argyrotsipi/train-dataset huggingface dataset:
NHS Provision (Brighton and Hove) — House of Commons, 2016-10-24
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): On the first point, it is down to the CCG to undertake a contract that gives it visibility on subcontracts. If that failing has emerged, the CCG needs to be able to get to see them in subsequent contracts, and I am sure it will learn from that message. On the regulation of the provider, that is a matter for the CQC to look at. I undertake to inquire of the CQC what the status is of the current provider to ensure that it is properly regulated For much of her speech, the hon. Lady talked in rather familiar terms about her understanding of the impact of the so-called privatisation of the NHS. I gently remind her that the Health and Social Care Act 2012 did not introduce competition into the NHS. Previous Governments have used patient choice and competition as part of their reform programme. Independent sector providers have provided care and services to NHS patients under successive Governments ever since the NHS was founded. In particular, in the area of non-emergency patient transport, that has happened across many areas of the country. In the last year for which financial data are available, NHS commissioners purchased 7.6% of total healthcare from the independent sector. In 2010, that was about 5%. The rate of growth in the use of private providers under this Government is lower than it was under the previous Labour Government.
NHS Provision (Brighton and Hove) — House of Commons, 2016-10-24
Topic: Health
Timothy Paul Loughton (Conservative, Centre-right): I have no problem with the principle of outsourcing. The Minister is absolutely right that the level of outsourcing may go up and may go down, because it should be based on the quality of an alternative provider that is able to provide a quality service at an affordable price and is best placed to do so at the time. Will he acknowledge the whole issue with Coperforma? It has been a major issue for all of our constituents. Vulnerable people relying on regular treatment have just been left at home or dumped elsewhere, and have not been able to access services. This has been going on for so long that, when we put a contract to such organisations, much better due diligence needs to be done. There also needs to be a fall-back plan, because given that the ambulance service, which declined to take on the contract in the first place, is now clearly not in a position to take it on anyway, there is little option for somebody else to take on the service urgently and provide the level of care that our constituents desperately need and that has just not happened in this case.
NHS Provision (Brighton and Hove) — House of Commons, 2016-10-24
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): My hon. Friend makes a very powerful case. As I have already undertaken to do for the hon. Member for Brighton, Pavilion, I will take up the issue with the CQC and ask it to give me some reassurance about both the regulation of the entity and, to the extent that it is relevant to the CQC, the procurement. I accept that we should look at the due diligence for such activities I will close, without taking any further interventions, by saying a brief word more, as I promised to earlier, on the sustainability and transformation plans. These were submitted to NHS England by 44 regions across the country during the course and by the end of last week—by last Friday. As I said earlier, the intention is that the plans build on the work already undertaken to strengthen care. They will help deliver the NHS’s own plans for its future, set out in the five-year forward view, by encouraging providers and commissioners within an area to work more collaboratively—without the barriers of stovepiping that in the past have led to conflict between them—and co-operate to try to come up with the best plan for patients; that must take into account the increasing integration with social care providers in the area, which the hon. Member for Brighton, Pavilion has mentioned, so local authorities are also integral to the plans.
NHS Provision (Brighton and Hove) — House of Commons, 2016-10-24
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): I have been very generous and have spoken for substantially longer than I normally would in winding up an Adjournment debate In closing, I emphasise that it is the responsibility of local NHS organisations to determine how local services are delivered. They are best placed to understand the needs of the people they serve, and we must ensure that changes are led locally, in some cases with improved local management where there have been management shortcomings. Changes need to be focused on the needs of the local population and not driven by central Government. This Government recognise the importance of ensuring that the NHS is held to the highest standards of care, in the hon. Lady’s constituency and across the UK, and we will continue to work to ensure that services are high-quality, safe, appropriate and affordable Question put and agreed to.
Topical Questions — House of Commons, 2016-11-24
Topic: Health
Questions: Is the fisheries Minister aware that the shell fishery in the Wash is now the most prolific in Europe? We have recently seen record catches of shrimp, much of which is exported. However, this part of the fishery is at risk because of a permit system. Will he look into the situation, intervene and do his best to ensure that the fishery continues to thrive?; In the weeks immediately after the floods that devastated my constituency and others last year, the Government were able to argue that there was no evidence of market failure to deliver affordable insurance for businesses affected by the flood. Since then, however, I have had case after case of businesses being denied insurance or offered unaffordable packages. What are the Government doing to ensure that such businesses can secure affordable insurance?; Last month, the Secretary of State for Exiting the European Union could not offer an answer when asked whether powers over agriculture and fisheries would be devolved to the Scottish Parliament. However, DEFRA Ministers say that the UK Government will be devising a UK-wide policy framework for those industries. When the UK leaves the EU, will responsibility for agriculture and fisheries be devolved to the Scottish Parliament—yes or no?; Further to the question from the hon. Member for Ochil and South Perthshire (Ms Ahmed-Sheikh), may I argue the case for Wales and ask the Secretary of State what discussions she has had with Assembly Ministers on the case for post-2020 funding that both respects devolution and gives us a fair funding settlement for Welsh farmers?; We have already had an exchange about the importance and inadequacy of broadband in rural areas. Are Ministers aware that Her Majesty’s Revenue and Customs has a crazy plan to make all businesses with a turnover of more than £10,000 submit tax returns four times a year, online—[Interruption.] This will be impossible for my hill farmers in Teesdale. Will Ministers make representations to Treasury Ministers to stop this crazy idea?
Thérèse Anne Coffey (Conservative, Centre-right): I have already had discussions with officials from various Departments on our preparedness for winter. There is an inter-ministerial group meeting next week at which the Department of Health will be represented, and I will make sure that it is aware of the hon. Lady’s question.
Church Conservation — House of Commons, 2016-11-24
Topic: Defense
Oliver Newton Colvile (Conservative, Centre-right): Earlier this autumn, the Ministry of Defence announced that the Royal Citadel, which includes a royal chapel, will be released back to the Crown Estate. I suspect it will need significant restoration and investment. Who shall I speak to about the restoration, and what will be the status of St Katherine once the royal chapel and the barracks are fully released?
Church Conservation — House of Commons, 2016-11-24
Topic: Culture
Caroline Alice Spelman (Conservative, Centre-right): I am sure that the hon. Gentleman, during his curacy, knew what a struggle it is to maintain these ancient buildings. That is why the Church is participating in the ongoing review by the Department for Culture, Media and Sport to examine the sustainability of Church of England churches. However, I am sure he will join me in once again thanking the Treasury for its assistance with the world war one centenary cathedral repairs fund, which helped 42 cathedrals around the country to make significant repairs and created jobs for many young people in the crafts he would wish to see flourish.
Contaminated Blood and Blood Products — House of Commons, 2016-11-24
Topic: Health
Rebecca Faye Clark (Pow) (Conservative, Centre-right): I applaud the hon. Lady for bringing the debate to the House. Although I recognise that the new payments scheme is an improvement, I want to speak up for one of my constituents, who does not want to be named. He is among the 256 out of the 1,250 haemophiliacs who were infected with multiple viruses—those who were co-infected. Their lives have been devastated—absolutely blighted—and they feel that they are not being fairly treated under the new arrangement. Will she expand on whether we can help those people a little bit more?
Contaminated Blood and Blood Products — House of Commons, 2016-11-24
Topic: Health
Victoria Atkins (Conservative, Centre-right): I thank my right hon. Friend and the hon. Member for Kingston upon Hull North (Diana Johnson) for the work that they have done. One of my constituents is co-infected with many conditions as a result of receiving contaminated blood. It has affected literally every part of his body and his life. He worries that he may lose up to £6,000 in discretionary payments and that the cost of his many treatments may count against him in the settlement. We know that our hon. Friend the Minister is listening carefully, so will my right hon. Friend join me in urging her to look carefully at those concerns so that the Government can do the right thing?
Contaminated Blood and Blood Products — House of Commons, 2016-11-24
Topic: Health
Alistair James Hendrie Burt (Conservative, Centre-right): I will not give way, if the right hon. Gentleman will allow me. I have taken two interventions and will not get any more time I now want to raise specifically the issue of those who were co-infected. The majority of those infected by contaminated blood were infected with hep C. Some 1,200 people were co-infected with HIV and hep C, and perhaps only 250 of them are left alive. The suffering experienced by those who were co-infected is different from that of those who were mono-infected. There is now the possibility of treatment for hepatitis C, which we all welcome. Such treatment has considerably changed the outlook for many people, but it is not available for the co-infected This discrete group cannot grow any larger; it is diminishing all the time. Those who are co-infected have experienced things in their lives that have not affected others, such as being told their length of life right at the beginning. I know of those who were told when they were very young that they might have only five or six years left. They thought that the education they were going through was of no consequence—what was the point?—and nor was looking after any sum of money they were given, because they might as well spend it if they were not going to live. Their outlook is now different, because medical treatments have allowed them to stay alive, but their condition is still extremely serious and varies almost from day to day For that diminishing number, a lump sum, which the hon. Member for Kingston upon Hull North and others have mentioned, might be a possibility. They do not want to be dependent on the system; they want recognition of what they have lost, including their opportunities, and a lump sum might be the answer for them. I would be very grateful if there is now some consideration for the co-infected, because much of the debate has tended to be about the majority. I do not think that that is necessarily wrong, because what is provided for the majority is very important, but the co-infected matter We have been here too often. I doubt, sadly, that my hon. Friend the Minister will be the last Minister to talk about this issue, but we will not go away and the House will not leave this. This is a collective shame, because Government after Government have not grasped that this just needs a final settlement. We can find the money for other things. This issue cries out for that sort of settlement and we will not stop.
Contaminated Blood and Blood Products — House of Commons, 2016-11-24
Topic: Health
Rebecca Faye Clark (Pow) (Conservative, Centre-right): My hon. Friend is giving an emotional speech, and it is hard to listen to these cases. I am not going to go into the details of the constituent I speak for, but I will speak up for the idea of the lump sum payment for the co-infected, because they have even more strains than others. As my hon. Friend says, there are fewer and fewer of them and it is up to us to try to make their lives as good as we possibly can.
Contaminated Blood and Blood Products — House of Commons, 2016-11-24
Topic: Health
Nicola Blackwood (Conservative, Centre-right): I would like to move on to some other issues because we are quite tight for time I would like to talk about the budget that has been allocated, because it has been mentioned on a number of occasions. The pressures on the health budget will come as no surprise to anyone here today—we had an animated debate about that just this week. I would like to assure everybody in the House that, even in the context of those pressures, we fought hard to protect the money for this scheme through tough budget negotiations so that we could fulfil commitments that were made and ensure that the concerns of those affected are addressed as far as possible In that context, I would like to talk in a little more detail about some of the concerns that have been raised today by colleagues. Colleagues have rightly raised the issue of support for the bereaved and those relying on discretionary payments. That is why we have introduced the one-off payment of £10,000 to bereaved partners or spouses of primary beneficiaries, where infection contributed to the primary beneficiary’s death, and in recognition of their relationship at the time of death.
Contaminated Blood and Blood Products — House of Commons, 2016-11-24
Topic: Health
Nicola Blackwood (Conservative, Centre-right): I will in one second. I just want to respond to a point made by the hon. Member for Kingston upon Hull North about the certification of death. We understand that death certification may not state a direct contribution, so the policy that is to be published will recognise other ways to show a causal link between infection and death. We would like to make sure that issues around that are not a barrier to support under the scheme.
Contaminated Blood and Blood Products — House of Commons, 2016-11-24
Topic: Health
Nicola Blackwood (Conservative, Centre-right): I thought I had already answered that. These schemes are exempt from tax and we are continuing to ensure that the ongoing schemes will be subject to the same tax rules Several colleagues raised the issue of a public inquiry. The Prime Minister has been very clear that we do not believe that a public inquiry would provide further information. The things that a public inquiry could achieve, according to media reports, are establishment of the facts, learning from events, preventing a recurrence, catharsis, improving understanding of what happened, and rebuilding confidence and accountability. It is difficult to see what more information could be made available through a public inquiry given that action was taken as soon as possible to introduce testing and safety measures for blood and blood products as these became available, with the introduction of health and heated products, and that the Government have published all documents associated with this event from the period 1970 to 1985, in line with the Freedom of Information Act 2000. However, I am sure that campaigners will continue to make their case We have heard a lot about when this year’s payments will be made. I share that concern. When I was appointed as Parliamentary Under-Secretary of State with responsibility for public health and innovation, I made resolving this issue one of my highest priorities. I am not prepared to suffer any further delays. It is not fair that affected patients should suffer the continuing uncertainty that has been raised by colleagues. I have told the Department that it must announce the scheme immediately. I am pleased to announce that letters to all hepatitis C stage 1 sufferers were sent out on 11 November informing them of their new annual payment and asking them to claim this through the existing schemes. The schemes have said that they will be able to make these payments by 22 December. Letters to those at stage 2 and those with HIV have been sent this week, and their additional payments will be made shortly before Christmas. The schemes are also planning to send all letters to bereaved partners and spouses before Christmas with the aim of paying their new lump sums before the end of the financial year, and certainly during March 2017. Details of the payment schedules are now available on the schemes’ website. In addition, as already announced, all new and increased payments will be backdated from April 2016 or the date of joining the schemes, if later I believe it is right that the Government’s focus is on considering how best to create and implement a system with the increased budget that is affordable, that redesigns the inconsistencies that we have heard about, and supports those most affected by these tragic events now and into the future. I will continue to listen to the concerns of those affected. I hope that I have responded to those concerns as effectively as I possibly can.
Reducing Health Inequality — House of Commons, 2016-11-24
Topic: Health
Peter James Bottomley (Conservative, Centre-right): About 25 years ago I took an interest in how many death certificates mentioned smoking, and the answer was four. The figure may be larger now, but we should encourage medical practitioners to say that the person had been an active smoker, even if it was not the primary cause of death, so that at least people can become more aware of the issue While I am talking about this, I will mention two other things, which my hon. Friend may be going to cover. One is nutrition at the time of conception, and the second is that we should learn the lessons of how we cut the drink-driving deaths, which was not by public programmes, but by people doing the things that actually made a difference—that cut down the incidence and cut down the consequences and cut down the deaths.
Reducing Health Inequality — House of Commons, 2016-11-24
Topic: Health
Sarah James (Wollaston) (Conservative, Centre-right): I congratulate the Scottish Government. It does seem to be the case that where Scotland leads, England will eventually follow. Scotland is particularly good at following the evidence, and I call on us to do likewise. I am particularly concerned that the benefits that will come about when Scotland introduces minimum pricing will be undermined if we do not follow suit here, so I call on the Government to do so as soon as possible In summary—I know that many other Members wish to speak—there is a huge amount that we can do, and not all of it has a cost. I urge the Minister, in summing up, to look at all the possibilities. I urge her to stick with the Marmot agenda and to take a cross-Government approach, but to make sure that there is leadership at the highest level. The Prime Minister’s words in Downing Street were hugely encouraging. The Health Committee calls on the Prime Minister to appoint somebody at Cabinet level to take overarching responsibility for health inequalities and to put those fine words into action.
Reducing Health Inequality — House of Commons, 2016-11-24
Topic: Health
Margaret Ann Throup (Conservative, Centre-right): It is a great pleasure to follow the very thoughtful speech of the right hon. Member for Kingston upon Hull West and Hessle (Alan Johnson) Today’s subject, reducing health inequalities, is very far reaching. I will focus on obesity, as I chair the all-party parliamentary group on obesity, and also sit on the Health Committee and was involved in producing the report that my hon. Friend the Member for Totnes (Dr Wollaston) has alluded to. I make no apology for talking about obesity again in the Chamber. Alongside terrorism and antimicrobial resistance, it poses a major threat to our nation. More than one in five children are overweight or obese before they start primary school; that figure rises to more than one in three as they start secondary school. Our children—our future generations—are at risk of developing serious health conditions such as type 2 diabetes, heart disease and cancer. Recent data have shown the continuing and widening inequality gap in the overweight, obese and excess weight categories for reception and year 6 children. Some 60% of the most deprived boys aged five to 11 are predicted to be overweight or obese by 2020, compared with a predicted 16% of boys in the most affluent group— 60% versus 16%. Overall, 36% of the most deprived children are predicted to be overweight or obese by 2020 compared with just 19% of the most affluent Those vast inequalities must be tackled, and, as the Health Committee inquiry into childhood obesity stated, we need to take "brave and bold" action. Every study around at the moment shows that higher obesity rates are linked to deprivation. Critically, the national child measurement programme showed that the gap between areas less affected and those where childhood obesity is more prevalent is growing. That cannot and should not be ignored. We need to see it as a wake-up call, highlighting the fact that many of our young people could face a future riddled with the complications of obesity—as I have said, those include diabetes, heart disease and cancer—as well as the immense strain we risk putting on our public services and the potential emotional impact on our population. Medics are reporting cases of type 2 diabetes in children. That is shocking and frightening, as until recently it was thought of as a disease only of the older population. It is a reminder, yet again, that action is needed to prevent a public health calamity I will focus now on the overall impact of obesity in adults. It is important we provide parents with every tool possible to make sure they can be great role models when it comes to what we eat and our lifestyles.
Reducing Health Inequality — House of Commons, 2016-11-24
Topic: Health
Rebecca Faye Clark (Pow) (Conservative, Centre-right): I am sure that my hon. Friend is aware that last week Tesco announced significant changes to the amount of sugar in its drinks. It did so off its own back. What are her views about how such pressure from the supermarkets could influence outcomes for our children?