argyrotsipi/train-dataset huggingface dataset:
Healthcare Staffing Levels — House of Commons, 2019-07-23
Topic: Health
Martyn Day (Scottish National Party, Centre-left): The rules around annual and lifetime allowances are having an impact on the NHS workforce in Scotland, and the options contained in the recent consultation on doctors’ pensions do not provide the level of flexibility necessary to resolve this situation. We know that the solution lies with the Treasury, so what pressure can the current Secretary of State put on the Chancellor to ensure that urgent reform takes place to stop this terrible impact on our NHS workforce?
Personal Independence Payments: Supreme Court Ruling — House of Commons, 2019-07-23
Topic: Health
Alison Emily Thewliss (Scottish National Party, Centre-left): There is a letter in the post to the Minister about this case, but I do not know whether he will be there to receive it, so I thought that I would ask about it here. My constituent has a long-standing diagnosis of Asperger’s, but her PIP assessor ignored the detailed medical evidence that she had provided and performed a five-minute mental state test involving taking 25p away from £1 and spelling the word "world" backwards. Her decision letter stated that she had "no cognitive sensory impairment diagnosed" and "no evidence of a cognitive impairment" Surely constituents should not have to come to their MP to get such evident mistakes overturned. The Minister should be getting things right first time, rather than going for mandatory reconsiderations.
Cystic Fibrosis Drugs — House of Commons, 2019-10-29
Topic: Health
Marion Fellows (Scottish National Party, Centre-left): I want to associate myself with the thanks to all the campaigners who worked so hard to ensure that these drugs would be available in England as well as Scotland. I never doubted that my Government would press and press, and I am delighted that the Secretary of State’s Government have followed suit. However, there are still great Brexit uncertainties. Given that people fought for so long, what reassurances can the Secretary of State give those who will obtain these life-saving drugs that they will be possible, affordable and sustainable?
Defence — House of Commons, 2018-01-11
Topic: Defense
Stewart Malcolm McDonald (Scottish National Party, Centre-left): I am glad this is the consensual part of the hon. Gentleman’s speech, because he will of course acknowledge that the frontline squaddies—the lowest-paid in the Ministry of Defence—are getting a tax cut in Scotland under the new tax powers, whereas his Government are freezing their pay, which is actually a pay cut because of inflation. He might want to look at his figures a wee bit before he expands on his point.
Defence — House of Commons, 2018-01-11
Topic: Defense
Christopher Charles Stephens (Scottish National Party, Centre-left): I fully agree with that point. Francis Tusa, a defence analyst, said that if anyone believes it is possible to build a general purpose frigate for £250 million they are guilty of a conspiracy of optimism. There is no defence expert who thinks that that is an appropriate price for building the general purpose frigate.
Grenfell Tower Inquiry: Phase 1 Report — House of Lords, 2019-10-31
Topic: Defense
Jonathan Toby Harris (Labour, Centre-left): To make it clear, my point about emergency alert communications was not a matter for individual fire brigades or for the Mayor of London. It is a more general one about the Cabinet Office and other government departments agreeing a system and ensuring that it is available for all emergency services.
Defence — House of Commons, 2018-01-11
Topic: Defense
Stewart Malcolm McDonald (Scottish National Party, Centre-left): I am grateful to the hon. Gentleman for allowing me to go over the figures again. An Army sergeant with a salary of about £33,000 pays £1.44 a week more. I think that it is fair to ask them to pay a little more, and entirely fair to ask officers who are earning in excess of £65,000 to pay a little more. Let us bear in mind that the average salary in his seat is under £23,000.
Defence — House of Commons, 2018-01-11
Topic: Defense
Stewart Malcolm McDonald (Scottish National Party, Centre-left): Where they are based. That is why I said that the squaddies in Scotland will get a tax cut. What we can unite on—the right hon. Gentleman’s party; my party; and, I understand, some sympathetic members of the Government party—is that it is time to lift the public sector pay cap, which is affecting serving soldiers.
Defence — House of Commons, 2018-01-11
Topic: Defense
Stewart Malcolm McDonald (Scottish National Party, Centre-left): They will benefit from many elements of the social contract. Of course, they already receive some of these benefits as members of the armed forces anyway I turn to the issue of housing. I was amazed to hear what the hon. Member for West Aberdeenshire and Kincardine (Andrew Bowie) said. Actually, I should have singled him out because he gave a thoughtful speech. Military housing that I have seen is the kind of stuff that you would not put a dangerous dog into. It is one area where the right hon. Member for Rayleigh and Wickford (Mr Francois)—who is not in his place, unfortunately—sees that the Government really need to put some work in On recruitment, as my hon. Friend the Member for Glasgow North West said, we need an urgent alternative to the Capita recruitment contract, which rakes in about £44 million per year over 10 years. It was the right hon. Member for Rayleigh and Wickford who suggested, in his marvellous report last year, that an alternative way needed to be found to fill the ranks. On terms and conditions, let us get our house in order. The right hon. Gentleman has now rejoined us I say to Labour Members, in the genuine hope that we can work together on this, that we should get an armed forces trade union Bill before the House. Let us give the armed forces the dignity and decency they deserve as workers in uniform so that they are in a better position to bargain for better terms and conditions for themselves and their families. I am very pleased not only that that was in the SNP manifesto, but that my party is currently undertaking some policy work—led by our armed forces and veterans spokesperson, my hon. Friend the Member for Glasgow North West—on how we can improve the terms and conditions offered to the armed forces.
Defence — House of Commons, 2018-01-11
Topic: Defense
Stewart Malcolm McDonald (Scottish National Party, Centre-left): I am very grateful to the right hon. Gentleman for his intervention because he is absolutely right. My preferred option would be to bring this back in house. I do not know whether he would go that far, but his central point is right that the MOD needs a plan B. I have been watching with interest the news on Carillion, which made the papers just this morning, and this is a really critical time for it I want to talk about capability, and I will do so briefly. We are running slightly ahead of time, but I wish to hear what the Minister has to say. Following the 2015 SDSR, there is a new mini-review, led by Sir Mark Sedwill, as several right hon. and hon. Members have mentioned. The review is looking at both security and defence aspects. My fear, which other Members have adumbrated, is that it is about what the Government can get away with spending, as opposed to what they need to spend given the threats they face As the hon. Member for Gedling said in his speech, we learned from a report in the Financial Times at the weekend that the review will now be split. Many of the Members who regularly attend defence debates will recall that the report was supposed to be published, and presumably a ministerial statement would have been made, early in the new year. I would have been charitable and extended that right up to the end of March. We now learn, however, that the defence aspects will be kicked later into the year. I would be grateful to the Minister if he told us in his summing up whether that is the case. The cynic in me does wonder—I am not normally one for being cynical—if this is about getting beyond the local elections in May. I sincerely hope not, because that kind of politics is not on.
Defence — House of Commons, 2018-01-11
Topic: Defense
Stewart Malcolm McDonald (Scottish National Party, Centre-left): I am amazed that with their combined experience, the hon. Member for North Wiltshire and the right hon. Member for New Forest East (Dr Lewis) appear so optimistic, and I fear they are trying to square a circle that cannot be squared. For more than a year, the SNP has called for a proper SDSR to take account of the fact that we are leaving the European Union, as well as the devaluation of the pound and currency fluctuations We must also address the nonsense that we have heard about 2% of GDP. The Government do not spend 2% of GDP on defence, and we should not let them get away with claiming that they do. That 2% includes things such as pensions, efficiency savings, and all sorts of things that it ought not to include. [Interruption.] I see that you are getting nervous about the time, Madam Deputy Speaker, so I will conclude my remarks and say that I think we should have more such debates on defence in the House. I think we should do that in Government time, and that the Defence Secretary should have turned up to the first defence debate of his tenure. It should not always be up to the Opposition to drag the Government to this Chamber to explain their woeful record.
Defence — House of Commons, 2018-01-11
Topic: Culture
Gavin Andrew Stuart Newlands (Scottish National Party, Centre-left): On a point of order, Madam Deputy Speaker. I wish to correct the record, as it appears I may have inadvertently misled the House this morning. During business questions, I spoke of the Scottish Government sending two letters to the outgoing Culture Secretary without reply. Hansard did not record the words "without reply", but the Minister responded to that specific point in his response. It has since come to my attention that the Scottish Government have recently received a response from the Secretary of State, and I did not want the day to end without correcting the record. I thank you for the opportunity to do so.
Points of Order — House of Commons, 2018-01-10
Topic: Health
Angus Brendan MacNeil (Scottish National Party, Centre-left): Thank you very much, Mr Speaker. May I congratulate you once again on your pronunciation of "Na h-Eileanan an Iar", which was absolutely perfect On a point of order, Mr Speaker. Both the Leader of the Opposition and the Prime Minister talked about "the NHS" today, seemingly unaware that in fact there are four NHS services in the UK. I seek your guidance on what can be done to insist on knowledge and accuracy from the most senior parliamentarians in the Chamber, or is the Chamber indeed just the English Parliament?
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): Like others across the House, I thank all staff in all four UK systems, who, as the Secretary of State has said, have gone above and beyond the call of duty to focus on their patients, and I do not think any debate we have in here is intended to upset or insult any of them Before the hon. Member for Ludlow (Mr Dunne) perhaps leaves the Chamber, I want to thank him for his service as a Minister of State for Health, whom I often met across the Chamber, but I also want to correct a comment he made in answer to my question on Monday. He claimed that the number of patients waiting longer than 12 hours in A&E in England was half the level of that in Scotland. Naturally, I would have expected the Minister to know all the stats and what they mean: in England data are only published for the percentage of patients who meet, or do not meet, the four-hour target. There is no publication of data on eight hours or 12 hours. The clock restarts for patients who require admissions, and that is defined as from the decision to admit until they get a bed and is known as trolley waits. So 48,000 patients waited over four hours on a trolley after their four-hour wait in A&E to get a bed, and the 109 he was referring to had waited over 12 hours on a trolley for a bed after the four or five hours they had waited in A&E. Therefore, it was utterly incorrect to compare that with the Scottish data, where we have a single clock from when the patient starts right through until they get to where they need to go. I simply want to clarify that while the hon. Gentleman is in the Chamber.
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): I thank the hon. Lady for her intervention Obviously, the shape of medicine has changed. More is delivered in primary care—as a surgeon, I well know that more surgeries are delivered in a day—but if we are doing a straightforward operation on an older patient, they will still always require longer rehabilitation; they are more likely to stay overnight or several days, and if they have fractured their hip, they will require full rehabilitation before they go home. The problem is that the number of beds in England has been halved since 1987—under successive Governments—and the NHS stats released for the end of the second quarter of 2017-18 show that almost 1,000 beds have been lost even since the winter of last year, when the situation was described as a humanitarian crisis. That was a mild winter that did not have a flu outbreak on top. England has only 2.4 beds per 1,000 population, whereas the EU15 that the Secretary of State refers to has 3.7, and we in Scotland have more than four. If we are running constantly with bed occupancy rates of over 85% or 90%, that is where the issue lies.
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): There will obviously be lots of bandying around of figures, and talking about the four-hour target and the achievements and the numbers, and, as I have said, it serves as a thermometer to look at the entire system from the patient turning up at A&E to their going home. That is what this is a measure of, and it is there to flag up concern. While we will be getting that data, we do not need it; we have already seen ambulances 12-deep, and have already heard that 75,000 patients are stuck in ambulances for between half an hour and an hour, and 17,000 stuck for more than an hour. As was mentioned by the right hon. Member for North Norfolk (Norman Lamb), who is no longer in his place, this means that those ambulances are not available to respond to other 999 calls, which endangers patients.
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): Attendances at A&E tend to be higher in the summer, when kids are on bikes and trampolines, and up trees. It is admissions that are higher in winter, when A&E is dominated by people who are sick. Of course we want primary care and the 111 system to work, so that people do not use A&E as a first port of call, but the problem comes when that all gets too complicated and patients cannot work out where they should go. That is when they go to A&E. It is important to make it really clear where they should go to address which problems Having seen the crisis last year, when there was no flu, snow or ice to blame, I believe that there are underlying structural problems. The target was met comfortably until 2013, when the Health and Social Care Act 2012 changes kicked in and NHS England started to become fragmented and to be based on competition instead of co-operation. I would welcome the establishment of a cross-party group here to work on this, so that we did not always have to have these debates, but it would have to look at the structure and unpick what has been done to NHS England in the past four and a half years. Carrying on breaking it apart will not provide a solution.
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): I completely agree that establishing accountable care organisations only through secondary legislation is utterly wrong. We have had multiple debates about STPs, and I have said that going back to place-based planning is the right way to integrate and develop a local service, but there should not be a private company at the top making the decisions. There needs to be a publicly accountable body. There is going to be yet another big reorganisation in NHS England, and the proposed structure needs to be debated in this place, not behind closed doors. Yes, money is tight, with the NHS seeing rises of just over 1% a year in the past seven years compared with almost 4% in the past, but it is estimated that between £5 billion and £10 billion is being wasted in the healthcare market itself, through bidding, tendering and profits, and now through this habit of companies suing if they do not win a contract It is crucial to move back to developing services for a community. It is also crucial that health and social care should be integrated, and I welcome the combination of both titles in the Secretary of State’s role, if that means that we are going to work towards meaningful integration, but it must be done in a structured, responsible and legalistic way.
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): The four health services are very different. In essence, we have four laboratories. NHS England is by far the largest, but they all face different as well as similar challenges. I am sure that if there were more discussion of how things have been done, there could be more lesson-learning in different directions In 2010, we were promised that there would be no more reorganisation. The same promise was made in 2015, but NHS England is now facing another reorganisation, in the STP system and in accountable care. It is crucial that the focus should be not on bottom-line, budget-centred care but on patient-centred care. It is wrong that any such changes should be introduced through secondary legislation. They must be introduced in this place—either through debate, in Committee, through convention or in a royal commission—to enable us to come up with a structure that will function. Since 2013, the deficits have gone up, the waiting time failures have gone up and the stress on staff has gone up, making it even harder to keep hold of people. Let us put the patient in the middle, but let us also support the staff who look after the patient.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): I, too, pay tribute to staff across all four health services, where the normal pressures have been added to this winter by freezing weather and influenza. Scotland still leads in A&E performance across the UK, but we do not need to see four-hour data to understand the stress that NHS England is under. Thousands of patients have been held in ambulances for more than an hour outside A&E before they can even get in, which means that ambulances could not respond to other urgent calls, and that has obviously put other patients in danger. We have heard about patients being held in corridors for hours at a time, causing not just suffering and danger to patients, but enormous stress to those staff to whom we are paying tribute The Minister talks about the elderly population. We need to have beds for that population. England has halved its number of beds in the past 30 years, and now has only 2.4 beds per 1,000 population, compared with four in Scotland. Will he and the Secretary of State make sure that there are no further cuts in the sustainability and transformation reorganisation, and will they look at how they replace the money that has been cut from social care so that when elderly patients are ready to go home they can do so and free a bed for someone else?
Insurance and Genetic Conditions — House of Commons, 2018-01-08
Topic: Health
Gavin Andrew Stuart Newlands (Scottish National Party, Centre-left): I think that that meeting will prove worthwhile. The Minister seems to be taking assurances from the FCA and the ABI, while the reality of the situation being relayed to me by those who are suffering from Huntington’s is very different from the picture being portrayed by the Minister. I therefore very much look forward to that meeting, and I hope that it takes place at the earliest opportunity.
Personal Independence Payment — House of Commons, 2018-01-23
Topic: Health
Christopher Charles Stephens (Scottish National Party, Centre-left): We on the DWP Select Committee heard some alarming evidence and unconvincing answers from contractors about the number of staff who had specialist knowledge of mental health. Can the Secretary of State confirm that she will take this up with the contractors and carry out a review of the assessment process?
Personal Independence Payment — House of Commons, 2018-01-23
Topic: Health
Andrew Egan Henderson Hendry (Scottish National Party, Centre-left): Many disabled people in the highlands, particularly those with mental health conditions, are often refused PIP appeals, despite overwhelming evidence from their doctors. Does the Secretary of State agree it is wrong and discriminary—[Interruption.] Does she agree it is wrong—[Laughter]—to accept a private company’s decision over that of highly trained medical professionals who know their patients, and their conditions, well?
NHS England Funding: Announcement to Media — House of Lords, 2021-10-26
Topic: Health
Zahida Manzoor (Conservative, Centre-right): My Lords, I welcome the sum of £5.9 million, which comes on top of the additional commitments that were previously made by the Government. However, it remains the case that, with demographic changes, an ageing population and many more chronic diseases and illnesses, we will see a rise in cost. Can my noble friend say whether there is an active plan to look at a forward-thinking strategy as to how we will deal with this funding in the long term?
NHS England Funding: Announcement to Media — House of Lords, 2021-10-26
Topic: Health
Syed Kamall (Conservative, Centre-right): The noble Lord makes a valid point on workforce shortages. The Chancellor will confirm wider health budgets at the spending review, which is in only a few more days. We have already increased training places this year and will feed through into the available workforce. Ensuring that we have the workforce necessary to support this expansion will be driven by a combination of things, such as enforced workforce productivity, including from the spending review digital diagnostic investments, which are expected to deliver a 10% to 15% workforce productivity uplift. We are also looking at existing Health Education England funding, which will provide a pipeline for growth in training numbers.