S.C.A.
NOTICES OF AMENDMENTS
given up to and including
Friday 16th April 1999
New Amendments handed in are marked thus *
Mr John Denham
That, during proceedings on the Health Bill [Lords], the Committee do meet on Tuesdays at half-past Ten o'clock and at half-past Four o'clock and on Thursdays at Nine o'clock and at Two o'clock.
As an Amendment to Mr John Denham's proposed Motion:—
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
Line3,at end add ', except that the Committee shall not meet on Thursday 6th May and Thursday 10th June.'.
STANDING COMMITTEE A
HEALTH BILL [LORDS]
NOTE
The Amendments have been arranged in accordance with the Order to be proposed by Mr John Denham.
Mr John Denham
To move, That the Bill be considered in the following Order, namely, Clauses 1 and 2, Schedule 1, Clauses 3 to 17, Schedule 2, Clauses 18 to 39, Clause 54, Schedule 3, Clause 59, Clauses 40 to 53, Clauses 55 to 58, Schedules 4 and 5, Clauses 60 to 62, new Clauses and new Schedules.
As an Amendment to Mr John Denham's proposed Motion:—
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
Line2,leave out from 'Schedule 1' to end and insert 'Clause 22, Clauses 3 to 17, Schedule 2, Clauses 18 to 21, Clauses 23 to 39, any New Clauses which may be selected relating to Provision for Scotland, Clauses 40 to 54, Schedule 3, Clauses 55 to 59, Schedules 4 and 5, Clauses 60 to 62, remaining New Clauses and New Schedules.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
1
Clause 1, page 1, line 10, at end insert 'from 31st March 2000'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
48
Clause 1, page 1, line 10, at end insert—
'( ) The Secretary of State shall instruct all former fund-holding practices to provide to him a statement with their final set of fund-holding accounts of any services that have been withdrawn as a result of those practices ceasing to be fund-holding practices and the Secretary of State shall publish that information reported to him in full.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
49
*Clause 2, page 1, line 14, at beginning insert 'Subject to subsection (1A) below.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
43
Clause 2, page 2, line 2, after 'Act', insert 'by contracting the services of independent general practitioners or, exceptionally, where the Primary Care Trust can demonstrate to the Secretary of State's satisfaction that it is not practicable to do so, through the direct employment of general practitioners,'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
47
Clause 2, page 2, line 14, at end insert 'and any change to the boundaries of any established Primary Care Trust after the making of a PCT Order shall occur only after consultation with all Primary Care Trusts concerned.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
42
Clause 2, page 2, line 15, at end insert—
'(1A) Following a written request approved by more than half the providers of general medical services on the medical list of the relevant Health Authority who would be covered by the area proposed to be specified under subsection (3) below, the Secretary of State may start proceedings to establish a PCT for that area'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
46
Clause 2, page 2, line 19, leave out 'regulations must impose' and insert 'Secretary of State shall make regulations which impose such'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
2
Clause 2, page 2, line 22, at end insert—
'(7) The Secretary of State may by Order—
(a) grant any individual provider of general medical services leave to withdraw from any established Primary Care Trust;
(b) grant any individual provider of general medical services leave to withdraw from the direct budgetary control of a health authority, or sub-committee thereof.
(8) Any provider of general medical services given leave under subsection (7) above shall take on such powers, functions, and budget as may be directed by the Secretary of State.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
3
Clause 2, page 2, line 22, at end insert—
'(7) The Secretary of State shall appear at least once a year before the Health Select Committee of the House of Commons regarding all new PCT orders made during the preceding year.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
44
Clause 2, page 2, line 30, after 'Trust', insert ', with the consent of that Primary Care Trust'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
33
Schedule 1, page 69, line 5, at end insert—
'(d) individually appointed subject to a majority vote of all the members of the Primary Care Trust concerned.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
34
Schedule 1, page 69, line 5, at end insert—
'4A. The members of a Primary Care Trust shall not include—
(a) any person currently serving a term of office as a local authority representative, or
(b) any persons holding a contract of remuneration with any political party.'.
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
52
*Schedule 1, page 69, line 5, at end insert—
'(2) The number of persons referred to in sub-paragraph (1)(b) or (1)(c) above shall include a consultant in public health medicine.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
35
Schedule 1, page 69, line 38, after 'members', insert, 'unless the vacancy is for the post of chairman, and provided that the posts of not more than half the officer appointees are vacant,'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
36
Schedule 1, page 71, line 24, at end insert 'who shall be responsible for its publication.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
37
Schedule 1, page 71, line 27, at end insert ' , including details of all drugs, treatments, and other health care services which the Primary Care Trust has decided not to provide on the basis of cost.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
38
Schedule 1, page 71, line 27, at end insert ' , including details of the proportion of income spent on administration.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
39
Schedule 1, page 71, leave out lines 32 and 33 and insert—
'17. Every Primary Care Trust shall provide for the publication by the Secretary of State of—'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
40
Schedule 1, page 72, line 12, at end add 'and
'(c) has been approved by affirmative resolution of both Houses of Parliament.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
41
Schedule 1, page 74, line 34, at end add—
'27. For the purposes of this Act, "Primary Care Trust" means a body corporate, established by a PCT Order, which is responsible for commissioning health care services with added responsibility for the provision of community health services, and which is accountable to affected Health Authorities for the effective discharge of all its functions.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
45
Clause 3, page 3, line 5, at end insert ', including an identified minimum sum to meet the need for investment in primary care infrastructure.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
4
Clause 3, page 4, line 39, at end add—
'(9) The Secretary of State shall provide regular guidance to Primary Care Trusts regarding appropriate levels of expenditure on research and development, training, and tertiary services.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
5
Clause 5, page 8, line 47, at end insert—
'(4A) Charges may not be imposed by a Primary Care Trust in respect of accommodation, where that accommodation is made available for the purpose of providing NHS treatment.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
6
Clause 7, page 10, line 13, at end insert—
'(3CC) Such objectives shall not include Health Authority or NHS Trust performance targets with regards to waiting lists for surgery.'.
