argyrotsipi/train-dataset huggingface dataset:
Social Care — House of Commons, 2017-10-25
Topic: Health
Jacqueline Doyle-Price (Conservative, Centre-right): I have limited time, and I really must get this improvement on the record The package also includes joint NHS England, NHS Improvement, LGA and ADASS guidance on implementing trusted assessors; the introduction of greater transparency through the publication of a dashboard showing how local areas in England are performing against metrics; and plans for local government to deliver an equal share to the NHS of the expectation to free up 2,500 hospital beds. The package sets out clear expectations for each local area, reflecting the fact that reducing such delays in transfers of care must be a shared endeavour across the NHS and social care. Those expectations are stretching, but they are vital for people’s welfare, particularly over the winter period Thirdly, we have asked the chief executive of the Care Quality Commission to undertake 20 reviews of the most challenged areas to consider how well they are working at the health and social care boundary. Twelve of the reviews are under way and a further eight will be announced in November, based on the performance dashboard and informed by returns from July. Those reviews commenced in the summer, and the majority of them are due to be completed by the end of November. They are identifying issues and driving rapid improvement Fourthly, we have provided guidance on best practice, including how to put in place "trusted assessor" arrangements, which can allow more efficient discharge from hospital by avoiding duplicative patient assessments by different organisations. All areas have now submitted their better care fund plans, which include their trajectories for reducing delays Finally, in October we asked NHS England to extend the GP and pharmacy influenza vaccination service to include all paid careworkers in the nursing and residential care sector. They will be able to access the service via local GPs and pharmacies free of charge I know that the hon. Member for Worsley and Eccles South is concerned about the provisions for those that fail to improve, and I want to tackle head-on the suggestion that there will be fines. We are not talking about fines at all. The money that has been earmarked will continue to be retained by local authorities.
Social Care — House of Commons, 2017-10-25
Topic: Health
Jacqueline Doyle-Price (Conservative, Centre-right): I reject the suggestion that there will be any kind of fine. The £22 million that the hon. Lady talks about will be retained for spending within Leicestershire. That funding has been allocated for a specific purpose, and where local authorities are not showing the improvement that we expect, we will work collaboratively with them and advise them how best to use that money Let me put on record exactly what we are going to do. There is significant variation in performance across local areas. We know that 41 health and wellbeing boards are collectively responsible for 56.4% of adult social care delayed transfers of care. That cannot be right, when other local authority areas have none. In particular, Newcastle has no adult social care delayed transfers of care, and if it can do that, other areas can as well, provided we have good partnerships and good leadership. I trust that I have demonstrated the extent to which the Government are supportive of the best performing systems where local government and the NHS are working together to tackle this challenge. However, we are clear that we must make much faster and more significant progress in advance of winter to help to free up hospital beds for the sickest patients and to reduce pressures on our A&E departments It is right that there should be consequences for those who fail to improve. Earlier this month, we wrote to all local authority areas informing them that if their performance did not improve, the Government may direct the spending of the poorest performers—it is not a fine—and we reserve the right to review allocations. It is important to note that the allocations will remain with local government to be spent on adult social care. It is not a fine; this is about making sure that public money delivers the intended outcomes.
Social Care — House of Commons, 2017-10-25
Topic: Health
Jacqueline Doyle-Price (Conservative, Centre-right): I am sorry, but that is not the case. The money will be retained by local government, but we will direct the spending to achieve the outcome the money is intended to deliver. That is exactly what we should do as a Government, and it is how we ensure value for money The health and care system has committed staff and managers up and down the country who are working every single day to deliver the best outcomes for people.
Social Care — House of Commons, 2017-10-25
Topic: Health
Jacqueline Doyle-Price (Conservative, Centre-right): I have already taken too much time The measures I have set out have given our hard-working workforce and their leaders clarity about how the Government expect the NHS and local government to work together to achieve the joint ambition of reducing delayed transfers of care, which will be instrumental in delivering high-quality care To summarise, we accept that there are significant challenges in the health and care systems, which is why we are increasing funding in real terms over the lifetime of this Parliament, but this is not just about money. It is about sharing innovation and best practice; it is about integration and defining new models of care; it involves thinking about a long-term sustainable solution to the care system; and, most importantly of all, it is about supporting the 1.5 million people who work in the care system, as well as the millions of people who selflessly look after families and friends with little or no reward. We are committed to all of these.
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Angela Eagle (Labour, Centre-left): The Secretary of State has waxed lyrical today about the NHS becoming a learning organisation, being transparent and admitting its mistakes. Will he therefore set the trend and lead by getting up at the Dispatch Box and apologising to this House for the fragmentation and chaos caused by the Lansley Act?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Clive James Charles Betts (Labour, Centre-left): Let me bring the Secretary of State back to the issue of public health. He seems to be saying that this is only a small grant and therefore not really very important compared with spending on the NHS as a whole. May I draw his attention to the wording in the long-term plan where it says that action by the NHS "is a complement to, but cannot be a substitute for, the important role of local government" That role has been undermined by £700 million of cuts to public health grants in the past five years. Will he now recognise that if we are going to get a proper joined-up approach to ill-health prevention, he needs to give a commitment that in future the public health grant will increase, in real terms, at least by the same amount as NHS funding as a whole?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Emma Ann Hardy (Labour, Centre-left): On 29 December, two young people, one of them aged only 24, committed suicide by jumping from the Humber bridge in my constituency. Since I first commented on this, I have been inundated with comments from local residents detailing the inadequate mental health support that they have. Unfortunately, the Humber bridge is becoming a place that people choose to visit when they are feeling desperate and as though there are no other options. Partly for this reason, can I ask the Secretary of State to commit—not in 10 years, or even in one year or six months, but right now—to providing more money for the Humber NHS Foundation Trust so that we can help to support people when they are feeling so very desperate?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Andrew Francis Slaughter (Labour, Centre-left): My clinical commissioning group has to make more than £40 million of cuts in the next 15 months and is proposing to cut GP and urgent care centre opening hours. It also has an £11 million risk thanks to the predatory private "GP at hand" scheme, of which the Secretary of State is a member. We have had GP practices suspended, palliative care beds closed, and our major hospital under threat of demolition for seven years. Will he accept that the self-regarding statement he has just made will be unrecognisable to people who work in and use the NHS, which is reeling from the crisis that his Government have caused?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Karen Patricia Buck (Labour, Centre-left): Money might not be everything, but transforming a service against a background of real-terms cuts is almost impossible. The Central London clinical commissioning group is in the middle of a 13% real-terms cut, the West London clinical commissioning group is having an 8% real-terms cut, real-terms cuts are being made in mental health services, and Westminster City Council has cut 31% of its funding for social care. Can the Secretary of State indicate whether inner-London residents will see any benefit as a result of this plan?
NHS Long-term Plan — House of Commons, 2019-01-07
Topic: Health
Deborah Angela Elspeth Marie Abrahams (Labour, Centre-left): I am pleased that the Secretary of State is keen to improve public health and reduce health inequalities, and I assume that he will therefore support my new clause 5 to the Finance (No. 3) Bill, which is specifically about ensuring that the Government’s economic policies reduce health inequalities. On social care, is he aware that in 2017 alone 50,000 people with dementia had an emergency hospital admission because there was not adequate social care? What will he do to ensure that his plan, which we are still waiting for, will avoid such emergency admissions in 2019? Please do not say that more has been given in the Budget, because that is a sticking plaster compared with all the cuts that the Government have made in social care.
Topical Questions — House of Commons, 2017-10-30
Topic: Health
Questions: I declare my interest as a member of Kettering Borough Council. The acute funding pressures on Northamptonshire County Council could be helpfully and substantially addressed by imaginative reform of local government structures in the county, including, perhaps, the establishment of a combined social care and health commissioner. Will my right hon. Friend confirm that he is open-minded to such suggestions?; In Bristol, university expansion means that a significant increase in student numbers is putting pressure on stretched local services right now, yet student accommodation providers contribute almost nothing to the costs. Will the Secretary of State meet me to discuss bringing student accommodation within the scope of business rates, like other businesses, to help to ease this strain on Bristol and other councils?; In 2016, the Department for Communities and Local Government provided a transition grant to some local authorities. The calculations and assumptions for this were not published, and 80% of it went to Conservative councils. Will Ministers pledge today to make previous and future calculations available, and will they confirm from the Dispatch Box that future funding will be based on need rather than on anything else?; In an earlier question, the hon. Member for Gainsborough (Sir Edward Leigh) stated that the introduction of family hubs should be accelerated, and that was implicitly welcomed by the Minister, who stated that it was down to councils use their budgets as they saw fit. Does the Minister agree, however, that the 60% real-terms cut to the children’s centres budget in Warwickshire and the planned reduction of 39 children centres to 12 family hubs should be stopped, and that the council’s significant reserves should be used for the maintenance of—; With the First Minister of Wales meeting the Prime Minister earlier today amid the continuing lack of clarity over Brexit, can the Secretary of State reassure me that the Government will respect the devolved nations and regions of the UK and not use Brexit as an opportunity for a power grab?; In the light of the recent announcement that the Welsh Government will continue with their council tax reduction scheme, which has reduced council tax for almost 300,000 low-income and vulnerable families and has excluded 220,000 completely, will the Minister consider seriously the Welsh Labour Government’s excellent approach and the situation in England, where households pay around £190 more?
Nicky Morgan (Conservative, Centre-right): The Secretary of State will be aware of the concerns expressed by the leader of Leicestershire County Council about the letter he received about money going back to the NHS, rather than sticking with the social care authority, and about delayed transfers of care. Will he comment on that and on discussions he has had with his colleague the Secretary of State for Health?
Topical Questions — House of Commons, 2017-10-30
Topic: Health
Questions: I declare my interest as a member of Kettering Borough Council. The acute funding pressures on Northamptonshire County Council could be helpfully and substantially addressed by imaginative reform of local government structures in the county, including, perhaps, the establishment of a combined social care and health commissioner. Will my right hon. Friend confirm that he is open-minded to such suggestions?; In Bristol, university expansion means that a significant increase in student numbers is putting pressure on stretched local services right now, yet student accommodation providers contribute almost nothing to the costs. Will the Secretary of State meet me to discuss bringing student accommodation within the scope of business rates, like other businesses, to help to ease this strain on Bristol and other councils?; In 2016, the Department for Communities and Local Government provided a transition grant to some local authorities. The calculations and assumptions for this were not published, and 80% of it went to Conservative councils. Will Ministers pledge today to make previous and future calculations available, and will they confirm from the Dispatch Box that future funding will be based on need rather than on anything else?; In an earlier question, the hon. Member for Gainsborough (Sir Edward Leigh) stated that the introduction of family hubs should be accelerated, and that was implicitly welcomed by the Minister, who stated that it was down to councils use their budgets as they saw fit. Does the Minister agree, however, that the 60% real-terms cut to the children’s centres budget in Warwickshire and the planned reduction of 39 children centres to 12 family hubs should be stopped, and that the council’s significant reserves should be used for the maintenance of—; With the First Minister of Wales meeting the Prime Minister earlier today amid the continuing lack of clarity over Brexit, can the Secretary of State reassure me that the Government will respect the devolved nations and regions of the UK and not use Brexit as an opportunity for a power grab?; In the light of the recent announcement that the Welsh Government will continue with their council tax reduction scheme, which has reduced council tax for almost 300,000 low-income and vulnerable families and has excluded 220,000 completely, will the Minister consider seriously the Welsh Labour Government’s excellent approach and the situation in England, where households pay around £190 more?
Sajid Javid (Conservative, Centre-right): My right hon. Friend is right to raise that. Delayed transfers of care are a shared endeavour between councils and the NHS. There has been good progress in Leicestershire, especially from using the better care fund, and this is a good opportunity to commend Leicestershire on its improving DTOC position.
Independent Review: Deaths in Police Custody — House of Commons, 2017-10-30
Topic: Health
Nicholas Richard Hurd (Conservative, Centre-right): The hon. Gentleman uses his experience to make a very important point. I am sure that he is aware that additional funding worth some £30 million has been made available to secure alternative places of safety and I welcome that. On his broader point about mental health, he knows that, at long last and as a result of campaigning across the House, more investment is going into mental health. He will also know from talking to his local police force that more and more police time is being spent safeguarding and looking after people with various mental health conditions and that should not be their job. The discussion for us, both at a local and national level, is about responsibility, investment and resources to make sure that those who are suffering on the spectrum of mental health, anxieties and disorders are being treated in the right way and in the right place.
Balfour Declaration — House of Commons, 2017-10-30
Topic: Defense
Giacomo Lopresti (Conservative, Centre-right): Does my right hon. Friend agree that not only is Israel a beacon of hope and democracy in the middle east but that our strategic partnerships in the fields of security and defence are vital to the safety of both our nations and should be enhanced and developed?
Armed Forces (Flexible Working) Bill [Lords] — House of Commons, 2017-10-30
Topic: Defense
Michael Fallon (Conservative, Centre-right): I beg to move, That the Bill be now read a Second time We have the best armed forces in the world. From their service in Afghanistan, and their support to the coalition to defeat Daesh in Iraq and Syria, to being at the forefront of the humanitarian response to hurricane Irma, their courage and professionalism are renowned the world over. We are investing some £18 billion a year in new ships, submarines, aircraft and armoured vehicles, but it is not enough just to modernise our armed forces with new equipment; we need to ensure that service within the armed forces reflects a modern lifestyle We know that one of the main reasons why people choose to leave the armed forces is the impact of service on their family life. At the moment, many regular personnel who are unable to meet their unlimited military commitments for periods of time have no other choice than to leave the service. They lose a good career; we lose their hard-won knowledge, skills and experience It is a fact that today people want greater choice over how they run their lives, and when and where they work. If we are to compete for, and retain, the best people, our armed forces need to respond with greater flexibility, making the lives of those who proudly serve our nation easier Total and unlimited choice is not, of course, possible in the disciplined environment of the armed forces, where the requirement to serve the needs of the country is paramount. So maintaining operational effectiveness is our absolute red line, but that does not mean that we should not offer our people more choice about how they live and work.
Armed Forces (Flexible Working) Bill [Lords] — House of Commons, 2017-10-30
Topic: Defense
Michael Fallon (Conservative, Centre-right): The armed forces continue to meet what are called the harmony guidelines and we have stabilised the size of the armed forces—the hon. Gentleman referred to reductions—but I also recognise that we are asking ever more of our armed forces each successive year, with the deployments in different parts of the world The 2015 strategic defence and security review committed us to an ambitious programme of modernisation of our personnel policies. There are already a range of initiatives in place to support flexible working. Subject to chain of command approval, service personnel have already been able to work compressed hours or vary their start and finish times. They can also take unpaid leave for up to three months and longer-term career breaks to help meet life’s commitments—for example, when a partner is posted overseas—and, in certain circumstances, they are even able to work from home We know that these existing initiatives are popular: in the six months to July 2017, 1,400 personnel had taken advantage of them. This Bill will take these initiatives a step further and provide more formal arrangements and certainty, including allowing personnel to work shorter hours.
Armed Forces (Flexible Working) Bill [Lords] — House of Commons, 2017-10-30
Topic: Defense
Michael Fallon (Conservative, Centre-right): The hon. Lady anticipates my speech, as I will be coming on to that. If I do not do so adequately, I am sure she will have the chance to intervene again More flexible working than we have at present would help alleviate some of the strain people face at critical times in their career, whether because of family responsibilities, caring needs, or a desire to pursue further educational opportunities. It will help us to recruit and retain more of the people we need, and make our services more representative of the society they serve In particular, we are committed to see women account for 15% of our new recruits by 2020, and evidence suggests that they see greater opportunities for flexible working in the services as particularly attractive. Two thirds of the applications approved in our ongoing flexible duties trial are from female service personnel. We are on track to meet our 2020 target, with the latest figure for all services at 11.4%, but I want to do better than that, and the Bill will help. We have opened up every single role in our armed forces to women so that talent, not gender, determines how far anyone can go. That means ensuring that they are able to stay to achieve their potential. At the core of the Bill is our wish to ensure that the armed forces are seen as modern and attractive employers, but that is getting harder to achieve against an increasingly competitive backdrop, with the competition for talent expected to increase in the years ahead.
Armed Forces (Flexible Working) Bill [Lords] — House of Commons, 2017-10-30
Topic: Defense
Michael Fallon (Conservative, Centre-right): We are addressing the important issue of service families’ accommodation, with various new arrangements for ensuring that they have improved accommodation. We are also putting a number of RAF personnel through the F-35 training programme. We have more than 100 personnel in the United States training up and learning how to support and maintain the F-35s, of which we have purchased more than a dozen so far More flexible working will help the services to compete and to attract and retain a better mix of people and skills. That will not only enhance operational capability through improved retention but provide a more diverse workforce. I am absolutely clear that a diverse workforce, with more women and more people from black and minority ethnic backgrounds, will be a more operationally effective workforce.