argyrotsipi/train-dataset huggingface dataset:
Scamming: Vulnerable Individuals — House of Commons, 2016-09-08
Topic: Health
Julian Carlton Knight (Conservative, Centre-right): I thank my hon. Friend for raising that point. She will have come across that issue in her role as Chair of the Health Committee. As I understand it, such cases are not simply a question of being defrauded of money; they can actually cost people their lives, in the worst possible circumstances As well as depressive episodes, 45% of victims suffer a generalised anxiety disorder compared with just 15% of non-victims. The stress that victims suffer can both exacerbate pre-existing health conditions and induce post-traumatic stress, and 10% of victims have unexplained hospital admissions within three months. The circles of these frauds—their effects within our wider society—roll outwards and outwards. More horrifyingly, people who have been defrauded are two-and-a-half times more likely than non-victims to be in care or dead within two years of the event. Scammers take so much more than cash. They can rob us of our self-confidence and elderly citizens of the ability to live independently. We should not forget the people who fight back. I have enjoyed reading stories of people called scam baiters, who turn the tables on these predators by wasting their time and making fools of them. I particularly liked one story that the BBC covered a few years ago of a gentleman who managed to persuade a Nigerian scammer to daub himself in war paint to prove his dedication to a made-up religion. Overall, however, the clear knock-on effects for personal independence and relationships add huge invisible costs to the headline figures of fraud.
Scamming: Vulnerable Individuals — House of Commons, 2016-09-08
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): I wonder whether the Minister in the legislation will also address the fines that are meted out when people breach the rules. She may be familiar with the case of Pharmacy2U, which, disgracefully, sold the details of more than 20,000 of its customers, many of them very vulnerable, to marketing companies. The fine of £130,000 is derisory and no meaningful deterrent.
Fourth Industrial Revolution — House of Commons, 2016-09-08
Topic: Health
James Stephen Heappey (Conservative, Centre-right): The hon. Gentleman was not in the Chamber yesterday afternoon when I spoke in the climate change debate, so I thought I would inform him that through employing some of these new technologies, Guy’s and St Thomas’ NHS Foundation Trust in London has been able to install in a hospital a combined heat and power system that saves it £2 million a year on its operating costs. It has done that not through Government promotion but because the technology is there and it has sought to adopt it, and it is doing immediate good for that public service.
Aid Budget — House of Commons, 2016-09-14
Topic: Health
Questions: The Global Fund to Fight AIDS, Tuberculosis and Malaria is on track to save 22 million lives by the end of 2016. Can the Secretary of State confirm whether the UK will pledge the £1.2 billion called for at the Replenishment conference? How will she ensure that Britain’s contribution will retain its value in light of the pound’s post-Brexit fall against the dollar?
James Wharton (Conservative, Centre-right): The UK has been a key contributor to the global health fund, which has made a real difference. I met only yesterday the chairs of the all-party groups on HIV/AIDS, tuberculosis and malaria to discuss the contribution the UK intends to make. My right hon. Friend the Secretary of State will be making an announcement in Montreal in the coming days to set out just what the UK will be doing.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): The hon. Lady mentioned cuts, but this Government are putting more money into the national health service—an extra £10 billion a year. The Labour party had no intention of making that sort of financial commitment to the NHS, as we saw in its failure to do so before the last election.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): It is a pleasure to be here today, and I welcome the hon. Member for Hackney North and Stoke Newington (Ms Abbott) to her post. I think this is the first time she has opened a debate in her present position, and I am pleased to be doing so for the first time myself. I believe that she was appointed about three weeks before me, and I think it would be fair to say that we are both on a steep learning curve I am also pleased that the hon. Lady has chosen the sustainability and transformation plans as the subject of the debate, because that gives me an opportunity to correct some of the misconceptions that she has just revealed, and, more importantly, to inform the whole House of the status of the NHS’s plans. Let me begin by reminding the House of their origins. The NHS’s own plans for the future, set out in the "Five Year Forward View" and endorsed by the Government—but not, as it happens, by the Labour party— recognised three great challenges facing the NHS: health and wellbeing, care and quality, and finance and efficiency.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
William David Wiggin (Conservative, Centre-right): May I congratulate my hon. Friend, and say how delighted I am to see him at the Dispatch Box fulfilling such a crucial brief? While he is on his steep learning curve, will he visit Hereford County hospital, so that he can understand the difficulties faced by rural patients and see what he can do to help us?
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I am delighted to accept that invitation from my neighbour and friend, not least because many of my constituents look to Hereford County hospital for their acute care, but also because it is one of the hospital trusts that are in special measures, which is my specific responsibility. I look forward to seeing my hon. Friend there, perhaps even during the coming recess.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I am grateful for that intervention from the right hon. Gentleman, who has taken such a personal interest in this subject. I can confirm that mental health is one of the issues that will be addressed in each of the plans that will be taken forward. I hope that reassurance helps.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I am going to make a little progress, as I have only just started The "Five Year Forward View" also recognised that the challenges facing different areas of the country differ, so the issues facing Hackney are not the same as the issues facing Ludlow, and a single national plan would not be effective or appropriate. Indeed, the Labour party recognised that in its 2015 general election manifesto, which most Labour Members present stood on. It said: "To reshape services over the next 10 years, the NHS will need the freedom to collaborate, integrate and merge across organisational divides."
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): Many trusts were in deficit in the last financial year, and those deficits were funded by the Department of Health. Looking forward, we are using the financial discipline of control totals not to instigate cuts, as the hon. Member for Hackney North and Stoke Newington suggested, but to hold the accountable managers to account for delivering within the financial envelope that those control totals represent. That is what a responsible Government do—we give money to public services and expect them to live within those means. This year the NHS has received one of the largest cash settlements it has ever had, three times more than the rate of inflation.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): If I manage to get there, I am going to come on to the footprints and how it was that 44 areas were identified, but in rural areas in Wiltshire and Shropshire we do look to urban areas to provide the acute care for all our local residents, so it is appropriate that the footprint areas encompass both the acute and the full range of primary sectors.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): The hon. Gentleman raises a critical point and one of the real challenges facing the NHS at present, which is how to make discharge out of the acute setting, and movement right the way through the patient flow, more effective. As I will come on to say—if I get there—that is precisely why we are looking at bringing local authorities into the footprints for these STPs, so that the entire patient pathway can be taken into account.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Simon Hugh McGuigan Burns (Conservative, Centre-right): I am very grateful to my hon. Friend. So that there can be no misunderstanding, because the shadow Secretary of State does not seem to have fully grasped the brief, will my hon. Friend, with his superior knowledge, explain categorically to the House about transparency in the health service with regard to not only STPs but other reconfigurations? There automatically always has to be a public consultation with local communities before any decisions are made— something that the shadow Secretary of State seems to be totally oblivious of.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I am going to continue my remarks, as I have already been quite generous in taking interventions As part of its annual planning round in 2015, NHS England published planning guidance last December—nine months ago—calling for clinical commissioning groups to come together with their providers across entire health economies to develop a collective strategy for addressing the challenges in their area. Those are the sustainability and transformation plans. There are 44 areas, which were agreed six months ago in March. They cover the whole of England, bringing together multiple commissioners and providers in a unique exercise in collaboration. Their geographies have been determined not by central diktat but by what commissioners and providers felt made the most sense locally Each area has also identified a strong senior leader who has agreed to chair and lead the STP process on behalf of their peers. They are well respected, credible figures in their local health economies, and we and NHS England are committed to supporting them to bring people together to agree a shared plan for how best to improve and sustain health services for their local populations. Local authorities, too, are fully engaged in the development of the plans. In some cases, local NHS organisations have agreed with local authorities that a senior council leader will lead the STP for their area. I think that is happening in Birmingham—I see a number of Birmingham Members present.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): The hon. Lady is leaping much too far ahead. There are no proposals at this point—[Interruption.] I will explain the exact state of the STPs shortly. There are a number of draft ideas to try to improve the services that are delivered to patients. Looking to the future and the efficiencies that need to be provided, as part of the five-year forward view the NHS leadership asked the Government to fund £8 billion of additional cash for the NHS. We provided £10 billion; the Labour party refused to provide anything like it. In return, the NHS agreed to look for £22 billion of efficiencies up to 2020. We have assisted it through the efforts of Lord Carter, whom we asked to undertake a review of efficiencies across the NHS. He has identified 10 work streams in which clear efficiencies can be found—many of which, incidentally, have been identified by Opposition Members. The hon. Member for Hackney North and Stoke Newington herself has referred in the past to areas of the NHS in which there is waste, and a newspaper article this week by the former Chair of the Public Accounts Committee, the right hon. Member for Barking (Dame Margaret Hodge), referred to "absurdities" in the spending practices in the NHS. We are trying to put right some of the practices that have been swept under the carpet for too long.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I am going to make some progress I turn now to the timetable and the progress that has been made so far. Each area was asked to work together over the first six months to draw up its initial thinking into a first draft plan by the end of June. Those plans were individually reviewed by senior leaders from NHS England and NHS Improvement during July and August. Each area is now in the process of developing its STP, with a view to submitting a worked-up plan to NHS England in October. The plans, as one would expect, will vary in their proposals, but all are expected to demonstrate a shared understanding of where an area is in relation to the three challenges set out in the five year forward view and where they need to be by 2020-21.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I am grateful to the hon. Gentleman for his kind words about my willingness to take interventions from both sides of the House I am interested that the hon. Gentleman should mention funding allocations. Across the NHS, the allocations are a legacy of the formulas that were set in place by the Labour Government, of which he was a member. People across the country, not least in rural areas such as Shropshire, cannot understand why the funding per capita is much less generous in some parts of the country than in others. I am taking an interest in that and would be willing to sit down with him and other colleagues to understand the particular circumstances in north-west London, which we will have to do after the coming recess Returning to the progress that is being made, all the plans are expected to present an overall strategy for their area and to identify the top three to five priorities required. In the most advanced plans, we are also expecting areas to set out how they will deliver a number of national priorities, including on mental health and diabetes. Some will build on the early work of vanguard or Success Regime joint working, which has been developing better co-ordinated care models over the past year or so.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): Shortly. I must make some progress The plans offer the NHS a unique opportunity to think strategically. For the first time, the NHS is planning across multiple organisations—both commissioners and providers—with local authorities to address the whole health needs of an area and the people it serves. Also for the first time, the NHS is producing multi-year plans showing clearly how local services will develop over the next five years to deliver real improvements in patient care and better efficiency to ensure that the NHS continues to be able to cope with rising demand from our ageing population. That is leading some STPs to face up to tough choices about the future of some services. Such choices have often been postponed again and again because they were too hard or relied on individual organisations operating on their own to shoulder the responsibility rather than it being shared across the geography or the whole healthcare economy.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Antoinette Geraldine Sherratt (Sandbach) (Conservative, Centre-right): Does the Minister recognise the concerns in constituencies such as mine that have a border with Wales? The numerous closures of hospitals in Wales by the Labour Welsh Government are placing pressure on NHS trusts in Cheshire and Merseyside.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): My constituency also shares a border with Wales, so I am acutely aware that Welsh patients regrettably have to wait longer and have worse access to treatment than those in England. Many of them look to English hospitals for services that are unfortunately not available in Wales, in part due to a conscious political decision of the Welsh Government to allocate less funding to the health service in Wales.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): There is undoubted pressure on infrastructure, as there is on technology. As technology improves and becomes available to the NHS, it provides opportunity—for example, for much more care to be undertaken closer to the patient. In many cases, this can be done increasingly in or near their home. That will have consequences for our existing infrastructure estate, and some of that will lead to a reconfiguration of existing hospital services. There is a programme of renovation across our hospitals, but of course that cannot get to everywhere at the same time. I apologise to the hon. Gentleman that he does not have the shiny new hospital that he would like, but there is a building programme, which will continue in the future.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Andrew William Murrison (Conservative, Centre-right): I always listen with great care to what the hon. Lady has to say, and I agree with a great deal of it. Does she agree that part of the problem in England in relation to delayed discharges has been that we have seen a retrenchment of community hospitals and their beds, which have provided step-up, step-down care—intermediate care beds. Unfortunately, they are no longer available, which means inevitably that hospital discharges are delayed, with all the distress that causes.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): It is a pleasure to follow my colleague on the Health Committee, the hon. Member for Central Ayrshire (Dr Whitford) I absolutely agree that we should see this as an opportunity to move away from a fragmented system where people are perhaps commissioning and providing care in isolated silos to one that looks across the whole system, and across geographical areas, so that we can move towards a truly integrated approach between health and social care. To do that, local authorities, as well as the health system, need to be involved in the STPs—and crucially, we need to involve local people. The lesson that we learn from every major reorganisation has been that if we take local people with us on the journey, and on the thinking behind it, it is much more likely to be successful. We should not see genuine local consultation and engagement as an inconvenience but as something that improves the eventual plans It is a real shame that this debate has developed a hashtag of "secretNHSplans". I am afraid that NHS England now has to look at that, take a step back, and ask how it could have been better at engaging local communities—and those who represent them. It is a great shame that Members across this House were unable to see the draft plans until they were leaked to the press. That is not the right way forward for any genuine engagement.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Maria Colette Caulfield (Conservative, Centre-right): Does my hon. Friend agree that if staff, whether nurses, doctors, physios or pharmacists, had been involved right from the start of the process, that would have helped staff morale in the NHS, which is struggling, and that they probably have the best ideas of anyone as to how the STPs could progress?
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): I absolutely agree. This is about local communities and their representatives. Public meetings are important, but so are involving bodies such as HealthWatch and making sure that under-represented groups are involved. The right hon. Member for North Norfolk (Norman Lamb) talked about the need to involve mental health services in these plans. It is very important that we make sure that under-represented groups are involved, and that does include those who use mental health services.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): If we get too caught up in the process of consultation, we will not address the other serious hurdles in the way of STPs achieving their aims, chief among which is the issue of finance. The NHS is now in its seventh year of a historic level of austerity, and the average of a 1.1% annual uplift in funding for the NHS over the past six years represents an extraordinary challenge in the context of increasing demand. It is good that we are living longer, but we are doing so with much more complex conditions, and the treatments available to tackle them are more expensive. We need to be clear that, because of that, and even though the settlement for health has undoubtedly been generous in relation to other Departments, a significant gap is opening up in health, and the situation is even worse in social care Figures from the Association of Directors of Adult Social Services show that 400,000 fewer people are in receipt of social care packages in 2015-16 than there were in 2009-10, and not only are fewer people receiving social care packages, but those packages are smaller. Many STPs are about transferring care into the community. We need to make sure not only that the funding is available to provide those social care packages, but that we have the workforce to deliver them. The proposal in the area that I represent is to close two community hospitals that are used by my constituents. As a former rural general practitioner, I know just how important those facilities are to local people. They are special to them not only because of the step-up, step-down care that they provide and to which the hon. Lady has referred, but because these are the places that more people like to be at the end of their lives. They provide personal care and allow people, particularly those in rural areas who are doubly disadvantaged by not being able to travel to larger local centres, the opportunity to be treated closer to home.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Antoinette Geraldine Sherratt (Sandbach) (Conservative, Centre-right): In my constituency, Tarporley cottage hospital has been adopted by the local community and continues to provide that step-up, step-down care without being part of the NHS. I wonder whether my hon. Friend would be interested in meeting some of the hospital trustees. It may provide some hope for the future as an example of how communities can come together and support their local assets.
NHS Sustainability and Transformation Plans — House of Commons, 2016-09-14
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): I thank my hon. Friend for that invitation. In fact, I have visited the Community Hospitals Association on many occasions, to hear from community hospitals around the country. I will continue to do so and I commend them for the valuable role that they play.