argyrotsipi/train-dataset huggingface dataset:
Community Pharmacies — House of Commons, 2016-10-17
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): In Scotland, we already have a national minor ailments scheme within our community pharmacies, and it has had a huge impact. The Scottish Pharmacy Board estimated at the beginning of the project that 10% of those making GP visits and 5% of those making A&E visits could be seen in community pharmacies, so our investment has been in completely the opposite direction—in that of developing and strengthening such pharmacies. On top of minor ailments, one of the big areas that has made a difference is in chronic disease management. For people on repeat prescriptions, the pharmacist requests their next prescription and has it ready, while for housebound people, they deliver it, as they do with blister packs The concern about these changes is that pharmacists are afraid it will be a case of cutting and then seeing who survives. If it is felt that there are too many pharmacies in one place, reducing their number needs to be done in a planned way, otherwise rural and deprived areas will end up without one. The Government should be making sure that community pharmacy is a real part of the NHS, not slashing it.
Shipbuilding on the Clyde — House of Commons, 2016-04-25
Topic: Defense
Brendan O'Hara (Scottish National Party, Centre-left): I am sure that those watching will be disappointed that this urgent question descended so quickly into a Tory-Labour bun fight. I pay tribute to my hon. Friend the Member for Dunfermline and West Fife (Douglas Chapman), whose question exposed the revised timetable. The reply he received confirmed what we have suspected ever since the strategic defence and security review was published last year: that this Government are creating the conditions in which to betray workers on the Clyde once again. Earlier today, Scotland’s First Minister met the unions at BAE Systems, and they expressed their grave concern that the UK Government are set to renege on the promise they made, along with the Labour party, before the independence referendum, that there would be a steady stream of work coming to the yards on the Clyde, guaranteeing employment. Just three years ago, the Prime Minister said: "Scottish defence jobs are more secure as part of the United Kingdom." Given that, can the Minister confirm today that there will be no redundancies at BAE Systems in Glasgow, and will he confirm that the Ministry of Defence will stick to the timeline that has been agreed and set out?
Shipbuilding on the Clyde — House of Commons, 2016-04-25
Topic: Defense
Carol Frances Monaghan (Scottish National Party, Centre-left): When the Prime Minister visited BAE in February last year, he stated that the contract for the Type 26 frigates would secure jobs on the Clyde for the next 30 years. The delays in this contract now threaten the very jobs that the contract should secure. Will he tell the workforce when they should expect to cut steel on the first Type 26?
Shipbuilding on the Clyde — House of Commons, 2016-04-25
Topic: Defense
Stewart Malcolm McDonald (Scottish National Party, Centre-left): As ever at this time of year, there is much reminiscing over the UK’s defeat of Argentina. Given that that took a taskforce of 42 Royal Navy ships, does the Minister really expect us to believe that a fleet of 19 frigates and destroyers is sufficient for a Navy with the strategic ambitions outlined in the 2015 SDSR?
Shipbuilding on the Clyde — House of Commons, 2016-04-25
Topic: Defense
Tasmina Ahmed-Sheikh (Scottish National Party, Centre-left): The 2015 SDSR gave an explicit commitment to the eight Type 26 frigates being built on the Clyde. Given that the workers at Govan and Scotstoun also heard that there would be 12 Type 45 destroyers, and then that there would be eight, before finally being given work for six, does the Minister wonder why the Clyde workforce are unsure about MOD promises? On that basis, can he categorically confirm that eight Type 26s will be built there?
Shipbuilding on the Clyde — House of Commons, 2016-04-25
Topic: Defense
Martin John Docherty-Hughes (Scottish National Party, Centre-left): In a debate such as this, language is extremely important. In his response, the Minister has stated that ships would be "assembled", and, at one point, "constructed". To clarify and put it beyond doubt, will he tell the House, and those in my constituency who work in the shipyards and those represented by my hon. Friends, that that will include fabrication, and that the process will be in the yards from beginning to end, not somewhere else?
Calais Children and Immigration Act — House of Commons, 2016-11-16
Topic: Defense
Patrick John Grady (Scottish National Party, Centre-left): Amnesty International has found that children as young as 16 have been indefinitely conscripted into the army in Eritrea. I would gently suggest to the Minister that that is not a pull factor in terms of the attractiveness of the United Kingdom, so will he urgently review the arbitrary decision to exclude Eritreans over the age of 12 from these criteria?
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): I welcome this statement and remember the discussion of this tragic case. Obviously the majority of people who go into hospital and die in hospital will be people who are simply too ill for us to save, but we must not be nihilistic in imagining that that applies to everybody. The particular failure here was that people with learning difficulties or mental health needs were somehow just set aside and not looked at I welcome the idea of a safety board; there will be lots of things that can be learned and shared in that. I slightly pick up the Secretary of State on what he said about the Scottish patient safety programme, which is a national programme that has been running since the beginning of 2008. Part of that was about breaking down all the barriers, very much like in the airline business—being on first-name terms and making it everybody’s business so that even the cleaner in the theatre feels they can point out that they think a mistake is going to be made, but then when something happens having these adverse case reviews. In my hospital, we also reviewed near misses, and I commend that. It means that there is a review when what might have happened would have been serious. Certainly in the cases that I have been involved in, the family have been involved repeatedly. That is really important I also welcome the idea of a safe place for whistleblowers. People who have raised issues in the past and have been appallingly treated by the NHS still stand there as a terrible example to those who currently work in the NHS, so there needs to be some ability to go back to these old cases and provide justice for people who have ended up losing their careers by trying to raise patient safety issues.
Defence Suppliers: Innovation — House of Commons, 2016-12-12
Topic: Defense
Questions: Small firms in my constituency, such as GSI ExoTec Precision, which specialises in producing beryllium-based products, have the technology and the ideas that could help us to maintain our defence advantage. Will the Minister confirm how such firms can access the £800 million innovation fund, and when might the first competition stage start?
Brendan O'Hara (Scottish National Party, Centre-left): No one would deny that it is vital to do everything we can to encourage innovation in the defence sector. Does the Minister agree with me that to foster an environment in which innovation can flourish, business and industry have to be able to trust what they are told by the Government? Given that, will she take this opportunity to explain to the shipbuilding industry exactly why she did not deliver on the copper-bottomed assurances, which she gave on at least four occasions, that the national shipbuilding strategy would be published before the autumn statement?
Defence Suppliers: Innovation — House of Commons, 2016-12-12
Topic: Defense
Questions: Small firms in my constituency, such as GSI ExoTec Precision, which specialises in producing beryllium-based products, have the technology and the ideas that could help us to maintain our defence advantage. Will the Minister confirm how such firms can access the £800 million innovation fund, and when might the first competition stage start?
Brendan O'Hara (Scottish National Party, Centre-left): For the record, I am absolutely delighted that the OPVs are being built on the Clyde. Will the Minister take this opportunity to apologise to workers and management across the UK shipbuilding industry for the misleading and contradictory statements that have come from the Ministry of Defence during the past few months? Will she also take this opportunity to explain why the shipbuilding strategy did not appear when she promised it would appear?
Apprenticeships — House of Commons, 2016-12-12
Topic: Defense
Douglas Chapman (Scottish National Party, Centre-left): This time last week, the SNP’s defence team visited BAE Systems on the Clyde and talked to apprentices about their future. What reassurances can the Government give to these skilled young men and women who are waiting to hear if the promised Type 31s will be built entirely on the Clyde?
Barnett Consequentials: Estimates Process — House of Commons, 2016-12-08
Topic: Health
Alexander Elliot Anderson Salmond (Scottish National Party, Centre-left): A few seconds ago, the Deputy Leader of the House cited this question time as an appropriate mechanism for scrutiny of Barnett consequentials. Will he therefore tell us what the current Barnett consequential is for the health service in Scotland?
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): We recently debated STPs and the potential they provide. The danger is that at the moment we are seeing finance-centred care, instead of patient-centred care. Going back to place-based planning, which is what we have kept in Scotland, where we still have health boards, means that we can look at integrating services, and pharmacies definitely need to be part of that. They have the potential to be a significant front-line player.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): Scotland actually has both. We do have pharmacists who are in a consulting room within a practice, and our Government have put £85 million into taking on an additional 140 pharmacists who work in primary care with GPs. We are not, as has been done in the past, saying, "Everyone on drug A must change to drug B because it is cheaper," without giving any thought to how that affects the patient. We are consulting patients, who are often on 10 or 15 medications, all of which interact and have different side effects, and then rationalising that and giving the patient advice. We are therefore providing a clinical service rather than just a changeover service Our community pharmacy system has been running for 10 years, so it is quite mature. Patients register with a pharmacist in the same way as they register with a GP. The aim is for all people to be registered with whomever they consider their local pharmacist to be, as that means that they can access minor ailment treatment. It also means that people who are on chronic medication have a chronic medication service, with their prescription sent electronically to the pharmacy, which then keeps track of when it is due and therefore ensures that patients do not run out of medication. The pharmacies also provide an acute medication service for people who have not signed up to the other service but suddenly find they have no tablets, as they had not thought to re-order them with their GP. If they are regulars at the pharmacy, a single round of drugs can be prescribed for them there so that they do not have a gap in their treatment. The important thing is that our vision is to have all our pharmacists as prescribers by 2023, and to have our public registered with pharmacists by 2020.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): I need to make a bit of progress We need to design the services with the people who work in them. Some 18% of Scotland’s population—nearly 1 million people—are registered with and do access the minor ailment service, which takes pressure off accident and emergency, because there is availability out of hours, and GPs. The fourth service that we have is the public health service, with 70% of all smoking cessation work in primary care being carried out in our community pharmacies. These four services together—minor ailments, chronic medication, acute medication and public health—represent a huge breadth of service for a community. It is important that pharmacies in England that are currently just retail and dispensing pharmacies are encouraged to go in that direction, because it brings benefit for the NHS My biggest concern is the random nature of how this process might develop. If the Government simply cut and let the dice fall where they will, the problem is that they will not end up with an integrated service. Scotland still has health boards, so if a community pharmacy is to open there, an application needs to be made to the health board. When the project started, the boards decided which places got to become community pharmacies, and they decide whether there is a need to open a new community pharmacy. The biggest mistake in this scheme is its randomness One issue raised by the hon. Member for South West Wiltshire (Dr Murrison) was the profits made when drugs are sold on. The Government could look at the vertically integrated wholesalers—the big chains. In the mid-2000s, they were not considered. The Government do not know how much profit they make or where that profit is made, and the system is totally unregulated. These chains control about 40% of the pharmacy market. One of the biggest chains, Walgreens Boots Alliance, has declared profits of almost £1 billion, yet it has somehow been able to reduce its tax bill by more than £1 billion in this country. We are talking about people who are make almost half their profit from taxpayers yet do not pay their full share of tax. I absolutely agree that under this proposal the big chains will survive and the small, independent, very community-based pharmacies will be lost.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): Losing that many pharmacies in any area would be a disaster. This is a bit like groundhog day, because this is our third discussion on this topic in as many weeks. The Minister said that there absolutely would be protection, but the pharmacy access scheme still largely comes down to the amount of dispensing that is done and the distances. It does not take account of which pharmacies are providing a good service, which ones are set up to provide a good service and how to encourage others to develop. This is what is completely wrong in the Government’s approach. They are just slicing money off and leaving individual businesses to decide whether they think they will be profitable. The danger would be that we get a whole lot of pharmacies deciding to sell out and walk, instead of someone saying for a particular area, "Eighteen is too many"—especially if they are all around one town square—"so which ones are best able to develop a service? Let them bid for it and let them be inspected, and let’s see how they take it forward." The Government could make a lot of savings by addressing the wholesalers. In Scotland, we have margin sharing, which means that a price control group looks at the profit that is made at various stages, and some of it has to be shared back. We do have people who are trading on the open market and moving drugs around, especially in the big chains. As we heard earlier, we would get a better result by sitting down with the profession and designing a service. STPs could provide the model within which to look at how many community pharmacies there should be and where they should be, and then it would be a case of working backwards The danger of the Government’s approach is that it is the wrong way round. Just calling something an "efficiency cut" does not make it efficient, and the danger is that we just slash something and it falls over. The pharmacy access scheme is not enough of a protection or of an intervention. There needs to be planning. I commend the idea of a proper services-based pharmacy system, but the aspiration should be not just that a few pharmacies choose to do it and others do not. It should be that a patient who walks into a community pharmacy will know what services they can get, and we should aim to have that right across the country.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): Does the hon. Lady recognise that pharmacies were allowed to open simply because they were willing to be open for 100 hours? The growth was random, and my concern is that this cut is random. Planning is the issue.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Corri Wilson (Scottish National Party, Centre-left): We in Scotland recognise just how important community pharmacies are. They are part of the fabric of our local communities, providing crucial access to the NHS and support for some of our most vulnerable people. In fact, the community pharmacy model that has been adopted in Scotland has been recognised by the Health Minister as one to aspire to, which makes the mess that the UK Government have made of community pharmacies all the more difficult to understand Community pharmacies in Scotland not only have a vital role in dispensing medicines, but provide other important services. Simply popping in to have their blood pressure checked can give people an early warning of other possible health concerns. The SNP in Scotland has a coherent vision for the pharmaceutical sector, and we want pharmacists to play a crucial role in the wider health team. Ensuring that pharmacists, including those who work in community pharmacies—as well as Community Pharmacy Scotland—are consulted is a key priority for the Scottish Government Unlike the UK Government, we would be looking to ensure that any decisions that would have a major impact on the industry were for the benefit of the industry as well as the patients. By contrast, the UK Government appear determined to alienate as many medical professionals as possible. Much of the Government’s argument for these cuts appears to be based on their objection to "clusters" of community pharmacies. Rather than take a planned approach to the spread of services and the levels of provision needed in specific areas, their solution seems to be to slash the funding and see who stays afloat When vital services are provided on a commercial model, it is disadvantaged communities that suffer the most. To take such an attitude to an entire industry at the same time as trying to get it on board with providing more of the services that free up time in GP surgeries and A&E departments suggests that an extremely short-term view is being taken to the provision of care. It also suggests a complete disregard to savings in the NHS in the long term It would seem from the rhetoric used by the Government on this issue that they know community pharmacies are part of the solution to England’s creaking health service, but they just cannot stop themselves treating them like they are part of the problem.
Transgender Equality — House of Commons, 2016-12-01
Topic: Health
Angela Crawley (Scottish National Party, Centre-left): The Committee heard from individuals who had gone through harrowing experiences. They had gone to quite extreme lengths to receive the treatment that they wanted in order to have their gender identity recognised in countries where the practices were not as safe as they would be here in the UK. Does the hon. Lady therefore support the aim that the UK must ensure that we can cater for everyone who needs to access these health services?
Community Pharmacy in 2016-17 and Beyond — House of Commons, 2016-10-20
Topic: Health
Philippa Whitford (Scottish National Party, Centre-left): Thank you, Mr Speaker We discussed this on Monday and, as I pointed out, Scotland has had a national minor ailments service, a chronic medicine service and public health prevention for many years within community pharmacies, and we have found them to be very effective. Research showed they could cut 10% of the pressure on GPs and 5% on accident and emergency The problem with the Government’s proposal is that it is going to be a bit random; pharmacies are just going to be shutting on the basis that they cannot survive. Should there not be a planned system, to look at and discuss where they should be? It is not just a question of rural or deprived. It is also about transport; a mile away may be a real problem for those who are elderly and frail and for whom there is not a bus going in that direction. I welcome England taking forward these services, but my concern is the way in which it is going to be done; if it is just done due to cuts, it might not give England the answer it really wants.
Chilcot Inquiry and Parliamentary Accountability — House of Commons, 2016-11-30
Topic: Defense
Alexander Elliot Anderson Salmond (Scottish National Party, Centre-left): And those countries the hon. Gentleman mentions voted against the war in Iraq for very good reasons Rather than speculate on that, thanks to the Chilcot report we now know what evidence the Prime Minister had at his disposal from the Joint Intelligence Committee, which on 15 March 2002 stated: "Intelligence on Iraq’s weapons of mass destruction…and ballistic missile programmes is sporadic and patchy… We continue to judge that Iraq has an offensive chemical warfare (CW) programme, although there is very little intelligence relating to it. From the evidence available to us, we believe Iraq retains some production equipment, and some small stocks of CW agent precursors, and may have hidden small quantities of agents and weapons… There is no intelligence on any BW agent production facilities." That highly qualified assessment from the Joint Intelligence Committee was presented to the House of Commons as a certainty that Iraq possessed weapons that were an immediate danger to the United Kingdom.
Chilcot Inquiry and Parliamentary Accountability — House of Commons, 2016-11-30
Topic: Defense
Alexander Elliot Anderson Salmond (Scottish National Party, Centre-left): Let me finish this point, before I give way to the right hon. Gentleman This point was raised in the Liaison Committee, when Chilcot was asked about weapons of mass destruction. He was asked repeatedly whether a reasonable person could have come to the conclusion the Prime Minister had come to. The best exchanges were between the Chair of the Committee and Sir John Chilcot on the well understood test of a reasonable man. The Chair asked: "Would a reasonable man—another human being—looking at the evidence come to that conclusion?" Sir John Chilcot replied: "If you are posing that question with regard to a statement of imminent threat to the United Kingdom"— The Chair said: "I am." Sir John Chilcot went on: "In that case, I have to say no, there was not sufficient evidence to sustain that belief objectively at the time." Given the length of time the Chilcot inquiry spent considering this exact point, it may be the opinion of many hon. Members that Sir John Chilcot’s expression of this carries rather more weight than that of hon. Members desperate to defend the indefensible.