NOTICES OF AMENDMENTS
given up to and including
Thursday 10th June 1999
New Amendments handed in are marked thus *
CONSIDERATION OF BILL
HEALTH BILL [LORDS], AS AMENDED
NEW CLAUSES
English and Scottish border provisions
Mr Secretary Dobson
NC18
To move the following Clause:—
'.—(1) Her Majesty may by Order in Council provide for any functions to which subsection (2) applies which are specified in the Order, so far as exercisable in respect of the provision of services to persons in English border areas, to be exercisable (instead of any corresponding function to which subsection (4) applies) in respect of the provision of the services in question to persons in Scottish border areas who are specified in the Order.
(2) This subsection applies to any functions under the 1977 Act, or Part I of the National Health Service (Primary Care) Act 1997, which are exercisable by the Secretary of State or any Health Authority or Primary Care Trust.
(3) Her Majesty may by Order in Council provide for any functions to which subsection (4) applies which are specified in the Order, so far as exercisable in respect of the provision of services to persons in Scottish border areas, to be exercisable (instead of any corresponding function to which subsection (2) applies) in respect of the provision of the services in question to persons in English border areas who are specified in the Order.
(4) This subsection applies to any functions under the 1978 Act, or Part I of the National Health Service (Primary Care) Act 1997, which are exercisable by the Scottish Ministers or any Health Board or NHS trust established under the 1978 Act.
(5) In this section—
"English border area" means the area of any Health Authority adjacent to Scotland,
"Scottish border area" means the area of any Health Board adjacent to England.'.
Criteria for appraisals by the National Institute for Clinical Excellence
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC4
To move the following Clause:—
'The Special Health Authority known as the National Institute for Clinical Excellence shall make its appraisals of different treatments and clinical interventions on the basis of clinical efficacy or relative cost-effectiveness compared with alternative treatments or clinical interventions for the same symptoms, but not on the basis of their affordability in relation to the funds available to the National Health Service.'.
Independent advisory body for public/private partnership schemes in the NHS
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC5
To move the following Clause:—
'( ) The Secretary of State shall establish an independent advisory body to appraise current and future public/private partnership schemes in the NHS.'.
Special Constables
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC6
To move the following Clause:—
'( ) The Secretary of State may establish procedures to allow for joint working arrangements between NHS trusts and local police forces to assist in securing the safety of NHS staff and patients.'.
Independent Review of the incidence of discrimination within the NHS
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC7
To move the following Clause:—
'( ) The Secretary of State shall appoint an independent review to assess the extent of and make recommendations to end, discrimination by the NHS on the grounds of age, disability, race, sex and sexual orientation in its capacity as;
(b) a provider of health services.'.
Health Care and Energy Efficiency Schemes
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC8
To move the following Clause:—
'(1) It shall be the duty of every Health Authority and Health Board to prepare, and to consider at least once a year, a report on
of setting up and funding a health care and efficiency scheme in their area, and every report shall specify those measures that the Authority or Board consider should be taken in order to alleviate fuel poverty in its area.
(2) In subsection (1)—
"fuel poverty" means the inability to afford adequate warmth because of the inadequate energy efficiency of a home;
"health care and efficiency scheme" means a scheme for enabling or assisting persons suffering from fuel poverty to heat their homes more efficiently.'.
Report on current and future human resources in the Health Service
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC9
To move the following Clause:—
'( ) The Secretary of State shall lay before Parliament annually from the year 2000 a report on the numbers, by profession and specialty, of those persons—
(a) training in the NHS; and
and the number of vacancies, by profession and specialty, of those persons.'.
Disclosure of information
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC10
To move the following Clause:—
'( ) The clinical duty to disclose information regarding the current and past treatment of persons under the age of 18 shall be extended, in the case of their death, to those who were legally responsible for them prior to their death.'.
Right to a second opinion on diagnosis or treatment by general practitioners
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC11
To move the following Clause:—
'( ) Each patient of a general practitioner shall have the right to a second opinion on his diagnosis or proposed treatment from a general practitioner in another practice approved by the Health Authority for the area in which the patient resides.'.
Right to a second opinion on hospital treatment
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC12
To move the following Clause:—
'( ) All patients admitted into NHS Trust hospitals shall—
(a) be supplied with the name of the consultant ultimately responsible for their care, and;
(b) have the right to a second opinion if they or their legal guardian raises concerns about the nursing, medical or surgical treatment which they are receiving or which is proposed for them.'.
Health and Safety of NHS doctors
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC13
To move the following Clause:—
'In paragraph 6(2) of schedule 2 of the National Health Service and Community Care Act, 1990, after subparagraph (f), there is inserted—
"(g) a duty to implement safe working patterns for all doctors in the training grades, including—
(i) abiding by nationally agreed maximum average hours of duty, and minimum periods of rest between duty periods and continuous periods off duty, and
(ii) allowing sufficient time for appropriate training, formal education and study.".'
National Institute for Clinical Excellence (duties and consultation with public)
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC14
To move the following Clause:—
'.—(1) The Special Health Authority known as the National Institutute for Clinical Excellence (the "Authority") shall meet in public.
(2) The Authority shall publish annually a report on its activities during the preceding calendar year which the Secretary of State shall lay before Parliament.
(3) The Secretary of State shall establish a public consultative committee in relation to the Authority, which shall have the duty of advising the Authority on the public's view on the priority to be accorded to different treatments and clinical interventions within the NHS.
(4) The constitution and membership of the committee mentioned in subsection (3) shall be such as the Secretary of State may determine in Regulations.'.
Secretary of State to report on and monitor the commissioning of specialised services
Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler
NC15
To move the following Clause:—
'.—(1) The Secretary of State shall lay before each House of Parliament annually a general report of his functions relating to the commissioning of specialised services and the monitoring of such arrangements.
(2) In this section, "specialised services" means services which the Secretary of State has identified, through guidance or other means, as services which require to be commissioned by two or more Health Authorities (or Primary Care Trusts), or by the Secretary of State through the National Specialist Commissioning Advisory Group.'.
