argyrotsipi/train-dataset huggingface dataset:
Topical Questions — House of Commons, 2021-11-23
Topic: Health
Questions: Hundreds of local people have responded to my High Peak GP surgery survey, and I look forward to presenting Ministers with the results shortly. One of the top concerns is about how we can improve access to primary care. One way would be finally to build a major new health centre for Buxton. The local NHS already owns a suitable town centre location with outline planning permission; all it requires is the capital funding. Derbyshire Community Health Service NHS Trust has submitted a strong bid, which I support, so will the Secretary of State meet me to discuss how we can deliver the proposal and improve healthcare for Buxton and the whole High Peak?; Now that the cap on care costs has unravelled, many of my constituents feel misled and betrayed, especially those with modest capital in the value of their home. How can it be that those with the most will contribute the least and that those with the least will contribute the most? Where is the equity, where is the fairness, and where is the justice in any of that?
Gillian Keegan (Conservative, Centre-right): I thank the hon. Gentleman for his question. We are trying to solve something that has not been solved for decades, and the Labour party does exactly what it always does when it comes to this point: it picks one specific part without looking at the package as a whole and misleads the whole country. I want a better system not only for our grans and grandads, but for our mums and dads and all of us. If this system had been in place for my grandmother when she had dementia before dying in 2018, she would have been a lot better off. While we sit here doing nothing, the reality is that everybody loses—
Topical Questions — House of Commons, 2021-11-23
Topic: Health
Questions: Hundreds of local people have responded to my High Peak GP surgery survey, and I look forward to presenting Ministers with the results shortly. One of the top concerns is about how we can improve access to primary care. One way would be finally to build a major new health centre for Buxton. The local NHS already owns a suitable town centre location with outline planning permission; all it requires is the capital funding. Derbyshire Community Health Service NHS Trust has submitted a strong bid, which I support, so will the Secretary of State meet me to discuss how we can deliver the proposal and improve healthcare for Buxton and the whole High Peak?; Now that the cap on care costs has unravelled, many of my constituents feel misled and betrayed, especially those with modest capital in the value of their home. How can it be that those with the most will contribute the least and that those with the least will contribute the most? Where is the equity, where is the fairness, and where is the justice in any of that?; My constituents benefit from the excellent healthcare provided at Hillingdon Hospital, but it is long overdue a rebuild. Can my right hon. Friend give me an update on when we might expect to see progress on those plans?
Sajid Javid (Conservative, Centre-right): It is a vital project, and the trust project team are working well with NHS England and with my Department. The scheme, as I understand it, remains on track; like my hon. Friend, I look forward to its completion.
Topical Questions — House of Commons, 2021-11-23
Topic: Health
Questions: Hundreds of local people have responded to my High Peak GP surgery survey, and I look forward to presenting Ministers with the results shortly. One of the top concerns is about how we can improve access to primary care. One way would be finally to build a major new health centre for Buxton. The local NHS already owns a suitable town centre location with outline planning permission; all it requires is the capital funding. Derbyshire Community Health Service NHS Trust has submitted a strong bid, which I support, so will the Secretary of State meet me to discuss how we can deliver the proposal and improve healthcare for Buxton and the whole High Peak?; Now that the cap on care costs has unravelled, many of my constituents feel misled and betrayed, especially those with modest capital in the value of their home. How can it be that those with the most will contribute the least and that those with the least will contribute the most? Where is the equity, where is the fairness, and where is the justice in any of that?; My constituents benefit from the excellent healthcare provided at Hillingdon Hospital, but it is long overdue a rebuild. Can my right hon. Friend give me an update on when we might expect to see progress on those plans?; New research from the Disabled Children’s Partnership shows that nearly three quarters of disabled children and young people have seen their conditions regress in the pandemic because of a lack of adequate support. Therapies, short breaks and health services have all been massively reduced, and there are huge backlogs. Will the Secretary of State outline how the Government plan to rapidly sort that out?
Sajid Javid (Conservative, Centre-right): I thank the hon. Lady for her very important question. There is nothing more important than our children. Sadly, some of the actions that were taken at the height of the pandemic, for understandable reasons, have had unintended consequences. That is exactly why we are putting in a record amount of funding, with the biggest catch-up programme for elective procedures in the history of the NHS. I know that that will help.
Topical Questions — House of Commons, 2021-11-23
Topic: Health
Questions: Hundreds of local people have responded to my High Peak GP surgery survey, and I look forward to presenting Ministers with the results shortly. One of the top concerns is about how we can improve access to primary care. One way would be finally to build a major new health centre for Buxton. The local NHS already owns a suitable town centre location with outline planning permission; all it requires is the capital funding. Derbyshire Community Health Service NHS Trust has submitted a strong bid, which I support, so will the Secretary of State meet me to discuss how we can deliver the proposal and improve healthcare for Buxton and the whole High Peak?; Now that the cap on care costs has unravelled, many of my constituents feel misled and betrayed, especially those with modest capital in the value of their home. How can it be that those with the most will contribute the least and that those with the least will contribute the most? Where is the equity, where is the fairness, and where is the justice in any of that?; My constituents benefit from the excellent healthcare provided at Hillingdon Hospital, but it is long overdue a rebuild. Can my right hon. Friend give me an update on when we might expect to see progress on those plans?; New research from the Disabled Children’s Partnership shows that nearly three quarters of disabled children and young people have seen their conditions regress in the pandemic because of a lack of adequate support. Therapies, short breaks and health services have all been massively reduced, and there are huge backlogs. Will the Secretary of State outline how the Government plan to rapidly sort that out?; The capital transformation of acute hospitals in Shrewsbury and Telford has been eight years in the making. Will the Secretary of State confirm what is now needed to start delivering the £312 million of capital committed by the Conservative Government to improve Shropshire’s healthcare facilities? Will he also confirm that it does not make sense to head down the rabbit hole of a new hospital and start this whole process all over again?
Edward John Comport Argar (Conservative, Centre-right): I am grateful to my right hon. Friend, who has taken a long-term and consistent interest in the matter. The strategic outline case for transforming the Royal Shrewsbury Hospital and Princess Royal Hospital Telford was received at the end of October 2021. It has been reviewed by the NHS and detailed feedback has been given; I look forward to it coming forward to me early next year. We remain committed to delivering the investment and improvement that Shropshire’s hospitals need and that he and his colleagues have helped to secure.
Topical Questions — House of Commons, 2021-11-23
Topic: Health
Questions: Hundreds of local people have responded to my High Peak GP surgery survey, and I look forward to presenting Ministers with the results shortly. One of the top concerns is about how we can improve access to primary care. One way would be finally to build a major new health centre for Buxton. The local NHS already owns a suitable town centre location with outline planning permission; all it requires is the capital funding. Derbyshire Community Health Service NHS Trust has submitted a strong bid, which I support, so will the Secretary of State meet me to discuss how we can deliver the proposal and improve healthcare for Buxton and the whole High Peak?; Now that the cap on care costs has unravelled, many of my constituents feel misled and betrayed, especially those with modest capital in the value of their home. How can it be that those with the most will contribute the least and that those with the least will contribute the most? Where is the equity, where is the fairness, and where is the justice in any of that?; My constituents benefit from the excellent healthcare provided at Hillingdon Hospital, but it is long overdue a rebuild. Can my right hon. Friend give me an update on when we might expect to see progress on those plans?; New research from the Disabled Children’s Partnership shows that nearly three quarters of disabled children and young people have seen their conditions regress in the pandemic because of a lack of adequate support. Therapies, short breaks and health services have all been massively reduced, and there are huge backlogs. Will the Secretary of State outline how the Government plan to rapidly sort that out?; The capital transformation of acute hospitals in Shrewsbury and Telford has been eight years in the making. Will the Secretary of State confirm what is now needed to start delivering the £312 million of capital committed by the Conservative Government to improve Shropshire’s healthcare facilities? Will he also confirm that it does not make sense to head down the rabbit hole of a new hospital and start this whole process all over again?
Maria Colette Caulfield (Conservative, Centre-right): Women who have suffered are being helped and supported through the difficult choices that they are having to make. The Government have set up eight specialist mesh centres across the country to provide them with the specialist treatment that they need. Our priority is patient safety, preventing anything like this from happening again, and supporting women who have been affected. There is no evidence that a redress system would improve patient safety or improve the outcome for those women.
Topical Questions — House of Commons, 2021-11-23
Topic: Health
Questions: Hundreds of local people have responded to my High Peak GP surgery survey, and I look forward to presenting Ministers with the results shortly. One of the top concerns is about how we can improve access to primary care. One way would be finally to build a major new health centre for Buxton. The local NHS already owns a suitable town centre location with outline planning permission; all it requires is the capital funding. Derbyshire Community Health Service NHS Trust has submitted a strong bid, which I support, so will the Secretary of State meet me to discuss how we can deliver the proposal and improve healthcare for Buxton and the whole High Peak?; Now that the cap on care costs has unravelled, many of my constituents feel misled and betrayed, especially those with modest capital in the value of their home. How can it be that those with the most will contribute the least and that those with the least will contribute the most? Where is the equity, where is the fairness, and where is the justice in any of that?; My constituents benefit from the excellent healthcare provided at Hillingdon Hospital, but it is long overdue a rebuild. Can my right hon. Friend give me an update on when we might expect to see progress on those plans?; New research from the Disabled Children’s Partnership shows that nearly three quarters of disabled children and young people have seen their conditions regress in the pandemic because of a lack of adequate support. Therapies, short breaks and health services have all been massively reduced, and there are huge backlogs. Will the Secretary of State outline how the Government plan to rapidly sort that out?; The capital transformation of acute hospitals in Shrewsbury and Telford has been eight years in the making. Will the Secretary of State confirm what is now needed to start delivering the £312 million of capital committed by the Conservative Government to improve Shropshire’s healthcare facilities? Will he also confirm that it does not make sense to head down the rabbit hole of a new hospital and start this whole process all over again?; As ear syringing is no longer being undertaken in local surgeries, and as self-care does not work for many people, will the Government make sure that microsuction is at least available in every primary care network area? Otherwise, we are leaving people to go deaf.
Maria Colette Caulfield (Conservative, Centre-right): Local commissioners are responsible for meeting the health needs of their local population and should continue to ensure appropriate access to ear wax services. However, should a CCG not routinely commission ear wax removal or the suction method that my hon. Friend refers to, a patient can request an individual funding request. I am happy to help my hon. Friend if that is not happening locally.
Topical Questions — House of Commons, 2021-11-23
Topic: Health
Questions: Hundreds of local people have responded to my High Peak GP surgery survey, and I look forward to presenting Ministers with the results shortly. One of the top concerns is about how we can improve access to primary care. One way would be finally to build a major new health centre for Buxton. The local NHS already owns a suitable town centre location with outline planning permission; all it requires is the capital funding. Derbyshire Community Health Service NHS Trust has submitted a strong bid, which I support, so will the Secretary of State meet me to discuss how we can deliver the proposal and improve healthcare for Buxton and the whole High Peak?; Now that the cap on care costs has unravelled, many of my constituents feel misled and betrayed, especially those with modest capital in the value of their home. How can it be that those with the most will contribute the least and that those with the least will contribute the most? Where is the equity, where is the fairness, and where is the justice in any of that?; My constituents benefit from the excellent healthcare provided at Hillingdon Hospital, but it is long overdue a rebuild. Can my right hon. Friend give me an update on when we might expect to see progress on those plans?; New research from the Disabled Children’s Partnership shows that nearly three quarters of disabled children and young people have seen their conditions regress in the pandemic because of a lack of adequate support. Therapies, short breaks and health services have all been massively reduced, and there are huge backlogs. Will the Secretary of State outline how the Government plan to rapidly sort that out?; The capital transformation of acute hospitals in Shrewsbury and Telford has been eight years in the making. Will the Secretary of State confirm what is now needed to start delivering the £312 million of capital committed by the Conservative Government to improve Shropshire’s healthcare facilities? Will he also confirm that it does not make sense to head down the rabbit hole of a new hospital and start this whole process all over again?; As ear syringing is no longer being undertaken in local surgeries, and as self-care does not work for many people, will the Government make sure that microsuction is at least available in every primary care network area? Otherwise, we are leaving people to go deaf.
Maria Colette Caulfield (Conservative, Centre-right): I reassure the hon. Gentleman that cancer has remained an absolute priority for the NHS during the pandemic, as it will continue to be. The funding that has been awarded to deal with long-term electives includes funding for cancer referrals. Some amazing work is being done by our cancer alliances, which are looking to deal with the urgent backlog that has developed during the pandemic.
Health and Care Bill — House of Commons, 2021-11-23
Topic: Health
Christopher Stephen Grayling (Conservative, Centre-right): I am particularly concerned about the workforce situation in primary care. In my constituency, the practices are reporting back not only on an acute shortage of locums, but on their ability to recruit new GPs. One reason is that, 10,15, 20 years ago, there was inadequate planning for the future and we did not train enough doctors. That is one reason why I have signed amendment 10 tabled by my right hon. Friend the Member for South West Surrey (Jeremy Hunt). May I urge the Government to go beyond where they have been and to look for any way available to deal with this issue now, and particularly to plan for the future so that this does not happen again?
Health and Care Bill — House of Commons, 2021-11-23
Topic: Health
Richard Quentin Fuller (Conservative, Centre-right): I am grateful to the Minister for giving way. There is much to commend in the amendment of my right hon. Friend the Member for South West Surrey (Jeremy Hunt) and in what the Minister is saying. One thing that is not obvious in either, though, is the focus on labour costs and productivity. For example, how is technology going to reduce labour costs in the delivery of the same quality or higher quality of service? What is the possibility of creating new care pathways, which require less qualified staff to deliver as good or better service? What is going on in terms of reducing the proportion of non-clinical staff by the adoption of technology and other means in healthcare? Perhaps the Minister could address that. I am sure that my right hon. Friend will be doing so later, too.
Health and Care Bill — House of Commons, 2021-11-23
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): My hon. Friend is absolutely right. We see huge opportunities, almost every day, from new technology and new ways of using that technology to deliver more efficient and shorter turnaround times—for tests and diagnostics, for example. He is also right to talk about the need constantly to examine care pathways, and, where opportunities exist, to use highly qualified healthcare professionals but to look carefully at the most appropriate level at which a treatment or test can be carried out; historically, we may have used healthcare professionals for particular tasks for which they were almost over-qualified. It is right that care pathways are informed by clinical and scientific expertise and judgment, but that we continue to review how new technology, new ways of working and new care pathways can improve the productivity of our amazing workforce.
Health and Care Bill — House of Commons, 2021-11-23
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): The Carr-Hill formula has been through many "almost reviews" over the years and has been looked at by different Governments. Various GP practices in my constituency—as I am sure is the case in the hon. Lady’s—understandably raise opinions about how the formula might be improved. The point does not necessarily goes to the entire heart of what we are discussing, but she has managed deftly to make it within scope, in the context of GPs and so forth Finally, the report in clause 34 will increase transparency and accountability of the workforce planning process. It is for those reasons that I encourage—perhaps unsuccessfully—my right hon. Friend the Member for South West Surrey and the shadow Minister, the hon. Member for Ellesmere Port and Neston, to consider not pressing their amendments to a Division.
Health and Care Bill — House of Commons, 2021-11-23
Topic: Health
Edward John Comport Argar (Conservative, Centre-right): I set out the commissioning of the 15-year framework to look at need. Within that, the House will be regularly updated, as happens now—not least in oral questions, as we saw in the session preceding this debate—with plenty of opportunities for Members to challenge the Government and to see updates. There is also the regular publication of figures and workforce statistics, which will continue. Once we have that 15-year framework back and see what HEE says, we will be able to look at how best that might be interrogated by Members of the House and the wider public. I am hopeful that it will report back in the spring, and I suspect that that may well occasion a debate in this House. If not, I suspect that it may well occasion an urgent question from the hon. Lady or the hon. Member for Ellesmere Port and Neston Let me turn to new clause 29, which also addresses the issue of workforce planning. This new clause would place a duty on the Secretary of State to report on workforce planning and safe staffing. I have just elaborated at some length on the substantial work that my Department is doing to improve workforce planning. It remains the responsibility of local clinical and other leaders to ensure safe staffing, supported by guidance and regulated by the Care Quality Commission. The ultimate outcome of good-quality care is influenced by a far greater range of issues than how many of each particular staff group are on any particular shift at any one time, even though that is clearly important, which is why the Government are committed to growing the health workforce. It is also important that local clinical leads can make decisions based on the circumstances in their own particular clinical setting, utilising their expertise and knowledge The amendment would also require the report to contain a review of lessons learnt. In the last decade, the Government have introduced significant measures to support the NHS to learn from things that go wrong, reduce patient harm and improve the response to harmed patients, such as: a regulated duty of candour that requires trusts to tell patients if their safety has been compromised and apologise; protections for whistleblowers when they raise safety concerns; the Healthcare Safety Investigation Branch, which we are building on and establishing as a separate statutory body through the Bill; and the first-ever NHS patient safety strategy, with substantial programmes planned and under way to create a safety and learning culture in the NHS I hope I have given the House some reassurance that we are doing substantive work to improve safe staffing and workforce planning. Again, I encourage the shadow Minister—perhaps it will be unsuccessful, but it is always worth trying—to consider withdrawing his amendment.
Health and Care Bill — House of Commons, 2021-11-23
Topic: Health
Andrew William Murrison (Conservative, Centre-right): New clause 29(2)(d) has merits, as I am sure the Minister will accept, in that we need to incentivise people to join health and care, and, crucially, to be retained with the system. Will he give some consideration to this, particularly given that, for example, somebody working in the care system can work for years and years and still be in the same place when it comes to applying for a training place in a profession allied to medicine as somebody who simply has a couple of A-levels? That seems to be wrong. Does he agree that we need to complete the structure so that there is some prospect of progression with health and care and to try to break down the barriers between the two?