argyrotsipi/train-dataset huggingface dataset:
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): May I start my comments by thanking the brilliant staff at the Royal Surrey County Hospital for the wonderful care they gave me—this morning, as it happens, when I unfortunately slipped over and broke my arm on a morning run. I have just come from the hospital It is a very big deal to do a structural reorganisation of the NHS, and I know from my time as Health Secretary how distracting it can be, but it is none the less the right thing to do and a brave thing to do, because NHS staff want nothing more than to be able to give joined-up care—joined up between hospitals, GP surgeries, the social care system and community care—and the current structures make that more difficult than it should be I also welcome the public health measures, particularly on obesity, given the high mortality rates that obese people have had during the pandemic. However, these integrated care systems are going to be very powerful, so my question to the Health Secretary is this: how will the public know in their area about the quality and safety of care, and whether waiting lists are being properly managed? How will they know how good all that is? Is he planning to ask the CQC to do Ofsted ratings, as it successfully does for hospitals and GP surgeries?
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I pay tribute to my predecessor’s work setting up integrated care systems in the first place. In a way, this legislation builds on the foundations that he laid when he was in my job, and I look forward to working with the Health and Social Care Committee on the legislation as it proceeds. We have already had discussions, and I am grateful for the Select Committee’s work so far and the insights it has provided The question my right hon. Friend raises about the accountability of ICSs is absolutely central, not just to accountability for the use of taxpayers’ money, but to driving up both the quality of care for patients and the health of the population the ICSs serve. It is critical that we ensure the correct combination of high levels of transparency, the role of the CQC as inspector, and accountability up from the ICS, through NHS England, to Ministers and therefore Parliament, and through our democratic processes to taxpayers. The White Paper sets out at high levels how that accountability will work. The details will be a matter for the Bill. The combination of transparency and clear lines of accountability are vital to make sure that while we use the integration provided for in the Bill to empower frontline staff to deliver care better, they are held to account for the delivery of that care and, critically, the outcomes for the population as a whole whom we serve.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Of course health is an important consideration in all policy decisions. The overall response to the pandemic has demonstrated that The hon. Lady is right to raise the issue of integration and to ask what plans there are for the integration of health and social care. Indeed, that is at the core of the proposals, as I set out clearly in my statement, and at the core of the White Paper. The integration of health and social care has improved significantly this year as a result of people having to work together in the pandemic. Fundamentally, social care is accountable to local authorities, which pay for it, and therefore to the local taxpayer, whereas the NHS is accountable to Ministers and central Government. The combination of these two vital public services is a challenge that I think can be addressed through the integrated care systems. We have been working very closely with the Local Government Association in England and the NHS to try to effect that integration as much as possible The hon. Lady raises the issue of funding. Of course, the NHS has record funding right now, and rightly so, but these reforms are about spending that money better to improve the health of the population, to allow new technology to be embraced, and to remove bureaucracy. It is not about having to spend more money on a reform; it is about reforming in order to spend money as well as possible.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Robert Alexander Stewart (Conservative, Centre-right): When I was in the Army, I was badly hurt, and I was put under the care of the NHS. In turn, it sent me to a private practitioner, in Harley Street actually, who did me the world of good, and I paid nothing. Now, as an MP, I am frequently asked, "Are the Government intending to privatise the NHS?". My reply is, "No, of course they aren’t, and very little of the NHS is privatised." Could I ask my right hon. Friend to inform me how much of the NHS is privatised as a percentage and whether the plans are to increase it or not?
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): The NHS is not privatised at all. The NHS is delivered free at the point of care, or free at the point of use, according to need, not ability to pay. Of course, the NHS buys all sorts of things—it buys goods, technology, scalpels and services of different scales and sizes—and it employs people, and this combination is essentially what the NHS is made up of. It matters not the name of the provision; what matters is the care for the patients, and the quality of support for the population’s health. The pandemic has demonstrated that what matters is the outcomes, and the coming together of different types of provision has always contributed to the delivery of care for patients, as my hon. Friend set out. That will no doubt happen for the entire future of the NHS, which I have absolutely no doubt will go from strength to strength, not just now, after the last 72 years, but for the next 72 years, and after that.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I very much hope to get the hon. Gentleman on side and supporting these reforms, not least because many of them were in not just the Conservative party manifesto, but the Labour party manifesto on which he stood. We have consulted extensively on the measures in this set of reforms over two years. I look forward to further work, consultation and discussions with parliamentarians on all sides before, during and no doubt after the passage of the Bill. It is an incredibly important piece of work. What I do not want to do is delay the improvements that people on the frontline have called for. The core measures of this Bill have been built on the asks of the NHS, working with local government, and I think we should get on and deliver that.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Antony Higginbotham (Conservative, Centre-right): I give my overwhelming support to these proposals, particularly the drive for innovation and technology, which will improve not only access to care but care outcomes for patients. The Secretary of State will be aware that in Burnley General Hospital, we already have some advanced surgical robots that provide incredible care. Could I urge him to look, as part of these reforms, at how we can make sites such as Burnley Hospital regional centres of excellence in areas such as surgical robotics?
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes. We care about technology in the NHS because we care about people and the improvements to people’s lives that it can generate. Surgical robots are just one example. I am very glad to hear that they are being used in such an innovative way in Burnley Hospital. I would love to come and see that for myself some time. This is exactly the sort of progress that the NHS should be making to free up the time of dedicated and highly skilled clinicians, and to enable the delivery of more high-quality surgery because of, for instance, the higher magnification that one can get in using a robot for surgery. That is just one example of the sort of thing that we can push further as a result of the measures in this White Paper.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes. The changes in Greater Manchester, in which the hon. Gentleman had an important role, are a good example of where we can drive this sort of integration. I can confirm that nothing I am proposing would get in the way of that. In fact, I hope that the changes in the White Paper will help areas that, like Greater Manchester, are already some way along this journey to go further, and will support them by ensuring there are fewer legislative barriers to the sorts of actions that they want to take. That includes both the measures across the NHS and the integration between health and social care.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Daniel Rayne Kruger (Conservative, Centre-right): Frontline health and social care providers have shown enormous flexibility, innovation and collaboration in dealing with this crisis. I welcome the Secretary of State’s proposals. I am particularly pleased that he suggests the need both for clear political accountability and strong local autonomy for the frontline. Will he assure me that, unlike Nye Bevan, the Secretary of State does not want to hear the sound of dropped bedpans in his office in Whitehall, and that, rather, we need a more local, more collaborative and more community-led approach to health and social care, as proposed by the Conservative Henry Willink—as he says, the original designer of the NHS?
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes, that is absolutely right. In fact, my hon. Friend put it rather better than I did. Perhaps I will take up his rhetorical suggestions for how to make this case. Accountability is important, but the more local the decision making, the better. There should be local decision making across a whole range of partners—not just in the core NHS, but by providers of services, from whatever sector they come, including the voluntary sector, which, during this pandemic, has been embraced more. We need to build on that to make sure that we have a system that can truly serve local needs. Ultimately, all healthcare is locally delivered, because it is delivered to an individual to improve or save their life. Essentially, we need to make sure that the appropriate decisions are taken as locally as reasonably possible.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): There is a simple, clear reason for that, and I am very glad that the hon. Lady asks that question, because it is an incredibly important function. We will set out more details on the arrangements for health improvement functions, but the population health approach that is embedded within the integrated care systems set out in the White Paper will itself be at the fulcrum of delivery of health improvement and of narrowing health inequalities. If we think about it, around 20% of the impact on someone’s health is what happens in hospital; the rest is what happens outside hospital, the extra support that people can get and, of course, the choices that people make. Integrated care systems will be supported and funded in such a way that their goal is to improve the health of the local population, not just of the patient Health improvement is embedded in the structure and the design of the future of the NHS embedded in the White Paper, and the wider health improvement responsibilities will flow from that. We will set out the precise organisational structure of those shortly, but I needed to get the White Paper out first, because it is off this population health approach that the future of health improvement will be built.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Anne Marie Morris (Conservative, Centre-right): I welcome the commitment to more joined-up care, which must include mental health. The Health and Social Care Act 2012 committed to parity of esteem between physical and mental health. Will the Secretary of State set out how, specifically, the White Paper builds on that? Will it require and measure parity of esteem in output, and particularly outcomes, for mental health? If not, why not?
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I am grateful for my hon. Friend’s support. Parity of esteem between mental and physical health is critical, and of course it is embedded in a population health approach. It is critical that the new integrated care systems will of course have responsibilities for provision of mental health services as well as physical health services. The historical silos in the provision of mental health and physical health services need to be brought together; so often, the provision of both is critical in a world in which many people have multi-morbidities, including challenges with both their physical and their mental health.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes, of course. The figures out today demonstrate the scale of the challenge when it comes to cancer treatment. Of course the pandemic has had a challenging impact on cancer treatment. We are supporting cancer alliances to improve outcomes as much as possible, and to work through the backlog that has inevitably built up because of the pandemic. Cancer alliances are a very important part of the future of the delivery of care. In many cases, they will be bigger geographically than an ICS. For them and for other specialist treatments, of course some cases will have to be at a larger scale than an ICS. Alongside putting these reforms in place, we are absolutely determined to do everything we can to ensure that people get the treatment for cancer that they need as soon as possible.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes. There are measures in this White Paper that precisely pick up the work of the prevention Green Paper that my hon. Friend did so much to shape when he was in the Department with me. In fact, many of the proposals in the White Paper are built from conversations that he and I shared. I want to put on the record my gratitude for the work that he did in shaping this agenda, because ultimately a population health agenda is an agenda about the prevention of ill health. Of course we must—and we will—treat those who become ill, but it is far better for everybody to support people to take a shared responsibility, including their own personal responsibility to stay healthy in the first place. The population health agenda that will be at the heart of the integrated care systems is ultimately a preventive agenda, and one that I am very glad to hear that he supports so wholeheartedly.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): On the contrary—this White Paper covers health and care. It covers the integration of the NHS and social care at a local level. Of course there is further work on funding, as we have committed to in our manifesto, but the integration of those services, which has been so important during the pandemic, is one of the critical pieces of the forthcoming health and care Bill.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Robert William Henry Seely (Conservative, Centre-right): I congratulate the Secretary of State on this very important plan and announcement. As he knows, the Island is already piloting some ideas, so I thank his team of excellent advisers and the Secretary of State himself. May we have more pilot schemes to support his work? As he knows, the benefit of his approach may be felt more strongly on the Isle of Wight than anywhere else in Britain, due to our excellent but unavoidably small hospital at St Mary’s, the smallest county council in England, and our age profile. We want to help him and we want to be at the front of the queue. Will he also please consider the position of the 12 unavoidably small hospitals in England as part of the programme, of which St Mary’s is the most unique because it is on an island? I thank the Secretary of State and his team for their great work.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): With an ask like that, it is hard to say anything other than yes, enthusiastically. I am keen to work with my hon. Friend, who is such an incredible voice for the Isle of Wight. The services on the Isle of Wight, by its island nature, are more closely aligned together than in many other parts of the country, but nevertheless suffer from some of the bureaucratic silo requirements in current legislation. I hope that these proposals will be received enthusiastically by all those involved in the provision of health, social care and public health on the Isle of Wight because they will remove the legislative barriers to closer integration and allow them to continue in the direction in which I know they are enthusiastically working with my hon. Friend’s support.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): The devolution of decision making to integrated care systems will help to join up care and deliver it more effectively. That is one reason why these proposals have been received so enthusiastically by the NHS itself and by NHS colleagues, including from local government, not least because the proposals originated from proposals from the NHS. I look forward to working with the hon. Gentleman and suggest that he works with his local NHS to make sure that this legislation goes through in the most high-quality way possible and that we have a high-quality debate on it, so that it can serve his constituents in exactly the way he sets out.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Benjamin David Bradley (Conservative, Centre-right): I know from conversations I have had with the Health Secretary in Mansfield that much of this change will be widely welcomed, and joining up our services is vital if we are to have the best possible healthcare system. I just have one concern: the announcement also talks about new public health measures, and there is an obesity strategy that I fear risks increasing inequality by raising the cost of the weekly shop. Surely education is the key to public health, by, for example, teaching people to cook fresh meals, as people need the skills to make healthier choices or they just end up paying more. So will the Health Secretary ensure that the public health elements of these reforms focus on that education and do not just end up hitting people in their pockets?
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Yes, of course I am alive to that concern, and I look forward to further discussing these measures with my hon. Friend. The crisis has demonstrated how helping people achieve a healthy weight is important, and the Prime Minister has shown personal leadership on that in policy terms. Of course more information and education is an incredibly important part of this because it is about shared responsibility, including personal responsibility, to improve public health. I look forward to working with my hon. Friend on the details of it and making sure that we can get this into such a shape that it genuinely supports the tackling of obesity in a way that supports people, as he sets out.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): The reforms that we have set out were themselves initiated and generated from the NHS, which may be one reason why I am so pleased to have seen such a strong, positive reaction from the NHS to these proposals. They are about what happens over the decade to come. Of course we always need to be improving the NHS, and each reform is a matter of the context of its times. These reforms are about more innovation, more integration and more accountability for the NHS, all with the goal of supporting those who work on the frontline to deliver better care.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Lee Anderson (Conservative, Centre-right): Covid has changed the way we live and work. We have all had to adapt, and our NHS has been forced to find better ways of working. Can my right hon. Friend reassure me that our NHS will learn from our covid days, adopt some of the new measures in place and improve its performance over the coming years, while delivering on our commitment to recruit 50,000 more nurses and build 40 new hospitals?
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): Absolutely. We are on track to hire 50,000 more nurses over this Parliament and build 40 new hospitals over the decade. Those were core commitments in the manifesto that my hon. Friend and I both stood on with great enthusiasm, and I look forward to delivering on them. The White Paper will help towards that, but that is on track and under way already. He is quite right about learning from what has gone well in the pandemic, during which the NHS has had to work so incredibly hard, and the White Paper will help to do that Some of the culture and some of the ways of working have been more flexible, more dynamic and more joined-up within the NHS over the past year, embracing more modern technology than ever before. It is critical that we keep pushing that culture forward and supporting people in driving that culture forward and do not fall back to old ways of working. The White Paper will help us to do that, but it is only one part, because it is everybody working as a team and working together that is at the core of where things have gone well over the pandemic.
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Gareth Mark Davies (Conservative, Centre-right): Can my right hon. Friend assure my constituents that bringing health and social care much closer together will help to provide a more efficient, higher-quality service? Can he specifically outline how an integrated care model may help to reduce demand for emergency services in Lincolnshire?
Future of Health and Care — House of Commons, 2021-02-11
Topic: Health
Matthew John David Hancock (Conservative, Centre-right): I very much hope so. This is about being able to deliver services according to local need and, crucially, not just looking at the patients who turn up—whether that is to an emergency service or through their GP for treatment in secondary care—but trying to get ahead of that and support people to stay healthy, bringing the budget of the NHS to bear on keeping people healthy in the first place. That preventive agenda is critical and can ensure not only that people stay more healthy but that we spend money more wisely.