argyrotsipi/train-dataset huggingface dataset:
Royal Naval Deployment: Mediterranean — House of Commons, 2016-03-07
Topic: Defense
Matthew Toby Perkins (Labour, Centre-left): I am sure that the thoughts and gratitude of the whole House are with the men and women aboard RFA Mounts Bay as they join the NATO deployment in the Aegean sea. Once again, the crisis demonstrates how the British armed forces play a crucial role, not only in securing our domestic security but in contributing to peace and stability across the world People trafficking is the world’s second largest form of organised crime, generating billions from the misery and suffering of some of the planet’s most desperate people. There is a real urgency not only to deterring and bringing to justice the people responsible, but also to deterring the victims from undertaking the perilous journey. Although we welcome the role that RFA Mounts Bay will play, it is a small contribution to a gigantic crisis. That may be a reminder of the fact that the Royal Navy’s surface fleet has been reduced by a sixth since 2010 Does the Secretary of State feel that our naval resources are too stretched to play a larger role in this operation? Does he believe that, rather than protecting UK seas, the three Border Force vessels are in the Aegean because of the reduction in naval capacity caused by the 2010 strategic defence and security review? To that end, what more can he tell us about when the national shipbuilding strategy will report, and how quickly does he think the new class of lighter frigates to replace the Type 23s will be available to the Navy The fact that NATO has joined what was previously an EU role further demonstrates the extent to which our role in the EU enhances our global security. Does the Secretary of State agree with the Prime Minister that leaving the EU may bring refugee camps to the streets of Britain, and what more can he tell us about the ways in which he believes the EU helps us to keep Britons safe Once again, we salute British servicemen and women who are making the world safer and fairer. The Government must make sure that we have a strategy in place to ensure that—in the air, at sea and on the land—Britain can always answer the call.
Long Covid — House of Commons, 2021-01-14
Topic: Health
Christopher Lionel John Loder (Conservative, Centre-right): If the hon. Gentleman will forgive me, I would like to keep going As I was saying, we are in danger of forgetting those whose immediate threat to life from the more common symptoms has subsided, but who are left with one of the many debilitating conditions that relate and go on to form long covid. I would like to share with the House some shocking statistics that I have found in my research over the past day or so: 21% of those who get covid suffer with it for five weeks or more—112,000 people suffered with it for between five and 12 weeks. That statistic is from November last year, so there are bound to be more. One in ten of all those who get covid suffer from it for longer than 12 weeks Today, I want to speak in support of children with long covid and those who care for them. Sammie McFarland is a constituent of mine, and I pay tribute to her and her colleagues, who have set up Long Covid Kids, a support group for children and their parents who are contending with some of the most difficult of long covid situations. The inspiration for the movement came when Sammie and her daughter caught covid last March and both went on to struggle with long covid. Long Covid Kids has highlighted some profound realities, which we have talked about in this debate I will conclude my remarks with some clear and decisive asks of the Minister. Children must be counted in long covid cases, and I fear that so far they have not been. Paediatric provision is needed in the long covid clinics. We need to raise awareness of long covid in schools. We need a plan and consideration to be given to the return to school of long covid children, avoiding fines for parents but also appropriately phasing the return of children who are recovering.
Royal Naval Deployment: Mediterranean — House of Commons, 2016-03-07
Topic: Defense
Andrew John Gwynne (Labour, Centre-left): I welcome the Defence Secretary’s announcement. Does he foresee the need for an additional deployment of Royal Navy ships in the Mediterranean to assist those already there, including the two Border Force cutters? In respect of those two cutters, what assessment has been made of the impact on policing our own waters, which is obviously of equal importance to people living in the UK?
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Alexander Paul Beresford (Conservative, Centre-right): Three minutes means that I cannot answer the hon. Member for Putney (Fleur Anderson). I congratulate her on obtaining the debate. I am chair of the all-party group for dentistry and oral health. I have a surgery in the Putney constituency—she did not visit me. Sensibly, dental surgeries, after the initial lockdown, have remained open, but, as she has mentioned, there are costly new anti-covid requirements. Currently, the figures of the backlog of appointments are staggering and, in response to those figures, new NHS targets have been set. Understandably, they are high. I have seen the British Dental Association’s sponsored letter. I went for a pinch of salt when it arrived on my desk. I understand that 60% of the practices are actually meeting those targets and that those that are unable to meet the targets can obtain dispensation. Scaremongering on safety in surgeries is just that—scaremongering. Dentists are medical professionals. They are overseen by the Care Quality Commission and by the General Dental Council. Safety is paramount. Most alarming—and this has been mentioned—is the drop by a third, as I understand it, of oral cancer detection and referral My next concern is that many of the clinical teaching staff at our hospital dental schools were drawn away to assist in urgent dental care and covid patient care. As a result, many of our final-year students are facing graduation with a clinical educational deficit However, I think it is worth looking forward. First, I thank the Minister for helping to move inoculations for dentists and all staff into category 2, which is a recognition of the dangers of the aerosol dispersal spray. Secondly, can she look into the long fallow time? Other nations have managed to make this somewhat shorter and safe. Next, we need to look after the children who require hospital general anaesthetics. In the long term, that has to mean prevention, and the very best long-term means of prevention is to introduce fluoridation into water supplies, particularly in deprived areas. While this backlog must—and in time, will—be cleared, prevention has to be the long-term aim. Caries is preventable, and it is something we can do something about in this nation as is progressively being done in others, by teaching children to brush their teeth and to use a fluoride toothpaste, and putting fluoride into the water supply.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Jane Marion Hunt (Conservative, Centre-right): May I take this opportunity to thank all in the dental profession for all they have done and, in particular, for how they have adapted to implement the huge changes needed to be covid-secure? I have direct experience of this, having received urgent care both during the first lockdown and yesterday. I know that I am not alone in thanking them, as several of my constituents have told me of their own experiences. On behalf of all of us, I thank them very much for what they are doing during these trying times At the beginning of the pandemic, dental practices across the country were instructed to close. This meant that dentists took a huge financial hit, which was compounded by the fact that many were ineligible for the Government’s financial support package. This was particularly true of private dentists. We rely on these practices as much as NHS ones to meet local demand, and that should be considered going forward NHS dentists have recently been asked to fulfil their contractual obligations in the last quarter of the financial year. However, in order to meet additional safety guidelines, they now see fewer patients. Indeed, 64% of practices surveyed by the British Dental Association last year estimated that they could only treat less than half the patients they saw before the pandemic. Practices also have to cater for the self-isolation of staff and patients, the general fear of older residents leaving their home for any reason and cancellations at short notice for all of the above I emphasise that dental practices are safe and continue to be so. I am grateful to the Leicestershire and Rutland Local Dental Committee, which allowed me to attend its Zoom meeting last night and hear the concerns of 112 local dentists. In an online vote, 80% of those dentists said they would not be able to hit the target for quarter 4. The added dimension is that should dentists miss the target by as little as 1%, they receive considerably less revenue for the work they have already carried out. Dentists are also given no leeway for last-minute cancellations and no-shows in their contracts, even though that may lead to those missed targets. I therefore ask that that be urgently reviewed, so that dentists are not punished for trying their hardest to continue to provide the care needed. I can fully understand why the target was set when it was put in place just before Christmas. At that time, little was known about the new variant of covid and the case rate was dropping at a rapid rate. If it had remained in that arena, I certainly would have been clamouring for tier 2 in Loughborough and fighting to get as many businesses and facilities open as possible. Unfortunately, the new variant has put paid to that idea and a national lockdown has ensued. I ask that the target for dentists be reviewed in light of the current situation.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Scott Leslie Mann (Conservative, Centre-right): Apologies from North Cornwall, Mr Deputy Speaker. I thank the hon. Member for Putney (Fleur Anderson) for bringing forward this very important debate. In the three minutes that I have got, I would like to address the wider issues around covid and NHS dentistry in places like Cornwall, the 2006 contract, and the challenges of recruitment and retention in rural areas We have exceptionally long waiting lists for NHS treatment in places like North Cornwall, with many people waiting years on the NHS list, and at the moment we have a limited number of dentists providing that NHS work. Many of the practices and dentists in my constituency are servicing more than 8,000 or 9,000 patients. That is not sustainable in the long term. Population growth in Cornwall has compounded that issue. Having met many dentists in my constituency, I am aware of the problems, and I look forward to working with the diligent Minister on the Treasury Bench to resolve some of them. The 45% target should be looked at again, because meeting those demands in the current environment is quite tough Those local issues are magnified in the national picture. Normally, someone presenting to an NHS dentist needs emergency work, which takes quite a lot of time. The contract is onerous. The 2006 contract was not great when it was introduced, but with time it has become less and less effective. It needs to be reviewed. I know Cornwall is not unique, but the problems become more acute the further one gets from the big cities. We do not want oral health inequalities across the country. The levelling-up challenge is an economic one, but we need to be aware that there are health shortcomings affecting those who live remote areas Looking at solutions, I have picked up on the fact that we used to have a scheme to recruit dentists in the short-term from the Commonwealth. Now that we have left the European Union, we can look again at the rules that apply, and I think we should do so. We should also look again at the 2006 contract and work with the General Dental Council to see whether we can fast-track people becoming dentists and working in practices We should consider how we can manage costs. Someone who earns £100,000 a year has as much chance of having an NHS dentist as someone on a low income. We could handle that better. All power to the Minister—I know she gets this. I look forward to working with her to get better dental health outcomes in North Cornwall.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Peter James Guy Aldous (Conservative, Centre-right): I congratulate the hon. Member for Putney (Fleur Anderson) on securing the debate Before the pandemic, my engagement with the dental sector led me to form a number of views on how it served our communities. Those who work in dentistry are highly competent and well qualified professionals, but there are problems in recruitment, and it is increasingly difficult to find an NHS dentist. When good and highly respected dentists retire, they are hard to replace. There is a lack of accountability in NHS England and NHS Improvement, and the world of UDAs—units of dental activity—is opaque and difficult to understand One readily reaches the conclusion that in normal times, the system does not work in the best interests of local communities and public health. Covid-19 presents those working in dentistry with enormous challenges. They are placed in a position of significant health risk, there is a dramatic reduction in capacity, and there have been some problems with those working in the sector being recognised as key workers The Government were right to set up a network of urgent dental centres, and in many respects this has worked well, although I have received a lot of complaints about where and how to find them, being kept waiting on the phone for seemingly hours on end, and then difficulties getting an appointment. Not only is there the challenge of getting through the current lockdown, but the shadow of covid will hang over the sector for a very long time. There is an enormous backlog of work, and yes, although some of that may be classed as non-emergency, it is important to bear in mind that it is often a routine visit to the dentist that picks up cancer at an early stage The position has been exacerbated by the Government writing to dentists before Christmas seeking to impose a 45% target of UDAs for January, February and March. The proposal has been described to me by dentists in my constituency as "completely irresponsible", "disrespectful", "neglectful", "unsafe" and "inconsiderate". It should be dropped. The Government need to work with dentists to come up with, first, a short-term plan to get through the immediate crisis, and then a long-term plan that is easy to understand, provides proper accountability and full national coverage of NHS dentistry, and ensures the recruitment and retention of highly trained professional staff.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Anthony James Holland Mangnall (Conservative, Centre-right): I congratulate the hon. Member for Putney (Fleur Anderson) on securing this debate The impact of covid on the dental sector has been profound, from the sector’s closure in March to the 20 million lost appointments, the 15 million-appointment backlog and the year-on-year decrease in those who visit the dentist. In previous years, being able to avoid the dentist may have seemed an art form, but it is rapidly becoming a significant and desperately serious problem, with mouth cancer diagnoses significantly down and major operations being put on hold or just avoided due to lack of access It is right that we have to clear the significant backlog. While I do not oppose the concept of a UDA target, I do oppose the mechanism that penalises dentists who do not meet that target. I respectfully ask the Minister to consider whether the target could be rejigged so that people have the security and understanding that if they are unable to meet it, they will not see a loss of salary or any penalisation from the Government. Of course, we have already heard that 50% of dental practices are meeting that target, so we have seen an ability to deliver. The intent is right, but the mechanism is wrong and only adds to the extra stress that those who work in dental practices are already suffering. I do not deny that dental practices in my constituency are safe, but the individual set-up of each is very different; things such as the air purification systems that they implement will mean that they have different fallow times and will therefore also impact the UDA issue. There is a result here whereby different circumstances will mean that the overall target is unable to be met I ask the Government to consider taking away the penalisation mechanism of UDAs, reimbursing the VAT costs faced by dentists on PPE, and ensuring that our dentists are treated as part of the primary healthcare network. We hope to encourage people to stay in this sector. We want them to do so—we do not want them to go towards private alone—so I hope that the Minister will be able to reassure me and many of the dental practices in my constituency Dentists are not asking for any more than anyone else, but they have received significantly less than many of those out there. All that we ask the Government today is to treat our dental sector with the respect that it deserves and to help it deliver for those who most need it across the whole United Kingdom.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Nicholas Anthony Fletcher (Conservative, Centre-right): I feel compelled to speak in this debate following my meeting with several dentists from Don Valley last week. I want to start by commending the work of NHS England and the British Dental Association in reaching a compromise in July, which saw the abatement figure agreed at 16.75% for the period when dental practices were instructed to close. At the time, the British Dental Association stated that this was a "fair number". However, it is my understanding that the abatement has not yet been collected from the practices. Can the Minister provide greater clarity to practices and state when the abatement will be expected to be paid As Members will know, dentists are currently being expected to hit 45% of pre-pandemic activity, at a time when people are being told to stay at home, and triage activity is no longer being included in activity measures. If activity falls below 36%, practices will have to return the majority of the NHS funding they receive in the first three months of this year. That policy will directly put NHS dental practices at risk of closure, as the clawback is potentially disproportionate. With the country now in full lockdown, patients’ reluctance to leave home is leading to many missed and cancelled appointments, so for many practices this demand is impossible. In fact, figures from NHS England show that the demand for dental practices to reach 45% of pre-pandemic activity is already failing Penalising dental practices at this difficult time will not help reduce the backlog. The Government have continually adopted a pragmatic approach throughout this pandemic. Would it not therefore be reasonable to abandon the activity target of 45% while the country remains in full lockdown, and include triage as part of the activity measures? Increased targets should be delayed until 1 April, when there has been more vaccine roll-out and the virus is under better control. Again, I would appreciate a comment on this from the Minister I would like to finish by stating something I saw scrawled on a wall in one of our many public houses: "A man with toothache thinks everyone’s happy whose teeth are sound". We would be wise to remember this, as we could all be in a very sad state if we lost our dentists.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Duncan Charles Baker (Conservative, Centre-right): It is an honour to be able to speak on this topic, but I have to admit to a slight conflict of interests, as my father, who worked as an NHS dentist for 39 years, is now deservedly enjoying his NHS pension Dentists were allowed to return to work on 8 June, with all sorts of new conditions in place—for example, PPE having to be put on and removed, deep cleaning of surgeries between patients and a period of fallow time for each surgery. Special regulations for aerosol-generating procedures and social distancing in waiting rooms meant that accurate timings were necessary to avoid people having to wait outside for too long. All these things meant a big impact on the number of people who could be treated, so there was less ability to complete target numbers. Additionally, on returning to work, there was a huge backlog of emergency-type dentistry Dentists were adapting to these new conditions and striving to meet new targets when suddenly, just before Christmas, and without agreement from the profession, their target of activity was increased from the original 20% to 45%, and it had to be completed by 31 March. This has angered the profession. Now, with the lockdown, it is worse. Some dentists operate a shift system in surgeries, allowing time for cleaning and fallowing, but older patients, of whom there are more in my constituency than any other in the country, may not want to come at unsocial hours and wait outside at this time of year, or they may be shielding and fearful of infection, with rates rising. All this contributes to dentists’ difficulty in reaching targets. It is no wonder that they are not happy. What does this mean? That safety could be compromised if dentists are forced to cut corners to achieve targets. With a lack of NHS dentists already in North Norfolk, this situation will only make problems worse I will quickly touch on the real problem of the lack of NHS dentists in my constituency. There may be many problems, but I have constituents simply not able to get treatment and having to go private for services. One surgery told me that they have not had a UK graduate apply in 10 years, as they want to work in London. What can be done to help that situation? Here is my plea: if you are a graduate dentist wanting to work, do not go to London, come to North Norfolk, where you will have a better quality, will be paid well and will have a lower cost of living, and your patients will be eternally grateful to see you Despite all this, patients overwhelmingly express appreciation for the efforts dentists are making at this challenging time. They and the patients deserve proper assistance from us.