hazylavender/hi huggingface dataset:
Date: 2023-04-25
Helen Whately: I thank the hon. Lady for giving me another opportunity to talk about what we are doing to support adult social care: an extra PS7.5 billion was announced at the autumn statement to support adult social, an extra PS700 million was spent on supporting discharges into social care over this winter, and we have already announced PS600 million to support discharges to people's homes with the provision of social care over the coming year, because we recognise how important it is for people to get the care they need at home. The workforce are crucial to that, which is why we are taking forward our reforms to the adult social care workforce as announced a couple of weeks ago.
Date: 2023-04-25
Steve Barclay: The Government support the right to take industrial action within the law, but equally the law is there to protect patients and NHS staff alike. Following legal advice, NHS Employers and my Department are confident that the proposed strike action by the Royal College of Nursing goes beyond the mandate it secured from its members, which expires on 1 May at midnight. While NHS Employers has sought to resolve the issue through dialogue, the RCN's failure to amend its planned action has led NHS Employers to request my intervention. Even as we work to resolve those issues through dialogue, I can tell the House that I have regretfully provided notice of my intent to pursue legal action. None the less, I am hopeful that discussions can still be productive, especially those between the RCN and NHS England on patient safety, and that they will continue to be guided by the imperative to keep people who use the NHS safe.
Date: 2023-04-25
Rupa Huq: The right to choose sounds attractive, but when diabetic eye disease and glaucoma seriously threaten the sight of millions, the fact that any qualified provider can and does cherry-pick reversible cataract work leaves the NHS with astronomical bills and all the complex cases. Will the Secretary of State praise award-winning clinicians Christiana and Evie at Central Middlesex Hospital and visit to see for himself how effectively writing a blank cheque for private treatment is destabilising NHS budgets and jeopardising the NHS's ability to do award-winning research and to train junior doctors, who need routine work?
Date: 2023-04-25
Steve Barclay: I am always happy to praise the brilliant work of clinicians up and down the NHS, who do a formidable job. Given the huge scale of the backlogs we face as a consequence of the pandemic, it is important that we not only use the full capacity available within the NHS, empowering patients through patient choice and technologies such as the NHS app to better enable that, but maximise the capacity in the independent sector.
Date: 2023-04-25
Steve Barclay: My hon. Friend makes a brilliant point, and that is something that we are committed to doing. There is a huge amount of expertise within the pharmacy network, which is why we are looking, through technology such as the NHS app, at how we can better enable people to get the right care from the right place at the right time. Quite often, that is not by seeing the GP, but it might be by seeing those in additional roles in primary care or going to a pharmacist who can offer the right services.
Date: 2023-04-25
Steve Barclay: Like others in the House, my heart goes out to any 13- year-old girl in that situation. As the parent of a 12-year-old girl, I can only imagine how distressing it is to the family concerned to see that operation cancelled. That is why it is important that we have dialogue. The hon. Gentleman has said that the demands of the British Medical Association are unaffordable and unrealistic at 35%, as has the Leader of the Opposition. We have been clear on that, but the House saw that in our negotiation with the Agenda for Change staff unions we had meaningful, constructive engagement; that was how we reached an agreement with the NHS Staff Council, and we stand ready to have similar discussions with the junior doctors.
Date: 2023-04-25
Wes Streeting: So why is the Secretary of State not sat down with them today? He says that he cannot negotiate because the BMA will not budge on 35%, but that is not true, is it? He says that the junior doctors have to drop their preconditions; they do not have any, do they? And he says that strike action will have to be called off before he can sit down; there are no strike days planned, are there? So is it not the case that he is quite happy to see hundreds of thousands of operations cancelled so that he can blame the junior doctors for the NHS waiting lists rather than 13 years of staggering Conservative incompetence?
Date: 2023-04-25
Steve Barclay: It is slightly odd that the hon. Gentleman talks about 13 years when we are actually talking about a current industrial dispute. We have shown, through our negotiation with the NHS Staff Council, our willingness to engage and to reach a settlement. Indeed, the general secretary of the RCN recommended the deal from the AfC unions to her members. Unison--the union of which the hon. Gentleman is a member--voted for the deal by a margin of 74%. We stand ready to have engagement with the junior doctors, but 35% is not reasonable. He himself has said--[Interruption.]
Date: 2023-04-25
Peter Aldous: Notwithstanding the work that the Government have done, the feedback that I am receiving from Suffolk-based NHS dentists is that there is still a very long waiting list for overseas dentists waiting to take the overseas registration examination, with more than 3,000 applicants and only 150 exams taking place each month. I urge my hon. Friend to leave no stone unturned in working with the General Dental Council to eliminate the waiting list as quickly as possible.
Date: 2023-04-25
Neil O'Brien: We are leaving no stone unturned. Last month, we passed legislation enabling the GDC to increase the capacity of the ORE. We have also made it easier for overseas dentists to start working in the NHS: as of 1 April, no dentist will need to pay an application fee. We also want to radically reduce the time that dentists spend in performers list validation by experience, and we will set out further steps in our dentistry plan.
Date: 2023-04-25
Maria Caulfield: We are spending an additional PS2.3 billion a year on mental health services, and we have recently announced PS150 million for crisis community support, because we are trying to reduce the number of people being admitted in the first place by treating them at an earlier point in their mental health illness. That  will free up beds, but it will take time. Community crisis intervention is the way in which we want to make progress.
Date: 2023-04-25
Will Quince: I can certainly ensure the House that we are seeking a mutually beneficial voluntary scheme that supports patient outcomes, a strong life sciences industry and a financially sustainable NHS. We have been working directly with industry to understand the impact of changes to VPAS on investments into the UK life sciences sector, and we remain firmly committed to VPAS, which, it is important to say, has saved the NHS billions of pounds and saved millions of lives by supporting patients with life-threatening conditions and giving them rapid access to new medicines.
Date: 2023-04-25
Steve Barclay: First, I very much welcome the good care that the hon. Gentleman received, and it is great to see him back in the Chamber. On the wider issue, that is why we have an elective recovery plan, in which we have applied a boost in capacity, particularly through the surgical hubs. We are looking at how we build greater resilience, especially in winter, when elective beds are often under pressure. We are also investing in areas such as eye treatment, and we are rolling out through Getting It Right First Time a programme of improvement in a range of areas, including that one.
Date: 2023-04-25
Luke Evans: Provision for special educational needs and child and adolescent mental health services is one of the biggest issues in my inbox in Leicestershire, particularly in respect of delays in assessment and diagnosis. One of the Government's plans was to introduce school mental health support teams. The Health and Social Care Committee heard that the aim was that 35% of pupils should be covered by 2023. May we have an update on progress and on when we are likely to reach 100%?
Date: 2023-04-25
Steve Barclay: It is a huge opportunity. My right hon. Friend and I have discussed this matter outside the Chamber, and I met Ben Goldacre in the summer to discuss his fantastic work in the context of covid. It is absolutely right that, given the potential of artificial intelligence, there are huge opportunities in relation to health inequalities and allowing us to better target provision. I think my right hon. Friend would agree that we should do that through the prism of patient consent.  One thing that we are trying to build into the NHS app is the ability to better empower the patient to decide what they wish to sign up to and what they would like their data shared with.
Date: 2023-04-25
Steve Barclay: We are committed to a major conditions paper, not least because many people with cancer have multiple conditions; that is why it is important that we look at these issues in the round. With the Minister for Social Care, I had a very useful roundtable with key stakeholders, including the cancer charities. The key issue is that as part of our work on cancer checks, over 320,000 more people are receiving treatment for cancer compared with last year--that is around fifth higher--and we are expanding our capacity through the diagnostic centres, the surgical hubs and the expansion of the workforce. All of that fits within the strategy we have through the major conditions paper.
Date: 2023-04-25
Helen Whately: My hon. Friend makes a really important point about the very important work that hospices do in our communities, and I fully support hospices as a sector. The funding for hospices generally comes through the NHS and the local integrated care boards that commission the services they provide, as well as, of course, from their own fundraising efforts. I am speaking to NHS England about the support it provides to hospices, because I am very keen to make sure that they get the support that they need.
Date: 2023-04-25
Tim Farron: I have in my hands the draft business case for a satellite radiotherapy unit at the Westmorland General Hospital in Kendal. If it is approved and commissioned, residents in my community who have cancer will no longer have to travel two, three or four-hour round trips every day to get lifesaving treatment; they will be able to get it closer to home. Will Ministers meet me and the clinical specialists who helped draft the business case, so that we can make it come to fruition?
Date: 2023-04-25
Will Quince: My hon. Friend is right to raise this issue. Over 12,000 more participants a month are recruited into clinical trials than before the pandemic, but we recognise that there is much more to do in order to be internationally competitive, including around regulation and speed of approval. I am pleased to say that in the coming weeks, Lord O'Shaughnessy will publish his independent review into UK clinical trials, and I very much look forward to receiving his recommendations.
Date: 2023-04-25
Jim McMahon: I will make some progress and take some interventions later--[Interruption.] Hang on; your moment will come. It goes to our leisure and beauty spots. Businesses rely on tourists coming with confidence. It is clear that the Tories either do not know, or do not care about the human impact of the Tory sewage scandal. This affects every stretch of our coastline across the country, and it shows the contempt that the Tories have for our seaside towns, from Hartlepool to Hastings, from Bournemouth to Falmouth, from Camborne to Blackpool, and everywhere in between. Beyond the coast, our national parks and areas of outstanding natural beauty, which are home to our stunning lakes, and our rivers, the arteries of our nation, are being sullied by the Tory sewage scandal.
Date: 2023-04-25
Jim McMahon: Thank you, Mr Speaker--we've 12 months yet. I will take interventions once I have made progress on this section. Hon. Members should not worry; their opportunity to defend the last 13 years in government will come--they should not worry too much about that. At its heart, this speaks to whether families should have the right to live a decent and fulfilled life. People look to our seas, lakes and rivers for quality of life. They are the very places where people live, work and holiday together, and where families create memories, forge bonds and strengthen relationships by enjoying the beauty that our country has to offer. More than just the daily grind of work, it is about who we are and it is those moments together that make life worth living. But the truth is that the Tories are turning our green land into an open sewer.
Date: 2023-04-25
Jim McMahon: I welcome that intervention. I would also welcome an explanation to the hon. Lady's constituents as to why there have been 200 sewage incidents in her own backyard. That is why her constituents send her here--to ensure that their interests are put right--[Interruption.] I will come on to Labour's record, but I warn Government Members that it may not paint the last 13 years in a good light.
Date: 2023-04-25
Jim McMahon: I will make some progress. This is an environmental hazard, a health hazard and an economic hazard. The full scale of the billions of pounds that the Tory sewage scandal is costing our businesses and local economies is still not fully known. Why? Because the Government will not undertake an economic assessment of the impact of sewage dumping. What do they have to hide? [Interruption.] Members will like this bit--hang on. While the Secretary of State has been on taxpayer-funded jollies to Brazil, Canada, Egypt, France, Japan, Panama and the US, as shadow Environment Secretary, I have travelled to every corner of the country to hear first-hand about the impact of the Tory sewage scandal. While she has been in duty free, I have been here on duty--that's the difference--[Interruption.] There's more, hold on. You're in for a bumpy ride. The next three hours will not be like first class, I can tell you that much. I have met businesses that have been forced to pull down the shutters when sewage alerts drive people away from beaches. I have met people in Hastings who are suffering the effects of having contracted hepatitis and Weil's disease just because they encountered sewage in the open waters. I have met community groups such as that self-organising, fundraising and monitoring the water quality in the River Kent. They are saying to the Government that enough is enough. I heard the same things in Oxford and when I met Surfers Against Sewage in Cornwall.
Date: 2023-04-25
Jim McMahon: I am very happy to look into that point. As a matter of course, we always ensure when visiting the constituents of Conservative MPs that as a matter of respect we inform the local MP. I would love nothing more than for a Conservative MP to attend those visits and explain their voting record to their constituents. I know that Helena Dollimore, the Labour and Co-operative candidate, was very much made aware, so I will follow that up and ensure, if it did happen, that it does not happen again. Earlier this week, I met environmental groups from across the country to hear about the impact that the Tory sewage scandal is having on their communities. They stand proud of their communities, but they are equally angry, and they are right to be angry. Only this weekend, we celebrated St George's Day and spoke about what makes England so special, and what makes it a green and pleasant land. For example, the brilliant Lake Windermere, England largest lake, formed 13,000 years ago from the melting ice, is a world heritage site and attracts 16 million visitors every year. What William Wordsworth once described as: "A universe of Nature's fairest forms" is now dying at the hands of this complicit Government. One member from the Save Windermere campaign told us that, due to the constant pollution, a whole five-mile stretch of the lake has been turned bright green because of excessive pollutants being dumped in it. Even the glorious Lake Windermere is not off bounds. The fantastic coastline of Cornwall draws in millions of visitors and is a magnet for surfers--surfers who face the prospect of becoming ill simply by going out in the water. There are campaigners for the River Ilkley, in self-styled God's own country, Yorkshire.
Date: 2023-04-25
Mike Amesbury: I thank my hon. Friend for giving way. My constituency is named after the River Weaver, which is at the heart of our community. We have the River Mersey as well. Some 19,000 hours' worth of raw sewage has been discharged into those rivers. I thank the shadow Secretary of State for giving the whole House the opportunity to stand up for our local rivers, waterways and beaches. I encourage Members from across the House to join us in voting for the motion today.
Date: 2023-04-25
Jim McMahon: That is exactly what this debate is about: MPs who care about the places they represent standing up for what is right, instead of making excuses for 13 failed years in government. That is exactly why Members are sent to this House, and others could take note. What we have seen is that there is no respect for our country, there is no respect for our values, there is no respect for our history and there is no respect for our future. What is more, there is no respect for the working people who make this country what it is. What was the Secretary of State's response when this issue was first raised? First, she told Parliament that meeting water companies was not her priority, passing the buck to her junior Minister; then she broke the Government's own legal deadline for publishing water quality targets; and then she announced, repeatedly, that she would kick the can down the road on cleaning up our waterways. Since then, we have had three panic-stricken announcements of the Secretary of State's so-called plan, each one nothing new but a copy and paste of what went before. We know the Tories do not have a plan. At best, they have a recycled press release. That is the difference. I give way to the Chair of the Environment, Food and Rural Affairs Committee.
Date: 2023-04-25
Robert Goodwill: I do not think anyone would argue that we do not need to invest more in better water quality. More parts of the country need to see schemes such as the new water treatment works in Scarborough and the 4 million litre storm water tank, also in Scarborough. What we need to debate is timescale and affordability. Does the hon.  Member think that it is slightly ironic that, when even the most modest prediction is that his proposals would put PS1,000 on the average water bill, the second debate this afternoon is on the cost of living increases?
Date: 2023-04-25
Jim McMahon: Honestly, I am staggered. I say that with respect to the Chair of the EFRA Committee. Our figures are based on the Government's figures, and I am happy to put them in the House of Commons Library. DEFRA's own figures put a cost on Labour's plan and, let me tell him, the lowest estimate is 10% of what has been taken out in dividends. Those are not our figures; they are the Government's own figures. If the Environment Secretary has not read her own assessment of ending the Tory sewage scandal, it will be in the Library at the end of the debate; Members can read it for themselves. This is her day job, right? She is meant to understand the data her Department produces and form a plan behind that. I am sorry that my expectations were obviously too high. [Interruption.] Members will enjoy the next bit. Let us not forget the Environment Secretary's first spell in DEFRA. In her three years as water Minister, she slashed the Environment Agency's enforcement budget. Its ability to tackle pollution at source was cut by a third, resources to hold water companies to account were snatched away and there was literally the opening of the floodgates that allowed sewage dumping to take place. What have been the consequences? There has been a doubling of sewage discharges: a total of 321 years' worth of sewage dumping, all on her watch and straight to her door. She said that getting a grip of the sewage scandal was not a priority, but something for other people to sort out. What she really meant was that it was not politically advisable, because her own record spoke for itself. I have a simple question: how can she defend the interests of the country when so implicated in destroying it? The public are not stupid. They see this issue for exactly what it is: the Tory sewage scandal.
Date: 2023-04-25
Jim McMahon: I have already given way once. Let me make some progress. Last week, Labour published analysis of Environment Agency and Top of the Poops data which showed that in 2022, Tory Ministers--this is the Cabinet, the highest seat in government--allowed 7,500 days' worth of raw human sewage to be dumped in their constituencies. The data showed that there is a sewage dump taking place every 22 minutes in their own backyard. That Tory Cabinet Ministers are willing to allow that to happen to their own constituents really speaks volumes. In Suffolk Coastal, a constituency that may be familiar to the Environment Secretary, there were 426 sewage dumps last year. In the Chancellor's constituency, there were 242. In the Prime Minister's Richmond, Yorks constituency--proof that this goes all the way to the top--there were 3,500 sewage dumps.
Date: 2023-04-25
Jim McMahon: Thank you, Mr Speaker. The hon. Lady will know that her own constituency has had nearly 2,000 sewage dumps. If she wants to defend that record to her constituents, then so be it--fine. But if she does not want to remind her constituents, I can guarantee this: the Labour candidate will. That is what this debate is about and why Members are so exercised, let us be honest. Are Members exercised because our rivers, lakes and seas are being dumped on, or are they exercised because they have now realised that they might have to face the consequences of that dumping? That is what the excitement is about.
Date: 2023-04-25
Jim McMahon: I am going to make some progress. The Government will blame everybody: the Victorians, devolved Administrations, home drainage, housebuilders, people flushing items down the loo. Now, it is true that this issue has to be faced on multiple fronts, but there is one common theme that has run throughout the Secretary of State's period in office. What is it? They never take responsibility; it is always somebody else's fault; it is never at the door of the Government. Let me be clear: the levers of power were always there to be pulled. The truth is that the Government did not even lift a finger to try and that is why we are in this situation today.
Date: 2023-04-25
Conor McGinn: One hundred years ago in St Helens we had chemical factories, coalmines, glassworks and no environmental regulations, but with 835 sanctioned spills in 2022, pollution in our rivers and waterways is arguably worse now than it was then. Does my hon. Friend share the frustrations of the volunteers who look after the Sankey canal and valley, and engage in activities such as litter picks, that no matter how much rubbish they get from the towpath, there is 10 times more going into the canal itself?