Amendments proposed to the Health Bill [Lords] - continued House of Commons

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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

107

Clause     4,     page     7,     line     26,     at end insert—

    '( ) Where a Primary Care Trust informs the Health Authority that the level of remuneration will result in new restrictions on the availability of drugs, the Health Authority shall be under a duty to inform the Secretary of State who shall publish annually a full list of all such new restrictions.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

122

Clause     4,     page     7,     line     35,     at end insert—

    '(3) Where in any financial year any Primary Care Trust to which such remuneration has been apportioned under sub-paragraph (1) above notifies the health authority in writing that the level of such apportionment is inadequate to maintain that Primary Care Trust's existing prescribing policies and practices, the health authority shall within 30 days publish a reply setting out advice to the Primary Care Trust on modifications to existing prescribing practices and policies which will, in the opinion of the health authority, be sustainable within the remuneration apportioned to the Primary Care Trust.'.


   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

108

Clause     5,     page     8,     line     38,     after 'services', insert 'or such other health care services or services ancillary to health care services as it sees fit'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

123

Clause     5,     page     8,     line     42,     leave out 'any terms it thinks fit' and insert 'terms which are reasonable and appropriate, having regard to all the circumstances, and which do not unreasonably disadvantage other suppliers of such services within the vicinity'.

   

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.'.

   

Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Sir Robert Smith

118

Clause     5,     page     9,     line     20,     at end add—

' "Inspection of premises by community health councils.18B. Community health councils may enter and inspect any relevant primary health care trust premises at such times and subject to such conditions as may be agreed between the council and the trust, or in default of such agreements, as may be determined by the Secretary of State.".'.


   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

124

Clause     6,     page     9,     line     23,     at end insert ', provided that no person shall serve as a trustee of more than one Primary Care Trust at the same time'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

109

Clause     6,     page     9,     line     34,     after 'appointment', insert 'provided that such provision complies with the requirements on openness and accountability as set out by the Independent Commissioner for Public Appointments.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

126

Clause     6,     page     10,     line     4,     at end add—

    '(5) It is the duty of the Secretary of State to ensure that vacancies in Primary Care Trusts are filled in a timely manner, and that the functions of Primary Care Trusts are not compromised by the existence of vacancies.'


   

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.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

7

Clause     7,     page     10,     line     13,     at end insert—

    '(3CC) The Secretary of State shall submit a report at least once a year to the Health Select Committee of the House of Commons regarding any increases made under subsection (3C) above.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

110

Clause     7,     page     10,     leave out lines 20 to 31.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

125

Clause     7,     page     10,     line     31,     at end insert ', and the Secretary of State shall within 30 days of any such decision cause to be published in any local newspaper circulating within the area covered by the health authority a notice of that decision and details of the amounts involved'.


   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

120

Clause     8,     page     10,     line     40,     leave out 'may' and insert 'shall'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

119

Clause     8,     page     10,     line     44,     leave out 'may' and insert 'shall'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

121

Clause     8,     page     11,     line     9,     at end insert—

    '(2A) The Secretary of State shall make arrangements to secure the availability of indemnity cover complying with the requirements of this section on such terms as the Secretary of State thinks reasonable and proper to any Part II practitioner prescribed in regulations made under subsection (1) above who informs the Secretary of State in writing that he is unable to obtain such cover.'

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

111

Clause     8,     page     11,     line     27,     after 'services', insert 'at a time when such insurance was in force'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

127

Clause     8,     page     11,     line     46,     leave out 'may' and insert 'shall'.


   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

130

Clause     9,     page     13,     line     40     after 'of', insert 'each of'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

112

Clause     9,     page     14,     line     25,     leave out 'may be determined from time to time,' and insert 'shall be revised annually,'.


   

Mr John Denham

87

Clause     10,     page     16,     line     7,     at end insert—

            '( ) The Secretary of State may direct a Special Health Authority to exercise any functions of a Health Authority or a Primary Care Trust which are specified in the directions.'.

   

Mr John Denham

88

Clause     10,     page     16,     line     8,     after 'specified' insert 'in directions under this section'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

131

Clause     10,     page     16,     line     18     at end insert 'except that, in respect of the National Institute for Clinical Excellence, the Secretary of State may not give directions which have the effect of prescribing or prejudging the conclusions of the Institute in any particular enquiry.'.

   

Mr John Denham

89

Clause     10,     page     16,     leave out lines 19 to 23.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

114

Clause     10,     page     16,     line     23,     leave out 'specialist'

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

113

Clause     10,     page     16,     line     23,     at end insert 'where that body reasonably determines that the patient will benefit from such a referral'.

   

Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow

51

Clause     10,     page     16,     line     23,     at end insert—

    '(3A) The power conferred by subsection (1) above shall be exercised so as to require the employment as specialists of only those who are appointed to a consultant post under the National Health Service (Appointment of Consultants) Regulations or who are responsible to a named consultant employed by that body.'.

   

Mr John Denham

90

Clause     10,     page     17,     line     33,     leave out '11'.

   

Mr John Denham

91

Clause     10,     page     17,     line     40,     leave out '11'.

   

Mr John Denham

92

Clause     10,     page     18,     line     1,     leave out ' "17" there is substituted "17B' and insert ' "11 to 17" there is substituted "16 to 17B'.


   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

115

Clause     12,     page     19,     line     10,     leave out 'to any significant extent interfere with the' and insert 'substantially interfere with the fundamental'.

 
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Prepared 27 Apr 1999