argyrotsipi/train-dataset huggingface dataset:
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I would like to begin by paying tribute to Lord Kerslake, whom I have met in his role as chair of King’s, which he has served with great commitment for two years during a period of significant challenge. While we may differ on some matters of policy, this should not blind us to the service that he has given to the NHS The context of Lord Kerslake’s departure from King’s is the very real financial challenges faced by the trust and the way in which these have or have not been addressed. A number of other trusts have similar challenges, but none has deteriorated as far or as fast as King’s, especially in the past few months. This is why it was placed into financial special measures by NHS Improvement yesterday There has been a consistent pattern of financial projections by the trust that have not been met during Lord Kerslake’s tenure as chairman. In 2016-17, a planned deficit of £1.6 million deteriorated over the year to an actual deficit of £59.6 million. For the current year, a budget deficit of £38.8 million was agreed in May. At month 5, the chairman confirmed to NHS Improvement that the trust was on track to meet this deficit, but by October there had been significant deterioration in the trust’s position, with a projected deficit of £70.6 million at October—£32.l million worse than planned. NHS Improvement was informed last week that this had deteriorated further to a mid-case projection of a deficit of £92.2 million, which would be £53.4 million worse than the original planned deficit. Indeed, Lord Kerslake indicated that the final position could be even worse King’s is receiving substantial financial support from the Department of Health. During this financial year, the trust is receiving £135 million of support to maintain frontline services. That is the second highest level of support across England. Both the level of deficit and the speed of deterioration are unacceptable, as I am sure all hon. Members will agree. Although no trust or hospital is an island, it is right that those charged with leading it should take responsibility for such results. The chief financial officer and chief operating officer both resigned last month, and, as we know, Lord Kerslake left on Sunday The trust will now receive even more support with the appointment of a financial improvement director. The organisation will be required to implement a plan to improve its finances, which will be closely monitored by NHS Improvement. On top of special measures and subject to due process, NHS Improvement intends to appoint Ian Smith as a new and experienced interim chair for King’s to take control of the organisation’s position.
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): The right hon. and learned Lady said on the radio yesterday, "just because they’re the regulator, when these judgments have to be made, doesn’t mean that they are actually right" I have to ask her about that, in the light of the comments made by NHSI, the regulator. I will give her a couple of quotes. Jim Mackey, who was until recently the chief executive of NHSI, has said: "Honestly, I don’t think they have in my time hit a single set of their re-forecasted numbers" The current chief executive, Ian Dalton, has said that no other trust in the country "has shown the sheer scale and pace of the deterioration at King’s" This is not just about the numbers; it is about the way in which the trust is managed.
Investigation of Veterans — House of Commons, 2019-05-16
Topic: Defense
Jenny Chapman (Labour, Centre-left): I represent Darlington, which is the nearest large town to Catterick garrison, so there are many hundreds of veterans living in my constituency. None of them has ever asked or expected to be treated differently or as if they were above the law in any situation, but there is deep concern about this issue. There is also deep concern in the wider community that individual soldiers may be held responsible for failings that they alone do not own—that a lack of preparedness, or a lack of understanding or anticipation of the context in which they would be serving at the time, may have led to certain things happening that those individuals could be held responsible for. That is a real and deep worry. Will the Minister assure me that individual veterans in my constituency will not be held responsible for actions that they alone are not responsible for?
Investigation of Veterans — House of Commons, 2019-05-16
Topic: Defense
Christian John Patrick Matheson (Labour, Centre-left): Chester is a proud garrison city, and I am proud to represent ex-service and current service families, many of whom have raised their concerns with me. Their concerns are generally twofold. The first is that these seem to be arbitrary fishing investigations—and investigations are just as stressful as prosecutions. Secondly, the right hon. Member for Rayleigh and Wickford (Mr Francois) talked about rancid deals. Of course there had to be a deal under the Good Friday agreement, but my constituents’ concern is clear: that deal should be applied equally and fairly to all sides.
Investigation of Veterans — House of Commons, 2019-05-16
Topic: Defense
Justin Piers Richard Madders (Labour, Centre-left): Like all Members here, I have veterans in my constituency who are very angry at the way this issue has been handled and extremely concerned about issues being dredged up from 20, 30 or 40 years ago in what they consider to be an unfair manner. There has been a lot of press speculation in recent days and mixed messages from the Government, which has only increased the anxiety that many veterans feel. Does the Minister understand the concern caused, as well as the need for clarity and certainty that it will be dealt with as quickly as possible?
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Stephen William Hammond (Conservative, Centre-right): As a London MP, I know that other hospitals that have faced challenging situations have put in place improvement plans and met the targets set by NHSI. If the regulator had not acted yesterday, would it not have been letting down other London hospitals and my constituents?
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Robert John Blackman (Conservative, Centre-right): My local hospital trust, based on Northwick Park Hospital, has had to make some very difficult decisions to make itself more efficient and to reduce its deficit, and it has done so under excellent leadership. Does my hon. Friend know whether decisions were taken at King’s to keep to the deficit target? Were efficiencies made, and how effective were they?
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I share the hon. Lady’s support for the clinicians and professionals working in her trust, who are doing the best job they can in admittedly challenging circumstances. I do not accept her characterisation of a lack of capital provided to King’s. I have been there myself and seen some of the building work going on. I am happy to look at the circumstances surrounding what happened in 2013, but they are not as relevant to today’s situation as the way the trust’s financial management has deteriorated in recent months.
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): As I have indicated, the chief executive of NHS Improvement said yesterday that no other trust "has shown the sheer scale and pace of the deterioration at King’s. It is not acceptable for individual organisations to run up such significant deficits when the majority of the sector is working extremely hard to hit their financial plans, and in many cases have made real progress." That is from the regulator responsible for putting the trust into special measures for now.
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Maria Colette Caulfield (Conservative, Centre-right): We do have a problem with NHS managers; not only are there too many of them, but many lack clinical skills, which is probably why they make so many bizarre decisions. On Lord Kerslake’s watch, £715,000 was spent off payroll last year on an interim director, and £30,000 a month was spent on temporary managers. There is a problem with this scandalous waste of taxpayers’ money.
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): My hon. Friend takes a close interest in what is happening in London’s hospitals, where she regularly works shifts. From time to time, there is a need for some interim managers to fill vacancies and gaps, but she is absolutely right that we have taken significant action to limit the excessive amounts that some have been paid. The amounts have now been capped and are being driven out of the service, and the interim mangers are being encouraged to take up substantive positions.
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): In relation to the hon. Lady’s first point, I think that the experience has been variable; some outstanding trusts have taken on failing hospitals and managed successfully to turn them around, and others have found it more of a challenge. I accept that it is specific to the circumstances, and we are looking to learn from the various experiences to ensure that we encourage the right trusts to buddy up with those that are in trouble. In relation to her second point, I gently point out that Lord Kerslake has been providing advice to the NHS, and he has been spending a considerable part of his time providing advice to the Leader of the Opposition on a whole range of non-NHS-related topics.
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Cheryl Elise Kendall Gillan (Conservative, Centre-right): Following on from the hon. Lady’s question, King’s College Hospital NHS Foundation Trust is indeed a significant organisation and it requires very firm leadership. I understand the chairman who has resigned from his position also held seven remunerated roles other than that chairmanship and four non-financial positions. Will the Minister assure the House that any future chairman will be looked at very closely to ensure they have the capacity to lead an organisation of this size successfully?
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): My right hon. Friend makes a very valid point. We need to ensure that chairmen who go into trusts that have challenges have the capacity to do that job. I will be looking to ensure that NHS Improvement challenges Ian Smith, if he is appointed, to check that he has sufficient capacity to undertake the role. My understanding is that he does.
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): NHS Improvement regularly reviews trusts in financial special measures. It does so through the usual channels to the ministerial team responsible for it. It will do so in this case, as it does in all other cases where financial special measures have been entered into.
International Day against Homophobia, Biphobia and Transphobia — House of Commons, 2019-05-16
Topic: Defense
Alexander Gordon Martin (Labour, Centre-left): Defence Secretary. I apologise; I lose track of who is who—as I am sure Ministers do as well. Will we see movement on this to ensure that we really are doing the right thing here, as well as following WHO rules?
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I share the hon. Gentleman’s concern about trusts that have a revolving door of senior leadership. One thing we are looking to do is to encourage a larger cadre of leadership people in the NHS and more clinicians to become leaders, so we have more consistency of skills and better trained leaders across the NHS. I do not think the departure of Ian Dalton from Imperial has anything to do with the subject of King’s College, or indeed with the funding of the NHS.
Icebreaker Capability — House of Commons, 2019-05-20
Topic: Defense
Madeleine Moon (Labour, Centre-left): Far too few women are engaged in defence, so may I welcome the Secretary of State to her position, as a fellow woman who has served with her on the Select Committee on Defence? The Arctic ice is melting, but during the winter its capability to freeze is still present. Both Russia and China are building large numbers of icebreakers. Will the Minister look at forward planning so that Britain can also have icebreaker capability in the north to protect British shipping when those sea routes begin to open up, as they will?
Capita Army Recruitment — House of Commons, 2019-05-20
Topic: Defense
Mary Theresa Glindon (Labour, Centre-left): I welcome the new Secretary of State to her place. There is no denying that the Capita contract is an appalling failure, when the Army is still 8% below its par. This issue has been repeatedly raised during Defence questions, but the situation keeps worsening. Does that not show that the Minister’s Department has zero desire to resolve the problem?
Capita Army Recruitment — House of Commons, 2019-05-20
Topic: Defense
Nia Rhiannon Griffith (Labour, Centre-left): May I welcome the Secretary of State to her post It is scarcely credible that after all Capita’s incompetence on the recruitment contract, its failure on the defence estate’s management contract and the assessment by experts that this company carried the highest possible risk factor, the Minister is still pushing ahead with plans to outsource the Defence Fire and Rescue Service to Capita. To make matters worse, his Department is now spending hard-earned taxpayers’ money on an expensive legal battle with rival company Serco. Is it not high time that the Government stopped throwing good money after bad in pursuit of an ideological fixation with privatisation, did the right thing and abandoned plans to outsource the Defence Fire and Rescue Service?
King’s College Hospital Foundation Trust — House of Commons, 2017-12-12
Topic: Health
Lucy Claire Leigh (Frazer) (Conservative, Centre-right): Does the Minister think it would have been possible for the trust to have improved, notwithstanding its financial position? I ask in the knowledge that Cambridge University Hospitals went from special measures to outstanding in care and good overall.
Defence Procurement — House of Commons, 2019-05-20
Topic: Defense
Christopher Shaun Ruane (Labour, Centre-left): I thank the Minister for his visit to defence companies in my constituency and for his helpful and inclusive approach when he visits. Does he agree that the ability of those companies in my constituency and of British companies in general will be greatly damaged by a hard Brexit?
Defence Procurement — House of Commons, 2019-05-20
Topic: Defense
Wayne David (Labour, Centre-left): The Government’s procurement process for military equipment is a shambles, and nowhere is that better seen than in the way it is handling the procurement of the Type 31e frigates. Having started, then stopped, then restarted the procurement process for the Type 31s last year and imposed a totally unrealistic price ceiling of £250 million per frigate, will the Minister confirm that he has now effectively removed that financial ceiling?
Mental Health Provision: Children and Young People — House of Commons, 2017-12-12
Topic: Health
Alexander John Gervase Chalk (Conservative, Centre-right): The hon. Lady speaks with passion and authority on this subject. As the Member of Parliament for Cheltenham who has witnessed this explosion in adolescent mental health problems, I share her concerns. Does she agree that as well as looking at cure, we need to look at prevention and to understand why this explosion is taking place? The time has come for a really good, authoritative body of work to get under the bonnet of why these problems are arising as they are.
Mental Health Provision: Children and Young People — House of Commons, 2017-12-12
Topic: Health
Helen Olivia Bicknell Whately (Conservative, Centre-right): I commend the hon. Lady for securing this debate because it is really good to be having a conversation about this Green Paper. It is worth mentioning that it is a great moment of progress to have a joint piece of work between healthcare services and the Department for Education on getting into the issue of mental health in young people, which is such a growing problem. Like my hon. Friend the Member for Cheltenham (Alex Chalk), I think that we have to get into understanding the causes better. As the hon. Lady said, we need to take action at greater pace and to a greater scale. Does she welcome the fact that, as the Royal College of Psychiatrists says, there has been a step in the right direction in that that there is an evidence-based approach, which is to be welcomed? Does she agree that a particular challenge that must be addressed is the need to recruit and retain the workforce that we need to deliver this care and support to young people?
Mental Health Provision: Children and Young People — House of Commons, 2017-12-12
Topic: Health
Jacqueline Doyle-Price (Conservative, Centre-right): I thank the hon. Gentleman for his intervention. I am pleased to acknowledge that I have a very good dialogue with the Scottish Health Minister. It is fair to say that all four nations can learn from each other when it comes to delivering better health outcomes and sharing best practice We know that young people are sometimes still taken to police cells when they are in a mental health crisis. The hon. Member for Liverpool, Wavertree outlined the very distressing case of the young woman who had been restrained many times. The Under-Secretary of State for the Home Department, my hon. Friend the Member for Louth and Horncastle (Victoria Atkins), and I yesterday announced new police provisions that will finally put an end to this practice. We will ensure that children will always be taken to places of safety. The issue of prone restraint for children really needs to be examined The Green Paper will build on these foundations to build a new approach to supporting the mental health of our children and young people. With over £300 million of funding available, we will train a senior designated mental health lead in every school and college to improve prevention work—many schools have already made that commitment—and create brand new mental health support teams working directly with schools and colleges, and we anticipate that they might be working within multi-academy trusts or through local education authorities, and some might be provided through the NHS. Through the pilots we will discover what works, and it will not necessarily be a one-size-fits-all approach.
Mental Health Provision: Children and Young People — House of Commons, 2017-12-12
Topic: Health
Jacqueline Doyle-Price (Conservative, Centre-right): I do not accept the premise of the hon. Lady’s first point. We are trying to build a critical mass that schools will have access to. On prevention, the investment we are making in mental health first aid and training in schools will enable staff in schools to see when people are going through mental ill health issues. The earlier we can put that support in place the better. We are working with the Department for Digital, Culture, Media and Sport on what we can do through social media. We know that online bullying is causing a lot of mental health issues. As I say, this is a Green Paper. We are making money available. We want to see what works and we want to take this forward in a consultative manner. We will respond fully to any points made as a result of that consultation.
Mental Health Provision: Children and Young People — House of Commons, 2017-12-12
Topic: Health
Jacqueline Doyle-Price (Conservative, Centre-right): The point of the Green Paper is that we are looking to put support mechanisms in place so that children facing mental health issues have access to care. That is very much the focus of today’s debate and the Green Paper To conclude, as we are running very short of time, I am grateful to the hon. Member for Liverpool, Wavertree for bringing this subject forward for debate. I am sure it will not be the last time we debate it—in fact, I know for certain that it will not. We are trying to achieve a step change in the support we are giving to children and young people. We know that the situation is far from perfect at the moment, but we fully anticipate that we will meet our ambition in the five year forward view to be treating 70,000 more children by 2021 Question put and agreed to.
Topical Questions — House of Commons, 2017-10-11
Topic: Health
Questions: Yesterday’s race audit made clear the barriers that exist to black people and other ethnic minority groups in our society today. We all want to see those barriers broken down. Can the Minister explain why, in the civil service fast stream recruitment process for which his office is responsible, black men and women represent one in 20 of the total applicants but only one in 100 of those offered a job? When is he going to put his own house in order?; Next week, the Government’s consultation on the contaminated blood scandal will close. As the Department of Health is an implicated party, many people are refusing to take part in the consultation. Will the Cabinet Office now take immediate control of the consultation, because otherwise the rules of natural justice will be offended?
John Simon Bercow (Conservative, Centre-right): Order. I remind the House that we are discussing the contaminated blood scandal, upon which, despite very heavy noise, the hon. Member for Kingston upon Hull North (Diana Johnson) has made her thoughts very clear. We must now hear the Minister. I ask the House to think of the people affected by this scandal, who would expect the House to treat respectfully of it.
Engagements — House of Commons, 2017-10-11
Topic: Health
Theresa Mary May (Conservative, Centre-right): The hon. Gentleman is right about the importance that we should attach to mental health. Giving that parity of esteem is an important step that this Government have taken, but we are also doing much more on mental health. In fact, more money overall is going into mental health. More people are able to access NHS talking therapies and receive treatment for their mental ill health, but we also need to look at the issue more widely. That is precisely why I have set up a scheme to train staff in schools to ensure better awareness of mental health problems and to enable them to know how to deal with individuals in schools who are suffering from mental health problems. There is more for us to do, but this Government are putting more money in and are taking more action on mental health than any previous Government.