argyrotsipi/train-dataset huggingface dataset:
Veterans and Service Personnel — House of Commons, 2016-11-08
Topic: Defense
Mark Lancaster (Conservative, Centre-right): That is a very fair point, and I pay tribute to the hon. Gentleman who, as I recall, has been a champion for such people in the past. That work will continue. The new employment model represents a significant update to the offer, providing support to service personnel who want to buy their own homes; promoting greater domestic stability and lifestyle choice for service personnel and families; and delivering simpler and more transparent systems for pay and accommodation grading—but the challenges placed on defence and the needs of our people continue to evolve. In SDSR 2015, we committed to build on the foundations of the new employment model to ensure that the future offer remains competitive and sustainable. We have grouped this under the armed forces people programme For example, we are now looking to see how we can make life easier, where possible, for those struggling to meet their full military commitment. With the flexible engagement system, we will be able to offer service personnel the opportunity to work part-time and, when needed, protect individuals from deployments. This means that we can reduce liability for deployment for a period, so 27-year-old Sergeant Jenkins, for example, can support his pregnant wife and spend more time with his young family in those important early childhood years We know that the provision of affordable, good-quality accommodation is also central to our offer to service personnel. Yet again, though, we recognise that the current accommodation model does not always support how service personnel might choose to live, forcing some to opt out of subsidised accommodation or compromise on family life. The future offer will look to provide current service personnel with more choice of housing and help to meet their aspirations for home ownership—regardless of age, rank or relationship status That is just a glance at what we are doing. Let me reassure the House that the armed forces people programme will deliver real improvement, developing a future offer that will promote diversity and individual choice, support flexibility and take account of personal circumstances. Above all, it will continue to evolve, reflecting changing needs and aspirations. In short, it will be more effective for our people and more efficient for defence.
Veterans and Service Personnel — House of Commons, 2016-11-08
Topic: Defense
Kevin John Foster (Conservative, Centre-right): Is not a change taking place in our requirements for the armed forces? The Navy is desperately short of engineers, but we should also bear it in mind that someone whom we send to deal with an event in the cyber environment will be a very different sort of person from someone whom we send with rifle and pack into the frontline. Is that not an important reason for us to change the employment model and ensure that people know they are exactly the sort of people whom we need in our armed forces?
Veterans and Service Personnel — House of Commons, 2016-11-08
Topic: Defense
Mark Lancaster (Conservative, Centre-right): My hon. Friend is right, and we are considering a variety of options to ensure that we can attract a greater variety of people. One of the biggest challenges that we face is the fact that, historically, we have been a bottom-fed organisation which people join either as private soldiers or as junior officers, although many of the skill sets that we need are possessed by people who have developed them outside the armed forces. We are considering carefully the possibility of some form of lateral entry to take account of that. The issues raised by the hon. Member for Cardiff South and Penarth are topical, pertinent and increasingly important. Support for a new generation of veterans and service personnel will be critical in the coming years, and the Government will continue to honour their covenant responsibilities. However, I began by saying that we all have a duty to serve those who serve us, and it is our job as Members of Parliament to keep reminding local authorities and businesses in our own constituencies of the needs of a new generation of ex-servicemen and women. Only then can we guarantee our heroes the fair treatment that their service deserves I am sure that this weekend Members will be returning to their constituencies to commemorate Remembrance Sunday, but for my own part, I shall not. I shall be travelling nearly as far south as it is possible to travel when I go to the Falkland islands to join the Falkland islanders, because I think it equally right for us to support them on that important day I thank all Members for taking part in the debate. Today’s attendance is heartening and sends a clear message to our service personnel that they have the support of the House of Commons.
Capita Contract (Coventry) — House of Commons, 2016-11-08
Topic: Health
Nicola Blackwood (Conservative, Centre-right): I congratulate the hon. Member for Coventry North West (Mr Robinson) on securing a very important debate. As the hon. Member for Stretford and Urmston (Kate Green) said, his business acumen was clearly on display. The importance of this debate is clear from the presence of a clean sweep of Coventry Members, but I know that the issue is important to colleagues across the House, so I am pleased to respond to the debate this evening I will start with Coventry, as it is in the title of the debate. Coventry is at the forefront of providing extended access to GP services seven days a week through the GP access fund, and it is doing excellent work to ensure that frail or elderly patients can avoid unnecessarily long hospital stays, using integrated neighbourhood teams to make sure that patients have the right primary and community care in place. As has been made clear by the speeches and interventions that we have just heard, excellent primary care such as this relies on effective and efficient support services. The hon. Member for Coventry North West is therefore right to be concerned that the service provided by Capita under the primary care support services contract in Coventry and elsewhere has so far fallen well short of the standards that we expect, and GPs have borne the brunt of these failings, as we have heard today It is true, as the hon. Member for Bristol South (Karin Smyth) said, that NHS England needs to make efficiencies. I was pleased to hear that the hon. Member for Coventry North West supports that in principle, and I am happy to confirm that all the savings that are made through this contract are ploughed straight back into frontline NHS services It was always clear that Capita’s services needed to be at least as good as those that they replaced. Quality was always part of the tender process. The contract was let via a competitive tendering process, which was subject to scrutiny not only by the Department of Health but by the Treasury, and the bids were assessed for quality, not just cost. Capita put forward the most credible of any of the bids accepted on the short list, and at the time both the Department and NHS England had every confidence that the programme would be a success. However, it is evident that Capita was inadequately prepared for delivering this complex transition.
Capita Contract (Coventry) — House of Commons, 2016-11-08
Topic: Health
Nicola Blackwood (Conservative, Centre-right): The hon. Lady is absolutely right to raise the impact on GP services in recent weeks and months, and I will move on to that point later Capita has piloted a new way to move medical records. I think that is the pilot in west Yorkshire to which the hon. Member for Stretford and Urmston referred, but it was not a pilot for the overall Capita project. Capita assures me that ultimately it will be more reliable and secure by tracking the end-to-end movement of every record. It is piloting that approach in west Yorkshire and plans to be ready to roll it out nationally in March 2017. I am aware that some GPs were left short of basic supplies as a result, including syringes, and that they have had to source those from other suppliers at their own expense. NHS England tells me that it has reimbursed practices for any costs incurred from having to buy local supplies of needles and syringes I know that many of the hon. Members’ GP constituents have experienced frustration with Capita’s contact centre. I share those frustrations. Capita assures me that the contact centre has improved the way it responds to urgent queries by investing in more staff, improved processes and enhanced training. Capita is confident that these measures will deliver a quality service to customers. We will monitor its progress closely, including through meetings.
Capita Contract (Coventry) — House of Commons, 2016-11-08
Topic: Health
Nicola Blackwood (Conservative, Centre-right): I shall come a little later to the problems with the existing system that meant it needed to be replaced. However, the hon. Lady’s point about the value of institutional knowledge, especially among NHS workers and personnel in other roles, is very important. They have been engaged in a lot of consultation processes as we try to put this issue right with NHS England and Capita. If the hon. Lady writes to me, I will be happy to give her more detail I also expect Capita to address issues with the courier service. I am aware of several steps that have been taken to ensure that all practices receive regular collections and deliveries. Both NHS England and Capita have taken steps to demonstrate that they are committed to restoring their reputation and re-establishing a quality service, and I am encouraged to see them working in partnership to do so. That said, I recognise that GPs, and ophthalmologists in particular, have suffered financial detriment as a result of late processing of payments. NHS England is working with Capita to explore what can be done to support affected stakeholders, and I have made it clear to Capita that I expect it to consider compensation as an option Some have suggested that the old model for provision of primary care support should be reinstated, but we must remember that it relied on localised services that did not connect with one another, with much duplication across processes. The quality of these services varied greatly—in some areas, it was outstanding; in others, it was quite poor. That was simply unsustainable. Furthermore, the system was unable to generate useful management information and so, honestly, issues such as the ones that we now face would be very unlikely to have surfaced. They would have gone unreported A new model, with efficient and modernised processes, is the right approach to deliver to our primary care providers the service that they deserve. The Department and I will continue to closely scrutinise Capita and NHS England as they work to resolve current problems and build a quality service that is sustainable. I acknowledge fully that there is a long way to go before the service can be considered acceptable and that Capita has much to do to earn the trust of practitioners and patients This is clearly a live issue. I want to be clear today: I am listening. The issue is at the top of my priority list and will remain there until I am satisfied that an efficient and effective service is being delivered that meets the needs of patients and providers Question put and agreed to.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Andrea Marie Jenkyns (Conservative, Centre-right): The Secretary of State has answered my point, but I would like to say, as chair of the all-party parliamentary group on patient safety, that the publication of avoidable death figures is really welcome news. I support what he said about creating a just culture where clinicians and other staff feel safe. That is important so that they can speak up about failure, and vital in delivering the high-quality but, most importantly, safer and better-value services the NHS aspires to.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I thank my hon. Friend, who does a huge amount of work on patient safety, not least because of sadness in her own family’s experiences that gives her particular passion in this respect. This is absolutely about creating a just culture. Inspiring people like James Titcombe, who lost his own son at Morecambe Bay, talk far more eloquently than I can about the need to get this right. Part of that just culture is about justice for people who use the NHS in future, to whom we have a responsibility to learn the lessons and make sure that mistakes are not repeated. One of the really important things we need to get right is to make sure that when something goes wrong in one place, there is a national way in which the lessons can be conveyed right across the NHS as quickly as possible.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I thank the hon. Lady for her contribution. I recognise the progress made in the Scottish patient programme, and particularly the inspirational leadership of Jason Leitch, who has done a fantastic job in Scotland and some very pioneering work The hon. Lady made some good points that I will take in reverse order. On whistleblowers, I asked Sir Robert Francis to look at this in his second report. He concluded that it would be very difficult, if not impossible, to go back over historical cases, because the courts have pronounced and it is very difficult to create a fair process where legal judgments have already been made. However, I take on board what she says, and I do not think that that means that we cannot learn from what has happened in previous cases; they are very powerful voices The hon. Lady is absolutely right about near misses, and we will include that issue in the "learning from mistakes" ambition The hon. Lady is most right of all about people with learning disabilities. The heart of the problem is deciding when a death was expected and when it was unexpected. About half of us die in hospitals. As she rightly says, the vast majority of those deaths are expected, but when a person has a learning difficulty it is very easy for a wrong assumption to be made that they would have died anyway. That is a prejudice that we have to tackle, and one that Connor Sparrowhawk’s mother talks about extremely powerfully. We have to make sure that this is not just about lessons for the whole NHS, but particularly about ensuring that we do better for people who have learning disabilities.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Mark James Harper (Conservative, Centre-right): As chair of the all-party parliamentary group on learning disability, for me the most chilling phrase in the foreword of the report was when Mike Richards and his team said: "We found that the level of acceptance and sense of inevitability when people with a learning disability or mental illness die early is too common." Will the Secretary of State put on the record what Mike Richards says in the report, namely that there can be no tolerance of treating the deaths of people with learning disabilities with any less importance than the deaths of any other patient in the national health service?
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I am happy to put on the record the fact that those words have the Government’s wholehearted support. I credit my right hon. Friend for his work leading the APPG. I commissioned the CQC report because a year ago we had a report by Mazars on what happened at Southern Health, which said that only 19% of unexpected deaths were investigated and that that fell to 1% for people with learning disabilities. That cannot be acceptable, and it is why it is so important that we act on today’s report.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): First, I am sure the whole House will join me in offering my condolences to the hon. Gentleman for what happened to his father. The incredible grief that he and others feel when they lose a family member is compounded if it is subsequently discovered that the death was avoidable The hon. Gentleman raises a very important point. The CQC was not specifically looking at the issue of locums in this report, but in many other reports, on many occasions, it has talked about the dangers of locum and agency staff for precisely the reason he mentions. It is partly because people are not necessarily around at the time of an investigation, as they have moved on and work somewhere else, but it is also partly because, as I am sure we all believe, staff can give better care if they are in a team of people who know and trust each other. That is not possible if the majority of staff are employed on a temporary basis. He makes a very important point.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Antoinette Geraldine Sherratt (Sandbach) (Conservative, Centre-right): It is clear that half of medical negligence claims are in the field of maternity. Does the Secretary of State agree that the fear of legal action often prevents people from speaking out? How will the safe space be created that does not allow lawyers to intervene—very often lawyers slow up the process? An early admission of fault and a willingness to express the fact that lessons have been learned would provide so much comfort for families.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Andrew Edmund Armstrong Selous (Conservative, Centre-right): The review found that acute and community trusts do not always record whether a patient has a mental health illness or learning disability. What steps will we take—such as, for example, the expansion of liaison psychiatry services—to make sure there is proper join-up and real parity of esteem?
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend makes a very good point. We are making sure that all A&Es have liaison psychiatry services by the end of this Parliament. The critical issue is that someone with a severe mental health problem or learning disability who turns up in an A&E has special needs, and has bigger needs than the other patients there, but unless that is recognised early in the process, they are unlikely to get the care they need. If a tragedy then happens and they go on to die—as sadly happens sometimes—but the illness or disability is not known about, people do not realise that there are other potential issues. That is why the report is very clear that all acute trusts are required to know when patients have learning disabilities or mental health problems and to pay particular attention in any mortality investigations that happen regarding those patients.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): When the new guidelines are published, we need to investigate, as far as we possibly can, deaths that have already happened. I totally recognise the hon. Gentleman’s picture of Pennine and share his real worry about the standard of care in that trust. The positive thing is that under the leadership of Sir David Dalton—the chief executive of Salford Royal, which is one of the safest trusts in the NHS and a CQC outstanding trust—things are beginning to turn around. I have spoken to him about the situation at Pennine on many occasions. The hon. Gentleman is right to say that there is a lot of work to do there.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Craig Whittaker (Conservative, Centre-right): Many people will be shocked to hear that some trusts do not even know how many in-patients have died in their care. Will my right hon. Friend say more about what action should be taken against boards and leaders who are negligent in that way?
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): My hon. Friend is absolutely right. Boards now have a legal duty of candour, and are obliged to tell patients the truth about what has happened when something goes wrong, but how can they possibly do so if they do not properly record deaths or avoidable deaths? That is why this is a very significant moment. From next year, on a quarterly basis, all trusts will be publishing how many avoidable deaths there are in the trust. Those figures will be compared with national benchmarks. That is how we will start to make boards feel that they have a critical responsibility on this.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Robert John Blackman (Conservative, Centre-right): I welcome my right hon. Friend’s statement and the measures that he has announced. I have been supporting the family of a constituent who died unexpectedly in hospital, and they have suffered at every step along the way. There has been a wall of silence, the trust has refused to co-operate and the CQC has refused to investigate. Every step along the way, the family have been frustrated. That has been made even more important by the fact that the son of the deceased is a doctor in the NHS, and he knows that processes have been badly handled. All he wants is for the NHS to learn from its mistakes. Will my right hon. Friend undertake to say what he will do about the number of unexplained deaths that have occurred in the NHS over the past few years, and whether any of those cases can be examined by an appropriate authority?
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): I am happy to look personally at the case that my hon. Friend talks about. I think he speaks for all patients and families who have suffered tragedies when he says that the only thing people want is for lessons to be learned. A more challenging issue is that staff sometimes do not feel empowered to speak out in such situations, and they worry about the consequences. A number of trusts have an outstanding learning culture that is really supportive of staff, but that is not the case everywhere. One of the big lessons from today is that we must work out how to spread that positive culture across the NHS.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Jeremy Richard Streynsham Hunt (Conservative, Centre-right): It is a difficult one, because access to lawyers is a matter for the Ministry of Justice. I am not trying to duck the issue, but my responsibility, in what we are trying to do today, is to try to make sure that families do not feel as though they need to go to lawyers, because the NHS is open and transparent enough. With the values of people in the NHS, I think that ought to be achievable. I am happy to look at the case that she raises, and to bring it up with my colleague the Lord Chancellor.
CQC: NHS Deaths Review — House of Commons, 2016-12-13
Topic: Health
Philip Thomas Hollobone (Conservative, Centre-right): Will the Secretary of State tell the House more about the healthcare safety investigation branch? How big will it be, who will head it up, where will it be based and how will it use its forensic detective work locally to get to the nitty gritty of the things that cause problems for hospitals?