argyrotsipi/train-dataset huggingface dataset:
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Alexander David Sobel (Labour, Centre-left): My hon. Friend is making an excellent speech. My constituent, Ellie Cokeley, wrote to me. She works as a receptionist in a local dental practice and gets hundreds of calls a week from upset members of the public who are unable to find an NHS dentist. She said that it feels greatly unjust that the poorest in our society are being forced to pay huge amounts for vital dental care or, worse still, having to continue without any at all. Are the Government not failing people in this country when it comes to the care of their teeth? It is vital that we get more dentists in the system.
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Sharon Hodgson (Labour, Centre-left): My hon. Friend mentioned Somerset, but can I also mention Sunderland, to keep up the alliteration? In Sunderland, we cannot find an NHS dentist and the few good ones we have are now turning to private practice to make it work. It is an existential crisis in dentistry—it really is at breaking point. Does my hon. Friend agree that the blame lies squarely with the Conservative Government, with backlog Britain, and that this is the effect on our constituents?
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Margaret Olivia Hillier (Labour, Centre-left): A constituent of mine told me that she had a terrible toothache, rang 111 and was assigned to an emergency dentist. The system worked, but does my hon. Friend agree that that that costs the taxpayer so much more money? My hon. Friend talks about overpromising and underdelivering, but with dentistry the Government have not even promised anything and they are underdelivering.
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Wesley Paul William Streeting (Labour, Centre-left): My hon. Friend knows exactly what she is talking about. Of course, there is no one better in this House to make the point about the waste of public money. That is the outrageous thing about all of this. People are paying more and getting less. Their taxes have been put up, justified in the name of the NHS, but the money is not being directed in the right way to deliver better care. In fact, the Government admit that even with the investment they are putting in, people will be waiting longer for care and that is a disgrace.
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Catherine Elizabeth West (Labour, Centre-left): The Secretary of State speaks about opportunities. In this House, we had a number of opportunities to get workforce reform, workforce numbers and a plan for our health service into the Health and Care Act 2022. Why did he miss those opportunities?
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Imran Hussain (Labour, Centre-left): Thus far, if I have got this right, the Secretary of State has told us that there have been record levels of investment across our NHS services, including GPs and hospitals, and that any minor concerns that have arisen are because of the covid years. Does he think that the British public have been asleep for the last 12 years? Does he think that the British public will buy this? The stark reality on our streets—the Secretary of State may want to go and have a look—is as dire as it has ever been.
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Lilian Rachel Greenwood (Labour, Centre-left): I thank my hon. Friend for giving way; the Secretary of State seemed to forget to do so. Does my hon. Friend share my concern that, even before the pandemic, the No. 1 reason for hospital admission among children aged five to nine was tooth decay? Is that not a shocking indictment of the failure to address health prevention and care for children and their teeth, and is it not a bit galling for the Secretary of State to suggest that this is the fault of the last Labour Government, when before the pandemic his Government had already been in power for 10 years?
Secure Tenancies (Victims of Domestic Abuse) Bill [HL] — House of Lords, 2018-01-24
Topic: Health
Nicholas Bourne (Conservative, Centre-right): My Lords, I thank the noble Lord, Lord Kennedy, for bringing forward this issue, which he raised at Second Reading. I also thank other noble Lords who participated in the discussion on this amendment I agree that charging a fee to a victim of abuse who is seeking evidence of their abuse to access services is, let us say, far from an ideal situation. The noble Lord, Lord Kennedy, set out the issue very fairly. Although the amendment is drawn more widely, and does not mention doctors, the point is valid in relation to doctors, for example: as has been the case under Governments of all persuasions, doctors may charge for anything outside the contract relating to NHS services. That is why we are in this position, and obviously policy responsibility rests with the Department of Health and Social Care However, I think I have some good news for noble Lords who participated in this debate and who are rightly concerned about this, as others will be too. As data subjects, which we all are under the Data Protection Act, individuals can lawfully ask to be provided with their medical records, without charge, thus obviating the need for a letter altogether. I appreciate we need to get that message out there so people are aware of it, but on that basis, I do not think that this would represent a problem I will ensure that I get an update on this issue for noble Lords. Because the amendment was tabled only last night—so it was not late as such; it was within the time limit—we have not had long to investigate the issue and had to seek assistance overnight. We are investigating further with the department, but it appears that this issue should not be a concern; if it is, then it is for the Department of Health and Social Care to discuss further. But I agree that in this sort of situation it would be quite wrong—morally wrong, if not legally wrong—to charge victims in this regard I also spoke privately to the noble Lord before today’s sitting, and with that assurance, I hope he feels able to withdraw this amendment.
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Paul Christopher Blomfield (Labour, Centre-left): I see the Minister shaking her head However, there is provision for those who can pay. Healthwatch reported last year: "Whilst some people were asked to wait an unreasonable time of up to three years for an NHS appointment, those able to afford private care could get an appointment within a week." That is adding to health inequalities, and it is not because dentists are reluctant to take on NHS patients, but because the system discourages them from doing so. We have patients wanting NHS dentistry and dentists wanting to provide it It is true that there are flaws in the 2006 contract. It is based on units of dental activity using figures from the two years prior to its imposition, which are now massively outdated. It contains huge discrepancies in remuneration rates between practices doing the same work. There are penalties through clawback for underperformance for reasons beyond the control of practices, but no reward for overperformance. I see the Minister smirking, but she has been delivering this contract, and the Government have been operating within it for 12 years. There are limits on how much NHS treatment a practice can provide. That is because of quotas and the way that providers are contractually obliged to spread their NHS work. Dentists have a disincentive to take on new patients, who are more likely to have greater treatment needs, because the fee-per-item system was replaced with a system in which the same is paid for one filling as for 20.
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Paul Christopher Blomfield (Labour, Centre-left): As the Minister is nodding, let us review the position as regards the contract. Back in 2008, the Select Committee on Health declared the system not fit for purpose. The then Health Secretary, Alan Johnson, responded by ordering a review of the system. In 2009, the Steele inquiry reported, and in 2010, we committed to reforming the contracts, but 12 years on, nothing has happened Ministers also blame covid. Clearly, it has had an impact; there was a backlog of 3.5 million courses of dental treatment after lockdown, and patients are inevitably presenting with bigger problems and increased need, which means longer appointments and extra work, for which dentists get no remuneration. The Ministers sitting on the Front Bench have presided over this flawed system. In quarter 4 of 2021-22, 57% of practices faced financial penalties for being unable to meet the targets that those Ministers effectively imposed; the problem is due to the additional infection prevention control requirements and the lack of adjustment to the remuneration system We have reached a tipping point for NHS dentistry. Unless the Government act, the number of complaints that all Members of Parliament are getting will only grow. More practices will move to a private model, which will add to the difficulties, because the system does not work for them.
Access to GP Services and NHS Dentistry — House of Commons, 2022-06-21
Topic: Health
Paul Christopher Blomfield (Labour, Centre-left): We need transparency, and that starts with a new structure for remunerating dentists—a structure that no longer disincentivises them from taking on NHS patients, and that does not push them towards private care. If we do not make those changes, the system will get worse. Some 50% of NHS practices have already reduced their NHS commitment, and 75% are planning to reduce further their contracts. Patients will face frustration and all the pain involved in not accessing help when they need it. As others have commented, children’s oral health will be severely damaged. It is a disgrace—it shames the country—that last year, hospitals in England carried out almost 180 operations a day on children to remove rotting teeth, and it cost the NHS more than £40 million. Those problems will impact those children throughout their life. Poor dental health is linked to endocarditis, cardiovascular disease, pneumonia, premature births and low birth weights, all of which add strain and cost to the NHS The good news is that there is an answer, but it is in the hands of the Government. We need to restore adequate funding to dentistry in England, and we need a commitment that the long-promised contract reform will take place. It must be real reform, and not tweaks at the edges. Otherwise, we face the slow death of NHS dentistry.
National Security Capability Review — House of Lords, 2018-01-15
Topic: Defense
Frederick Richard Penn Curzon (Conservative, Centre-right): My Lords, the capability review has indeed been fiscally neutral in its approach, but we are addressing the challenges we face—I would not disagree with the three factors the noble Lord articulated—by ensuring that the policy and plans that support the implementation of the national security strategy are as joined-up, effective and efficient as possible. That may mean that we enhance the resources that are channelled towards certain capabilities and, as the noble Lord might expect from that, that we reduce the resources we are currently devoting to other capabilities.
National Security Capability Review — House of Lords, 2018-01-15
Topic: Defense
Andrew Robathan (Conservative, Centre-right): My Lords, I am prepared to give this review a welcome but if, as the Minister said, many of the threats are getting greater, we need to look at enhancing the amount of money we spend on defence. If the threats are greater, our defences must be greater as well.
National Security Capability Review — House of Lords, 2018-01-15
Topic: Defense
Frederick Richard Penn Curzon (Conservative, Centre-right): My Lords, from many of our debates on this topic I am well aware of the feeling of the House—that many noble Lords believe we should be spending more on defence. However, that is not currently the reality we are working with in the context of this review. As I say, we have a budget. We want to ensure that we are spending it intelligently in the context of the threats we face, and of our overall foreign policy.
National Security Capability Review — House of Lords, 2018-01-15
Topic: Defense
Jeffrey Sterling (Conservative, Centre-right): My Lords, I welcome the Statement, particularly the last words, "deliver the right capabilities", and the word "ensure". We may at last have a Defence Secretary who will fight our corner. When we talk about threats, many of those who are much more knowledgeable than me through their days in defence will say that it is the unknown threats that we have to be prepared for. The known threats are much more straightforward; the unknown requires a different capability entirely The debate in the Commons last Thursday was one of the finest debates I have come across since I have been in Parliament. If any noble Lord has not read it, you should. This coming Thursday, we will have our own debate, as some noble Lords will be more than aware. When will the Government come to a viewpoint and state the way forward? Will it be in March or April, because time is not on our side?
National Security Capability Review — House of Lords, 2018-01-15
Topic: Defense
Frederick Richard Penn Curzon (Conservative, Centre-right): My Lords, my noble friend is absolutely right that there is no merit in delaying the announcement on this subject longer than we need to, but I am glad that he picked up the tone and tenor of the Statement. The main purpose of the review is to ensure that we have a full suite of national security capabilities, from hard power to soft power, to achieve the security goals, the economic goals—the goals that depend on our national influence around the world—set in the 2015 strategy and in the context of our exit from the European Union.
National Security Capability Review — House of Lords, 2018-01-15
Topic: Defense
Frederick Richard Penn Curzon (Conservative, Centre-right): The right reverend Prelate is correct. We need to tailor our capabilities to what is affordable, certainly, but we also need to bear in mind that the importance of the UK acting with its allies will not diminish. As I have said many times, NATO is the bedrock of our national security, and will continue to be so.
Battersea Funfair Disaster: Child Trauma Support Services — House of Commons, 2022-06-21
Topic: Health
Marsha Chantol De Cordova (Labour, Centre-left): I just want to ask about the support that is available via NHS England and ensuring that it is available, as the Minister says, within a four to six week period. Can she assure me that that is actually happening? Is there any evidence base to ensure that children who experience trauma or post-traumatic stress disorder are getting that support in a timely fashion?
National Shipbuilding Strategy — House of Commons, 2022-03-10
Topic: Defense
Kevan David Jones (Labour, Centre-left): I draw the House’s attention to my non-pecuniary interests entry in the Register. I welcome the Minister’s statement. In his original report, Sir John Parker emphasised the drumbeat of work and regular orders that is important for yards—but that means orders. The Minister’s own Department, in the past few weeks, has awarded a £10 million contract to a Dutch yard, even though I warned him about that several months ago. He has given no commitments on the FSS, and the Border Force and the Home Office are looking at procuring boats from the Dutch, too. No other country does that. We need a full commitment from Government to ensuring that when those orders are procured, they are procured in UK yards. They used to hide behind the European Union, but they can no longer do that. I understand that Ministers are now hiding behind some international trade issues, but no other country has this problem.
National Shipbuilding Strategy — House of Commons, 2022-03-10
Topic: Defense
John Francis Spellar (Labour, Centre-left): The Minister prays in aid of his case international rules, but surely that requires international agreement, conformity and consensus. The Government used to claim that the issue was EU rules which no other EU country followed. Then they claimed it was WTO rules. Now it is the international order. Now in the statement they have declared the fleet solid support ships to be warships. Frankly, the last veil has been ripped away and his policy is naked to the world. Why will he not declare that they will now buy British first?
International Women’s Day — House of Commons, 2022-03-10
Topic: Health
Diana Ruth Johnson (Labour, Centre-left): Absolutely. I pay tribute to the hon. Lady for all the work she has done; she took a particular interest in this issue when she was a Health Minister. That brings me to my next point: despite practitioners’ best efforts, covid-19 exacerbated existing problems—including long-standing funding cuts and the fragmentation in commissioning structures to which the hon. Lady just referred—leading to further restrictions to access The public health grant has faced serious cuts over the past decade. Evidence presented to our inquiry suggested that sexual and reproductive health budgets were cut by £81.2 million—12%—between 2015 and 2017-18. It is estimated that during the same period contraceptive budgets were cut by £25.9 million, or 13%. In Hull, where my constituency is, spending on contraception has fallen by 38% since 2013-14, and almost half of councils have reduced the number of sites that deliver contraceptive services in at least one of the years since 2015. Our inquiry heard that long-acting reversible contraception fittings have been most severely impacted. In 2018-19, 11% of councils reduced the number of contracts with GPs to fit LARCs, and GPs are not adequately funded to provide LARC, which disincentivises their provision. The disparity among regions is stark. In my city, the rate for GPs prescribing LARC is only 2.1 women per 100,000; whereas in other parts of the country it is 51.5 women per 100,000. Access issues have particularly hit marginalised groups, with services reporting a drop in the number of young, black, Asian and minority ethnic people requesting the services As we continue to emerge from the pandemic, we have a unique opportunity to reshape contraceptive services according to the needs of women. For example, we should offer contraception as part of maternity services. If we integrated care around the needs of individuals, women would be able to have all their reproductive health needs met at a single point of care. I hope that those points, and the recommendations from our report, are reflected in the Government’s upcoming sexual and reproductive health strategy I wish to finish by talking about telemedicine for early medical abortion. I am absolutely furious at the Government’s decision to end telemedicine for early medical abortions after 30 August, ignoring the clinical evidence and advice of many royal colleges and clinicians. I am sorry that the Under-Secretary of State for Health and Social Care, the hon. Member for Erewash (Maggie Throup), who was in her place earlier, has left the Chamber, because I wanted her in particular to hear my comments on this issue.
International Women’s Day — House of Commons, 2022-03-10
Topic: Health
Diana Ruth Johnson (Labour, Centre-left): I absolutely agree with the right hon. Lady. Let me clear, so we are all aware in the Chamber, that telemedicine for early medical abortion services has enabled thousands of women to access care at home via both pills being posted to them following a telephone consultation with a qualified nurse or midwife. The evidence from the medical community is absolutely crystal clear. A study of more than 50,000 abortions before and after the change in England and Wales, published by the British Journal of Obstetrics and Gynaecology in February 2021, concluded that telemedical abortion provision is "effective, safe, acceptable, and improves access to care" Evidence also shows that telemedicine means women can access an abortion much earlier in their pregnancy, with 40% of abortions provided at less than six weeks As well as the consensus in the medical community, women—including the influential Mumsnet—also support the continuation of telemedicine for abortion services. An independent poll of more than 1,100 women throughout the UK, commissioned by the Faculty of Sexual and Reproductive Healthcare, shows that a clear majority want telemedicine for early medical abortion to remain. As the right hon. Member for Dwyfor Meirionnydd (Liz Saville Roberts) said, the Welsh Government have announced that they will make the pathway permanently available in Wales. I therefore struggle to see how the decision to end this service in August is in line with the Government’s commitment to put women at the centre of their own healthcare, as set out in the vision for the women’s health strategy. It is simply based on the Health Minister’s own prejudice. It is deeply disappointing and it flies in the face of all the other measures that have been taken within the NHS around virtual appointments and to use digital technology.
International Women’s Day — House of Commons, 2022-03-10
Topic: Health
Diana Ruth Johnson (Labour, Centre-left): The Chair of the Women and Equalities Committee puts that very well. That is exactly the message that is being sent out. I notice that time is going by, so I will conclude I, alongside many parliamentary colleagues across the House and in the other place, medical bodies and women’s groups, such as the British Medical Association, the Royal College of General Practitioners and Women’s Aid, are calling on the Government now to explain exactly how they will review this decision, as they have promised to do. Where access to reproductive healthcare is limited, there is a ripple effect on the health and social wellbeing of women and girls. We must continue to stand up for the rights of women to have full control over our own health and our own bodies. We still, apparently, have some way to go to achieve that.
Women's Services — House of Commons, 2022-04-27
Topic: Health
Diana Ruth Johnson (Labour, Centre-left): I welcome the Secretary of State’s assurances that he will act if necessary after the Queen’s Speech and the elections in Northern Ireland. Does he have a date in mind when women in Northern Ireland will be able to access this essential reproductive healthcare service? When will they actually be able to get the service that this House voted for over two years ago?
HM Passport Office Backlogs — House of Commons, 2022-04-27
Topic: Health
Tanmanjeet Singh Dhesi (Labour, Centre-left): In response to the Post Office fiasco, the Prime Minister said yesterday during an interview on TalkTV’s "The News Desk" that he does not care whether an institution such as the Post Office is public or private but it must deliver value and good service. That is why the likes of me have been speaking about the dangers of the privatisation of our NHS and the Tories’ ideological fascination with selling off everything in sight. Whenever there is a problem, why is it always someone else’s job on the line, rather than the Prime Minister’s and those of his Ministers?
Childhood Cancer Outcomes — House of Commons, 2022-04-26
Topic: Health
Hilary James Benn (Labour, Centre-left): I congratulate the hon. Lady and colleagues on securing this debate. She is making an outstanding case. One of the cancers that affects children is brain cancer. If we take glioblastoma, the five-year survival rate for children is only 20%. I am sure she recognises that not only do we need improved diagnosis—the point she is making—but more research. That is what the Tessa Jowell Brain Cancer Mission is about: more research to understand the make-up of those cancers, so we have more effective treatment and more children may survive.