argyrotsipi/train-dataset huggingface dataset:
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Paul Stuart Scully (Conservative, Centre-right): My hon. Friend makes a very good point Independent pharmacies in Sutton conduct medicine reviews, which we have heard about, and often deliver to their patients’ homes. They therefore see people in their own environment, rather than in a GP surgery. They get to see what is left in the bathroom cabinet, forgotten about or set aside. Ignoring or forgetting to take prescribed medicines causes such a lot of waste. There is an estimated £300 million a year that could go to other front-line services. By seeing the patient in their own environment, the pharmacist can make an assessment based on the patient’s everyday life, rather than just a snapshot, which might be affected by things such as white coat syndrome Consultation room services, such as sexual health, smoking cessation and minor ailment services, have to be a good thing for the NHS and should be encouraged. From what I have seen in pharmacies, there is still too much of a disconnect in the exchange of patient information between GPs and pharmacists. If advice and treatment are to work, they must be done in full knowledge of the patient’s background and medical history I understand the concerns that have driven the review and the changes that we are debating. The current funding system encourages pharmacy companies to open numerous low prescription volume sites, especially with the guaranteed fixed payment of £25,000 a year, regardless of size, quality or local demand. Some 40% of pharmacies are in clusters of two or more, with 20% being within 10 minutes’ walk of at least two others. That is reflected in Sutton. There are three in Worcester Park, four in north Cheam and six in and around Sutton High Street My concern is that any closures that result from these changes are more likely to come from the independent portion—those pharmacists who go beyond the corporate approach, often offering services at no cost or at a loss, because it is the right thing to do; those who prioritise the service that patients need, rather than shareholder value. Responding to customers on a personal basis allows independent pharmacists to consider savings such as generic substitution. We talk about a seven-day NHS, but pharmacists need to be set free to offer a high street NHS The Government’s changes recognise much of what pharmacists’ bodies have been raising. The changes seek to move pharmacists away from being reliant primarily on dispensing income, which is more vulnerable in the long term, towards services. Repeat prescriptions and those who come in via the 111 service will be directed to pharmacies, rather than out-of-hours GPs. For the first time, pharmacies will be paid for the quality of the services they provide, not just the volume. There is much to be welcomed, but I urge the Minister to keep the impact of the changes on independent pharmacies, which are often family run, under constant review.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Craig Mackinlay (Conservative, Centre-right): My hon. Friend is speaking very well for the independent pharmacy sector. It is those pharmacies that we should be protecting the most, because they are the first triage that saves the NHS money down the line. They can save a lot of money for the general NHS drugs bill by knowing their patients well, knowing the GPs and suggesting something cheaper. I am not convinced that the Government have looked into that aspect closely enough.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Paul Stuart Scully (Conservative, Centre-right): I thank my hon. Friend for his comments. I have spoken about generic substitution and some of the things LloydsPharmacy and family-run services are doing in the consultation room. Those things are to be welcomed, encouraged and boosted I urge the Minister, in the coming months and years, to keep the impact of the changes on independent, often family-run pharmacists under constant review, because I and many others in this place certainly will.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Maria Colette Caulfield (Conservative, Centre-right): I will not go through the many arguments made by hon. Members, but the reason I do not support the Opposition motion is that I do not agree with their argument about funding. The current funding system for pharmacies in this country is not working. Pharmacies have grown organically in a haphazard way, not necessarily meeting the needs of patients or the changing demands of healthcare I find it extraordinary that Opposition Members are satisfied that big national companies such as Sainsbury’s, Boots and Asda, many of which make profits of £1 billion a year, are being funded with NHS money, which goes to each and every one of their branches. That is completely unacceptable. [Interruption.] I will not give way because there is not enough time. I agree with the hon. Member for Central Ayrshire (Dr Whitford) that the money that is saved through these changes must go to community pharmacies and away from big business. I have severe concerns about the proposals on the table, however, and I have met the Minister to raise them. The first is my fear that the role of the pharmacist is not properly understood. As a practising nurse, I see at first hand every day the role that pharmacists play in safeguarding patients. Doctors often make out prescriptions that are wrong or do not take into account current medications a patient is on. That is where the pharmacist comes in. Thinking that pharmacists simply stand at a counter, pick a box off a shelf and put a sticker on it is misguided; they do a huge amount more Another concern is the proposal or recommendation that we move towards either GP dispensing or GP practices housing pharmacists. I know from talking to my GP practices that they are bursting at the seams. It is not as simple as installing a pharmacist at a practice; pharmacists need storage space for their medication, temperature-controlled rooms and space to make up that medication. I know that my GP practices do not have that space right now. I also have concerns about GPs’ taking on dispensing; as I have said, pharmacists have a crucial role in safeguarding patients. Who will pick up those mistakes, or look at patient medication or drug interaction if no pharmacist is there My biggest concern—again, this point was made by the hon. Member for Central Ayrshire—is that this is a huge missed opportunity. We are doing things the wrong way round. We should be looking at the system and at patients’ needs. We should follow the excellent model currently running in Scotland and learn from it, rather than thinking, "We need to save money. How can we best do that?" As many Members have mentioned, there is some obvious stuff that pharmacists are doing now.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Maria Colette Caulfield (Conservative, Centre-right): I will not—as I have said, time is short Right now, pharmacists are running clinics for asthma, blood pressure and thyroid issues. But we are not seeing what pharmacists could do. They are highly experienced and highly qualified. They should have registers of patients and be referring people to clinicians and hospitals themselves. They should be a second point of primary medical care. I cannot support the Opposition, because they are wrong that this is only about saving money. It is much bigger than that, and should be an opportunity to improve primary care overall.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Margaret Ann Throup (Conservative, Centre-right): As many hon. Members have already described, our community pharmacies play a vital role in all our communities. When my mum was seriously ill and housebound, her local pharmacist and all his staff were amazing. Nothing was too much trouble, whether it was changing her medicines at the last minute and delivering them to her home, or offering to deliver things like toothpaste and loo rolls at the same time. That is what community pharmacists are all about—being at the centre of the community, wherever they are Being part of the local community is even more important in rural areas, especially for the elderly who are often housebound, or have limited access to cars and so rely on public transport. That is why I welcome the pharmacy access scheme that the Minister has put in place. It should safeguard those pharmacies that are more than a mile apart and, more importantly, protect their patients. The Minister has gone further by adding in areas with high health needs. That must be welcomed, but I would like more specific information to help to reassure pharmacies in my constituency We all know that pharmacists can and want to do more. It is imperative that every community pharmacy across the country plays its part in providing first-class healthcare outside the hospital setting. Pharmacists are highly trained professionals with a wealth of knowledge that must be used to its fullest. As we hear time and again, our GPs are under a great deal of pressure. Our pharmacists are a group of professionals who can and do shoulder some of that workload. To name just a few of the services they can provide, they can give flu jabs, test cholesterol, monitor warfarin and check blood pressure. There is no reason why they cannot carry out other simple tests, such as point of care C-reactive protein tests to distinguish between viral and bacterial infections, and so play their role in combating antimicrobial resistance I have a request for the Minister. He should be more ambitious with the timescale for roll-out of the minor ailments service. We have already heard from the hon. Member for Central Ayrshire (Dr Whitford) about just how successful that service is in Scotland. We must combat any barriers that the CCGs put forward, as my hon. Friend the Member for Amber Valley (Nigel Mills) suggested The 18% increase in the number of pharmacies over the past 10 years has in many instances led to clusters of three or more pharmacies within just one location. Each gets a guaranteed payment of £25,000 every year regardless of the quality of service they offer, the number of prescriptions they process or whether increased capacity in the area was needed when they actually opened. I am sure many of my constituents will think that is wrong and wonder whether it is the right way to spend taxpayers’ money.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Margaret Ann Throup (Conservative, Centre-right): I completely agree that growth has not been controlled. We need to go back a number of years to learn from what happened and ensure it does not happen again. We also need to ensure that we put the right reforms in place now It is important that the £25,000, just for opening the doors, is not offered to other retail stores on the high street. It is vital we get the best possible deal for the taxpayer and the patient. The patient must be at the heart of everything. We must also remember that every pound saved by these changes will be invested back into the NHS. We need to get the important message out that, whether it is for cancer treatment or other life-saving treatment, every penny counts If the proposed reforms reward quality, pay pharmacists for their value added services and fully embed community pharmacists into the urgent care pathway, they will be welcome. However, we need to ensure they do what they are intended to do, and that we do not, as the hon. Member for Central Ayrshire said, end up with what we have now.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Oliver Newton Colvile (Conservative, Centre-right): The first time I became involved in this area of policy was in the 1990s. I was working commercially for pharmacies on the Community Pharmacy Action Group resale price maintenance campaign. One of my very great friends who was very much involved in that campaign, Sharon Buckle, is on the English Pharmacy Board and has been incredibly helpful in providing me with advice. I am vice-chair of the all-party pharmacy group and the Government’s pharmacy champion, which is a great honour and privilege My concern is that we seem to be discussing buildings and pharmacies, rather than talking about how we can protect pharmacists. I understand that the Department of Health and Keith Ridge, the chief pharmaceutical officer, are very keen to ensure the pharmacists, the people who serve and have the expertise, are looked after, rather than the buildings. That is very important. We need to ensure there is significantly better integration between the NHS and pharmacies, including on summary care records, when the Government will deliver on decriminalisation for dispensing errors and so on Finally, if the likes of Boots will be expected to release their leases, could they kindly have a condition that those leases cannot be re-let to other pharmacies? What we do not need is to end up replacing one form of pharmacy with another. If that is not possible, it is very important that those leases are given to independent community pharmacies rather than the big boys I represent a constituency with real deprivation. There is an 11-year gap in life expectancy between one part of my constituency and another. I therefore know at first hand what the issues are. We need to ensure that pharmacies work more closely together, so they can work together on delivering medicines.
Community Pharmacies — House of Commons, 2016-11-02
Topic: Health
Philip Martin Dunne (Conservative, Centre-right): It is a pleasure to follow the hon. Member for Burnley (Julie Cooper). I was interested to learn of her personal experience in the sector. She gave a well-informed speech that was in stark contrast to that of her boss, the hon. Member for Leicester South (Jonathan Ashworth). She was generous to contributions from Opposition Members, but it is only fair to say that Members on both sides of the House expressed considerable support for the work done by community pharmacies up and down the country. There is unanimity in the House on the importance of not only pharmacies’ current work, but their increasing role in supporting the NHS and providing services in future I am grateful for the contributions made today by 24 hon. Members, in addition to the Front-Bench speakers. I wish to start my remarks by referring to the impact that these proposals will actually have on the typical pharmacy, because I am sorry to say that there has been considerable confusion, mostly among Opposition Members, about what the proposals deliver. The average pharmacy will see a reduction in taxpayer subsidy of £16,000 a year. The largest element of that is a reduction in the establishment payment, which is a fixed payment of between £23,000 and £25,000 that most pharmacies receive just for being there. It will be reduced by 20% from 1 December, which equates to a reduction of just over £400 per month, or £100 a week. From April, it will decrease by a further £400 per month, to £200 a week. Those are not huge reductions for private businesses. This element is a 40% reduction in the only fixed taxpayer subsidy that I am aware of that is paid to private businesses up and down retail high streets in England Meanwhile, pharmacies will still receive £1.13 for every prescription item they dispense, with the average pharmacy dispensing 87,000 items a year, as was said by the hon. Member for Liverpool, Wavertree (Luciana Berger), who is, sadly, not in her place.
Creative Industries — House of Commons, 2016-11-03
Topic: Culture
Karen Anne Bradley (Conservative, Centre-right): The hon. Lady will know that this Government are committed to promoting creative industries across the whole of the north of England, which is why Hull is the city of culture next year, we have the "Great Exhibition of the North" in Newcastle and Gateshead in 2018 and we have a legacy fund of £15 million, on top of the money for that exhibition, to promote the creative industries across the whole of the north of England. Bradford has many great creative industries, particularly in tech and gaming, and I want to make sure we do all we can to foster the economic climate in which they can thrive.
Topical Questions — House of Commons, 2016-11-03
Topic: Culture
Ranil Malcolm Jayawardena (Conservative, Centre-right): Mr Speaker, as you will remember from my maiden speech, King John rode from his castle at Odiham to sign the Magna Carta. Eight hundred years later, the national lottery provided a three-day festival for our community to learn more about our heritage. Will the Secretary of State commend the Odiham Society for its work and celebrate the fact that the national lottery is awarding its 500,000th grant?
Topical Questions — House of Commons, 2016-11-03
Topic: Culture
Questions: Will my right hon. Friend support any of the home nations who choose to display a poppy next week to remember all those from every part of the world who sacrificed so much? Will she also pass on to FIFA the anger that there is in this House and among our constituents?; Many grassroots music venues are struggling, with 40% closing in London alone over the past decade. There are many pressures on venues, but will the Minister look specifically at the call from the Music Venue Trust for PRS for Music to scrap its minimum tariff, which is hitting grassroots venues very hard, and to introduce the 3% fee across the board?; On a recent visit to Lambourn I saw at first hand the significance of the horse-racing industry to our rural economy, so will the Minister confirm that the proposed replacement of the horse-racing betting levy is on track for April 2017?; Eureka!, the much loved National Children’s Museum in my constituency, receives no day-to-day funding from central Government, despite being a national museum. Will the Secretary of State review this decision so that as many families as possible can enjoy Eureka! without the barrier of an entrance fee?; Sheffield has a proud and fabulous offer of cultural and sporting services, and many young people have benefited from Labour’s scheme to give them five hours a week of cultural experience to improve access to the arts. What is the Minister doing to monitor the level of access to culture and the arts, and to enable young people from all backgrounds to gain access to them?
Karen Anne Bradley (Conservative, Centre-right): I am determined to make sure that there is access to the arts for everyone across the country. We have to make this a country that works for everyone, and that means access to the arts. From a sporting perspective, I am sure the hon. Lady will welcome the first Parklife activities that took place in Sheffield last week, which the Under-Secretary of State for Culture, Media and Sport, my hon. Friend the Member for Chatham and Aylesford (Tracey Crouch). attended.
Topical Questions — House of Commons, 2016-11-03
Topic: Health
Questions: Will my right hon. Friend support any of the home nations who choose to display a poppy next week to remember all those from every part of the world who sacrificed so much? Will she also pass on to FIFA the anger that there is in this House and among our constituents?; Many grassroots music venues are struggling, with 40% closing in London alone over the past decade. There are many pressures on venues, but will the Minister look specifically at the call from the Music Venue Trust for PRS for Music to scrap its minimum tariff, which is hitting grassroots venues very hard, and to introduce the 3% fee across the board?; On a recent visit to Lambourn I saw at first hand the significance of the horse-racing industry to our rural economy, so will the Minister confirm that the proposed replacement of the horse-racing betting levy is on track for April 2017?; Eureka!, the much loved National Children’s Museum in my constituency, receives no day-to-day funding from central Government, despite being a national museum. Will the Secretary of State review this decision so that as many families as possible can enjoy Eureka! without the barrier of an entrance fee?; Sheffield has a proud and fabulous offer of cultural and sporting services, and many young people have benefited from Labour’s scheme to give them five hours a week of cultural experience to improve access to the arts. What is the Minister doing to monitor the level of access to culture and the arts, and to enable young people from all backgrounds to gain access to them?
Andrew Edmund Armstrong Selous (Conservative, Centre-right): Are Ministers aware that Dr Peter Aitken, the chair of the faculty of liaison psychiatry at the Royal College of Psychiatrists, told the Health Committee on Tuesday that gambling addiction is becoming a major cause of suicide? Will Ministers be emboldened to take the issue further?
Trading Opportunities Abroad — House of Commons, 2016-11-03
Topic: Health
David Henry Rutley (Conservative, Centre-right): Given the strong contribution made by the life sciences sector to UK exports—AstraZeneca’s site in Macclesfield made a huge contribution to the company’s £5 billion-worth of exports in 2015—will my right hon. Friend tell the House what steps he is taking to work with the sector to ensure that medicines that are researched, developed and manufactured in the UK continue to have ease of access to European markets and global growth markets once the UK leaves the EU?
Counter-Daesh Campaign: Iraq and Syria — House of Commons, 2016-11-03
Topic: Defense
Andrew William Murrison (Conservative, Centre-right): The Foreign Secretary spoke about the training of soldiers and vetted forces, and the hon. Member for Islington South and Finsbury (Emily Thornberry) explained why that was necessary. Will my right hon. Friend confirm that that training will take place in theatre and not in the UK, as we would not want to repeat the mistakes of 2014 in respect of Libyan forces in Bassingbourn barracks in Cambridgeshire?
Counter-Daesh Campaign: Iraq and Syria — House of Commons, 2016-11-03
Topic: Defense
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): My hon. Friend will know that some of the training programmes over the past few years have not been entirely successful. As we step up our training efforts again and get on with vetting and security screening new candidates, that will be done outside theatre and outside Syria in order to get the best possible results.
Counter-Daesh Campaign: Iraq and Syria — House of Commons, 2016-11-03
Topic: Defense
Anne-Marie Belinda Trevelyan (Conservative, Centre-right): Will the Foreign Secretary join me in paying tribute not only to our service personnel but to each and every one of our military families, the spouses and children, who are silently and resiliently supporting our service personnel?
Counter-Daesh Campaign: Iraq and Syria — House of Commons, 2016-11-03
Topic: Defense
Alexander Boris de Pfeffel Johnson (Conservative, Centre-right): My hon. Friend, who is a student of military history, will probably agree that a critical moment for this House, and indeed for the west, came in 2013 when we could have taken another path. The military space was effectively filled 18 months ago by the Russians, and indeed by Daesh, and we are now living with the consequences of that failure.
Counter-Daesh Campaign: Iraq and Syria — House of Commons, 2016-11-03
Topic: Defense
Robert Edward Jenrick (Conservative, Centre-right): Presumably when Mosul falls the conflict could go into a new and equally dangerous phase in which Daesh fighters melt into the civilian population and become an insurgency. What support, in terms of retraining and re-equipping, are the Government offering the Iraqi security forces as they start becoming a counter-insurgency force?