argyrotsipi/train-dataset huggingface dataset:
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): To reorganise the NHS as one of your first acts as Health Secretary is what Sir Humphrey would describe as brave. I support this Bill, because it contains changes that the NHS has asked for. I take the Secretary of State at his word that there is more to come on social care, and he has said that he will pursue the idea of independent safety and quality inspections of the new integrated care systems to make sure that they are outward facing and focused on the needs of patients When it comes to the biggest challenge facing the NHS today, which is workforce gaps, the Bill says little or nothing. Independent forecasts say today that we are currently short of 400 psychiatrists; 1,400 anaesthetists; 2,000 radiologists; 2,000 midwives; 2,000 to 2,500 emergency care consultants; and 2,500 GPs. We have more nurses but we are short of learning disability, mental health and community nurses.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): There is a big issue, and my hon. Friend is aware from his time at the Department of Health that its root cause is capacity in the system. These capacity issues taken together are why the Health Foundation says that, in just over a decade, we risk a workforce gap in the NHS of about half a million people. That is why this is such a big issue. I urge the Secretary of State to think about that during the Bill’s passage.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Joy Inboden Morrissey (Conservative, Centre-right): Does my right hon. Friend agree that that is also the case for the rehabilitation services used by stroke victims? There is a vital link between occupational therapists and physios, but we do not have the proper workforce in place for at-home care after a stroke.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend is absolutely right. These issues are about not just doctors but all associated health professionals, allied health professionals and indeed the social care workforce. It is important to note that they predate the pandemic. That is why, when I was doing the job of my right hon. Friend the Secretary of State, I set up five new medical schools and increased the number of doctor, nurse and midwife training places by a quarter, but we need to go further When the number of clinicians we train is decided by haggling between the Department of Health and the Treasury in a spending round, there is always the risk that it will be eclipsed by more short-term considerations. The truth is that we have a short-term emergency with workforce burnout, so I urge my right hon. Friend to look at the simple and sensible solution proposed by the Health Foundation and all the royal colleges in The Times today to legislate for Health Education England to have a statutory responsibility to publish annual independent workforce projections across the health and care system for the next five, 10, 15 and 20 years. That would show how many training places are needed, which would start to tackle this problem and the obscenity of spending £6 billion every year on locum doctors and agency workers. That cannot be the best use of funds Frontline health and care workers are exhausted. They know that there is not an instant solution, because they know it takes three years to train a nurse and seven years to train a doctor, but we can at least give them the reassurance that there is a long-term plan in place. That is not in the Bill, but it needs to be. Given the dedication that we have seen from health and care staff over the last year, it is the very least that we owe them.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I congratulate my hon. Friend on the extraordinary work he did when he was a Minister on early diagnosis of cancer. Is he aware that the Health and Social Care Committee has just opened an inquiry—we had our opening session yesterday—into that issue, and into how we can get the right workforce in place to deal with those important matters?
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Mohammad Saqib Bhatti (Conservative, Centre-right): I was almost three when I was lying in a hospital bed and my parents were told that I only had two hours to live and they should start preparing for the worst. It was the brilliant doctors and nurses of the NHS who saved my life. The paediatric surgeon who saved my life still refers to me as his miracle Only five weeks ago, I became a father for the first time. Thank God for the amazing doctors and midwives at Warwick Hospital, who displayed the highest degree of professionalism. While I do not want to say that they made the journey as painless as possible, mainly because I was not the one giving birth, they certainly made it a little bit easier. I want to thank the midwives, Sharon Lester, Gemma Fletcher and Nadine Morley, and the doctors, Samir Sadanandappa and Giles Coverdale, for all that they did I am a believer in the NHS. I am grateful for it. I want to do everything I can to preserve its status as one of the foremost healthcare services in the world. To do this, we must not shy away from reform. We cannot stop in the journey to make the NHS better, fixing what is broken, revolutionising old practices and evolving into a healthcare system that continues to be free at the point of access but delivers world-leading healthcare In this Bill, I am particularly supportive of the integrated care systems approach and putting ICSs on a statutory footing. In Birmingham and Solihull we have an ICS on a non-statutory footing. In my experience, while clinical commissioning groups do many good things, when they do not, there is no clear line of accountability. I believe that the Bill will fix that. When I have not been happy with the CCG, I have found myself getting lost in an opaque quagmire of passing on responsibility and lack of accountability, and ultimately it is my constituents who suffer. I am therefore pleased with the ICSs’ place in the Bill, with clear lines of communication straight to the top and putting patients at the heart of everything we do, as we will then have a more tailored and better healthcare service In particular, I am keen for us to move away from a one-size-fits-all approach. What works for the urban part of my constituency does not necessarily work for the rural parts. Will the Minister give consideration to what ICSs can do to provide a much more adaptable approach to different communities and different patient needs I am concerned about the impact of the past 16 months on the mental health of our population. One charity I spoke to this week said that one in four people will suffer from a diagnosable mental health problem in the next 12 months. I have spoken to a number of charities that have equally great concern about the situation that we are facing. I would like to hear a bit more from the Minister on what the Bill does in terms of improving mental healthcare provision and hopefully get some clarity on that I believe that this Bill will improve the NHS. I am optimistic for its future and for the healthcare of this country, as long as we put patients at the heart of everything we do.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Joy Inboden Morrissey (Conservative, Centre-right): May I thank Neil from Buckinghamshire Healthcare NHS Trust, Buckinghamshire County Council, the local Bucks clinical commissioning group, local GP surgeries, REACH care homes and care workers across South Buckinghamshire, Thames Hospice and Jayne from the Care Campaign for the Vulnerable? They are all already modelling integrated care, which is promised and promoted through this Bill, and I just want to thank them for their tireless service I also need to declare an interest: I am now a carer for a very disabled relative, who became disabled through the pandemic and now requires 24-hour care. So I am fully aware of how broken the care pathways are. I want to speak on behalf of disabled adults and their access to care, and the carers who struggle with the demands of finding ways of advocating for their loved one in the current system. I welcome any changes to integrated care because of that. I want to share examples from my personal experience, not because it is important; it just chimes with what I keep hearing from patient advocacy groups, Age Concern, Mencap and other charities. The problem we see is: when a patient is discharged from hospital, who then takes up the duty of care? I have countless examples of my relative being discharged with open bleeding wounds or bed sores, of waiting four days for a nurse to come to attend to them, of being given the wrong medication, of being unable to access—
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Joy Inboden Morrissey (Conservative, Centre-right): I thank the hon. Lady for the point she has raised. I have had reassurances from the Minister that we are going to address the social care issues, but I agree that we need parity of esteem between health and adult social care. We need to see those who are delivering those care pathways—local authorities—given the parity of esteem that the NHS and other care providers now have. I hope that we will look at this further as the Bill progresses Parity of esteem is very important because there is a difficulty with collaboration and co-ordination of care, and it is the major driver of health inequality and avoidable deaths for people with learning disabilities. Many people with learning disabilities have very complex health needs that require healthcare professionals to collaborate and to co-ordinate interventions. On top of that, healthcare staff need to work together to deliver the healthcare that those vulnerable patients need, which requires effective communication and understanding, as well as resource. How those funding streams are co-ordinated and improved in future is something that should be looked at I have seen at first hand, particularly with stroke victims who leave hospital with varying levels of cognitive and physical impairment, the need for critical rehabilitation services to be co-ordinated and put in place the moment people leave hospital, but that is often difficult. Many Members have raised the issue of workforce capability—I echo that. We need to look at how we can work together collaboratively to put patients first and deliver the vital services that many disabled adults need. We have an ageing population, and we face a crisis in adult social care that will eclipse all other things in healthcare. If we work to deliver solutions now—I welcome what is in the Bill—to the hard problems that we face in integrated social care, we can find the solutions that we need for the future.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Robert Joseph Roberts (Conservative, Centre-right): Today’s Bill will help our healthcare system to become more accountable and less bureaucratic, allowing our brilliant healthcare professionals to focus on their job of providing world-renowned care to patients, rather than filling in unnecessary paperwork. It allows our healthcare system to be flexible, adapting to meet future and local needs As my hon. Friend the Member for Meriden (Saqib Bhatti) said earlier, a one-size-fits-all approach is rarely the most effective, and today’s Bill will mean local areas can develop practices that best suit their needs.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Robert Joseph Roberts (Conservative, Centre-right): No This is something we are acutely aware of in Delyn, as we have a much higher proportion of over-65s than the national average. Sadly, the Welsh Government’s funding to the north Wales health board is significantly lower per capita than that enjoyed by the health board in south-east Wales, but that is a debate for another time and place.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Robert Joseph Roberts (Conservative, Centre-right): No Sadly, one of the major elements of today’s Bill that should be praised falls a little short for my constituents in Wales. The Bill will lead to greater collaboration and integration between the NHS, local authorities and care providers in England, and ultimately this will deliver more joined-up working and the best outcomes for patients, yet this move towards greater collaboration needs to go further. We need to see collaboration in healthcare across all the constituent parts of the United Kingdom The NHS is not limited to one part of our country; it is nationwide. When someone is treated in their local hospital, they are treated by the NHS—not NHS England, or NHS Wales but the national health service. People do not see that there should be a difference and, frankly, they do not care Just as we should be united in our response to covid-19, it is now time for our healthcare system to work together across borders for the good of all UK residents. Despite holidaying within the same country, as so many people are doing this year, if a constituent from Delyn holidays in Cornwall and needs NHS treatment, their medical records will not be on file and will be difficult to access. Without immediate access to those medical records, I cannot help but worry that it could affect the outcome and care they receive, demonstrating the need to share records between all four nations. This issue is one of many that could be resolved through greater collaboration between the UK Government and the devolved Administrations on healthcare, just as we saw with the fantastic vaccine roll-out I urge the Government to remember that they are the Government of the whole United Kingdom, which should come with an overarching responsibility to care for and look after all their UK citizens, regardless of the nation in which they reside. As this Bill progresses through the House, I hope the Government draw on the lessons they learned from working together on the covid-19 vaccine programme to consider how greater collaboration in healthcare can be achieved between all four constituent parts of the UK to tackle the public health issues that we collectively face.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Andrew John Stevenson (Conservative, Centre-right): In the short time I have to speak, I would like to comment generally on the Bill and specifically on one part of it. This is a Second Reading debate, and I see much merit in many of the provisions of this Bill, and the general thrust and direction of it. I understand much of the thinking behind it, as it is a real opportunity to improve the overall performance of our health service, remove some of the unnecessary bureaucracy that has grown up around it and rationalise some of the geography through the ICSs—a very relevant issue to Cumbria—as well as to improve the decision-making process through the boards and encourage collaboration within the health service, although we must still be open and transparent. These are all very welcome changes that have broad support, including from the health professionals in my community with whom I have already had discussions. This will be on top of the additional financial commitment to the health service that this Government have already made, and of the commitment to more doctors and nurses, all of which is very welcome I would, however, like to focus on an area of the Bill where I have some concerns. Clause 125 and schedule 16 relate to advertising, and they have the potential to adversely affect our food and drink sector. I remind the Minister that that is the largest manufacturing sector in the country. It employs a significant number of people up and down the country, it makes a huge contribution to our economy and our exports and—this is a key point—it is an innovative sector with considerable research and development and investment. It has already done a huge amount of reformulation to take sugar and salt out of our foods and it continues to do much on this I fully appreciate that obesity is a major concern for our society, and rightly so. Everybody wants the UK to be a fit and healthy country, but we have to tackle this issue in a sensible and proportionate manner. I am not convinced that schedule 16 in its present form will achieve very much. What it will do is reduce investment, resulting in fewer products coming to the market, including fewer healthy products—and those are what we want to see those. There would be less incentive to innovate and ultimately fewer jobs and less money in our economy, and all for very little gain in many respects. Also, as an aside, we need to remember that our own health and wellbeing are our own responsibility. I shall therefore be supporting the Second Reading of the Bill today, but in Committee and on Report, I and I am sure other hon. Members will seek amendments to schedule 16. That is so we get the right balance between our health agenda, the food sector and our individual freedoms and responsibilities.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Luke Morgan Evans (Conservative, Centre-right): I declare my interest and my family’s interests in healthcare service I welcome the Bill. Those concerned about it should realise that it is an evolution, not a revolution, coming from the ground up. Do not take it from me; take it from the evidence to the Health and Social Care Committee from Simon Stevens, who said: "We have been working so closely for a number of years with colleagues across the health service and our broader partners. Genuinely, I think this is unusual, if not unique, in having come from the NHS as a series of asks to Parliament rather than something that Parliament is perhaps imposing on the NHS." That is the leader of the NHS Three minutes is a very short time to try to pull this Bill apart, so I am going to use my time to set out some amendments and new ideas that I would like the Minister to consider. Some are practical, some are short and some are much bigger. The first is simple: annual virus drills for care homes. We have fire drills regularly, but, given the pandemic, care homes may well benefit from being further prepared for future pandemics I would like mental wellbeing to be seen as a public health issue. Everyone suffers with their mental wellbeing; not everyone has mental ill health, and this House often gets confused between the two. That is really important, because until we label mental wellbeing as such, it becomes very hard to implement education and protective policies. Many Members will know that my particular interest is body image—the labelling of altered images, just as we label calories on food, so that we have parity between physical health and mental health My final idea—this is probably the most revolutionary piece I would like to put across—is to have a named person for change on the frontline. We have named bodies for whistleblowers, and we have protected people who are guardians for data, but fundamentally, change has to come from the bottom. All too often in my career, I was told, "You’re too junior" or "This is the way we’ve always done it." We want to empower the people on the frontline who understand how the system works to make changes, and I think there is a chance to amend the Bill to do exactly that. I am happy to meet the Minister to explain further As I have a little more time, I am keen to comment on the reduction of bureaucracy. It is all very well making sure that there is not a problem when we are commissioning, but fundamentally, we need to look at the admin on the health service side—the barriers between primary care and secondary care. About 5% to 10% of a GP’s workload is dealing with chasing admin. That is not time well spent; it takes services away from the clinical frontline, and it is something that could be remedied, possibly even without legislation.
Health and Care Bill — House of Commons, 2021-07-14
Topic: Health
Laura Trott (Conservative, Centre-right): In the past, successful reorganisations have been centred on patient care. We have seen that with cardio and we have seen that with cancer. The reason why this will be successful now is that the aspect of patient care that will improve, including the outcomes for patients, will be around accountability. There are three ways in which the Bill does that quite successfully, but there are also ways in which it could do more First, on the involvement of the Care Quality Commission, having the CQC inspect social care services will be crucial for increasing visibility and transparency in terms of the outcomes for patients. The criteria that the CQC uses when inspecting social care and focusing on patient outcomes will make a difference in terms of the quality of care that patients will get—that is also true for integrated care systems as well. We need to make sure that these services are not measured on bureaucratic targets, but on what they are actually doing for patients As a side note, let me say that we have talked a lot about GP surgeries today. The CQC, as we all know, inspects GP surgeries. There is a question as to whether these surgeries are doing enough, especially at the moment, when it comes to the outcomes for patients. I have a lot of very good GP surgeries locally, but the levers by which we as Members of Parliament can get them to improve the quality of services are somewhat lacking in many cases and this is something that could be looked at as part of that admirable proposal to increase the involvement of the CQC as part of the Bill The second area I want to touch on is to do with the Healthcare Safety Investigation Branch. We have seen through the Health and Social Care Committee how important it has been in terms of changing the culture within the NHS. What we have also seen, though, is the number of times that the recommendations have not necessarily been followed through. More focus on that within HSIB and a mechanism by which the Department of Health and Social Care can be mandated to follow through on the outcomes could really add to the accountability part of the Bill The final point is around the somewhat thorny issue of political control. I happen to think that my constituents have a right to be involved in decisions that are made by the health service on their behalf that are not clinically based. It is absolutely right that we have a health service that has to explain to my constituents why it wants to do a reorganisation in the area. If my constituents do not agree with it, I should have a mechanism by which I can go to the Secretary of State and say, "Do you know what? I do not agree with what you are doing here. This is not right for my constituents." I understand the arguments that are being made today, but the fundamental point about accountability is the one that will really shape the future of our health service. It is a very positive thing, and the mechanisms in the Bill will have a positive effect on the outcome of patients within my constituency and nationwide.