argyrotsipi/train-dataset huggingface dataset:
Hemel Hempstead Urgent Care Centre — House of Commons, 2018-03-13
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): Before my right hon. Friend’s intervention, I was just coming to the urgent treatment centre, because there is obviously a distinction. Urgent treatment centres are about standardising the range of options and simplifying the system so that patients know where to go and have clarity about which services are on offer. My right hon. Friend made the point about how we direct footfall and constituents into services at the right point to reduce the demand on the A&E at Watford by simplifying what the UTC does, what it offers and how that is understood by constituents Patients and the public will be able to access urgent treatment centres that are open for 12 hours a day, and that are GP-led and staffed by a range of clinicians with access to simple diagnostics. They will have a consistent route to access urgent appointments offered within four hours and booked through NHS 111, ambulance services and general practice. A walk-in access option will also be retained. They will increasingly be able to access routine and same-day appointments, and out-of-hours general practice for both urgent and routine appointments at the same facility where geographically appropriate. UTCs are also part of a locally integrated urgent and emergency care service working in conjunction with the ambulance service, NHS 111, local GPs, hospital A&E services and other local providers In conclusion, these are important issues, and decisions should not be taken lightly. The location of services is a difficult and often controversial issue, and my right hon. Friend is to be commended for his campaign and the points that he has made on behalf of his constituents.
Hemel Hempstead Urgent Care Centre — House of Commons, 2018-03-13
Topic: Health
Michael Penning (Conservative, Centre-right): It is not often that we get more time to speak in this place, so while I have the Minister at the Dispatch Box, can he answer this very simple question: what recourse is there for me, as the MP, and for my constituents when we are misled—I know that I have privilege, but I am using the word "misled"—by a senior NHS management team about what is going to happen to the urgent care service? I am talking about when what the team says turns out to be completely untrue. What recourse is there so that we can start to rebuild some trust in my constituency?
Hemel Hempstead Urgent Care Centre — House of Commons, 2018-03-13
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): As my right hon. Friend knows, it would be inappropriate for a Minister to comment on a specific allegation such as that from the Dispatch Box. I cannot comment on this specific consultation, which is under way as we speak. The point that has come out of this debate is that the decision of December 2016 was taken on patient safety grounds, owing to a difficulty in recruiting GPs at that time. A consultation is now under way, and it is for my right hon. Friend’s constituents to make their case as part of that consultation The people affected by these changes need to be involved in the decision; that is what the consultation will seek to achieve. Our starting point for discussing service change is that there will be no changes to the services that people currently receive without proper public consultation. I therefore urge my right hon. Friend and his constituents to make their voices heard as part of that consultation in the usual way Question put and agreed to.
Fixed Odds Betting — House of Commons, 2018-02-08
Topic: Health
Questions: What discussions he has had with the Chancellor of the Exchequer on publishing the Government’s assessment of the effect on the public purse of a reduction in the maximum fixed-odds betting stake.
Matthew John David Hancock (Conservative, Centre-right): Impact assessments on the question of FOBTs were of course published alongside the Government consultation in October. All the consequences of any changes in this area—we are committed to reducing the maximum stake on FOBTs—will be worked through, and that is part of the work we are doing right now to determine the appropriate response.
Tourism — House of Commons, 2018-02-08
Topic: Culture
Michael Tyrone Ellis (Conservative, Centre-right): Dorset is a beautiful county. The Department for Digital, Culture, Media and Sport manages the £40 million Discover England fund with Visit England, one key aim of which is to encourage visitors to explore all over England and experience the wealth of attractions we offer. There are many projects in rural and coastal destinations, including the seafood coast and the south west coast path.
Leaving the EU: Film Industry Funding — House of Commons, 2018-02-08
Topic: Culture
Margot Cathleen James (Conservative, Centre-right): The UK film industry is worth £4 billion a year to the UK economy. The Government are committed to supporting the industry and are consulting stakeholders to ensure that the sector continues to thrive after we leave the EU. The Prime Minister has made it clear that, where possible, we will continue to participate in EU programmes where there is mutual benefit to the UK and the EU, as there is in the case of Creative Europe, for example.
Leaving the EU: Film Industry Funding — House of Commons, 2018-02-08
Topic: Culture
Margot Cathleen James (Conservative, Centre-right): I agree that Creative Europe has been a success and that the hon. Gentleman’s constituency of Blaenau Gwent is a wonderful location, which has been used for many broadcasting opportunities. We are very committed to our role in Creative Europe. We recognise its value, and the Treasury has committed to honouring all applications, even those that are likely to require funding post-Brexit. We can be optimistic, although of course during negotiations there can be no guarantees.
Museums — House of Commons, 2018-02-08
Topic: Culture
Michael Tyrone Ellis (Conservative, Centre-right): The Government are deeply committed to our world-leading museums sector. The recently published Mendoza review of museums in England looked in depth at museums and the challenges and opportunities they face. The review found a thriving sector, supported by more than £800 million of annual Government funding from a variety of sources.
Museums — House of Commons, 2018-02-08
Topic: Culture
Sheryll Murray (Conservative, Centre-right): South East Cornwall has wonderful heritage and fascinating museums, supported by amazing staff and volunteers. More visitors are always welcome, so will my hon. Friend encourage loans of national importance to smaller museums, such as those in Liskeard and Saltash in my constituency?
Museums — House of Commons, 2018-02-08
Topic: Culture
Michael Tyrone Ellis (Conservative, Centre-right): It is Valentine’s day next week as well. To answer the question, the national museums have a strong track record on this issue. Last year, the national collection was lent out to more than 1,300 venues, with long-term loans and partnership galleries, multi- object exhibitions and one-off star loans. To help encourage further loans, Arts Council England has provided £3.6 million to regional museums to help to improve their galleries to protect and display objects.
Topical Questions — House of Commons, 2018-02-08
Topic: Culture
Matthew John David Hancock (Conservative, Centre-right): It is a pleasure to take my first session of topical questions as Secretary of State for Digital, Culture, Media and Sport, the Department for the things that make life worth living We at the DCMS are focused on building Britain’s digital future, growing our nation’s brilliant creative and cultural life, backing a free media fit for the modern age, and supporting sport. With that in mind, I am sure that the whole House will want to join me in wishing good luck to Team GB at the Winter Olympic and Paralympic games in PyeongChang. I am sure that our Olympic athletes will do us proud and we wish them all the very best of British.
Topical Questions — House of Commons, 2018-02-08
Topic: Health
Questions: My cup really doth runneth over today: I have a topical question as well. I welcome the progress the Government are making on superfast broadband, but can my hon. Friend the Minister assure me that the remaining 17% of premises in my constituency that do not have access to fibre broadband will have it as soon as possible?; I, too, congratulate the Government on the progress made in passing the 95% target for coverage of superfast broadband, but what message can my right hon. Friend give to the over 2,000 households in my constituency who are unable to receive 10 megabits per second, and particularly the over 10% of households in the village of Purleigh who cannot even receive 2 megabits per second?; Obesity is the single biggest preventable cause of cancer after smoking. In my health board area, 26% of four to five-year-olds are overweight or obese. Junk food advertising is the key driver of this, so what assessment have the Government made of the financial impact of the 2007 Ofcom advertising restrictions on children’s broadcasters?
Matthew John David Hancock (Conservative, Centre-right): The hon. Gentleman makes an important point. Of course making sure we have a healthy and buoyant advertising market in the UK is important, but it is also absolutely critical that we do what we can to reduce the amount of obesity in the nation. This is a matter on which I have had discussions with the Secretary of State for Health and Social Care. I am very happy to talk to the hon. Gentleman in more detail.
Prosecuting Human Trafficking and Modern Slavery: Global Co-operation — House of Commons, 2018-02-08
Topic: Defense
John Simon Bercow (Conservative, Centre-right): I have to notify the House, in accordance with the Royal Assent Act 1967, that the Queen has signified her Royal Assent to the following Acts: Telecommunications Infrastructure (Relief from Non-Domestic Rates) Act 2018 Armed Forces (Flexible Working) Act 2018.
Independent Complaints and Grievance Policy — House of Commons, 2018-02-08
Topic: Health
John Simon Bercow (Conservative, Centre-right): Thank you. The next statement comes as a result of, and in response to, the exceptionally brave, persistent and unstinting pressure brought by the hon. Member for West Lancashire (Rosie Cooper). That point is known to many, but has just been acknowledged to me in the most glowing terms by the Minister of State at the Department of Health and Social Care. Therefore, when we come to questions, I will allow the hon. Lady some latitude in probing the Minister on a matter with which she has been extraordinarily closely involved.
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I thank the shadow Minister for his questions and the manner in which he put them before the House. His first key question was to what extent measures are in place to address this sort of issue, should it arise again. Post Francis, and following Sir Bruce Keogh’s review of 14 trusts with high mortality rates, a new regime has been put in place. There is a new chief inspector of hospitals, Professor Ted Baker, and a specific regime involving NHS Improvement, which commissioned this report. NHS Improvement has a new chair, Dido Harding, a very senior figure from the business community That regime has put 37 hospitals into special measures so far. The methodology that is used to alert regulators to areas of concern has also been revised. For example, far more importance is now placed on staff and patient surveys. However, it remains to be explained why a trust could pay so many compromise agreements, for example, in response to so many staff disciplinary issues. I assume that many concerns were raised by trade unions locally, as no doubt the hon. Gentleman is aware. We must also consider the extent to which earlier reports, such as the Capsticks report, raised concerns that should have been addressed. That is why, in my statement, I signalled my desire to look at those issues and ensure that they are addressed by the fit and proper person test in particular. As he will be aware, though, that test pertains only to board-level appointments in the NHS, not to all roles. We will need to look at that scope, at the effectiveness of the investigation and particularly at the revolving door element of the problem, which he recognised Turning to the other issues that the shadow Minister raised, we clearly need to ensure that due process is followed. I do not need to remind the House of the difficulties of any enforcement against for instance, Fred Goodwin in financial services or Sharon Shoesmith in child services. People rightly expect due process, and all hon. Members would ask for that. The victims will rightly ask, "How can the chief executive, with this catalogue of issues, move within the NHS rather than be fired?" I know that the hon. Member for West Lancashire (Rosie Cooper) has many concerns about that, as do the Health Committee and many other Members I look forward to working with the hon. Member for Ellesmere Port and Neston (Justin Madders) in the spirit in which he raised these issues. We share concerns, and I know the House as a whole wants us to get to the heart of them.
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): I pay tribute to my colleague on the Health Committee, the hon. Member for West Lancashire (Rosie Cooper). She is a remarkable parliamentarian and advocate for patient safety. All of us on the Committee look forward to working alongside her to examine in full the Kirkup report’s recommendations, and I welcome the Minister’s commitment to a review of the fit and proper person test On the wider issues that the report raises, it is clear that when staff and funding continue to be cut from community services, there are terrible consequences for patient care. Will the Minister assure the House that he will work closely alongside the Care Quality Commission to identify other trusts in which issues such as this are likely to arise because of the workforce and funding pressures that are now being faced?
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I am very happy to work with my hon. Friend on this. As she will be aware from reading the report, it is explicit that the finances were there for the existing service. That is stated at the outset of the report. What drove the problems was a wholly unrealistic attempt to seek foundation trust status, with a cost improvement plan that was simply undeliverable. There was a massive reduction, without any attempt to reconcile that with serious issues on staff levels and vacancies. As the report explicitly sets out, when staff raised those concerns, they were bullied, harassed and on occasion suspended without due cause. The culture has changed significantly, and measures have been put in place for how the regime involving NHS Improvement would address such issues and look at cost improvement plans On the extent to which the culture was driving the problems, I refer to the remarks I made in my statement. According to the report, the interim chief executive went in and found a significant underspend—£3 million—in the district nursing budget, at the same time as there were significant vacancies and patient harm. That culture was driving the issue, and that culture is what we need to put an end to.
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): The hon. Gentleman raises a number of important points, but particularly regarding whistleblowers. That was one warning signal that clearly failed here. The regulations have been changed, as he will be aware. In the past, there was a culture in which compromise agreements were applied with gagging clauses attached. That prevented visibility of the compromise agreements. That is why I asked, on receipt of the report, why the compromise agreements that were paid were not escalated to the board, and indeed what sight, if any, regulators had of those compromise agreements. Clearly financial payments will have been made, so there should be an audit trail The hon. Gentleman asked what changes had been made. An area on which my right hon. Friend the Secretary of State has placed a huge amount of importance, and in which he has given a huge amount of leadership, is patient safety guardians and ensuring that there are people in trusts tasked specifically with giving voice to patients. One of the many sensible pieces of advice that my predecessor, my hon. Friend the Member for Ludlow (Mr Dunne), gave me was that when visiting a trust, I should have a one-on-one meeting with that individual, not only because of their status within the trust but to gather information from them. He did so assiduously on all his visits. The wider point is how, from a regulatory structure point of view, we can ensure that there are safeguards when there are cost improvement programmes and ask what visibility there is of them. NHS Improvement has set out a series of measures to ensure that trusts learn the lessons of Francis. Obviously the period covered by the report goes back as far as 2010, but it is important that the NHS learns from the issues that Dr Kirkup sets out.
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Cheryl Elise Kendall Gillan (Conservative, Centre-right): May I add my tribute to the hon. Member for West Lancashire (Rosie Cooper)? She is a formidable parliamentarian and has done some very good work on this. The report is shocking. Back in March 2015, following other incidents, the Public Administration Committee produced a report investigating clinical incidents in the NHS, in which it recommended the setting up of the health service’s safety investigation branch. The Government have now published the draft Bill for that. When will it enter pre-legislative scrutiny, so that we can change the culture and have the open learning culture that we should have in our NHS, very much as is seen in the airline industry?
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I thank the hon. Lady for those comments. As I said, I have asked NHS Improvement and NHS England to clarify the circumstances under which roles were found or facilitated for individuals identified in the report as bearing some responsibility for the issues at the trust. I await the answer to that central question, which the hon. Lady posed On the sense of cover-up, the Secretary of State has provided leadership in bringing about the culture change on patient safety. Following the awful situation in Mid Staffordshire, it was recognised across the House that changes needed to be made on patient safety, and I think the NHS itself has recognised that. NHS Improvement has new leadership, who commissioned the Kirkup report themselves On the changes that have been put in place, I alluded to the CQC regime and the chief inspector and the methodology. I spoke to the chief inspector yesterday. Every hospital has now been visited, using that new methodology, and obviously that programme will start to accelerate and target as further work visits are done. The methodology used for that has also evolved to include staff surveys, for example. So a number of measures have been taken, and the special measures regime is also very much at the heart of that A number of steps are being taken, but the approach that underpins those is that although we must create a duty of candour, enabling people to learn from the mistakes that will happen in an organisation employing more than 5 million people, there should not be the sense that people can escape their responsibility by moving within the system. I have discussed that with people in the NHS, and I believe there is a wide recognition that the culture has changed significantly. But clearly, as we consider the issues that emerge from the Kirkup report, the House will need to see further reassurance. The hon. Lady asked how I and the Government will ensure that these issues are addressed, not covered up. First, no one doubts that the hon. Lady will use all the parliamentary tools to pursue this matter, including in her role as a senior member of the Health Committee. I am aware that other members of the Committee, such as the hon. Member for Liverpool, Wavertree (Luciana Berger), a former shadow Health Minister, will take a significant interest in this issue. I know that the Chair of the Health Committee will do so. I have regular discussions with her, and as we address the "fit and proper" test and other issues, I look forward to benefiting from the expertise on that Committee It is clear that measures have been taken, and it is right that we recognise that much work has been done in the NHS to change the culture, to ensure that the warning signs are seen, and to ensure that something like this never happens again, but it is also clear that there are specific issues in the report to be responded to, and I very much share the desire of the hon. Member for West Lancashire that we do that.
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Oliver Heald (Conservative, Centre-right): My hon. Friend will be aware, and indeed has said, how bad the situation was at Liverpool prison, where the trust had no understanding of what was required of it in its role as health provider. That put healthcare staff in a very difficult position. Does he feel that there is a need for better liaison between health and justice in relation to prison health facilities? Is the CQC really in a position to inspect them, or should there be joint inspections by Her Majesty’s inspectorate of prisons and the chief inspector of hospitals?
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I spoke to colleagues in the MOJ yesterday about the issue that my right hon. and learned Friend raised in the first part of his question. I agree with him that the standards of care for those in prison should be the same as those in the NHS more widely. As he will know, NHS England took over commissioning for healthcare services in prisons in 2013; that is one of the changes that have been made. He will also know that Dr Kirkup’s report drew attention to local factors, including a personal conflict of interests that goes to the heart of the relationship between the trust and the prison. However, he is absolutely right to allude to some wider issues from which we need to learn.
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Victoria Mary Boswell Prentis (Conservative, Centre-right): Does the Minister agree that the report shows that leadership really matters in our local NHS? What further steps can he take to ensure that hospital trusts fully understand the importance of transparency to clinical quality and patient safety?
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): My hon. Friend is absolutely right. That is why we are increasing the number of doctors we train by 25%. We are also looking into how we can increase the number of clinicians in leadership positions in trusts, and how we can reduce variance. That is one of the key issues. The NHS has some brilliant leaders, but the variance between trusts is far too wide.
Acute and Community Health — House of Commons, 2018-02-08
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I am happy to reassure the hon. Gentleman, but he has raised an important point. The question of people moving within the United Kingdom is not the only issue; another potential issue is the question of people moving to a charity or a private company that is providing services for the NHS, or taking up other roles in the healthcare landscape.