argyrotsipi/train-dataset huggingface dataset:
NHS Trusts: Accountability — House of Commons, 2018-07-10
Topic: Health
Michael Penning (Conservative, Centre-right): I do not want to take up too much more of the Minister’s time, but I am afraid that, in parts of the country, certainly in mine, the requirement to consult is simply being ignored. I have given the House a classic example in which an urgent care centre was closed at night with no consultation at all. It took 18 months for a bogus consultation to take place on whether it should close at night. The changes are there to be seen by everyone. I know that the Minister is telling me all this in good faith but, as he has heard from colleagues on both sides of the House, on the frontline, in the real world, people are ignoring the guidelines, which is surely illegal.
NHS Trusts: Accountability — House of Commons, 2018-07-10
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I shall just unbundle two separate points from my right hon. Friend’s remarks. First, his point that these changes are all in the hands of the bureaucrats collides with the Government’s own position, which is that there are four tests. What he is drawing out is not whether the guidance is there as a protection but whether it is being implemented operationally, and that obviously needs to be looked at on a case-by-case basis. Secondly, he and I debated this issue in some detail in an Adjournment debate in March, when this specific point was explored more fully. The urgent care centre in question saw an average of seven patients between midnight and 8 am, and an average of four between 10 pm and midnight. So in the period between 10 pm and the centre reopening at 8 am, an average of 11 patients were being seen. I suspect that that is why, at local level, the change was made. I appreciate that it was initially done on patient safety grounds, with the consultation following, as we explored previously.
NHS Trusts: Accountability — House of Commons, 2018-07-10
Topic: Health
Michael Penning (Conservative, Centre-right): This is a hugely emotive issue. Yes, the excuse was that the centre was closing at night on grounds of patient safety because it could not get a GP there, but it does not take 18 months to turn round and say, "Oh, by the way, the numbers weren’t there in the first place and that’s why we had to close the centre." That was the excuse 18 months after it had been closed at night times. Whether the numbers are right or not—they are hugely contested by my constituents—it cannot be acceptable that no consultation took place for 18 months.
NHS Trusts: Accountability — House of Commons, 2018-07-10
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): As I have said, we did explore these issues in some detail in March, and I absolutely respect the conviction with which my right hon. Friend is championing the interests of his constituents In the spirit of balance, I draw my right hon. Friend’s attention to the fact that a number of enhancements have also been made, including the introduction of a number of bookable appointments through NHS 111, which includes a clinical assessment service to ensure that patients’ needs are medically assessed; the addition of near patient testing for some conditions, reducing waiting times and reducing the need for patients to attend Watford Hospital; and an improved IT system meaning that medical staff will be able to access patient records if they give their consent. The clinical commissioning group also expects the service to expand to include a greater skill mix of other professionals such as pharmacists, emergency care practitioners and community nursing staff, and to provide access to mental health services. This is not a static situation. Some improvements have been made, but I absolutely take on board the concerns that my right hon. Friend has raised My right hon. Friend has raised concerns about the hiring of leadership positions, particularly two chief executive roles. He will be aware that this point was also raised by the hon. Member for Blackpool South (Gordon Marsden) in respect of the chair of Blackpool Victoria Hospital in an Adjournment debate only last week. I also note that the right hon. Member for Warley (John Spellar) and the hon. Member for Coventry South (Mr Cunningham) have raised similar issues. It is right that the views of constituency Members should be taken on board as part of any consultation, because Members of Parliament interact with a wide spectrum of their electorate and they are obviously well placed to feed into such consultations. As a Minister, that is something I take very seriously, and working on the cross-party basis, I am always keen to hear from colleagues when concerns arise That goes back to my right hon. Friend’s point about trust. Issues in terms of pay need to be balanced. On the one hand, we need to recognise the complexity of senior leadership roles. We are dealing with hospital trusts that often have budgets running into the hundreds of millions of pounds. These are senior, complex, challenging roles that need to attract talented individuals. At the same time, those salaries and that remuneration need to be balanced with the wider values of the NHS. There is a live discussion about what the right level of remuneration is to attract talent while not being out of step with the NHS values that both sides of the House recognise I turn now to my right hon. Friend’s point about the new hospital site and capital investment in the STP area. He will be aware that the same STP currently has a significant new build proposal at Harlow. My right hon. Friend the Member for Harlow (Robert Halfon) is assiduous in championing that proposal, and I met with the chief executive of that trust—
NHS Trusts: Accountability — House of Commons, 2018-07-10
Topic: Health
Michael Penning (Conservative, Centre-right): My constituents will not know what STPs are. At the end of the day, the new site is in Essex, on the east Hertfordshire border, which is nowhere near my constituency. There is no tangible benefit when the debate is about a new hospital in west Hertfordshire.
NHS Trusts: Accountability — House of Commons, 2018-07-10
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): I beg to differ from my right hon. Friend on that, because this gets to the crux of the issue. The NHS must evolve. It has to move with technology and with the skills mix. Alongside the significant funding injection that the Prime Minister announced at the Royal Free Hospital, the NHS must also deliver productivity. At the specialist level, such as oncology or neuroscience, we often have populations of 3 million that need to be treated. Look at the footprint of the Christie NHS Foundation Trust, for example If we look at the other end, we need to deliver more care in the home and not have acute trusts soaking up so much investment. We need dynamic reconfigurations without acute trusts being the sole focus of our attention. We need service changes but—this goes to the core of my right hon. Friend’s remarks—they must be taken forward with clinical leadership and in a way that delivers trust I am happy to continue to engage with my right hon. Friend’s specific allegations on a case-by-case basis.
NHS Trusts: Accountability — House of Commons, 2018-07-10
Topic: Health
Caroline Elizabeth Johnson (Conservative, Centre-right): The Minister talks about dealing with things on a case-by-case basis, so I wonder whether he will consider Grantham’s A&E, which has had to close overnight for nearly two years, to see what can be done to facilitate its reopening as soon as possible.
NHS Trusts: Accountability — House of Commons, 2018-07-10
Topic: Health
Stephen Paul Barclay (Conservative, Centre-right): Again, I am happy to consider that issue. I have been up to visit the United Lincolnshire Hospitals NHS Trust and have met the chief executive and the leadership team, so I am aware of the issues, which are partly due to geography. However, we are straying slightly away from Hemel Hempstead As I said, I am happy to engage with my right hon. Friend the Member for Hemel Hempstead on his specific allegations. It is important that service changes are done at the local level with clinical leadership in a way that builds trust, and I will continue to engage with him in the weeks and months ahead Question put and agreed to.
A19: Collisions — House of Commons, 2018-07-05
Topic: Health
Alexander Jesse Norman (Conservative, Centre-right): On a point of information, the NHS was brought into policy by William Beveridge, a Liberal, and it was framed in law in a White Paper by Sir Henry Willink, a Conservative. It is therefore—[Interruption.] It ill becomes the Labour party on the 70th birthday to make a party political issue of the national health service.
Amesbury Incident — House of Commons, 2018-07-05
Topic: Health
Sajid Javid (Conservative, Centre-right): I am very happy to reaffirm that. The statements made yesterday by the chief medical officer and Public Health England were very reassuring; the risk to the public remains low. There is advice from the chief medical officer for those whom I mentioned briefly in my statement—those who believe that they may have been in some of the same areas that are now cordoned off to take some precautionary action. That kind of belt and braces approach is very appropriate, but the risk to the public remains very low.
Amesbury Incident — House of Commons, 2018-07-05
Topic: Defense
Philip Thomas Hollobone (Conservative, Centre-right): May I stress the need to support local organisations? Budgeting in an annual budget cycle for an international chemical weapons attack simply does not happen, so the local council, the local hospital, the local police force and local businesses need financial support from central Government, and they need it quickly.
Amesbury Incident — House of Commons, 2018-07-05
Topic: Defense
Margaret Ann Throup (Conservative, Centre-right): From the statement today and statements after the March incident, it is quite clear that our agencies are world-leading and well recognised as being so throughout the world. Will the Secretary of State reassure the House that those agencies will have all the resources that they need to get to the bottom of this situation?
Amesbury Incident — House of Commons, 2018-07-05
Topic: Health
Sajid Javid (Conservative, Centre-right): Yes. As my hon. Friend will know, a number of agencies and organisations are involved in addressing this incident—to deal not only with the criminal investigation, but the health issues—and I can give my hon. Friend that assurance.
Amesbury Incident — House of Commons, 2018-07-05
Topic: Defense
Sajid Javid (Conservative, Centre-right): This is an opportunity to highlight just how seriously we take evidence and the facts. Already our world-leading scientists have been involved in the identification of the nerve agent in this incident, and that is exactly how we will proceed. As we gather that evidence, of course we will discuss it with our international allies.
Amesbury Incident — House of Commons, 2018-07-05
Topic: Health
Andrew Hanson Jones (Conservative, Centre-right): I commend my right hon. Friend for his statement. This must, understandably, be a time of great anxiety for local residents. Will he confirm that they are receiving all the public health advice that we can provide?
Amesbury Incident — House of Commons, 2018-07-05
Topic: Health
Sajid Javid (Conservative, Centre-right): Yes, I can confirm that. There will obviously be more advice to come, as we learn more from the chief medical officer and Public Health England. The police and other agencies are working closely with the health authorities to ensure that the public health advice is updated at all times. Let me reiterate that the advice from the chief medical officer and Public Health England is that the risk to the public remains low.
Points of Order — House of Commons, 2018-07-05
Topic: Defense
John Simon Bercow (Conservative, Centre-right): The hon. Gentleman could inform the Serjeant at Arms about the matter, or if he wishes to raise it with Eric Hepburn, the Parliamentary Security Director, it is open to him to do so. I think it is a fairly safe bet, though, that the Parliamentary Security Director will come to learn of the point that the hon. Gentleman has made. Clearly, it is very important that these glitches should be reduced to a minimum and that the system should be operationally efficient sooner rather than later.
Transforming Care Programme — House of Commons, 2018-07-05
Topic: Health
John Simon Bercow (Conservative, Centre-right): We now come to the Back-Bench motion on the future of the transforming care programme. I am pleased to say that the Member who is due to move the motion is in the Chamber. This is not a laughing matter, but, sadly, not many Members wish to speak in the debate, so it could finish early. Alternatively, the sheer breadth and depth of the learning of the right hon. Member for North Norfolk (Norman Lamb), together with his capacity to expatiate with great eloquence on it, could lead to a very full debate.
Transforming Care Programme — House of Commons, 2018-07-05
Topic: Health
Cheryl Elise Kendall Gillan (Conservative, Centre-right): I am with the hon. Lady in her criticisms, and in wanting some constructive developments and improvements, but I would not want her to stay at the Dispatch Box and paint a picture that is completely negative. There are some inspirational stories about people coming out of these settings and institutions after being dealt with by a caring team, who have put a particular emphasis on communications and turned lives around. Some of the case studies published by Dimensions show that that really is one of the ways forward, and that is what we should seek. It is possible to take an aggressive individual out of an in-patient setting and give them the quality of life and meaning to life that we would all want and expect.
Transforming Care Programme — House of Commons, 2018-07-05
Topic: Health
Caroline Julia Dinenage (Conservative, Centre-right): I completely agree with the right hon. Gentleman. I do not want to have concerns about safe discharge, and that is why we look at that in care and treatment reviews. More than 7,000 of those reviews have been carried out, to reduce the time that people stay in hospital and improve the quality of care they receive while in hospital. Essentially, they are a step towards ensuring that community provision is available before people are allowed to leave hospital. The latest data show that the proportion of in-patients reported as never having had a care and treatment review was 8%, down from 47% in January 2016.
Transforming Care Programme — House of Commons, 2018-07-05
Topic: Health
Cheryl Elise Kendall Gillan (Conservative, Centre-right): I appreciate that this is quite a complex area, but I have looked at some of the transition times. Dimensions—I mentioned it earlier—has estimated that its average transition time per patient is 12.5 months, which I believe is below the usual transition time. Does the Minister feel that this length of time will inhibit her from reaching her targets in 2019? Is there anything we can do to reduce the time, or does that length of time need to be taken?
Transforming Care Programme — House of Commons, 2018-07-05
Topic: Health
Caroline Julia Dinenage (Conservative, Centre-right): My right hon. Friend makes an excellent point. NHS England says it is confident of hitting these targets and it will be doing all it can to ensure that that happens, but that must not be at the cost of treating people with the right levels of care or of having the right provision in place. This is also about keeping people out of the hospital setting in the first place The number of people receiving community or pre-admission care, education and treatment reviews also continues to improve, with 42% more undertaken in 2017-18 than in the previous year, of which 79% led to a decision not to admit somebody to in-patient care.
Transforming Care Programme — House of Commons, 2018-07-05
Topic: Health
Caroline Julia Dinenage (Conservative, Centre-right): If I may make a little progress, I will definitely answer the right hon. Gentleman’s questions a bit later Care must be personalised, and it must be enduring. This can never be a case of rolling out a particular model of care across the country or seen as kicking off some kind of universal service To further accelerate discharge and the community service necessary to provide it, NHS England has transferred £50 million to clinical commissioning groups that are closing hospital beds so that they can invest in community alternatives. In addition, between 2015 and the end of the programme, NHS England will have invested over £50 million in transformation funding to support transforming care partnerships in putting in place the critical components of community support. This support includes community forensic teams, crisis prevention teams and teams focused on supporting children in the community Additionally, the Department of Health and Social Care has provided capital grants of over £23 million, which has been spent on housing to support people to return to live in the community or to prevent an admission to hospital. NHS England has a pipeline of further investments that it plans to deliver over the next year to support housing projects, to accelerate bed decommissioning and discharges and, most specifically and importantly, to develop community teams Members have expressed concern that once the transforming care programme ends in March 2019, action to support those with a learning disability and the most complex needs will also end, but I stress emphatically that that is not the case. NHS organisations and local authorities have come together to build on existing practice, and they have engaged with families and organisations to develop innovative plans to suit their areas. That must not stop. We are closing those beds permanently, and ensuring good-quality community provision is more important than ever. We should be crystal clear that the principles of building the right support will endure beyond March 2019. The philosophy is to change the way that we support people with learning disabilities for good.
Transforming Care Programme — House of Commons, 2018-07-05
Topic: Health
Caroline Julia Dinenage (Conservative, Centre-right): We can certainly look at what the hon. Lady suggests. I am pleased that the operational delivery group, which I just mentioned, allows stakeholders to shape policy and it is really good news that Isabelle Garnett, Matthew’s mum, is a major contributor to this and liaises with NHS England directly on its programme around children either in hospital or at risk of being admitted The right hon. Member for North Norfolk asked why the evaluation was cancelled. As he knows, an evaluation sponsored by NHS England is already under way, and the Department, having invited bids for its evaluation, was not satisfied that the proposals received were what was needed. That does not mean that we are not absolutely determined to critically review progress, particularly working with stakeholders and users The right hon. Gentleman spoke about the "No voice unheard, no right ignored" Green Paper. Although I am always ready to bow to his incredible knowledge in this field, it is not entirely true to say that the Green Paper went unheeded. Some of the recommendations were overtaken by changes in Government policy, and indeed, in Governments, but we have taken forward work such as the named social worker pilot and a review of the Mental Health Act. We have asked Professor Sir Simon Wessely, the chair of the independent review, to listen to people with direct experience of the Mental Health Act and this, of course, includes autistic people and their carers. He published his interim report to update the Government on his progress, which sets out specific issues that we must explore to look at how we can improve the scope of the Act The hon. Member for Dulwich and West Norwood also spoke about training for teachers in autism. The Department for Education has funded training and support for teachers through the Autism Education Trust. That is in early years, schools and further education, and so far, 175,000 staff have been trained.
Welfare Changes — House of Commons, 2018-10-24
Topic: Health
Questions: What recent discussions he has had with Cabinet colleagues on the effect on people in Wales of the UK Government’s recent changes to welfare benefits.; What recent discussions he has had with Cabinet colleagues on the effect on people in Wales of the UK Government’s recent changes to welfare benefits.
Miriam Jane Alice Davies (Conservative, Centre-right): I thank the hon. Lady for her question, but I dispute its premise. This is a personal, focused benefit, which offers us an opportunity to help people with health conditions, provide tailored support from work coaches, assist with housing costs, and give advances. We are listening and responding during the roll-out. This is a huge change in a complicated system, and we are testing and learning, but above all we are helping people.
Engagements — House of Commons, 2018-10-24
Topic: Culture
Questions: If music be the food of love, we could certainly do with a lot of music just now. In that regard, will my right hon. Friend join me in welcoming Sir Michael Parkinson having opened the expanded premises of the United Kingdom’s first jazz centre in Southend on Saturday, inspired by Digby Fairweather and displaying wonderful jazz memorabilia and music—and is that not yet another reason why Southend should be declared a city?
Theresa Mary May (Conservative, Centre-right): I have of course been known to move to a little bit of music myself on occasions. I thank my hon. Friend for highlighting this excellent new centre, and I am extremely pleased that it was opened by my constituent, Sir Michael Parkinson. My hon. Friend might know that culture is one of the key strands of the Government’s GREAT Britain campaign; that is about promoting arts from across the whole of the UK to global audiences. We like to see and support events around the country showcasing the excellent range of performing arts that we have, and I join my hon. Friend in welcoming this new jazz centre—and I note the bid he has put in once again in relation to Southend.
Engagements — House of Commons, 2018-10-24
Topic: Health
Questions: If music be the food of love, we could certainly do with a lot of music just now. In that regard, will my right hon. Friend join me in welcoming Sir Michael Parkinson having opened the expanded premises of the United Kingdom’s first jazz centre in Southend on Saturday, inspired by Digby Fairweather and displaying wonderful jazz memorabilia and music—and is that not yet another reason why Southend should be declared a city?
Theresa Mary May (Conservative, Centre-right): The right hon. Gentleman mentioned the wait that people experience in order to get their first universal credit payment. We announced in last year’s Budget that we were reducing the period of time that people had to wait for their first payment, and what did the right hon. Gentleman and the Labour party do? They voted against that change The right hon. Gentleman said that if austerity is ending, we should be doing more for the national health service. May I remind him that this Government have announced that we will be putting £394 million a week more into the national health service? At the last election, Labour said that, with 2.2% more money going in each year, the NHS would be the envy of the world. I can tell the House that we are not putting 2.2% in. We are not putting 2.5% in and we are not putting 3% in. We are putting an extra 3.4% in, with a long-term plan that will deliver for people up and down this country.