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S.C.A.
Amendment Paper as at
Thursday 13th May 1999
STANDING COMMITTEE A
HEALTH BILL [LORDS]
NOTE
The Amendments have been arranged in accordance with the Order of the Committee [22nd April], as follows:—
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.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
205
Schedule 2, page 75, line 2, leave out 'Commission to carry' and insert: 'Secretary of State to ensure that the Commission carries'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
206
Schedule 2, page 75, line 8, at end insert—
'( ) a member appointed by the Secretary of State who appears to the Secretary of State to be qualified to make the interests of patients his special concern.'.
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
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
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.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
207
Schedule 2, page 75, line 24, at end insert—
'(e) restrictions upon the political activity of the chairman and other members of the Commission.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
208
Schedule 2, page 75, line 38, at end insert—
'(5) The Commission shall have right of appeal to the NHS Tribunal in respect of a determination made by the Secretary of State under this paragraph.'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
209
Schedule 2, page 75, line 47, after 'appointed', insert 'for a period of one calendar year'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
210
Schedule 2, page 76, line 12, at end insert ', or by any other body or individual the Commission thinks fit.'
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
211
Schedule 2, page 76, line 14, after 'persons', insert 'or bodies'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
212
Schedule 2, page 76, line 17, after 'persons', insert 'or bodies'.
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
213
Schedule 2, page 76, line 31, leave out 'sub paragraph (3)' and insert 'subparagraphs (3) and (4).'
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond
214
Schedule 2, page 77, line 12, leave out 'As soon as possible' and insert 'Within a period not exceeding 90 days'.
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.'.
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
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.'.
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.'.
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