argyrotsipi/train-dataset huggingface dataset:
Long Covid — House of Commons, 2021-01-14
Topic: Health
Barbara Mary Keeley (Labour, Centre-left): I thank my hon. Friend the Member for Denton and Reddish (Andrew Gwynne) and the hon. Members for Oxford West and Abingdon (Layla Moran) and for Central Suffolk and North Ipswich (Dr Poulter) for securing the debate and the Backbench Business Committee for scheduling it in the Chamber so that all MPs can take part The debate is important and timely as we pass the grim milestone of 100,000 covid-19 deaths and well over 3 million confirmed cases. We should remember each of those 100,000 deaths as the human tragedy it is as well as a sign of the failure to control the virus Together with colleagues who are taking part in the debate, I have heard evidence of the impact of long covid from witnesses to the all-party parliamentary group on coronavirus. The impact on their lives is profound, and their numbers are growing rapidly It is important to recognise that covid-19 is not binary, with people either dying or recovering fully. We still have little idea about how covid-19 affects those who survive it in the longer term. Even people who start with mild covid symptoms may end up suffering noticeable effects and developing new or worse symptoms for months Among the many issues that witnesses with long covid raised at the APPG, an important factor is where they contracted the disease. Our witnesses this week all worked in the NHS, and we heard that the doctors’ long covid group is expanding rapidly. It is right to ask whether the conditions on the frontline might mean that long covid is more prevalent among those who acquire it at work Given the devastating impact of long covid, we need to establish whether it is an occupationally acquired disease. If it is, it should be reported on, monitored and protected against, as any other workplace-acquired disease would be. Will the Minister therefore set out what the Government are doing to require employers, including the NHS, to monitor long covid among their staff, and what steps will be taken to support frontline staff with long covid As I said, covid is not a binary disease. It is simply not the case that people either die from it or recover fully. We must remember every covid death as the tragedy that it is, but we must also fully acknowledge and deal with the long-term impacts that the disease can have. People are living with the effects of the virus for months, and perhaps even years. They need our support. They need a health system that can identify long covid and research so that we can begin to treat it effectively. They need financial support if they cannot work We need a covid strategy that goes beyond preventing deaths. We need to drive cases down, even when the most vulnerable are vaccinated, so that we do not create a new generation of people living with long-term health conditions. We particularly need to establish covid-19 as an occupational disease and support the frontline staff with long covid who cannot work because of their symptoms. They must not be forgotten.
Long Covid — House of Commons, 2021-01-14
Topic: Health
Janet Jessica Daby (Labour, Centre-left): I thank the hon. Member for Oxford West and Abingdon (Layla Moran) for arranging this important debate, which I hope will raise awareness of the issue, and cause the Government to reassess the rate of sickness benefit and to invest in research Long covid can affect anyone who has caught the virus. It is another one of those invisible illnesses that people cannot see, and many still do not know it exists. Constituents, friends and family have reached out to tell me of their physical and mental struggles with long covid. Persistent breathing problems and coughing, fatigue, dizziness, chest pains and insomnia are some of the things that have been mentioned to me. Even getting a diagnosis has been challenging, with people having to go through all manner of scans and tests. The lack of explanations and solutions has led to support groups being created online, where people with long covid can connect with one another and share their difficulties. But not everyone has online access and not everyone is able to communicate their experiences. Low public awareness of long covid leaves sufferers feeling even more isolated. I would be grateful to hear from the Government how they will raise the profile of this illness The NHS is desperate to help these patients, but it needs help from the Government to do this. The Government need to ring-fence funding for research into the illnesses and find treatments. People with long covid also often find their ability to work seriously affected. The economy suffers from this section of the workforce being incapacitated. Sick pay is £95.85 per week. My constituent’s rent in a shared home is £900, with bills, each month they are short of more than £500, and their situation is not dissimilar to that of others, which means that the sickness pay rate is inadequate Another constituent asks me: "How much longer is our society going to keep treating people with illness as a burden? How long are people going to face such hard decisions just to keep living?" Although I cannot give my constituent all the answers they need, I, along with colleagues today, call on the Government to recognise this illness, commit to reassessing the sick pay rate, and fund research treatments to cure and help sufferers with long covid.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Stephen James Morgan (Labour, Centre-left): I am grateful for the opportunity to raise the increasingly urgent problems with dental care in my constituency. Portsmouth is a densely populated city, and pre-existing problems with patient access and the retention and recruitment of dentists have been exacerbated by this pandemic. Figures from the BDA suggest that 43% of adults in Portsmouth had seen a NHS dentist in the past two years up to June 2020, compared with 48% across England. Figures also show that the fall in the proportion of patients seen in my city during the pandemic has been greater than the average across England. I am very concerned that Portsmouth has been disproportionately affected by the weakness of the current contract system, and that we face the prospect of generational damage to patient care The recently imposed NHS activity cut targets are particularly illogical, with practices facing steep financial penalties if they fail to hit 45% of their pre-pandemic NHS activity during the current quarter. Those targets effectively force NHS practices to prioritise volume over need, leaving them with little choice but to conduct routine check-ups instead of clearing the backlog of more time-consuming treatments. This creates an unsustainable situation, in which patients are unable to access the treatment they need while practitioners are in a race against time to maintain their financial viability. Although the Government have committed to reforming the system, we have seen no action and little appetite to do so. Earlier this week, I met with the BDA’s local dental practice committee and Healthwatch Portsmouth. They told me that the situation is untenable, and practices are increasingly concerned that they will not survive beyond the pandemic, which will further restrict patient access. With nowhere else to turn, one constituent contacted me to help arrange a dental appointment over Christmas. Having been unable to register for a NHS dentist, another constituent joined the 7.6% of English households that have attempted a do-it-yourself tooth extraction using pliers to relieve their pain While these stories are anecdotal, they increasingly reflect the reality of dental care in my community. Without urgent change, NHS dentistry in my constituency and across the country could be decimated, permanently damaging patient care for decades to come. I call on the Minister to take action to protect patients and dental practices in Portsmouth, and to hear my concerns today.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Sarah Mei Li Owen (Labour, Centre-left): Like so many aspects of our lives over the last year, the pandemic has meant changes for dentists and for our constituents as patients. During the first lockdown last year, dental care was paused and emergency dental hubs were set up as back-up, naturally creating a backlog of patients in the system. Already in this new lockdown, practices are facing patient cancellations and staff sickness and self-isolation. It is clear that Government support is needed. No patient or dental practice should be put out for doing the right thing during the pandemic Over the last year, I have met dentists and heard from practice managers across Luton North, who have told me about the challenges of keeping people’s mouths healthy during a global pandemic. One Luton North practice got in touch this week to tell me that dentists have been told that they must still hit their targets of 45% for dentistry and 70% for orthodontics, even in this new lockdown. That seems grossly unfair Across all health services right now, patients are reluctant to attend appointments for non-emergency treatment. Many GPs are not seeing patients face to face unless absolutely necessary, but the Government and the NHS are asking dental staff to put themselves at risk. The new obstacles that covid has brought are preventing dentists from being able to do their best for their patients. Will the Minister take these issues away and consult dentists I was shocked to find that dentists are not recognised as key workers, so they will not be in the highest priority groups for the covid-19 vaccine. I understand that priority must be given to those most at risk of serious illness or loss of life, but dentists are healthcare workers. Dentists are essential, and they are put in high-risk situations with respect to covid on a daily basis. Will the Minister please lobby her colleagues and NHS England to put dental workers on the same level as healthcare workers when it comes to vaccinations Let me finish with an even bigger ask. We know that dental health is a determinant of other health and public health issues and matches up with other health inequalities that are caused by or can lead to poverty and other kinds of ill health. I therefore want to see the Government listen and rise to the challenge that dentists in Luton North have put to me over the last year.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Judith Mary Cummins (Labour, Centre-left): I will start by commenting on the imposition of activity targets. On 17 December 2020, during a statement on coronavirus, I called on the Secretary of State to reverse this shocking and unacceptable decision. With a new national lockdown that could well last months, this situation is now more acute than ever. In his response, the Secretary of State said that an "agreement…has been reached with the dentists"—[Official Report, 17 December 2020; Vol. 686, c. 410.] However, that is not how the dental profession interpreted the end to negotiations. The BDA has made it clear that it could not agree to such terms and that new contract requirements had been imposed on them. That in no way, shape or form constitutes an agreement. In the interests of accuracy, will the Minister clarify today that no such agreement was reached and that these targets have been imposed on dentists against their will Dental practices are now being asked to deliver 45% of their annual UDA target in order to receive their usual contract value. Surely the Government must recognise that this is simply impossible during a national lockdown. Many contract holders will hit a financial cliff edge and be required to return the majority of their contract value. Other practices will be forced to prioritise routine work such as check-ups for lower-risk patients, at the expense of urgent care and preventive work, simply to survive financially. For some years now, the Government have accepted that the dental contract needs reforming and that we need to move away from flawed UDAs. It is therefore unbelievable that the Government have decided to enforce a system based on UDAs in the middle of a pandemic. These are the wrong targets at the wrong time, and the Government should think again Unfortunately I know all too well about the crisis in access, because barely a week goes by when I do not have a constituent contacting me because they are unable to get a dental appointment for either themselves or their families, and often they are in severe pain and discomfort. Just last week, I was contacted by a nurse at a mental health hospital who is unable to get dental appointments for her patients. The shortage of community dentists, who are too thinly stretched, and high street practices that have to prioritise reaching UDA targets means that these vulnerable patients have no access to dental treatment at all That is one shocking example of what many Members know is true: it is increasingly difficult for our constituents to get an NHS dental appointment at all. The choice the Government now face is to either allow the situation to keep getting worse or to act now and bring in a new contract that does away with UDAs, to ensure that every patient gets the care and treatment they need.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Paul Christopher Blomfield (Labour, Centre-left): Can I, too, express my gratitude to my hon. Friend the Member for Putney (Fleur Anderson) for securing this debate? Dentistry often does not get the attention it deserves when we are looking at health provision for the country, and today is an opportunity to address that Clearly, the pressure on dental services preceded covid-19, but the pandemic has exacerbated it. In normal times—if we can remember them—the demand for NHS dentistry in Sheffield was huge, with unmet need amounting to more than 35,000 patients. That clearly has a long-term impact on oral health, and one that is particularly worrying for children Then came covid-19, which has hit the sector hard. Frankly, to choose this time to impose new targets, without warning or consultation, shows either a lack of understanding or a lack of regard for the consequences. The 45% target will disrupt the priorities of dentists by imposing penalties for failing to hit levels of what are described as normal NHS activity in what are blatantly abnormal times. It will threaten the viability of practices, and worsen access to dental care across Sheffield and the rest of England Dental practices have made huge efforts to be covid-secure, with cleaning and air-clearing procedures that mean they cannot see as many patients as usual. Many have therefore prioritised emergency and urgent care, and this normal activity target will skew their priorities away from those patients most in need. As one dentist explained it to me, they will be "forced to stop seeing emergency patients…and to push the limits of the sound infection control procedures brought in to protect patients and staff" Another simply said: "These targets are the wrong choice at the wrong time" This is not scaremongering, as has been suggested, but a real and genuine concern from dental professionals who care about the services they provide Sheffield Central is in the top 10% of areas where NHS dental care was most impacted by the pandemic, according to a survey, and the Association of Dental Groups says that problems are particularly acute in the most deprived urban, coastal and rural areas. Imposing this target will hit those most in need—levelling down, not levelling up. We need to be growing our dental services, not threatening them with damaging targets I have great regard for the Minister—we have worked together on other issues, and I know she takes her responsibilities seriously—so I do hope that she will listen to the concerns she has heard today from both sides of the House, talk to colleagues and review this contract.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Rachel Louise Hopkins (Labour, Centre-left): The breakdown of talks on NHS dentistry targets between NHS England and the General Dental Practice Committee is a failure of leadership on the Government’s behalf. The Government should intervene to reach agreement and alleviate the concerns shared widely across our dedicated dental profession Like others, I have been contacted by a dentist in my constituency who is concerned that, with the new covid variant being highly transmissible, and with the national restrictions, or lockdown, it is "unfathomable that the government has chosen this time to introduce an increase in the target for activity required by dental practices holding an NHS Contract, by effectively more than doubling the minimum requirement of activity to 45%" I agree that, with covid rates still high, many patients will be understandably reluctant to go to the dentist. Indeed, British Dental Association analysis shows that more than 20 million appointments were lost between March and November 2020, more than half the treatment in a typical year. I agree with my constituent who queries why Ministers are encouraging potentially unsafe volumes of patients into NHS dentist practices under the imposed new activity targets. The imposition of severe penalties for not reaching these minimum targets will be untenable for many practices already struggling to meet additional costs due to covid. Many will be at increased risk of closing for good. This would be a terrible situation for my constituents in Luton South, as Luton struggles with a very high level of poor oral health in our children: the severity of tooth decay in children aged five years is above the national average, at four teeth affected. Evidence suggests that deprivation accounts for 40% of the variation in levels of dental decay. Children aged five years living in the most deprived areas of Luton have higher rates of tooth decay than their counterparts in the least deprived areas and are two and a half times more likely to have experienced dental decay. If dental practices are forced to close, it will be harder for my constituents and their children to access the vital dental care they need. The long-term impact of poor oral health affects people not only physically but psychologically, as it influences how they look, speak, eat and socialise As my hon. Friend the Member for Putney (Fleur Anderson) said, access to dental care must not become a middle-class luxury. The current target and penalties are bad for practices and patients. I urge the Minister to get back round the negotiating table and revisit the activity targets for January to April to protect our vital dental practices during the pandemic and give them the support they need.
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Janet Jessica Daby (Labour, Centre-left): Thank you, Mr Deputy Speaker. I congratulate my hon. Friend the Member for Putney (Fleur Anderson) on securing the debate. She has been a persistent advocate for dental care during the pandemic We are all aware of the widespread impact of the coronavirus pandemic. A&E departments are overwhelmed, intensive care units have been described as warzones, and essential operations, for example on cancer patients, are being postponed at great cost. In the midst of the sprawling crisis, the effect on dentistry has been overlooked. People have not received the essential dental care that they need, and dental practices have experienced crippling blows to their finances during the pandemic The Association of Dental Groups has found that dental practices in England suffered from an average of 45% losses in 2020. Dentists are crying out for Government support, but the Chancellor’s recent announcement applies only to the hospitality and retail sectors. Dental practices will receive no grants and no business rates exemption. The Government need to act so that it does not have a negative effect on our economy The ADG found that 35% of business owners expect to employ fewer staff next year, with some planning redundancies. We will lose practices from our high streets, and communities will be deprived of the care that they need. That needs urgent Government intervention and attention. The Department of Health and Social Care must work with other Departments to provide business support grants and relief. Additionally, dentists are still not acknowledged to be critical care workers in this lockdown—a matter that has already been mentioned by other Members, and that the Secretary of State needs to review. Patients have also had to—
Covid-19: Dental Services — House of Commons, 2021-01-14
Topic: Health
Alexander James Jorden Norris (Labour, Centre-left): Thank you, Mr Deputy Speaker. I join colleagues in commending my hon. Friend the Member for Putney (Fleur Anderson) for securing this important debate. Timing is everything in politics, and this is well timed indeed. I will cover the point that she made about imposed targets shortly, but I do not want to miss the contributions that she made about health inequalities and cancer, which I thought were really important I do not think that it is a great surprise that there was cross-party coverage and, frankly, a lot of consensus. Concerns about the targets were expressed by my hon. Friends the Members for Portsmouth South (Stephen Morgan) and for Bradford South (Judith Cummins), the hon. Members for Loughborough (Jane Hunt) and for Don Valley (Nick Fletcher), my hon. Friends the Members for Luton North (Sarah Owen), for Luton South (Rachel Hopkins) and for Sheffield Central (Paul Blomfield), and the hon. Members for North Norfolk (Duncan Baker) and for Totnes (Anthony Mangnall). I must say, though, that a spirited case for the defence was made by the hon. Member for Mole Valley (Sir Paul Beresford) I was glad to hear dental labs brought up by my hon. Friend the Member for Brent North (Barry Gardiner). I will address them myself, but they are too often lost in this conversation. I also thought that important contributions were made by the hon. Members for North West Norfolk (James Wild), for North Cornwall (Scott Mann), for Waveney (Peter Aldous) and for Edinburgh West (Christine Jardine) about the pre-covid status quo not being what we should aspire to. Again, I shall address that myself Dentistry, like every industry, has had to battle its way through this pandemic—closed at first, worried for jobs and livelihoods, reopening desperate to address growing need, and innovating to do that as safely possible in challenging circumstances. We should be very grateful for the work that dentists and their staff have done and are doing, but even with that work 20 million appointments were lost between March and November. That is a backlog that we will live with for many years Although the dental profession has adapted well to provide urgent care through covid, the crisis has highlighted the need to do things differently and to do things better. As we rebuild post covid, we have a unique opportunity to not return to business as normal but instead shift the focus of dentistry in this country from the short term to the long term, and from the reactive to the preventative. I strongly believe that a more prevention-focused approach is something that many dentists across the country want for the benefit of their patients. I know that the chief dental officer is a big advocate of prevention being at the heart of NHS dentistry.