCGs about their responsibilities when commissioning patient transport services via its CCG bulletin.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Caroline Julia Dinenage (Conservative, Centre-right): Of course, we have devolved this matter locally and it is up to the local CCG to take action. I know that a recovery plan is in place and the delivery of the plan is now being monitored weekly, but the hon. Gentleman is right, and, like my hon. Friend the Member for Brigg and Goole, he has kept on articulating this issue and asking these questions on behalf of his constituents, to try to find out when they will see a visible difference to the service, because it is currently not good enough Patient transport providers are also required to be registered and inspected by the Care Quality Commission, the independent regulator of health services. This Government have given the CQC more powers, and it is now able to rate independent healthcare transport providers in the same way as NHS ambulance services. We fully support the CQC in its work to ensure that users of patient transport services are protected, and where services are not good enough and the necessary improvements have not been made, it can take further action, including issuing fines, service restrictions, and ultimately the cancellation of a provider’s registration Additionally, we are very supportive of the Department for Transport-led total transport initiative, which I think was what my hon. Friend the Member for Brigg and Goole was referring to, and which is currently piloting the joint commissioning of public sector-funded transport in order to reduce the risk of services overlapping, improve efficiency, and provide a better overall service to passengers From the local work carried out so far, it has become clear there are a range of potential benefits for the NHS, including helping to avoid bed blocking—where patients sometimes cannot go home because non-emergency patient transport is not available—and improving access to NHS services by reducing missed appointments due to late or unavailable transport. We have asked NHS England to ensure that CCGs are all engaging in this important work.
Patient Transport Services: Northern Lincolnshire — House of Commons, 2018-01-16
Topic: Health
Caroline Julia Dinenage (Conservative, Centre-right): I completely understand why the hon. Lady is articulating that; every one of these incidents is absolutely unacceptable and in many cases very distressing. The issue with devolving such clinical decisions to local areas, however, is that we have to allow the CCG to take the necessary steps to ensure the service is put back on to a better footing.
Armed Forces Covenant — House of Commons, 2018-01-15
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): The Ministry of Defence published the armed forces covenant annual report in December 2017, which outlined the progress made to strengthen the covenant. Notable achievements include the establishment of a new ministerial covenant and veterans board, which had its first meeting in October 2017. The next ministerial covenant and veterans board meeting is due in the spring.
Armed Forces Covenant — House of Commons, 2018-01-15
Topic: Defense
David Anthony Andrew Amess (Conservative, Centre-right): Will my right hon. Friend tell the House what his Department is doing to support wonderful local charities, such as the Leigh-on-Sea branch of the Royal British Legion and Help for Heroes, in helping veterans to tackle isolation and loneliness?
Armed Forces Covenant — House of Commons, 2018-01-15
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): The point my hon. Friend raises is very valuable. We have to be reaching out to so many veterans, who have given so much to our country over so many years, and the work of Help for Heroes and the Leigh-on-Sea branch of the Royal British Legion is absolutely pivotal to that. We have recently seen investment of £2 million to create the veterans’ gateway, which is there to make sure that veterans are signposted to the charities, support organisations and of course Government organisations that can best support them if they are suffering from loneliness or need other additional help. May I take this opportunity to thank the Royal British Legion—at Leigh-on-Sea and at so many other branches across the country—which continues to do so much for our veterans, day in and day out?
Armed Forces Covenant — House of Commons, 2018-01-15
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): What we have done is to create the veterans board. It was previously co-chaired by my right hon. Friend the Member for Ashford (Damian Green) and me, and it will now be co-chaired by me and the Minister for the Cabinet Office. We have found that the feedback about what we have been doing and trying to achieve in creating the board has been very positive. This is about not just the Ministry of Defence, but every Department, every local authority in the country and businesses helping and supporting our veterans and our service personnel.
Armed Forces Covenant — House of Commons, 2018-01-15
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): I thank my hon. Friend for his question. There were some problems, and the Under-Secretary of State for Defence, my right hon. Friend the Member for Bournemouth East (Mr Ellwood), has done an awful lot of work with CarillionAmey to tackle these issues. We will be making every effort to ensure that the accommodation provided by the partners with which we work and from which our service personnel benefit is of the highest standards.
Armed Forces Covenant — House of Commons, 2018-01-15
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): I assure the House that we have been monitoring the situation closely and working with our industrial partners. There will be a Cobra meeting later today to discuss addressing some of the most immediate issues, and the Under-Secretary of State for Defence, my right hon. Friend the Member for Bournemouth East, will do what he can, working with Amey and the separate business, to make sure that standards are driven up and no one notices a fall in service.
Defence Industry — House of Commons, 2018-01-15
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): The strategic defence and security review created a national security objective to promote our prosperity, supporting a thriving and competitive defence sector. We have now published our national shipbuilding strategy and refreshed defence industrial policy; industry has welcomed both. Exports are now also a defence core task, and I was delighted last month to sign the biggest Typhoon order in a decade, worth £6 billion.
Defence Industry — House of Commons, 2018-01-15
Topic: Defense
Christopher James Green (Conservative, Centre-right): Our NATO allies should be living up to their commitment to spend 2% of gross domestic product on defence, including 20% of defence expenditure being on major equipment, as agreed at the 2014 NATO Wales summit. Does my right hon. Friend agree that, if all members of NATO lived up to their commitments, there would be a boost to the British defence manufacturing sector and therefore to high-skilled British jobs?
Defence Industry — House of Commons, 2018-01-15
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): My hon. Friend makes a valuable point. He is right that, if everyone lived up their commitments on NATO spending and capital equipment, Britain could be a major beneficiary. I have made that point repeatedly to NATO Defence Ministers. It is about making sure that we have the right product on offer, so that we can sell it around the globe. That is something we in this country can be proud of as we continue to make significant and important deals across the globe.