argyrotsipi/train-dataset huggingface dataset:
Health and Care Bill — House of Commons, 2021-11-22
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I will happily comment on that. In the debate over the past few days, many people have been comparing the package put forward by the Government with the proposals from Sir Andrew Dilnot in 2014-15, but there is a reason those proposals were never enacted and never came into force. It is because they had a huge price tag, and there was no successful debate on how to pay for them. It has been easy to ask for social care reform for the past three decades, but until this Government did it, nobody had come forward with a plan for how to pay for it. We simply cannot magic things out of thin air. If we are a grown-up Government, we have to come forward with a grown-up package, which includes saying how it will be paid for. That is what has happened, and that is why this package hangs together. We should support this new clause, because it is part of that overall funded package I want to turn briefly to the measures on integrated care systems. The purpose of the ICSs is to have a more preventive, more flexible and less siloed approach than we have under the current clinical commissioning groups, without removing the grit in the oyster that is the purchaser-provider split and without upsetting the 1948 settlement involving local authorities doing social care and having a national NHS. Amendment 76 in particular contains a lot of suggestions that might seem tempting. There are people who have an important voice in the debate. The problem, as we have seen with existing legislation, is that if we put too much into statute, it is far harder to deliver high-quality services that are integrated on the ground. That is why the Government are right to resist putting too much detail into legislation. However, I do support the change proposed by the Government, which makes it clear that the purpose of ICSs is not to have private providers on the board. I can confirm that, as the Minister said, it never was. Mischievous rumours were put about, some of which have been repeated today, that that was the intention, and I am glad that the Government’s amendment puts that matter beyond doubt I am attracted to amendments 89 and 90 and, in another group, amendments 91 to 98 and amendment 23, tabled by my hon. Friend the Member for Broxbourne (Sir Charles Walker). I was going to say this before I knew that I would be sitting next to him in the debate today, and I hope that the Government will look on these amendments kindly. The parity of esteem between mental and physical health is incredibly important, and I commend the amendments to the House.
Health and Care Bill — House of Commons, 2021-11-22
Topic: Health
Charles Ashley Rupert Walker (Conservative, Centre-right): I caught your eye half a minute ago, Madam Deputy Speaker, and you indicated to me with that look that I was next. My heart rate quickened. I am always nervous when I speak in this place because we do really important stuff here—all of us do—and this is an important Bill Before the Health and Social Care Bill became an Act in 2012, it was amended by the Conservative Government. It was amended in pursuit of parity of esteem. The Coalition Government changed general references to health to "physical health and mental health", which was not a courageous thing to do—it was entirely the right thing to do I have tabled a series of amendments—10, if I have counted them correctly—for debate over the next two days. They ask the Government to change all general references to health to "mental health and physical health". It is a call to arms. These changes are not just totemic, but hugely important. Over the next few years, we need to recruit 9,000 more mental health nurses to look after our constituents and more than 800 new psychiatrists, and we need to give all organisations charged with delivering healthcare that nudge, that push, that call to arms that they need to make these important things happen. We also need to send another message from this place—on top of all the other messages that we have sent over the past nine years—that we believe that there is no physical health without good mental health, and that good mental health means good physical health I am looking at the Minister because he has made a couple of staggering interventions on colleagues tonight. Colleagues in full flow, prostrating themselves at the feet of Government, have suddenly been rewarded with his stylish, charming intervention of, "The Government have heard your cries, and they shall act on them." I looked at the joy that spread across the face of my right hon. Friend the Member for Basingstoke (Mrs Miller), and across the face of my right hon. Friend the Member for South West Surrey (Jeremy Hunt), the former Secretary of State, who spoke before me. I look at the support I have from my right hon. Friend the Member for West Suffolk (Matt Hancock), the most recent former Secretary of State—there are a few of them—and from a former Prime Minister. May I ask the Minister to make one of those generous interventions on me this evening? I am still here. I want to sit down, but if he is not going to make that generous intervention right now, I shall be back tomorrow. I shall also be travelling up to the other place and knocking on its door to make sure that these amendments are tabled there, so that, eventually, we get our way.
Health and Care Bill — House of Commons, 2021-11-22
Topic: Health
Daniel Leonard James Poulter (Conservative, Centre-right): I draw the House’s attention to my declaration in the Register of Members’ Financial Interests as a practising NHS doctor. On the issue of private healthcare provision, the hon. Gentleman will recognise that GPs are in fact small businesses in their own right, and some of them quite large businesses. How does he equate the role of the GP as a small business in the context of his concerns about private healthcare?
Health and Care Bill — House of Commons, 2021-11-22
Topic: Health
Melvyn John Stride (Conservative, Centre-right): I rise to speak to new clause 49. In doing so, and whatever its merits or otherwise, it is worth reflecting on the comments made by the Minister that we are at least here this evening looking at a part of a process that will lead to some progress in meeting social care costs going forward and removing the catastrophic risk that has hung above the heads of all our constituents up and down the country: that their healthcare costs may end up costing them all of their assets. We are also here having taken the tough decisions around having raised taxes to fund those arrangements I have problems with new clause 49. It seems to me that to make good law in this place, first, we need time to consider the matters put before us and secondly, we need the appropriate information upon which to take those decisions. On both those points, I have real concerns about how new clause 49 has been brought forward. The first we heard of it was not in Committee or in September when the general measures were put forward, including the taxation measures on which we all divided and voted, but on Wednesday evening, when the amendment was tabled It was fortuitous that the Treasury Committee happened to have Sir Andrew Dilnot before us the very next day. We were able to discuss many of the issues inherent in new clause 49. A number of issues were raised, to which only the Government have the answers. One of them has been put forward powerfully by speaker after speaker tonight, which is: what are the impact assessments associated with these measures? I wrote to the Chancellor immediately after that session and asked him for some impact assessments, including geographical impact assessments, of which we have had none It seems that the only information we have had was released by the Department of Health and Social Care on Friday night, in a document called "Adult social care charging reform: analysis". I am very short of time, which is a shame, but there is, for example, a chart of a 10-year care journey that looks at individuals with different asset levels. While it is true, as my hon. Friend the Minister said, that these arrangements, even with new clause 49, are better for almost every level of wealth than under the status quo, it is not the case that everybody is better off compared with the measures brought forward in September.
Health and Care Bill — House of Commons, 2021-11-22
Topic: Health
Theresa Anne Villiers (Conservative, Centre-right): There is much to be positive about in relation to the recent history of the national health service. NHS England research indicates that the outcomes for most major conditions are significantly better than they were 10 years ago, and the NHS is seeing more patients and delivering more tests, treatments and operations than at any time in its 73-year history—millions more than 10 years ago when the Conservatives returned to power To reassure those concerned by some of the campaigns around the Bill, I emphasise that this Conservative Government are committed to NHS values. We are delivering the biggest ever cash increase in NHS funding. It is just plain wrong to accuse the Government of trying to privatise the NHS. In fact, it was the last Labour Government who pushed competition and private sector involvement, including many private finance initiative contracts that proved to be unwise and massively expensive. If anything, the Bill takes the NHS in the other direction by reducing the role for competition and increasing the scope for co-operation At the Bill’s core are the integrated care systems considered by this group of amendments. Its provisions on ICSs enjoy considerable support from within the NHS and build on the NHS’s own proposals for reform to make it less bureaucratic and more accountable and to enable it to be more integrated with other local service providers, such as councils I will not be backing the amendments in this group except those tabled by the Government. I welcome Government amendment 25 for the clarity that it provides to ensure that appointments to ICBs will not in any way jeopardise their independence. By dismantling elements of the complex system for compulsory tendering of services, we will free up time and resources in the NHS and remove barriers to local co-operation so that we can improve patient care We all recognise that ever-increasing healthcare needs place great pressure on the NHS, which will rise in years to come as more of us become frail and need extra care. I ask the Minister, in his response, to emphasise how we will train, recruit and retain the professionals we need to deliver NHS services. Record numbers of doctors and nurses are working in our NHS, and I pay tribute to each and every one, but it is crucial to step up the numbers, especially of GPs. GPs in my constituency are overstretched and we need more of them. That needs to be a priority for the Government.
Health and Care Bill — House of Commons, 2021-11-22
Topic: Health
Andrea Jacqueline Leadsom (Conservative, Centre-right): This Bill can really help support giving every baby the best start for life First, new clause 55, in the name of my hon. Friend the Member for Ruislip, Northwood and Pinner (David Simmonds), would require the Secretary of State to publish guidance on how integrated care systems should meet the needs specifically of babies. "The Best Start for Life" report, published in March, calls for every local area to publish a seamless start for life offer for every new family. That must include midwifery, health visiting, mental health support and targeted services such as couple counselling, debt advice and smoking cessation. Each of these services is currently provided from silos within the public, private and civic sectors, so properly integrating them is no small task. I urge my hon. Friend the Minister to ensure there is very clear guidance to every local area on how it should co-ordinate its support for babies I also want to support amendments 91 and 92, in the name of my hon. Friend the Member for Broxbourne (Sir Charles Walker), which call for parity of esteem between mental and physical health. Mental health support for families who are struggling in that critical early period is vital. The London School of Economics has assessed that perinatal depression, anxiety and psychosis carry a total long-term cost to society of about £8.1 billion for each one-year cohort of births in the UK. Prevention is not only kinder but so much cheaper than cure Finally, I would like to support amendment 102, from my right hon. Friend the Member for Basingstoke (Mrs Miller), which calls for integrated care boards to provide clarity about their plans to tackle domestic violence. I am delighted that the Minister has already agreed to accept it. Analysis by the WAVE Trust indicates that up to 30% of domestic violence begins during pregnancy. The WAVE Trust highlights the crucial nature of experiences in the period of conception to the age of three in the formation of seriously violent personalities, largely because of the sensitive nature of the infant brain in those formative years. Domestic violence within a family is incredibly damaging to the emotional development of a baby, and I encourage my hon. Friend the Minister to ensure that plans for tackling domestic violence cover not just relations between partners, but reducing the impact on babies Madam Deputy Speaker, you may have heard me speak in this place before about giving every baby the best start for life, and I keep doing so because I am convinced that, if we invest in the 1,001 critical days, we really will transform our society for the better. It is in the period from conception to the age of two that the building blocks for lifelong physical and emotional health are laid down.
Health and Care Bill — House of Commons, 2021-11-22
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): I am afraid I will not, because I literally have only one minute, and I did give way multiple times in my opening remarks I believe that the measures in this Bill, which we have debated with these amendments today, give the NHS what it needs to further integrate to deliver the local services it needs and, crucially, move us a huge step forward in tackling the challenge posed by social care for future generations. Question put, That the clause be read a Second time.
Health and Care Bill — House of Commons, 2021-11-22
Topic: Health
Eleanor Fulton Laing (Conservative, Centre-right): There is great excitement on the other side of the House, but there is no doubt about the procedure. As the Minister had already indicated his intention to accept amendment 102, it was perfectly in order for him to move it Clause 25 Care Quality Commission reviews etc of integrated care system Amendment made: 114, page 37, line 27, at end insert— "(2A) The priorities set by the Secretary of State under subsection (2)(a) must include priorities relating to leadership, the integration of services and the quality and safety of services."—(Jeremy Hunt.) The Secretary of State has the function of setting priorities for the Care Quality Commission in carrying out assessments in relation to integrated care systems. This amendment requires the Secretary of State to set priorities relating to certain matters. Clause 69 Procurement regulations Amendment proposed: 72, in page 64, line 1, at end insert— "(3A) The regulations must make provision in relation to the procurement of the services referred to in paragraph (1)(a) (other than primary medical services, primary dental services and primary ophthalmology services) that before any contract for a service with an annual value in excess of £5m may be awarded to an organisation that is not an NHS trust or NHS foundation trust— (a) the business case for the award of the contract must be published; (b) any responses to the proposal in the business case must be considered and published; (c) the process for awarding the contract must be open and transparent and non-discriminatory at every stage, including (but not limited to)— (i) procurement strategy and plan, (ii) invitation to tender, (iii) responses to invitations, (iv) evaluation of tenders, (v) decision to award, and (vi) contract awarded; (d) the process for awarding the contract must demonstrate due regard to the principles established in the Public Contracts Regulations 2015 (S.I.2015/102) or any regulations which may supersede them; (e) in any case where it is claimed that an emergency justifies an award without the process being used then the responsible body must within 14 days publish the business case for the award of the contract and the record of the decision."—(Justin Madders.) Question put, That the amendment be made.
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Leo Docherty (Conservative, Centre-right): The Ministry of Defence was delighted to support the Royal British Legion’s poppy appeal, in its 100th anniversary year. Members of all three services took part in Poppy Day activities the length and breadth of the United Kingdom, selling poppies and collecting donations. I was delighted that all the members of the ministerial team were able to join in acts of remembrance throughout the weekend, demonstrating the central and cherished role of remembrance in our national life.
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Craig Paul Tracey (Conservative, Centre-right): The fantastic work of the poppy appeal, which raises millions every year for our veterans, is only possible thanks to the hard work of the volunteers and armed forces who take part, giving up their time to ensure that the Royal British Legion’s fundraising efforts succeed. Will the Minister join me in thanking the volunteers and organisers of the Bedworth Armistice Day parade in my constituency, chaired by Ken Whitehead? It celebrated its centenary this year, being the only parade outside London to have taken place every year on 11 November.
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Leo Docherty (Conservative, Centre-right): My hon. Friend is right to refer to the central role of the Royal British Legion volunteers. They are a magnificent bunch of people, and I particularly commend Ken Whitehead and all the Bedworth Armistice Day team. I also want to record my thanks for all my hon. Friend’s work to support our veterans and forces people in his constituency.
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Elliot Colburn (Conservative, Centre-right): I thank the many Carshalton and Wallington residents who volunteered to raise money for the poppy appeal this year. The appeal helps to fund the Royal British Legion’s work in raising funds for the armed forces covenant, providing support for thousands of service people and their families. What consideration has the Minister given to the Legion’s recent report on the impact of the covenant over the last 10 years?
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Leo Docherty (Conservative, Centre-right): I have given deep consideration to that excellent report, which I think is a hugely important piece of work. We have come a very long way in the last 10 years, but there is still more to do, and that is why we are putting the covenant into law in the Armed Forces Bill.
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Robert Peter Moore (Conservative, Centre-right): Over the past couple of weeks, people across Keighley and Ilkley have been working hard to raise funds for our veterans through the poppy appeal, including Jackie McGinnis and her team at the Keighley branch of the Royal British Legion. Will my hon. Friend join me in thanking all my constituents who have worked so incredibly hard to raise money for the appeal, and use this opportunity to reiterate the importance of such funds being raised throughout the calendar year?
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Leo Docherty (Conservative, Centre-right): I absolutely join my hon. Friend in thanking Jackie McGinnis and the Keighley branch of the Royal British Legion. They have done terrifically good work. It is indeed an all-year-round challenge, and that is why we are pleased to have invested £25 million this year in third sector charities that support our veterans and armed forces. I am very grateful for the work that my hon. Friend continues to do in his constituency.
Poppy Appeal — House of Commons, 2021-11-15
Topic: Health
Leo Docherty (Conservative, Centre-right): I entirely agree with the sentiment expressed by the hon. Lady. We are trying harder than ever before and investing a huge amount of money in Op Courage, which is the bespoke mental health pathway for veterans in the national health service, but really this is about a broader challenge of reducing the stigma of mental health challenges. That is why we are ensuring that, during the time people serve in the armed forces, they see it as their professional responsibility to see mental good health as a question of resilience and capability, not something of which to be ashamed.
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Leo Docherty (Conservative, Centre-right): I am delighted to put on record my thanks to the Poppy Factory, which I have visited: it does magnificent work, and the wreaths it creates are a moving and important part of the Festival of Remembrance. I am also grateful that the hon. Lady picked up the theme of employability, because we will focus explicitly on that in the forthcoming veterans strategy.
Poppy Appeal — House of Commons, 2021-11-15
Topic: Defense
Caroline Julia Dinenage (Conservative, Centre-right): As you know, Mr Speaker, the Royal British Legion and the poppy appeal have supported veterans over the decades and over a number of conflicts, not least the Falklands campaign, which my constituency has such strong links with. Can the Minister talk a little about plans to commemorate the 40th anniversary of the Falklands campaign next year?
Afghan Nationals: Evacuation — House of Commons, 2021-11-15
Topic: Defense
Robert Ben Lobban Wallace (Conservative, Centre-right): I hear what the hon. Gentleman says but, as he knows, that scheme is under the stewardship of the Home Office. I am happy to take his representations and make them, but the policy decisions he is asking for are not made by the Ministry of Defence; they are best pointed at Home Office questions.
Afghan Nationals: Evacuation — House of Commons, 2021-11-15
Topic: Defense
John Charles Baron (Conservative, Centre-right): I have no doubt that the Defence Secretary is straining every sinew, but one fears that bureaucracy and lack of clarity are getting in the way. I understand that almost 200 Afghans who worked with the British Council, and are therefore eligible for the ARAP scheme, are still in Afghanistan in fear of their lives. One sent this email: "we are now being hunted by the Taliban. We are in hiding, and we have run out of money. We are in very real danger and in fear of our lives" What more can the Government do to help these people?
Afghanistan: Reconstruction and State-building Contracts — House of Commons, 2021-11-15
Topic: Defense
Questions: If he will make an assessment of the effectiveness of the private companies contracted by his Department for (a) reconstruction and (b) state-building during the UK’s involvement in Afghanistan.
James Stephen Heappey (Conservative, Centre-right): The Ministry of Defence did not contract private companies to undertake state-building as part of UK military operations in Afghanistan. Reconstruction activity could take many forms and could be commissioned in many ways, both from within the MOD and from elsewhere in Government. Does the hon. Gentleman have a particular company in mind?