argyrotsipi/train-dataset huggingface dataset:
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Justin Piers Richard Madders (Labour, Centre-left): We have heard some excellent contributions today. The depth of the crisis is reflected by the fact that no fewer than 38 Members put in to speak, and although we only managed to hear from just over 20 Back-Bench Members, they were from all four corners of England. Owing to the time constraints, I cannot refer to them all, so I will just pick out a few, particularly from those still working in the NHS, such as my hon. Friend the Member for Stockton South (Dr Williams), who said it felt like we were going back to the 1990s and that it did not have to be like that—this decline is not inevitable. I totally agree with him on that We also heard from my hon. Friend the Member for Wolverhampton South West (Eleanor Smith), who brought her 40 years of service in the NHS to the fore and made the valid point that cancelling operations now creates a backlog, which will cause problems later on. We know that many trusts are already failing to meet their 18-week target Perhaps the most compelling contribution was from my hon. Friend the Member for Tooting (Dr Allin-Khan), who worked in A&E over Christmas. She was absolutely right to say that many people attend A&E because they are not getting the treatment that they need from elsewhere in the system, due to a squeeze on funding. She also made the valid point that many people are not being discharged as quickly as we would like because of massive cuts to social care over the years. Her contribution was excellent, and she made the point that these conditions have arisen not by accident, but because a political choice has been made After two years in which the A&E target has been missed altogether, we now know that waiting times shot up in recent weeks. Some hospitals cannot see even half their patients within four hours at A&E. The Secretary of State knows a little about waiting: there was a gap of an hour and 42 minutes between his entering No. 10 on Monday and confirmation that he was continuing in his job. Perhaps he was left waiting in a corridor. I hope that he was at least offered a chair. He would have to double that time, and double it again, to begin to appreciate how long some patients are having to wait, often in great discomfort and pain. Following the reshuffle on Monday, the Health and Social Care Secretary has had a rebrand, but if it took him over five years to work out that his actions might have some bearing on social care, how much longer will it be before he learns that the message that he hears about underfunding in the NHS is so consistent because it is true? How long before he realises that, on his watch, standards have deteriorated by almost every measure? How long before he realises that the decisions that his Government have taken have led to the litany of woe that we have heard today?
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Andrew Francis Slaughter (Labour, Centre-left): I do not know whether my hon. Friend has seen that an emergency consultant at Charing Cross Hospital has said that staff were practicing "battlefield medicine" there. By that, he meant that when a blue-light ambulance arrived, staff had to decide whether to take someone out of the resuscitation room to put the arrival in, or to leave the arrival in the corridor until a bed space was free. That same hospital faces losing all its emergency beds and its blue-light A&E. Does he agree that we have to rethink further reductions in beds and A&E capacity, given the crisis that we are in?
NHS Winter Crisis — House of Commons, 2018-01-10
Topic: Health
Christopher Paul Farrelly (Labour, Centre-left): There are also questions about NHS leadership. As the Minister is aware, Staffordshire is under great pressure. The Secretary of State received reports about the closure, with lack of consultation, of community hospitals in our area on 18 October, which slated two local CCGs. Yet a week later the NHS appointed the chief operating officer of those two CCGs to oversee four more in Staffordshire. Will the Minister ask his right hon. Friend the Secretary of State to explain that decision?
Fire and Rescue Services — House of Commons, 2018-01-08
Topic: Defense
Louise Joyce Ellman (Labour, Centre-left): The Home Secretary has already referred to the major fire that ravaged the car park at the Liverpool Echo Arena on new year’s eve, when around 1,400 vehicles were destroyed. It was only because of the magnificent efforts of Merseyside firefighters that there was no loss of life. Will she take that as a warning that Government cuts, which have slashed 42 full-time appliances down to 26 now and 18 next year, are putting lives at risk? Will she undertake urgently to review funding for the Merseyside fire and rescue authority?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Jonathan Michael Graham Ashworth (Labour, Centre-left): It is always a delight to see the Minister, but the Secretary of State for Health should be here to defend his handling of the crisis, not pleading for a promotion in Downing Street as we speak I join the Minister in paying tribute to all those NHS staff working flat out. Many of them have said that this winter crisis was entirely predictable and preventable. When you starve the NHS of resources, when you cut beds by 15,000, when you cut district nurses, when walk-in centres are closed, when we have vacancies for 40,000 nurses, when you fragment the NHS at a local level and drive privatisation and when social care is savaged, is it any surprise that we have a winter crisis of this severity More than 75,000 patients, including many elderly and frail, were stuck in the back of ambulances for over 30 minutes in the winter cold this December and January. A&Es were so logjammed that they were forced to turn away patients 150 times. In the week before new year’s eve, 22 trusts were completely full for up to five days. The blanket cancellation of elective operations means that people will wait longer in pain, distress and discomfort. Children’s wards have been handed over to the treatment of adults. Of course, we do not know the full scale of the crisis, because NHS England refuses to publish the operational pressures escalation levels alerts revealing hospital pressures. Given Ministers’ keenness on duty of candour, why are OPEL alerts data not being collected and published nationally for England The Minister mentioned the winter pressures funding, but that money was announced in the Budget on 22 November. Why were trusts not informed of allocations until a month later? That is not planning for the winter: it is more like a wing and prayer. He will know that cancelling elective operations has an impact on hospital finances. What assessment has he made of the anticipated loss of revenue for trusts from cancelling electives? Will he compensate hospitals for that loss of revenue, or should we expect deficits to worsen? Can he tell us when those cancelled operations will be rescheduled The Prime Minister defends this crisis by saying nothing is perfect. Patients do not want perfection: they just want an NHS which is properly funded and properly staffed without the indignity of 560,000 people waiting on trolleys in the last year, in which operations are not cancelled on this scale, and in which ambulances are not backed up outside overcrowded hospitals. Patients do not just need a change of Ministers today: they need a change of Government.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Benjamin Peter James Bradshaw (Labour, Centre-left): Where does the postponement of tens of thousands of operations leave the promise made by the Health Secretary to the Select Committee, the last time he appeared before us, that he would begin to reverse the very bad deterioration in routine waiting times for operations that we have seen in the past seven years?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Yvette Cooper (Labour, Centre-left): The Minister will have seen the images of patients at Mid Yorkshire Hospitals NHS Trust sleeping on the floor because they could not even get a trolley, never mind a bed. We have had over 95% bed occupancy rates and a shortfall of over 200 nursing vacancies, and we will have a multimillion-pound budget shortfall by the end of this year. The Health Secretary and the Prime Minister have been repeatedly warned about this by nurses and doctors at Mid Yorkshire trust and across the country, by the public and by the NHS chief executive, yet they still decided to deny him the funding he needed at the Budget. How many more patients will have to sleep on the floor before this Government act?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Charalambos Charalambous (Labour, Centre-left): Is the Minister aware that on six of the seven days after Boxing day, all of north Middlesex hospitals’ general and acute beds were occupied? Does he agree that this state of affairs is totally unacceptable, that more investment is needed in our emergency health services and that much better planning is required for any future winter crisis?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Luciana Clare Goldsmith (Berger) (Labour, Centre-left): Three months ago at the Health Committee, Jim Mackey, the head of NHS Improvement, told us that "we are running tighter than any of us would really want to and we have not had the impact from the social care investment…that we had hoped for; so, it will be difficult—it will be very tight—over winter." The Government knew that this crisis was coming, and the social care investment to which the Minister has referred this afternoon has not been enough. Why have this Government not acted?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Michael Robert Hill (Labour, Centre-left): Constituents of mine recently waited several hours for an ambulance, owing to the North East Ambulance Service running at a high state of alert. What are the Government doing about the crisis in the ambulance service?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Patrick Bosco McFadden (Labour, Centre-left): The cancellation of thousands of elective surgery appointments simply shows that the Tories are doing what they have always done, which is forcing people to wait longer for their operations and rationing healthcare in that way. How will the Minister deal with the backlog that will be created in future months because of all the operations that have been put off?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Diana Ruth Johnson (Labour, Centre-left): Up to 31 December, more than 400 patients had to wait an hour outside the A&E at Hull Royal Infirmary, and a further 1,000 had to wait half an hour. Has the time not come for the Minister to accept that the NHS does not have enough beds and to reverse the policy of cutting beds, which has happened under successive Governments? This Government need to take action now.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Paul Daniel Williams (Labour, Centre-left): I worked as a doctor on the NHS frontline last week. I saw elderly patients who would have been better off being looked after at home by community and social care, and people waiting far too long for ambulances. Cancelling non-urgent work just makes more patients suffer. What does the Minister say to the woman with Crohn’s disease who is in pain and has terrible symptoms now that the bowel operation for which she has already been waiting for six months has been delayed again? The only way she will get the operation now is if things get even worse and she becomes an emergency case.
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Paula Michelle Sherriff (Labour, Centre-left): Despite the best efforts of NHS staff, patients in my area routinely waited over 12 hours just to be seen at hospital. We have heard from my hon. Friends about patients having to sleep on the floor. Will the Minister therefore take this opportunity to say that he will halt all further downgrades and closures of services in my area at Huddersfield Royal Infirmary and Dewsbury and District Hospital until a full assessment of capacity has been undertaken?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Karen Patricia Buck (Labour, Centre-left): Of 106 emergency beds at St Mary’s in Paddington, 105 were in continuous occupation over Christmas. Not long ago, a ceiling collapsed in a ward in that hospital. It is coping with a £500 million maintenance backlog—the biggest by far in the country. Will the Minister meet me to discuss how St Mary’s Hospital will be assisted to cope with funding a maintenance backlog that, if things went wrong at the time of these pressures, would cause an absolute calamity?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Lilian Rachel Greenwood (Labour, Centre-left): Nottingham University Hospitals NHS Trust and the East Midlands Ambulance Service have both declared the highest level of alert in recent days. Despite the heroic efforts of NHS staff, emergency patients’ care, safety and dignity have been put at risk, and of course other patients have had their operations cancelled. Does this not confirm that the Government’s preparations and resourcing were too little and too late?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Elizabeth Anne McInnes (Labour, Centre-left): Pennine Acute Hospitals NHS Trust, which serves my constituency, has advised the public to attend A&E for serious or life-threatening conditions only and the rest to visit the local pharmacist or call 111. What immediate help will the Minister give to community pharmacies and the 111 helpline to help them to cope with the increased demand?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Gareth Craig Snell (Labour, Centre-left): Royal Stoke University Hospital in my constituency faces a double whammy during this winter crisis: an estimated net cost of £8 million even with the Government’s investment of this period and the loss of income as a result of the cancelation of elective surgery where income has been put to one side. How does the Minister expect the Royal Stoke and the University Hospitals of North Midlands NHS Trust to meet that cost? Given that CCGs will now have a windfall because of cancelled operations, how will he make sure that that money is reinvested in community and acute services?
NHS Winter Crisis — House of Commons, 2018-01-08
Topic: Health
Dennis Edward Skinner (Labour, Centre-left): During this winter crisis, has the Minister ever stopped to think what a barmy idea it was to allow the clinical commissioning groups to close, or threaten to close, a number of community hospitals in all parts of Britain, including Bolsover and several others in Derbyshire? Will he now get to that Dispatch Box and reverse that barmy decision?
Taxation (Cross-border Trade) Bill — House of Commons, 2018-01-08
Topic: Defense
James Dolan Cunningham (Labour, Centre-left): This is not necessarily on ceramics, but when it comes to research and development for industry, the United States uses the defence budget. Does my hon. Friend agree that that is what we are up against if we pull out of the single market?
North West Ambulance Service — House of Commons, 2018-01-22
Topic: Health
Anthony Joseph Lloyd (Labour, Centre-left): The right hon. Gentleman is of course absolutely right on both counts. First and foremost, we must value the paramedics and the technicians who make our ambulance service work, and nothing whatever of what I am saying is critical of them. They joined the service to help save lives and to get people into our national health service, but this is of course the reality, and I am grateful to people who have spoken privately about what is going on. Whistleblowers are really important To make another point briefly, I wrote to the North West Ambulance Service about its failings—I will come on to the particular failing later—in the middle of August, but I had to raise the issue on the Floor of the House to get an answer two and a half months later. Quite frankly, the answer is almost not worth the paper on which it is written because the climate of secrecy—the climate of "Mind your own business," which is said even to Members of Parliament—is very unhealthy. I hope that the Minister will take that on board.
North West Ambulance Service — House of Commons, 2018-01-22
Topic: Health
Rosemary Elizabeth Cooper (Labour, Centre-left): I agree very strongly with my hon. Friend’s comments. I recently wanted to get a transcript of some calls—harrowing calls—in cases where people had died because of the inefficiency of the ambulance service. Last year, for example, my office got a call about a family waiting 90 minutes for an ambulance to arrive for somebody who had had a heart attack. The management of the organisation several times missed an opportunity to send an ambulance, and there is no excuse for this. People are depending on this service. We need whistleblowers and we need people telling the truth, but for such an organisation not to make transcripts readily available is a disgrace.
North West Ambulance Service — House of Commons, 2018-01-22
Topic: Health
Anthony Joseph Lloyd (Labour, Centre-left): Absolutely. If this is one of the skill shortages at the crisis end of our health service, let us begin to use the paramedics much more intelligently than we do now. The Minister will be delighted to know that I will come on to money, but this is not about money; it is about intelligence. I am bemused by the incompetence of the management of the North West Ambulance Service, who do not seem able to give me even semi-credible answers to this crisis. Ministers now need to seize the opportunity—and possibly even seize the throats of those who manage the process—to make them begin to deliver. Nothing I have said tonight is meant in anything other than absolute admiration for the people who are in our ambulances, trying to make the service work. They live very stressful lives. The Minister will know that across the country—the north-west is as bad as many places—the amount of down time because of paramedics and ambulance technicians being off work from stress-related sickness is high and growing. That is symptomatic of a system going terribly wrong. Let us reform it. Let us make sure that we put the quality of life back into their jobs, so that they can put the quality of life back into those they care for.
North West Ambulance Service — House of Commons, 2018-01-22
Topic: Health
Elizabeth Anne McInnes (Labour, Centre-left): My hon. Friend and I share the same area, covered by the Pennine Acute Hospitals NHS Trust, and we have very similar experiences. I used to work at the North Manchester General Hospital and at the Royal Oldham Hospital, and I am well aware of the issues. Is he aware of the latest Care Quality Commission report, which was published last year, on the North West Ambulance Service? It identified safety and leadership as "requiring improvement". From the story that he is telling, it sounds as though those two issues have not been addressed, and that report was produced a year ago.
North West Ambulance Service — House of Commons, 2018-01-22
Topic: Health
Anthony Joseph Lloyd (Labour, Centre-left): My hon. Friend makes a really interesting point. The Minister needs to look seriously at the consequences of that kind of report. I have looked at different aspects of this issue over a number of years. I find leadership mainly in its absence. Safety is more difficult for me to comment on, except that if we have such high sickness rates among the staff, it very much indicates that the working environment is not safe for the people we want to work there My final point to the Minister is that we have a shortage of paramedics nationwide. As I said, we have had an uplift of something like 50% in the most critical cases in the north-west and an increase of some 16% in the number of paramedics. We are simply not keeping pace. Of course this is about money, but we have to put the resources into that kind of training. However, training is between two and four years. The Minister has to look at whether there is something in the intelligent transfer of people in the health service who already have the equivalent skills. With the right kind of incentive, they may be prepared to move across from different occupations in the health service to the paramedic and ambulance service. However, they will only do that if they believe there is a quality of job that would allow them to enjoy their work, as they are entitled to We have a crisis that is putting people at risk, whether that is in the east of England or in the north-west, as I and my hon. Friends the Members for Heywood and Middleton (Liz McInnes) and for West Lancashire (Rosie Cooper) have said. It is dangerous and in the case of my constituent, Pat Gerner, it is unacceptable for an elderly lady, needing to be in hospice care, to be treated in the way that she has. I look to the Minister to give not simply sympathy, but some credible belief that he will seize the day and make sure that we have the quality and determination to drive through the kind of management change that will make a difference. As well as that, he has to say to his colleagues in the Treasury that we need to see some transfer of resource into our ambulance service, if we are not going to face this crisis not simply in the winter, but every day of every week of the year.
North West Ambulance Service — House of Commons, 2018-01-22
Topic: Health
Anthony Joseph Lloyd (Labour, Centre-left): I know that the Minister is trying to be helpful, but one thing is bound to concern constituents. At the time of the A&E closure in Rochdale, a commitment was made that there would be paramedic cover as routine, but that is being breached regularly. Even if there has been some increase in the number of paramedics, and I concede that there has been, it has not kept pace. Nor has the North West Ambulance Service even tried to honour the commitment that was made—perhaps it should not have been made—in order to deliver the closure of the A&E. The phrase "sleight of hand" comes to mind, and we have to do better.
Homes (Fitness for Human Habitation and Liability for Housing Standards) Bill — House of Commons, 2018-01-19
Topic: Health
Mathew Richard Allen Rodda (Labour, Centre-left): I thank my right hon. and learned Friend for her contribution. It is a very sad, but salient, point that this is indeed happening and putting unwanted pressure on our NHS at a time of great strain on the service and, indeed, when the Government have had to cancel many non-urgent operations during this winter crisis. In fact, she has brought up many points that I wished to make, so, for the sake of brevity and allowing other hon. Members to speak, I will conclude my remarks by thanking her and saying that I appreciate the all-party support for this Bill and the initiative and determination of my hon. Friend the Member for Westminster North (Ms Buck) in bringing it forward.