argyrotsipi/train-dataset huggingface dataset:
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Well, I think we discovered from that that Labour has absolutely nothing to say about the future health of the nation. The hon. Gentleman did not even deign to thank the people who work in the NHS for their incredible work. Did we hear any acknowledgement of the million more people who are seen by the NHS, of the record levels of activity going on in the NHS and of the fact that we have more nurses and doctors in the NHS than we had in 2010? He had nothing to say. He talked about the workforce. Chapter 4 of the document is all about the workforce plan. He gives me the impression that, like his leader on Brexit, he has not even read the document he is talking about The hon. Gentleman asked about targets and legislation. On legislation, when clinicians make proposals on what legislation needs to change to improve the NHS, we listen. We do not then come forward with further ideological ideas. We listen. So we will listen to what they have said. The clinicians have come forward with legislative proposals and we will listen and study them closely On the money that the hon. Gentleman talked about, it was a bit like a broken record. He asked about a £1 billion shortfall in the NHS budget. I will tell him what we are doing with NHS budgets: we are putting them up by £20.5 billion. There is an error in the analysis by the Nuffield Trust, because it does not take into account an improvement in the efficiency of the NHS. Is it true that every year we can improve the way the NHS delivers value for taxpayers’ money? Absolutely. We can and we must, because we on the Government Benches care about the NHS and about getting the right amount of money into the NHS, but we also care about making sure that that money is spent wisely. The hon. Gentleman would do well to heed the views of the NHS itself, which says that yes, the NHS is probably the most efficient health service in the world, but there is always more to do. The hon. Gentleman argued about various budgets. The budgets in the NHS are going up because we care about the future of the NHS. The Labour party called for an increase of 2.2% a year; we are delivering an increase of 3.4% a year. Labour has nothing to say on health, as it has nothing to say on any other area of domestic business. We will make sure that we are the party of the NHS for the long term.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Kenneth Clarke (Conservative, Centre-right): First, I congratulate my right hon. Friend on his paying tribute to the work of the late Sir Henry Willink, who served in Churchill’s Conservative Government. I met him once or twice when he became master of a Cambridge college. The Conservatives have shown respect for the NHS ever since, as he foreshadowed I also congratulate my right hon. Friend on the large increases in funding that are almost as big as some of the funding increases that I received when I was a Health Minister and then Secretary of State. Ever since it was founded, all Governments have increased spending on the NHS—they are bound to—and whichever party is in opposition we always have these knockabout exchanges about whether it is enough. As my right hon. Friend rightly says, what matters is how effectively the money is spent to produce the right patient outcomes. The plan appears to reflect that very well Does my right hon. Friend agree that the biggest pressure facing the health service is the extraordinary growth in demand, and the change in the nature of that demand, which is being caused by the ageing population, with chronic conditions playing such a large part? Does he also accept that his most urgent priority is to build further links between the hospital service, the GPs, the community services and local authority social services, so that we have people working no longer in silos, but together to produce the best package for the patient? We have achieved something, but not very much. I hope that when we produce our adult social care policy, which I hope is soon, my right hon. Friend will begin to think about some reforms to make sure that all elements of the service work together properly to produce the proper and most cost-effective personalised treatment for each individual patient.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I pay tribute to my right hon. and learned Friend, who of course did so much to set in train the modern health service that we know and whose reforms were kept and, indeed, enhanced during the period when Labour was in government. He is right about the need to run the NHS so that it can be the best that it possibly can be. Yes, we need the money, but we also need to run it well. It is no good just to argue about the money. On that he may have a surprising ally, because the shadow Secretary of State, who is currently looking at his mobile phone—well, he is not any more—said a couple of months ago: "we need to augment the debate beyond the current mantra of ‘we can spend the most’" However, it appears that the Labour party only has a mantra of "We can spend the most." We care about the money, but we care about the NHS being the best that it possibly can be, too.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): My response is yes on the cancer screening—it is in paragraph 3.53. I want to return to the point that was made by the hon. Lady and by my right hon. and learned Friend the Member for Rushcliffe (Mr Clarke) about the link to social care. Of course that is critical. The plan has a section on the link to social care and the social care Green Paper will then tie into the plan. Of course, the two come together and the Green Paper on social care will be provided soon.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): I warmly welcome this ambitious and wide-ranging long-term plan for the NHS. I agree with the hon. Member for Central Ayrshire (Dr Whitford) that so much is dependent on social care, on public health and on the workforce through Health Education England budgets, but may I add to that the situation for capital budgets within the forthcoming spending review? So much of the success of transforming services depends on the upfront funding to get things going and sometimes double running so that we can get a new service up and running before an existing service closes down. Will the Secretary of State go further in talking about the role and importance of capital budgets? I also really welcome the triple integration—not only between health and social care, but between mental and physical health and between primary and hospital services. Could the Secretary of State confirm and support the proposal in the long-term plan that the legislative tweaks that will support that much needed integration will come from the NHS itself? I confirm that the Health and Social Care Committee remains committed to subjecting those proposals to pre-legislative scrutiny. Will he meet me to see how we can take that forward?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes, I would be very happy to meet my hon. Friend to discuss the legislative changes. These changes have been proposed by the NHS. The NHS wants the changes set out at a high level in the plan. Of course there is a lot of consequential work to do to turn them into a full legislative proposal. The NHS is working on that. If it does that alongside and working with the Select Committee, I would be very happy to meet with her to discuss how that might happen. This is very much the NHS’s proposed legislation and I look forward to discussing it with her.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Nicholas Soames (Conservative, Centre-right): No doubt my right hon. Friend is gratified, as would be the Churchill-led National Government of 1944, by how truly remarkable and amazing the national health service, the baby of that Government, has turned out to be. Will he assure me that this money does not come without strings and that he will enforce a much better system of lessons learned and, in particular, of disseminating best practice more widely through the NHS? Finally, will he please kick the work of the sustainability and transformation partnerships into some form of prompt result?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): When I referenced Churchill, I did not realise that it would be in front of his family. My right hon. Friend is quite right about the need for a just culture—a need for understanding the lessons that are learned when things go wrong—in what is a high-risk business of providing medicine and medical care. Those lessons should be properly learned and there should be transparency and openness and a culture of constantly improving the way that things are done, whether that is medically, logistically or organisationally in hospitals. That is a critical part of the review that Baroness Dido Harding will take forward. It is something that she cares deeply about, making sure that we get the culture right within the workforce not only to tackle the high levels of bullying and harassment, which are completely unacceptable in the national health service, but to make sure that there is a spirit and a culture of continuous improvement and of learning from errors that everyone makes. All of us make errors, and we should learn from them and that culture should be inculcated right across the NHS.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Anna Mary Soubry (Conservative, Centre-right): I congratulate the Secretary of State on his plan. As a former Minister of public health, let me say how delighted I am and how much I agree with him that prevention is better than cure. As Governments of all shades have said for a long time, the reality is that people must take more responsibility for their own health—notably to keep their weight down and to take more exercise. This is all good messaging, but the problem is that obesity and being over-weight is an increasing problem, especially among the young. What new messages—what new approach—will we have to public health if he is really going to make the sort of progress that we need to make?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): My right hon. Friend is absolutely right. Throughout this statement, Opposition Members have been murmuring from a sedentary position about the public health budget. Let me address that directly. The public health budget, which was devolved five years ago with widespread acclamation across the House, has been set and will be set in the spending review. We are putting an extra £20 billion into the NHS—the scale far dwarfs individual budgets—and the whole long-term plan is about prevention being better than cure. The public health budget is important, and it is being delivered well because it is being delivered by councils in concert and tied to other subjects. The truth is that we are having the whole NHS focus on the prevention strategy, not just one individual budget; those who concentrate on just one budget are missing the point.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Andrew William Murrison (Conservative, Centre-right): I very much congratulate my right hon. Friend on the 10-year plan and on his announcement of the Harding review. Will Baroness Harding look particularly at the way in which pay and pensions are structured for general practitioners and pinch-point specialists within the NHS, since they are retiring or going part time at the moment—a full 10 years before the time they had anticipated when they went to medical school?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): We are already looking at that subject. It is very complicated because of the nature of assets owned by GPs—their value having risen sharply over the last generation. However, we have record numbers of GPs in training. Although we need to ensure that we retain more GPs and encourage as many as possible to be full time, we have successfully breached our target; we are training more GPs than we had planned to, and that is a good thing.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): There is £16 billion ring-fenced for public health in this spending review. Crucially, we want the whole NHS to be focused on keeping people healthy as well as curing them when they are ill. Yes, of course it is a matter for that one budget in the spending review process, but it is also a matter of the whole £148 billion a year that will be going into the NHS.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Martin John Vickers (Conservative, Centre-right): I welcome the Secretary of State’s plan. He will be aware that our constituents value receiving treatment as locally as possible. Will he give an assurance that he will do all he can to ensure that district general hospitals are there to provide most of these crucial services?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes. I am a strong supporter of district general hospitals and community hospitals. So often, local matters because it matters to patients and their families. If someone is having a highly complicated procedure, they will want to be in the very best place in the country—or, indeed, in the world—but often they will want to be close to home as well. That matters for small hospitals and district general hospitals such as the one on which my hon. Friend’s constituents rely so much.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): We will listen to and learn from what clinicians say about what legislative changes are needed now. This document is all about concentrating on what is the right thing for the future, rather than the blame culture that we are trying to get rid of in the NHS.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Patrick McLoughlin (Conservative, Centre-right): I very much welcome my right hon. Friend’s statement and the fact that he has been able to announce future spending so that hopefully the planning for how those resources are spent can be done properly. Will he also bear in mind that, during the period of the national health service, some 60% of the time there has been a Conservative Secretary of State, which shows very much the support and commitment of the Conservative party to the health service? Regarding the money that he is talking about, what will he do to ensure that people see and understand what is being spent locally?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): As my right hon. Friend says, from its inception and the first White Paper throughout most of its history, the NHS has been supported and nurtured by a Conservative Secretary of State, and long may that continue.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): We very much agree with the thrust and purpose of the hon. Gentleman’s remarks. In fact, paragraph 3.56 sets out how we are learning from what has happened in Liverpool and elsewhere in the country to make sure that we get early diagnosis right because, as he says, early diagnosis is absolutely critical. I will take away his specific points, but the whole thrust of the plan with regards to cancer is about increasing early diagnosis.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Justine Greening (Conservative, Centre-right): In a local community survey that I am doing right now, mental health is particularly flagged up by people as a priority for them, as well, so I very much welcome the Secretary of State’s continued focus on that in this 10-year plan. I also very much welcome the fact that as part of the work with the Department for Education, the trailblazer area in south-west London will enable us to really see some of the more joined-up working that he talked about. Will he set out what the additional services available for young people up to the age of 25 will mean practically? I represent a very young constituency, and that will be a key change that could benefit us.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): At the moment, as somebody transitions from children’s mental health services to adult mental health services, there is often a gap in provision as they register for the adult services. The purpose of having the new care plans up to the age of 25—similar to those, for instance, for care leavers that we have brought in in other legislation—is to make sure that there is a seamless transition from children’s mental health services to adult mental health services and not a gap that many, many people fall through.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I certainly did not say that the public health grant was small—I said that it was £16 billion over the last spending review period. But NHS spending as a whole, by the end of this five-year funding settlement, will be £148 billion every year. Therefore, turning the firepower of the whole NHS to keeping people healthy in the first place will play a huge role in this. Of course, the public health grant has to be settled as part of the spending review, but the idea that that is the whole of everything with regard to preventing ill-health is missing the point.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Victoria Grace Ford (Conservative, Centre-right): In the week before Christmas, when we mere mortals were just looking forward to a holiday, the Secretary of State did an all-night shift in Milton Keynes University Hospital and then travelled to Chelmsford, where he visited my brand new medical school and did a "Dragons’ Den" with medical entrepreneurs who are finding new ways to use technology to treat their patients. May I thank him for his super-energy, and does he agree that supporting staff and embracing innovation is also key to our NHS?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes, it was a joy to make that visit. We found ourselves in a new medical school in a room where the students were enjoying a dissection—my goodness, after a night without sleep it was quite a thing. It was a joy to go there with my hon. Friend and I agree with both the points she made.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I strongly agree with the hon. Gentleman. For those who have rare diseases, diagnosis takes seven years, on average, and genomics can bring that down to a matter of seven days, in the best cases. We are the world leaders in genomics and we are going to stay that way. We have reached the 100,000 genome sequence and we are going to take it to 1 million, with 500,000 from the NHS and 500,000 from the UK Biobank. He is absolutely right. This is one of the bright shining stars of the future of healthcare, and Britain is going to lead the way.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
George William Freeman (Conservative, Centre-right): As a former Health Minister, I congratulate the Secretary of State and the Government on this statement. I particularly pay tribute to his work on mental health—I am proud that under this Government it looks as though we are finally beginning to close the gap and stop mental health being the Cinderella service—and on early diagnosis of cancer. I also welcome his espousal of the work on genomics, which I, as a former Minister for life sciences and health technology, and others were involved in setting up. Does he agree that if we are really going to drive the revolution of accountability, productivity and local engagement, the accountable care pilots offer us the chance to really measure and drive digital communities of healthcare where we reward communities that promote health and wellbeing?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes, I do. I pay tribute to the work that my hon. Friend did in putting together the areas of the NHS where this is already working. We want to spread that success more broadly across the NHS to make sure that we seize these very exciting opportunities as well as deal with the important day-to-day challenges that the NHS faces.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I will absolutely look into the request that the hon. Lady makes. The example that she gives locally in Hull is actually reflected across the country in terms of the need for greater access. For the first time, we are going to have access targets for community mental health, because it is critical to make sure that we have accountability and understand what is happening in mental health trusts in terms of access so that we can then drive policy to meet it. But I appreciate that that is a medium-term goal: in the short term, she has made a specific request for a specific organisation, and I will absolutely look into it and write to her.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes, my hon. Friend is absolutely right about this. I pay tribute to the work that he did as a Minister in this area. We have put forward £30 million to support mental health services for rough sleepers. It is about so much more than just the money, though—it is about co-ordinating care and co-ordinating different agencies. There is a lot of work going on on this inside Government that he was very much involved with.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I will take advice and consideration from many people, but not from the hon. Gentleman, who for seven years has run a frankly outrageous campaign based on scare stories about hospital closures that are totally unreasonable, unrealistic and wrong. He will never be somebody I listen to, because I care about improving the future, not political point-scoring.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Kevin John Foster (Conservative, Centre-right): Last Friday, it was a pleasure to meet the chief executive and chair of my local hospital trust to discuss the new A&E department and the new mental health ward that will be built on the site of Torbay Hospital over the next year. Does the Secretary of State agree that it also vital that we have the local services around mental health, in particular, because in the past we have seen far too many people from Devon being sent elsewhere, across the country, and that this investment will now bring that to an end?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes, absolutely. My hon. Friend is a brilliant advocate for Torbay and for the English Riviera, and has made the case so strongly for his local hospital. I was delighted that we could recently find the funding to support the case that he and local clinicians have made, and I look forward to working with him to make it a reality.