argyrotsipi/train-dataset huggingface dataset:
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Gillian Keegan (Conservative, Centre-right): The culture of closing ranks and ignoring whistleblowers in the NHS is gravely worrying. Even as a new MP, I have had constituency cases where people have alerted me to this, and I feel that it could still happen today. What implications will the report have for the wider health service, particularly for elderly care and people who have family members in these situations?
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): There is one very important point that the shadow Health Secretary mentioned that it is important to understand from this report. We very often have a problem where people in an end of life situation are not treated in the way that we would want for our own relatives or parents. To put it very bluntly, the worry is that someone’s end may be hastened more quickly than it should be. We have made a number of changes, including scrapping the Liverpool care pathway, which happened under the coalition Government. But in this case, these patients were not in an end of life situation. They were actually going to the hospital for rehabilitation and expecting to recover—but they were old. One of the things that we will have to try to understand—all of us—is how this could have been allowed to happen and how this culture developed. I am afraid that the report is very clear that, inasmuch as the doctor was responsible—I have to be careful with my words here—lots of other people knew what was going on.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Alan Mak (Conservative, Centre-right): The events at the hospital and the panel’s report are of significant interest to me and my constituents, and those of my hon. Friend the Member for Meon Valley (George Hollingbery), on whose behalf I am also speaking. His constituents and mine have asked whether the families can be confident that the report’s findings will be acted on and that people will be held accountable for what happened.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): First, I again pay tribute to the role that the right hon. Gentleman played. One of the most difficult things for any Minister is knowing when to accept advice, which is what we do most of the time, and when to overrule it. His instincts have been proved absolutely right. It is not an easy thing to do, and it causes all sorts of feathers to be ruffled, but he stuck to his guns, and rightly so. Bishop James Jones, who is a truly remarkable public servant, talked in the Hillsborough panel report about the "patronising disposition of unaccountable power" That is what we have to be incredibly on guard against The right hon. Gentleman is right: at the heart is the problem that we did not listen to families early enough and we did not listen to whistleblowers inside the NHS early enough. My reason for saying that all these things need to see the sunlight of transparency much sooner is frankly that if they had come to light sooner and if proper attention had been given to this in 2001—we all know that Mid Staffs started in 2005—how many other lessons and tragedies throughout the health service could have been avoided? That is why I think it would be the wrong reaction today to say that we are getting there on patient safety and that transparency problems are solved: there is a lot further to go.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I am happy to do that. All the families who think they had a relative affected have been part of the panel process, and they were all invited for a briefing by Bishop Jones this morning in Portsmouth. We will provide ongoing support and counselling if necessary through the Department of Health and Social Care, which was a specific request of Bishop Jones. We are also conscious that when people read the news, they may suddenly decide that they or a loved one were affected by this. We have set up a helpline so that people can contact us and we can help them to trace whether they too have been affected.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Bernard Christison Jenkin (Conservative, Centre-right): Does not every instance of people being scared to speak out and relatives finding it too difficult to complain underline the importance of the Healthcare Safety Investigation Branch, which the Secretary of State has established? I remind him that I am chairing the Joint Committee of both Houses that is carrying out prelegislative scrutiny of the draft Health Service Safety Investigations Bill. When we report on 24 July, will my right hon. Friend undertake to bring that into law as quickly as possible? That will afford the safe space that people need to report such matters without fear or favour.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Absolutely. I commend my hon. Friend for his work and for being one of the colleagues in this place who have thought and talked about the importance of getting the right safety culture in the NHS. The Healthcare Safety Investigation Branch matters because in situations such as this, it could have been called in, done a totally independent investigation, got to the truth of what was happening quickly and prevented a recurrence of the problem. That is one of a number of things that we need to think about.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Andrew James Bridgen (Conservative, Centre-right): May I commend the diligence and determination of the right hon. Member for North Norfolk (Norman Lamb), without whose efforts we would not be hearing the truth today, as grim and disturbing as that truth might be? Does my right hon. Friend agree that this raises further questions about the way in which doctors’ performance and patient safety are monitored? With the GMC, doctors are in effect policing themselves. Is it not time to say that this system has to change?
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We do have to ask those questions, and we have to be able to respond to the concerns of my hon. Friend and his constituents about how we can be absolutely certain there will not be a closing of ranks. My experience, however, is that doctors are very quick to want to remove those of their number who are letting the profession down because this damages everyone’s reputation. There are some very difficult questions for the GMC and for the NMC. Because their processes took so long, I do not think they can put their hand on their heart and say that they have kept patients safe during that period.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): There are many "if onlys", but one of them is: if only the junior doctors and others who spoke up had been listened to. I know my right hon. Friend is committed to making sure that people and whistleblowers are listened to and that he is committed to transparency. Will he say a bit more about what he is doing to make sure that everyone involved in patient care—from consultants to healthcare assistants, porters, patients and families—are listened to and that their concerns are acted on?
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I think we have made progress when it comes to whistleblowing because every trust now has a "freedom to speak up" guardian—an independent person inside the trust whom clinicians can contact if they have patient safety concerns. That is a big step forward, which was recommended by Robert Francis. Where I am less clear that we have solved the problem is in relation to having someone for families to go to if they think that everyone is closing ranks, and we now need to reflect on that.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): The hon. Lady is absolutely right to raise that matter. The nurse concerned, Anita Tubbritt, talks in the report about her concerns and the pressure that she was put under, and it was a brave thing to do. When the hon. Lady reads the report, she will see that nurse auxiliaries and others who were not professionally trained clinicians also came forward with concerns and were also worried about the impact that doing so would have on their own career. That is what we have got to stop because, in whatever part of the UK, getting a culture in which people can speak openly about patient safety issues is absolutely essential.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Andrew William Murrison (Conservative, Centre-right): I was a junior doctor at the Royal Hospital Haslar in Gosport, which is just around the corner from the Gosport War Memorial Hospital, so I know that hospital fairly well, and I also know that the people of Gosport will be disappointed and distressed by this, since they very much value their community hospital Does the Secretary of State agree with me that there is an issue about the governance of smaller institutions, as we have seen in the past? I in no way wish to disparage the excellent work done by community hospitals, of which I have been a champion for many years, but will he look specifically at the pages in the report that touch on this? There is an issue about governing and ensuring safety in small institutions—whether in general practice or in hospitals?
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I think that that is actually an excellent point, and we should definitely look at it. Big hospitals have clear lines of accountability—boards, chief executives—but those often do not exist in community hospitals and there is no one who can say they are the boss of that trust, so we should look at that.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Caroline Elizabeth Johnson (Conservative, Centre-right): My right hon. Friend has mentioned trust, and as a doctor myself, I am very aware of and humbled by the fact that people come to me with their children and put their trust in me to look after them. When events such as this occur, trusts can be shaken, and it is therefore important that these things are dealt with quickly. In this case, the investigation, since complaints were first received, has been going on for far too long. What will my right hon. Friend do to reassure people that any such complaints will be dealt with much more quickly in future, and that opportunities to save lives will not be lost in the meantime?
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): That is the big question we have to answer for both the House and the British people. However, I would say to the hon. Lady that I am confident that, where there is unsafe practice, it is surfaced much more quickly now in the NHS than it has been in the past. I am less confident about whether we have removed the bureaucratic obstacles that mean the processes of doing such investigations are not delayed inordinately so that the broader lessons that need to be learned can be learned.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Andrew Edmund Armstrong Selous (Conservative, Centre-right): One of the reasons for the growing success of the "Getting it right first time" programme is the creation of clinician-agreed datasets. Will the Secretary of State give the House an assurance that there will in future be proper analysis of the data on the excess number of deaths and the use of this particular type of drug in excessive amounts? Such analysis would have shown this hospital as an outlier, so questions could have been asked, as is now happening successfully with the GIRFT programme.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I thank my hon. Friend for his championing of the GIRFT programme, which is incredibly powerful and successful. He will have noticed that we announced last week that we are expanding it into a national clinical information programme, which will cover more than 70% of consultants. What is disturbing in this case, though, if I may say so, is that the data was really around mortality, and we have actually had that data for this whole period. There is really nothing to stop anyone looking at data, and we can see a spike in the mortality rates in this hospital between 1997 and 2001. They go down dramatically in 2001, when the practices around opiates were changed. That is why we have to ask ourselves the very difficult question about why no one looked at that data or, if they did, why no one did anything about it.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): Of course that is an issue that we will look into. I would just say, in the interests of transparency, that the Department of Health has been on the same journey as the whole of the rest of the NHS with respect to patient safety issues.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Andrew Hanson Jones (Conservative, Centre-right): We have had Mid Staffs, Morecambe Bay and now the Gosport War Memorial Hospital. That tells us that significant patient failures are not one-offs; indeed, the Francis report of 2013 was one of the most challenging public documents I have ever read. My right hon. Friend has made patient safety a personal priority, with his customary judgment and compassion. Can he confirm that this developing culture within the NHS remains a priority for him and that the NHS will do all that it can to protect the most frail and vulnerable that it looks after?
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Philip Thomas Hollobone (Conservative, Centre-right): For me, the two most shocking things are the number of deaths and the length of time it has taken for this scandal to be exposed. Further to the earlier question, until the Secretary of State overruled it, the official advice from the Department of Health was that this public inquiry should not take place. Is there going to be an official investigation into why that official advice was given and which civil servant should be held accountable for it?
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): We will, of course, look at that. That was why I said in my statement that there were failures by the Department of Health—the specific incident needs to be looked at—and also as the steward of the system in which so many other things went wrong.
Gosport Independent Panel: Publication of Report — House of Commons, 2018-06-20
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I can confirm that, from next April, all hospital deaths will be examined by an independent doctor—this is the medical examiner process. We are expanding the learning from deaths programme to primary care. That is exactly where we want to go.
NATO — House of Commons, 2018-06-20
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): I beg to move, That this House has considered NATO As we look around this Chamber, we see plaques on the walls, such as that of Major Ronald Cartland, killed in action during the retreat to Dunkirk; Lieutenant Colonel Somerset Arthur Maxwell, who died of wounds received at the battle of El Alamein; and Captain George Grey, killed in action fighting in Normandy. These are just some of the men who served as Members in this House who lost their lives defending our country in the second world war. They remind us of the sacrifice that people have made so that we can enjoy the freedoms and democracy of today They are only a small number, however, of those from every part of the country and the Commonwealth who gave everything to save our nation from one of the greatest threats it had ever faced. It is all too easy to forget the price they paid. We in this House have never been in a situation in which the actual existence of our country has been called into question. While the sacrifice and service of so many delivered victory in 1945, however, we should not forget either that Britain continued facing a real and enduring danger after that moment.
NATO — House of Commons, 2018-06-20
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): The hon. Gentleman is absolutely correct. It is difficult to articulate or convey in a speech the sacrifice that was made, not just by one but by many, in order that we might have what we have today. The sacrifice, the commitment and the dedication, not just of those in the past but of those who continue to serve in our armed forces today, are so often forgotten by all of us. That is why we all in the House have a special duty towards them After the second world war, we still could not take peace and stability for granted, and it was then that we turned to NATO and the tens of thousands of British servicemen and women who stepped up to protect our nation from new threats. Had Ernest Bevin not set out his vision of a joint western military strategy and helped to sell the idea to the United States and other nation states, it is doubtful that NATO would have been born. And had it not been for the willingness of Clement Attlee’s Government to support the idea and the continued backing of successive Conservative and Labour Governments, this great strategic military alliance would never have got off the ground, let alone grown and matured into the great military alliance that has protected us for almost 70 years It is well worth reminding ourselves what NATO has achieved in the decades since its birth. It has consolidated the post-world war two transatlantic link. It has prevented the re-emergence of conflicts that had dogged Europe for centuries. It has led operations in the Balkans and Afghanistan. What would have happened if NATO had not held firm during the bitter chill of the cold war? Would the Berlin Wall still stand, casting its shadow over the west? Would millions still be living free, secure and prosperous lives? Even as we enter a new age of warfare, NATO continues to adapt to the times.
NATO — House of Commons, 2018-06-20
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): My right hon. Friend is absolutely right. If we do not change not just our military structures to ensure that they can best respond, but the political structures to which the military structures will turn to be given their direction—if we do not change, if we do not reform, if we do not have the agility to respond to the enemies that this nation and our allies face—NATO will be an organisation that is found wanting.
NATO — House of Commons, 2018-06-20
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): With my right hon. Friend the Chancellor of the Exchequer peering at me from behind the Speaker’s Chair, I feel that I must be on my very best behaviour We have always seen 2% as a floor, and spending on defence has varied over the years. I think that when the Government came to office it was at a slightly higher level than 2%. Indeed, I think that when my right hon. Friend the Chancellor was Secretary of State for Defence it stood at 2.3% and 2.4%, but that took account of the operations in which we were involved in Afghanistan.
NATO — House of Commons, 2018-06-20
Topic: Defense
Julian Murray Lewis (Conservative, Centre-right): There are various metrics by which our peacetime defence investment can be measured, one of which is how it compares with spending on other high-expenditure departmental matters such as health, education and welfare. Does my right hon. Friend recall that as recently as the 1980s, we were spending roughly the same on defence as we were spending on health and education? I am not saying we should repeat that, but given that we are spending two and half times as much on education as we spend on defence, and four times as much on health—and that was before the recent rise—does he not believe that defence has fallen a bit too far down the scale of our national priorities?
NATO — House of Commons, 2018-06-20
Topic: Defense
James Stephen Heappey (Conservative, Centre-right): My right hon. Friend is absolutely right that there is a re-emergence of a peer-on-peer threat, and while some great new pieces of kit are now entering service with our Army, Navy and Air Force, does he agree that the pace of their arrival and the new capabilities that will augment them cannot be swift enough as we make sure we are capable once again of fighting against our peers, not just mounting counter-insurgency operations?
NATO — House of Commons, 2018-06-20
Topic: Defense
Gavin Alexander Williamson (Conservative, Centre-right): My hon. Friend is absolutely right: the pace and delivery of both the new equipment and the support we give our armed forces is important. We must make sure they get that new equipment, that new kit and that new capability as swiftly as we can Our Air Force planes have been scrambled 38 times since 2012 in response to Russian military aircraft. Russia continues to use its cyber-bots and fake news to undermine democracies across the world; we have seen very clear examples of that in Montenegro, Estonia and elsewhere. And we ourselves have had the shocking attack in Salisbury—the first offensive nerve agent attack on European streets since the second world war So there is plenty to focus our minds as we head into the Brussels summit. That is why, earlier this month at the NATO Defence Ministers meetings, we took decisions alongside our allies to further strengthen NATO’s command structure, enhancing its naval presence and putting in place the right capabilities to defend the Euro-Atlantic area as it is increasingly threatened. We also took that opportunity to clarify our three priorities for the pivotal summit meeting in July.
NATO — House of Commons, 2018-06-20
Topic: Defense
Andrew William Murrison (Conservative, Centre-right): On the issue of the Brussels summit, while it is true that NATO is inestimably more important in collective defence than the European Union, Europe’s nascent defence capability has nevertheless shown itself to have some utility. When we leave the European Union, what will our response be to things that have worked, such as Operation Atalanta and the EU battle groups, of which the UK has been an important part?