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

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

173

Clause     16,     page     20,     line     22,     at end insert—

    '(1A) In exercising the duty of quality mentioned in subsection (1), each Primary Care Trust, and each NHS Trust shall consult universities and implement where necessary joint procedures for monitoring and improving the quality of health care provided.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

153

Clause     16,     page     20,     line     24,     at end insert 'commissions or'.


   

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

140

Clause     17,     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.'.

   

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

174

Clause     17,     page     20,     line     33,     at end insert—

    '(1A) The bodies to whom directions may be given by the Secretary of State under section 17(1) of the 1977 Act shall act upon the recommendations of the Commission for Health Improvement.

    (1B) The Commission for Health Improvement shall, except in exceptional circumstances, be guided by the relevant national service frameworks, the standards set by the National Institute for Clinical Excellence and other relevant national standards as regards best practice in clinical care and treatment.'.


   

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

164

Schedule     2,     page     75,     line     9,     at end insert ', at least three of whom shall be lay members representing all sections of the community, including older people.'.

   

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

163

Schedule     2,     page     75,     line     9,     at end insert ', including not fewer than two lay representatives.'.

   

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

165

Schedule     2,     page     75,     line     9,     at end insert 'who shall include members from professional and academic bodies, from organisations representing NHS managers and staff and lay members not drawn from such professional bodies and organisations.'.

   

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

166

Schedule     2,     page     75,     line     9,     at end insert ', a majority of whom shall be lay members.'.

   

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

167

Schedule     2,     page     75,     line     9,     at end insert—

    '4A. In making appointments under paragraph 4, the Secretary of State shall secure that a variety of expertise and experience is available among the members of the Commission (including experience related to the interests of patients and carers.)'.

   

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

184

Schedule     2,     page     75,     line     14,     at end insert 'having regard to the interests of key partners in the delivery of health care, including universities.'.

   

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

138

Schedule     2,     page     77,     line     14,     after 'year', insert ',such reports to include performance on equality of opportunity.'.

   

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

177

Schedule     2,     page     77,     line     14,     after 'year', insert 'and the Secretary of State shall publish the report'.

   

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

178

Schedule     2,     page     77,     line     17,     at end insert 'and he shall publish all such reports and information.'.

   

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

179

Schedule     2,     page     77,     line     17,     at end insert—

    '(2A) the Commission shall make and publish such other reports as it sees fit in relation to the exercise of its duties.'.


   

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

161

Clause     18,     page     20,     line     39,     after 'by', insert 'Health Authorities, Primary Care Groups, NHS Executive Regional Offices.'.

   

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

162

Clause     18,     page     21,     line     2,     after 'by', insert 'Health Authorities, Primary Care Groups, NHS Executive Regional Offices.'.

   

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

175

Clause     18,     page     21,     line     4,     at end insert ', giving due consideration to any concerns of the relevant Community Health Council.'.

   

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

176

Clause     18,     page     21,     line     12,     after 'responsibility,', insert ', and making any such reports available to the relevant Community Health Council.'.

   

Mr Michael Fabricant
Dr Evan Harris
Mr Paul Burstow

132

Clause     18,     page     21,     line     16,     at end insert ', and

      (f) the function of assessing and publishing the comparative cost-effectiveness of a range of common health care services, including, but not exclusively, medical and pharmaceutical interventions, preventative measures and smoking cessation services with the aim of improving the cost-effectiveness and value for money of the health care services provided by Health Authorities, Primary Care Trusts and NHS trusts.'.

   

Mr Michael Fabricant
Dr Evan Harris
Mr Paul Burstow

133

Clause     18,     page     21,     line     16,     at end insert ', and

      (g) the function of assessing the total cost of smoking-related illness to the NHS and providing guidance to Primary Care Trusts, Health Authorities and NHS trusts to enable them to assess the costs attributable to smoking-related illness falling on them; and such an assessment of costs must take account of the burden of disease attributable to both smoking and passive smoking.'.

   

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

137

Clause     18,     page     21,     line     16,     at end insert—

    '(1A) Appropriate arrangments shall be made with a view to securing that the functions of the Commission for Health Improvement are exercised with due regard to the principle that there should be equal opportunity for all people regardless of age, gender, race or sexual orientation.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

154

Clause     18,     page     21,     line     16,     at end insert—

    '(i) such functions of regulation and inspection that he considers appropriate under section 22 of this Act.'.

   

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

180

Clause     18,     page     21,     line     16,     at end insert—

      '(f) the function of directing the National Institute for Clinical Excellence as to the drugs, treatments, and technology to be submitted for its appraisal.'.

   

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

182

Clause     18,     page     21,     line     16,     at end insert—

      '(f) the function of carrying out investigations into, and making reports on, the management, provision or quality of healthcare provided by private health care institutions.'.

   

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

181

Clause     18,     page     21,     leave out line 25.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

10

Clause     18,     page     21,     leave out lines 26 to 28 and insert—

      '(e) as to the recovery from prescribed bodies of the direct expenditure incurred by the Commission only, but not that incurred by any bodies or individuals with which the Commission may work in conjunction.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

9

Clause     18,     page     21,     line     26,     leave out 'persons' and insert 'bodies'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

155

Clause     18,     page     21,     line     31,     at end insert—

    '(g) as to the exercise of functions under subsection (1)(e) above and Section 22 of this Act.'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

158

Clause     18,     page     21,     line     31     at end insert—

      '(g) as to the manner in which the functions mentioned in subsection (1)(e) above are to be exercised'.


   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

157

Clause     19,     page     22,     line     34,     leave out 'a living individual' and insert 'any individual whether living or dead'.

   

Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

156

Clause     19,     page     22,     line     41,     at end insert—

    '(     ) a period of thirty years has elapsed since the recorded death of the individual.'.

 
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Prepared 11 May 1999