argyrotsipi/train-dataset huggingface dataset:
National Health Service Funding — House of Commons, 2016-11-22
Topic: Health
Maria Eagle (Labour, Centre-left): I want to talk about the Cheshire and Merseyside sustainability and transformation plan and the documents relating to it, which were finally published last Wednesday, although details had been repeatedly leaked. The plans are every bit as full of unrealistic proposals and management newspeak as many of us feared. They amount to a catastrophic financially driven plan drawn up by managers in secrecy under pressure from the Secretary of State for Health. They are already being implemented, without any of the affected stakeholders or the people of Cheshire and Merseyside ever being asked what they think If fully implemented, the STP would involve the merging of the Royal Liverpool, Broadgreen and Aintree hospitals, with the Liverpool Women’s hospital being "reconfigured" and merged into the new organisation at a later date. It is planned to be rebuilt nearer the Royal, but there is no NHS money available for the new hospital building. The plans entail the downgrading of hospital A&E services at Whiston hospital, where many of my constituents go, or at Warrington or Southport hospitals, or some combination of all three. Details are not provided These shocking cuts and mergers have very little chance of being accepted by the people of Garston and Halewood, for a number of reasons. First and foremost, it is clear that the Cheshire and Merseyside STP is financially driven. This has been admitted by those who have drawn it up. Katherine Sheerin, chief officer of Liverpool clinical commissioning group, accepted this in an interview that she gave in the Liverpool Echo. When asked what would happen if these changes were not made, she said: "If we did nothing, we would not have enough money to run the services. This is about managing that, rather than letting it happen." When asked if these changes were being driven by cuts, she replied: "The financial component has been a strong driver" The King’s Fund agrees with her. In its report entitled "Sustainability and Transformation Plans in the NHS", it says: "The original purpose of STPs was to support local areas to improve care quality and efficiency of services . . . The emphasis from national NHS bodies has shifted over time to focus more heavily on how STPs can bring the NHS into financial balance (quickly)." Quite so, and we can see this in Katherine Sheerin’s answers The Cheshire and Merseyside STP has to deal with the pressure of almost a £1 billion gap in its funding by 2021, so making cuts in spending to meet the Government’s financial requirement is at the core of these plans. The people of Merseyside are not daft— they can see this. The Cheshire and Merseyside STP requires £755 million of capital funding, which is now no longer available. In Liverpool alone, our hospitals’ deficit is estimated to be £276.5 million. In her Liverpool Echo interview, Katherine Sheerin suggested that Liverpool City Council would provide the missing capital funding.
National Health Service Funding — House of Commons, 2016-11-22
Topic: Health
Maria Eagle (Labour, Centre-left): Neither Liverpool City Council nor Knowsley Borough Council has been consulted at all about the plans. However, when asked where she was going to get the money for the new hospital, Katherine Sheerin said: "There’s limited capital available but there are options to explore. Councils tend to be able to access borrowing at a very cheap rate." There we have it: Liverpool City Council is expected to stump up the money to implement what is supposed to be a key part of the strategy—building a new women’s hospital. However, this is the same Liverpool City Council that has had 58% of its money from central Government removed—first by the Lib Dem-Tory coalition and then by the Tory Governments after 2010—and that relies for almost three quarters of its income on that Government grant. This is the same Liverpool City Council that already spends £151 million on adult social services for its ageing population, but that can raise only £147 million in council tax. This is the same Liverpool City Council that is expected to find another £90 million of savings over the next three years and that is facing some extremely invidious choices to balance its budget My second point is this: these plans have been drawn up in near secrecy by NHS managers, and without consultation with those who are now being exhorted to help. Neither Knowsley Metropolitan Borough Council nor Liverpool City Council has been asked what it thinks. Consequently, both say, unsurprisingly, that they are opposed to the plans. In Liverpool, the ruling Labour group has made it clear that it will oppose any STP that proposes cuts, and the Mayor of Liverpool has said publicly that he opposes the proposed closure of the Women’s hospital and will campaign to keep a women’s hospital in Liverpool. I agree with him. Labour in Liverpool will support any change to existing provision only if it improves services to women in Liverpool The current plans are already being implemented, and that is another thing we cannot allow to go ahead without proper consultation.
National Health Service Funding — House of Commons, 2016-11-22
Topic: Health
Rosena Chantelle Allin-Khan (Labour, Centre-left): For all the wrong reasons, St George’s hospital in Tooting has been in the news recently. First, it appeared on the front page of a national newspaper because it was requiring people to show an ID before coming in and giving birth. Secondly, it was rated inadequate in a recent CQC inspection. Finally, figures were released showing that one patient waited 36 hours in A&E before being admitted to the hospital The one question we are all asking is: why? Why are the roofs in the theatres leaking? Why are the computer systems inadequate? Why has Wandsworth Council been forced to cut almost £10 million from social care budgets? Why does my local hospital trust have a deficit of £50 million? Everywhere we look, the answer is a lack of funding We should not leave our hospitals with the bare minimum to function; we should prioritise their funding. It is a healthcare system: we cannot take risks. If we do, it will result in a loss of life—people die. The Health Secretary can point the finger at whomever he wants, but it is not because of our doctors, who always go the extra mile, our trainee nurses, who have had their bursaries cut, or our carers, who are overworked and underpaid. I am afraid the Conservative Government are to blame I have worked in our NHS under a Labour Government and under a Conservative Government, and there is a significant difference. Staff morale is at an all-time low, as is patient morale. This Government are failing patients. Government Members know it, and Opposition Members know it. St George’s has not had significant resources put into it since Labour was in government. This is not a one-off story; it is happening up and down the country When Labour was in government, our healthcare system was a truly national health service: we saw more doctors, better equipment, new hospitals, and happier and healthier patients. Under this Conservative Government, waiting times are rising, buildings are falling apart and patients’ lives are being put at risk. We are making life and death decisions on the basis of costs. Our NHS is in crisis, and this crisis is turning into a disaster before our very eyes. The NHS was built by a Labour Government, it was saved by a Labour Government and it will be a Labour Government who rescue it.
National Health Service Funding — House of Commons, 2016-11-22
Topic: Health
Margaret Greenwood (Labour, Centre-left): Does the hon. Gentleman share my concern about the introduction of ACOs through the STPs, which come from America and are often used in insurance-based models of healthcare? Because people here do not pay for healthcare, except through direct taxation, but do pay for social care, there is a lot of concern about the blurring of the boundaries and a worry that we will wind up with people being asked to take out health insurance.
National Health Service Funding — House of Commons, 2016-11-22
Topic: Health
Justin Piers Richard Madders (Labour, Centre-left): Our manifesto was very clear that we would put in £2.5 billion immediately, plus whatever was needed. Indeed, research by the House of Commons Library has shown that if health spending had continued at the levels maintained by the previous Labour Government, there would be an extra £5 billion a year by 2020 The NHS has deteriorated on every headline performance measure since the Health Secretary took office. It now faces the biggest financial crisis in its history, with providers reporting a net deficit of almost £2.5 billion last year. That deficit was covered only by a series of one-off payments and accounting tricks that do not disguise the true picture of a service that is creaking at the seams, of a workforce stretched to the limit, and of a Health Secretary in denial about his own culpability for this shocking state of affairs. While he rightly paid tribute to the work of NHS staff, he must know that when morale is so low, his platitudes are just not enough.
Iraq and Syria: RAF Campaign — House of Commons, 2016-11-07
Topic: Defense
Ruth Smeeth (Labour, Centre-left): Reports at the weekend suggest that the deployment and moves into Raqqa are imminent. Can the Secretary of State give us any update on what is going to happen and what support we will be providing to the efforts against Daesh in Raqqa?
Iraq and Syria: RAF Campaign — House of Commons, 2016-11-07
Topic: Defense
Nia Rhiannon Griffith (Labour, Centre-left): In the run-up to Remembrance Day, we think of all those who have served our country as well as those who are currently serving it around the world, and we remember the immense sacrifices that have been made to defend our freedoms We support the RAF’s involvement in the campaign to liberate Raqqa. Daesh has used the city as its headquarters to plot attacks against British citizens, and it is vital that that evil organisation is routed for good. Before launching the operation to free Mosul, the Iraqi Government made careful plans about exactly which groups would be allowed to enter the city to avoid the real risk of sectarian violence. Will the Secretary of State tell us whether similar plans have been made in respect of Raqqa?
Armed Forces Covenant — House of Commons, 2016-11-07
Topic: Defense
Lilian Rachel Greenwood (Labour, Centre-left): I thank the Minister for that answer. The head of the forces charity SSAFA has warned that the armed forces covenant "provides excellent guidance but there is no guarantee of enforcement." Forces families often find themselves in real difficulty when seeking housing or school places. In this week, when our thoughts are with those forces families who have made the ultimate sacrifice, what are the Government doing to make it clear to service providers that the guarantees contained in the covenant are legal duties, not just optional extras?
Armed Forces Covenant — House of Commons, 2016-11-07
Topic: Defense
Fabian Hamilton (Labour, Centre-left): While there are many examples of good practice across the United Kingdom, it is clear that not everyone in the forces community is experiencing the benefits of the covenant. A recent report by the Local Government Association found that nearly 40% of those who served in the armed forces felt that their service left them disadvantaged. What are the Government doing to ensure that the covenant becomes a reality for every serviceman and woman across the country?
Mental Health Services: Veterans — House of Commons, 2016-11-07
Topic: Health
Andrew Francis Slaughter (Labour, Centre-left): Part of the problem is that only about 50% of veterans who have mental health issues come forward with them because of culture, stigma, or whatever. What are the Government doing to reach out to those who do not seek treatment to ensure that they also do so?
Mental Health Services: Veterans — House of Commons, 2016-11-07
Topic: Health
Karl Turner (Labour, Centre-left): Servicemen and women are able to access defence mental health services for up to six months after they leave the military, but poor mental health can kick in at any time. Given that the NHS is frankly on its knees in relation to mental health services, will the Minister consider extending the access period to allow veterans proper priority in mental health services? That would also take the pressures off the NHS.
Defence Spending — House of Commons, 2016-11-07
Topic: Defense
Nicholas Desmond John Smith (Labour, Centre-left): The pound has dropped nearly 20% in value and the price of vital military kit that we buy abroad is set to sky-rocket, so will the Minister confirm that we have enough contingency to pay for the F-35 fighters planned for the new aircraft carriers?
Defence Spending — House of Commons, 2016-11-07
Topic: Defense
Nia Rhiannon Griffith (Labour, Centre-left): It is right that the Government are sticking to our NATO commitment to spend 2% of GDP on defence, but as the Select Committee on Defence has noted, the Government are doing so only by including areas that were not previously counted. Can the Minister tell us what defence expenditure would be as a percentage of GDP if we used the accounting rules that were used in 2010?
Armed Forces — House of Commons, 2016-11-07
Topic: Defense
Barry John Sheerman (Labour, Centre-left): May I press the Secretary of State on the co-operation that we need to be effective? Is he happy with the level of co-operation we get across NATO, where many of our NATO friends are not spending sufficient amounts of money on their defence? Is he worried that if the presidential election in the United States went one way tomorrow, we would be hard put to be an effective force against Putin?
Armed Forces — House of Commons, 2016-11-07
Topic: Defense
Michael John Gapes (Labour, Centre-left): Will the Secretary of State, in the context of the operational effectiveness of our forces, emphasise that such things are normally done in partnership with other countries? Does he therefore agree that it is vital that members of the US Administration and other NATO partners recognise that they are strengthened by the contribution that NATO countries collectively make to the defence of the United States?
Departmental Funding — House of Commons, 2016-11-07
Topic: Defense
Christopher Philip James Elmore (Labour, Centre-left): I thank the Minister for her answer. I listened carefully to the answer she gave to my hon. Friend the Member for Blaenau Gwent (Nick Smith) on the cost of the pound and the purchasing power of the Ministry of Defence. The Royal United Services Institute has suggested that the purchasing power of the UK’s defence budget could be cut by 2% as a result of the fall in sterling. What plans do the Government have to offset that?
Defence Estate — House of Commons, 2016-11-07
Topic: Defense
Nia Rhiannon Griffith (Labour, Centre-left): I thank the Secretary of State for sight of his statement. We on the Labour Benches recognise that the requirements of the defence estate will change, and that there is a need to modernise to reflect that. The Government are right to seek to restructure the estate to ensure that we optimise our military capability and deliver value for money for the British taxpayer. The changes proposed in the report are very considerable in scale, and there is a real need to ensure that they are delivered in a way that does not cause undue challenges to our forces and their families The closing of so many bases will affect the livelihoods of a very significant number of people. The potential impact on communities with a long garrison history such as the City of York will be far-reaching: servicemen and women and their families will be required to move, and civilian staff will face redeployment. In the meantime, many face gnawing uncertainty, as the exact relocation of their base has not yet been decided. Will the Secretary of State tell us how the Ministry of Defence will be consulting with all stakeholders? What will he do to minimise the period of uncertainty for all those concerned? What help and support will be given to employees who are not able to move The Public Accounts Committee has criticised the Government’s record on achieving value for money when disposing of public land. Will the Secretary of State set out how he will safeguard the public purse by ensuring the best possible price for taxpayers, and what commercial expertise will he bring in? Given the need to protect the defence budget, what discussions has the Secretary of State had with the Treasury about how much of the money realised by the sale of MOD assets will actually be retained by the MOD Finally, the Government have made much of releasing publicly owned land on which to build new homes, but we know that the Government’s record on house building has not matched the rhetoric of their promises. Will the Secretary of State assure us that the 55,000 houses that he says will be built on former MOD land during this Parliament will be located in areas where there are housing shortages, and that they will be homes that people can genuinely afford to rent or buy?
Points of Order — House of Commons, 2016-11-07
Topic: Health
Clive Stanley Efford (Labour, Centre-left): I do not know how to take that, Mr Speaker I have asked the Department of Health several questions on the process by which the Greenwich clinical commissioning group allocated a £74 million contract to Circle Holdings for our local orthopaedic services. In one of my answers from the Department of Health, I was told that there had been local discussions about the impact this would have on other national health services. Investigations I have undertaken into that answer have exposed the fact that this information, which was supplied to the Minister of State, Department of Health by NHS England, is incorrect. He therefore misinformed me in his answer—I accept that he did so inadvertently—as a consequence of the information he was given by NHS England. My point is that in many of the questions I have asked about this process, I have been told that it is a matter for the local NHS, and this dereliction of duty on the part of the Department of Health has even led to NHS England not scrutinising the process properly How can we get the record corrected? I will be shocked if you, Mr Speaker, have not heard that the Department of Health wants to make a statement to correct this error. I would like to know how it is going to improve its performance in scrutinising what is going on when such multimillion pound contracts are let.
Young People’s Mental Health — House of Commons, 2016-10-27
Topic: Health
Karen Patricia Buck (Labour, Centre-left): I know that my hon. Friend also has concerns, which a number of us share, about serious youth violence. Does she agree with me that mental ill health is now understood to be a key trigger in gang and serious youth violence, and that this deserves a serious and concentrated focus from within the health service and the Government? There is some very good practice out there. It is, sadly, nothing like widely available enough to help us deal with this problem.
Young People’s Mental Health — House of Commons, 2016-10-27
Topic: Health
Helen Elizabeth Hayes (Labour, Centre-left): My hon. Friend makes a very powerful and important point. This is an issue that affects both our constituencies to a significant degree Only 0.7% of NHS funding is spent on young people’s mental health and only 16% of that funding is spent on early intervention. The Royal College of Psychiatrists also reports that additional funding the Government have committed to young people’s mental health is not getting to the frontline. Responses to a recent freedom of information request from my hon. Friend the Member for Liverpool, Wavertree (Luciana Berger) revealed that although the Secretary of State made a commitment that the proportion of funding for mental health services should be increasing everywhere this year, and this is desperately needed, 57 of the country’s clinical commissioning groups are actually reducing the proportion of funding for mental health services The charity YoungMinds reports that three quarters of young people with mental health problems may not get access to the treatment they need. Child and adolescent mental health services, on average, turn away nearly a quarter of children referred to them for treatment by concerned parents, GPs, teachers and others. That finding is supported by evidence from the Association of Colleges, which reports that, of 127 colleges responding to a survey, many reported real difficulties referring students on to health services in times of crisis, with 61% of respondents reporting that their relationship as a college with local mental health services is only "fair" or "not very good/non-existent". The thresholds for support are going up at precisely a time at which demand for services is increasing. This has the potential to create a ticking time bomb of mental ill health for the future The average waiting times for all CAMHS providers was six months for a first appointment and almost 10 months for the start of treatment; and an investigation by Pulse recently found that three in five referrals from GPs to CAMHS are being batted back to primary care without any access to specialist support. When early intervention is not available, it is very often schools and colleges that end up dealing with the consequences, and they are woefully under-resourced to do so. A recent survey by the National Association of Head Teachers found that only a third of primary schools have access to a school-based counsellor, and that of those who do have access, 59% have a counsellor on the school site for one day a week or less.
Young People’s Mental Health — House of Commons, 2016-10-27
Topic: Health
Helen Elizabeth Hayes (Labour, Centre-left): I agree with the hon. Lady completely. As we focus on prevention and early intervention, we need to think about early intervention in terms of age, as well as the stage of mental ill health As a consequence of the lack of early intervention support, the number of young people attending A&E because of a psychiatric condition has more than doubled since 2010. I have spoken to many doctors who tell me that when this happens and a seriously unwell young person presents at A&E needing a CAMHS in-patient bed, they frequently wait a very long time—sometimes days—for a bed to be identified. Often that bed is hundreds of miles away from home. One south London hospital has provided me with data that show a 37% year-on-year increase in the number of under-16s being seen in A&E with a mental health condition, and a 193% year-on-year increase in the number of those children being admitted to an in-patient bed.