Select Committee on European Legislation Eleventh Report


FREE MOVEMENT OF DOCTORS

13. We consider that the following raises questions of political importance, but make no recommendation for its further consideration at this stage:-

DEPARTMENT OF HEALTH

(17783) 12949/96 COM(96)638 Commission Opinion on the European Parliament's amendments to the Council's Common Position on the draft Directive to amend Directive 93/16/EEC to facilitate the free movement of doctors and the mutual recognition of their qualifications, and conferring implementing power on the Commission for the updating of certain articles thereof.

Legal base: Articles 49, 57(1) and (2) first and third sentences; co-decision; qualified majority voting.

Introduction

    13.1  The "Doctors Directive", adopted in April 1993, is a consolidation of a number of Directives adopted between 1975 and 1990, all of which were concerned with the mutual recognition of medical qualifications and the co-ordination of medical training by the setting of minimum requirements. This proposal is to delegate to the Commission power to make certain amendments to the Directive by the comitology procedure. These include changing the list of specialties and the minimum length of specialist training. A Common Position[43] was adopted by the Council on 17 June 1996 and in October the European Parliament proposed four amendments to it.

The document

    13.2  The Commission did not accept the four amendments. In its Opinion it says that it rejected:

      --   Amendments 1 and 4 because it was persuaded by the Council that the stronger regulatory committee framework was necessary because changes to the length of training courses had not only financial but also public health implications;

      --   amendment 2 because it feels that it would create ambiguity about the jurisdiction of the Advisory Committee on Medical Training (ACMT);

      --   amendment 3 because it is totally unconnected with the proposal.

    13.3  In his Explanatory Memorandum (dated 21 January) the Minister for Health (Mr Malone) says that a meeting was held in Brussels on 10 January of the Working Party on Economic Questions (Establishment and Services) "Doctors" to prepare for the Conciliation process.

    13.4  The Working Party agreed that:

      --   for the proposed amendments 1 and 4, the starting point for conciliation should be the common position;

      --   for the proposed amendment 2, it was difficult to see the point of including a reference to ACMT, but it was not entirely ruled out;

      --   for the proposed amendment 3, there was unanimous agreement to reject the inclusion of a recital dealing with third country medical qualifications.

The Government's view

    13.5  The Government supported the Common Position. In his EM the Minister repeats verbatim points which he made in February 1996. He points out, however, that the UK wants any amendments to the minimum period of training for specialities to be subject to a Regulatory Committee (Type IIIa) which gives greater control to Member States. The UK, like many Member States, he says, depends on trainee specialists for the delivery of health services.

Conclusion

    13.6  We ask the Minister to inform us in the usual way of the outcome of Conciliation. In the meantime, we are not clearing the proposal.

43  (16867) 4247/96; see HC 51-xiv (1996-96), paragraph 13 (27 March 1996). Back


 


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Prepared 7 February 1997