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

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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 trustee 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'.

   

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

146

Clause     7,     page     10,     line     31,     at end insert:—

    '(3G) Where the Secretary of State reduces the allotment to any health authority, he shall publish details of the reasons for the reduction.'.


   

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'.

   

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

143

Clause     10,     page     16,     line     13,     after 'functions', insert ', and shall give directions to these bodies setting out the arrangements they must make to secure continuous improvement in the way in which their functions are exercised, having regard to a combination of economy, efficiency and effectiveness.'.

   

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

149

*Clause     11,     page     18,     line     12,     after 'provide', insert 'or commission the provision of'.

   

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

145

Clause     11,     page     18,     line     14,     at end insert—

    '(6B) The functions which shall be specified in an Order under subsection (1) above include a duty to comply with any direction the Secretary of State may make in respect of the introduction of an occupational health service.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

150

*Clause     11,     page     18,     line     43,     after 'provide', insert 'or commission'.


   

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'.

   

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

147

Clause     12,     page     19,     line     11,     leave out from first 'the' to 'and' in line 12 and insert 'provision of services to NHS patients by the NHS trust or by any other health service body, and'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

151

*Clause     12,     page     19,     line     14,     at end insert—

      '(c) with regard to any regulations which may be imposed by the Secretary of State regarding co-operation with other providers of health care.'.

   

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

148

Clause     12,     page     19,     line     14,     at end insert—

    '(9A) The Secretary of State, in deciding whether to give his consent under paragraph (b) of subsection (9) above, shall have particular regard to the effect of giving such consent on the exercise of his own power under section 7 (2) and (8) of the Health and Medicines Act 1988'.


   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

116

Clause     14,     page     20,     line     6,     at end insert 'and The Secretary of State shall publish full details of such determinations annually'.


   

Mr Michael Fabricant

134

Clause     16,     page     20,     line     22,     leave out from 'improving' to end of line and insert—

      '(a) the quality of health care which it provides to individuals, and

      (b) the cost-effectiveness of care as against the provision of preventative medicines and treatments.'.

   

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

139

Clause     16,     page     20,     line     22,     at end insert 'in accordance with the principle that there should be no discrimination on the basis of age, race, sex and sexual orientation except where clinically justified.'.

 
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Prepared 4 May 1999