argyrotsipi/train-dataset huggingface dataset:
Corby Fire Services — House of Commons, 2015-01-12
Topic: Defense
Penelope Mary Mordaunt (Conservative, Centre-right): Thank you, Madam Deputy Speaker Local leaders will make better decisions with the benefit of the ideas and input from the residents of Corby and the wider area. The idea of using the new homes bonus to fund the cost of a third appliance may not have been considered before, but it is encouraging to see sensible, pragmatic ideas being proposed. There may be other options, but the two we have been discussing today are an improvement on the status quo In conclusion, I will not, as the hon. Gentleman might have wanted me to, withdraw the funding for Cobra vehicles. I am very glad that he has put the record straight on that. The service asked for that funding. We were impressed with the project and the new technology, and I think that Corby will be better off for that £2.3 million. I suggest to the hon. Gentleman that if he agrees with the objectives of the More Fire Cover campaign, he might review his opposition to the new homes bonus and support it as a way of providing extra funding, from whichever authority it comes out. I also encourage him, if he values the local voice, as his innovative crowdsourcing debate seems to imply, to hold in high regard fire and rescue authorities and that local accountability that really does put local people in charge and in the driving seat for such local decisions. He might wish to reconsider his wish to centralise fire and rescue authorities. The consultation closed today, and it is not for me to decide what should happen.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Eleanor Fulton Laing (Conservative, Centre-right): With this it will be convenient to consider: New clause 3—Care and Quality Commission annual State of Care Report— ‘(1) Section 83 of the Health and Social Care Act 2008 (health and adult social services: reports for each financial year etc.) is amended as follows (2) After subsection (2) insert— "(2AA) The reports under subsection 1(b), (c), and (d) must, in particular, cover the safety of health and adult social care services in England."’
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
William Nigel Paul Cash (Conservative, Centre-right): That is very good. I just wondered whether my hon. Friend wanted to respond on new clause 2 before I move on to new clause 3 New clause 3 proposes to amend section 83 of the 2008 Act, which deals with health and adult social services and with reports for each financial year. The new clause would insert proposed new subsection (2AA), which says: "The reports under subsection 1(b), (c), and (d) must, in particular, cover the safety of health and adult social care services in England." To put that into ordinary language, the purpose is to require the Care Quality Commission to cover safety of care in the annual state of care report. That is hugely important, because it is the narrative to which people will be able to refer in identifying progress on these incredibly important provisions.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
William Nigel Paul Cash (Conservative, Centre-right): I recall the extraordinary experience of discovering that in order for the original trust in Mid Staffordshire to achieve trust status, an interview was necessary. In that interview, I believe 48 questions were put, 35 or so of which were about finance—not about care and safety. That demonstrated why everything went wrong. Now, however, under these arrangements, the whole situation is completely reversed, which is a thoroughly good idea.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Jeremy John Elton Lefroy (Conservative, Centre-right): I entirely agree. There were moves towards that when the Healthcare Commission, which was responsible at that stage and manifestly failed in the case of Mid Staffordshire, was replaced by the Care Quality Commission—an understanding by the previous Government that progress needed to be made in ensuring the quality and safety of care. That progress has been maintained and accelerated under the present Government I was referring to the 2013-14 report. One of my hon. Friend’s new clauses specifically provides that safety should be a part of such reports. Indeed, the report goes into detail over the way in which the CQC has inspected for safety. On page 12, for instance, it gives an example of a wide variation in the ratings on safety and four other measures—effective, caring, responsive and well led—for each department in a particular hospital. The ratings for safety range from inadequate to good, which shows that even within a trust or a hospital, there is a wide range of safety performance. The CQC is therefore already fulfilling what my hon. Friend is seeking in these two new clauses Of course, the same might be argued for clause 1 itself: why is it necessary when the CQC is now implementing the Secretary of State’s requirement to ensure that providers "cause no avoidable harm"? The reason is that, without clause 1, a Secretary of State would not have that obligation. While I cannot imagine a Secretary of State who would not consider safety and "no avoidable harm" as top priorities, experience and indeed the CQC’s own report from which I have quoted show that some of the organisations for which the CQC has the responsibility for regulation have not, and might still not, take safety seriously enough.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
William Nigel Paul Cash (Conservative, Centre-right): I distinctly remember insisting over and over again during the debates on the whole question of Mid Staffordshire that were taking place until the last general election that it was the Secretary of State who had to take the final responsibility for these matters, and that the duties imposed on him and the functions that he had to perform had ultimately to be his and must not be transferred to some other agency, however worthy it might be and however hard it might work to achieve objectives which, as we now know, were not being complied with satisfactorily, but which are being complied with satisfactorily now, under the Care Quality Commission. The argument that my hon. Friend is advancing comes straight from the history of the experience of Mid Staffordshire, and there is no one better to put the case than him.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Jeremy John Elton Lefroy (Conservative, Centre-right): I thank my hon. Friend for what he has said. I entirely agree that this is an extremely important matter. Clause 1 will ensure that there is no slippage in the future, because the Secretary of State cannot get out of her or his responsibility, and the Care Quality Commission’s annual state of care report will be part of the process of holding the Secretary of State to account. I encourage, indeed challenge, this or any future Government to hold a proper annual debate on the report, because it is a vital report. Indeed, I should welcome a debate on the 2013-14 report, uncomfortable thought it might be for certain people I believe that new clauses 2 and 3 are unnecessary, because what they prescribe flows from clause 1. However, I am most grateful to my hon. Friend the Member for Stone for tabling them.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Daniel Leonard James Poulter (Conservative, Centre-right): I thank my hon. Friend the Member for Stone (Sir William Cash) for tabling these new clauses and I commend him on his tireless work in taking forward the interests of his constituents around the terrible events that occurred at Mid Staffordshire NHS Foundation Trust and the subsequent steps he has been involved with all the way through to improve standards of hospital care provided to the people of Stone and the surrounding areas. He is also right to pay tribute to my hon. Friend the Member for Stafford (Jeremy Lefroy), who has worked tirelessly not just on this Bill, but as an advocate for his constituents and local patients. He is a great credit to the people of Stafford and, party politics aside, being a Member of Parliament is about public service, and he embodies the very best of that in the work he has done in bringing forward this Bill and in his advocacy of the needs of his local patients.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
William Nigel Paul Cash (Conservative, Centre-right): I have listened carefully to the arguments that have been put, including those from the Labour Front Bencher. In the circumstances, I am content not to press my new clauses to a vote. There will be an opportunity for reconsideration as the Bill makes further progress and it is just possible that some people will take another look at them—we will have to see. For now, I beg to ask leave to withdraw the clause Clause, by leave, withdrawn. New Clause 4 Doctors’ language skills The Secretary of State shall by order make regulations enabling the General Medical Council to ensure that all doctors holding a licence to practise medicine in the UK have appropriate language skills to communicate effectively with their colleagues and patients."—(Sir William Cash.) Brought up, and read the First time.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
William Nigel Paul Cash (Conservative, Centre-right): I beg to move, That the new clause be read a Second time It is terribly important to use opportunities of this kind to discuss matters of such importance properly on the Floor of the House. It does not mean that we always have the right answers—sometimes, we do not even have the right questions—but there are some really important issues that need to be given an airing so that people outside can hear the nature of the discussion, rather than having that discussion held by an agency on its own account or, alternatively, by the civil service and then put forward in a Government brief. Basically, this is a new proposal that deals with doctors’ language skills. There are many people in this country who believe that this is an important issue. It is pretty obvious that ensuring that doctors have appropriate language skills is rather important, especially given what happened in a particular case. I do not remember the names of the individuals concerned, but I seem to recall that the case involved a father who died after being treated by somebody from Germany. It seemed to be pretty likely, if not certain, that the reasons that happened were to do with a lack of proper language skills and proper experience of the medical practices in this country. The doctor was effectively coming here as a locum without appropriate qualifications or sufficient skills to be able to give the kind of treatment that was needed, and the result was a tragedy. Other Members of Parliament may have other such examples This is a very important issue. Indeed in April last year, the Medical Act 1983 was amended to strengthen the arrangements to ensure that all doctors have sufficient knowledge of English before being able to work in the UK. My new clause would help to ensure that all doctors were able to communicate effectively with colleagues and patients, which would sufficiently reduce the risk to patient safety caused by a lack of understanding of the English language that could result in the misdiagnosis and mistreatment of conditions. Many people regard that as common sense.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
William Nigel Paul Cash (Conservative, Centre-right): My hon. Friend quite properly puts that question to me as I am Chairman of the European Scrutiny Committee of which he is a member. We always come across these questions of interpretation. The short answer is that in relation to the issue of having appropriate language skills, the parameters for the communication of information between the patient and the person giving the treatment would be described as being within the framework of public health and the importance of ensuring that the people concerned—the patient—had not only adequate treatment but the opportunity to ensure that they were not put in danger. I think that in those circumstances it would pass muster and that we could legislate on our own account. If there were ever a challenge, I would propose that we introduce a further provision reading "notwithstanding the European Communities Act 1972" and then legislate. If we did that, under sections 2 and 3 of the 1972 Act the notwithstanding formula would enable us to bypass the European Court of Justice and ensure that we could legislate on our own account in this House to ensure that language skills were needed in English to ensure that patients in this country were properly safeguarded. I hope that I have dealt with my hon. Friend’s point.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Jeremy John Elton Lefroy (Conservative, Centre-right): Again, I am most grateful to my hon. Friend the Member for Stone (Sir William Cash) for tabling this new clause, which covers an important subject—the language skills of doctors—although of course the language skills of all involved in clinical care are vital Clear and understandable communication is essential to safety and the quality of care of patients. Language skills are a necessary condition for good communication, but not a sufficient condition. They must be accompanied by good communication skills, with which not all of us are automatically blessed, however good our language skills. Communication skills teaching is now an essential part of training in medical and nursing schools and it is to the credit of the previous Government that they ensured that it was embedded in the curriculum of new medical schools and was taken forward in existing schools. I welcome the Government’s support for that important approach I understand that regulations have been in place for a short while to ensure that all doctors, whether from within or from outside the European Union, have appropriate language skills before being granted a licence to practise. I want to hear from the Minister what the effect of those important regulations has been and whether he believes that new clause 4 is necessary. I would also like him to consider whether the assessment of language skills should include communication skills within that language.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Jacob William Rees-Mogg (Conservative, Centre-right): I want to speak in support of my hon. Friend the Member for Stone (Sir William Cash). This is an important new clause on a matter that it would be wise to have clearly set forth in primary legislation The heart of the matter is, unfortunately, the European Union and the mutual recognition of qualifications within the EU, and there are good reasons for that. The only way to open up service industries generally is if mutual recognition of qualifications takes place, so if we are to have a single market in services that is an important basis for it. However, above and beyond that there must be a fundamental principle of patient safety, which is embodied in this excellent Bill, and a lack of good language skills and of understanding of a language is a danger in both directions. It is a danger for the doctor who is listening to the patient explain his or her symptoms and it is also a danger when the doctor explains to the patient what steps the patient needs to take for better health. If there is confusion, it can have a seriously deleterious effect on the patient’s health We must be clear that this is not about restrictive practice or protecting the market for British doctors but about ensuring that there can never be such confusion. As my hon. Friend the Member for Stone says, if this provision runs into trouble with the European Union, we need to state clearly that it is of such fundamental importance that it must override international treaty obligations. It was Disraeli who said in his speech in the Manchester free trade hall in 1872, "Sanitas sanitatum, omnia sanitas"—that the first duty of Minister is the health of his people. That statement has underlined and guided Conservative policy for nearly a century and a half.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Jacob William Rees-Mogg (Conservative, Centre-right): Indeed, although I am less clear on the relevance of that, and I was not intending to swap Disraeli quotations all morning. I just wanted to make that point about a fundamental principle that has guided our party since the 1870s and its relevance in defending health through ensuring that there is a proper standard of English-speaking—or in Wales, Welsh-speaking—physicians.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
William Nigel Paul Cash (Conservative, Centre-right): My hon. Friend used the word "ensuring". That reminds me that insurance is a very important ingredient in the question of health and language skills—and, as my hon. Friend the Member for Stafford (Jeremy Lefroy) said, communication skills as well. If there were to be a failure of language, the consequence of which was to breach the terms on which an insurance contract was devised as between the patient and the national health service, as well as others involved in the contractual relationship, there would be massive financial consequences that could, in certain cases, run into millions of pounds.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Jacob William Rees-Mogg (Conservative, Centre-right): My hon. Friend makes an interesting point. It is possible that that is taken care of by other parts of the Bill. Clause 1 contains the fundamental commitment that unreasonable risks should not be taken, and language could be seen to be part of that. The reason I like the new clause is that it makes it absolutely clear that language is fundamental It is very hard to think of a circumstance where a lack of communication could possibly be safe. There may be cases where a patient cannot speak, or absolutely dire emergencies where there is no alternative form of treatment, but in the ordinary course of events language skills must be essential for somebody who looks to work in this country for any length of time I hope that the Government will think about this new clause very seriously, and perhaps consider whether a "notwithstanding" aspect is necessary, and that if they do not accept it today, they will look at the matter again in another place.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Philip Andrew Davies (Conservative, Centre-right): I apologise for not being here when my hon. Friend the Member for Stone (Sir William Cash) opened the batting on this new clause I very strongly support the sentiment behind the new clause. It should go without saying that people who are practising medicine should be able to communicate properly in English. It is a sad state of affairs when we have got to a point where we feel the need to introduce legislation in this regard. Whatever the rights and wrongs of the matter, sufficient examples have been reported around the country to indicate that we do have a problem. It may not be widespread—it may only occur in pockets—but it is perfectly clear that in some areas there is a problem that needs to be addressed. If the Government do not intend to accept the new clause, I would like to know what they intend to do about this genuine problem that people have identified My hon. Friend the Member for Stafford (Jeremy Lefroy) made a reasonable point about the measures that were put in place, partly by the previous Government, relating to new doctors and people who are currently going through training. The problem with that, however, is that it does not deal with the people who are already practising.
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Jeremy John Elton Lefroy (Conservative, Centre-right): My hon. Friend makes an extremely important point. Does he accept—perhaps the Minister will comment on this as well—that the revalidation process that doctors now have to go through should include, if it does not already, as I am sure that it must, language and, indeed, communication skills?
Health and Social Care (Safety and Quality) Bill — House of Commons, 2015-01-09
Topic: Health
Philip Andrew Davies (Conservative, Centre-right): I take my hon. Friend’s point. I am not entirely sure, though, how robust that process is or whether the same test is applied for people who are currently practising as for those who are starting out on their training. I suspect that there may well be a slight difference in the standard that is expected. I hope that I am wrong and he is right; it will be interesting to hear what the Minister says. I would be interested to know how many people have been struck off because they are unable to communicate effectively—if it is hardly any, or none, that would indicate that the current regime is not working effectively—and how often the measures that my hon. Friend mentions have been invoked As ever, my hon. Friend the Member for North East Somerset (Jacob Rees-Mogg) made an interesting point about the European Union. I do not intend to get bogged down in that today, but it would be interesting to know what the Minister’s understanding of this is. If he will not accept the new clause, is my hon. Friend’s point a factor in that, or is it his position, and that of the Government, that nothing in EU law would prevent such a provision from being introduced Although I agree with the sentiment behind the new clause, I wonder whether its wording is deficient and could lead to some unintended consequences. My hon. Friend the Member for Stone made great play of the need for people to be able to communicate effectively in English, and he is absolutely right, but unfortunately there is no mention of English in his new clause. That seems to be a rather glaring omission that could lead to unintended consequences at a later date. The new clause merely says that people who practise medicine should "have appropriate language skills to communicate effectively with their colleagues and patients." I think what he is really trying to say is that they should have appropriate English language skills to communicate effectively with their colleagues and patients. As drafted, the new clause would place an onus on people practising medicine to have appropriate language skills in general to communicate effectively with their patients. In the case of a patient who speaks no English whatsoever and speaks Urdu, for example, would the new clause insist, in effect, that their doctor must be able to communicate effectively with them in the only language that they are capable of speaking? That would seem to be a possibility, because the crucial word that has been omitted is "English".