| Amendments proposed to the Health Bill [Lords], As Amended - continued | House of Commons |
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Report on cost-effectiveness of NHS health provision
Mr William Hague NC 27 *To move the following Clause:—'(1) The Secretary of State shall, within twelve months of the day on which this Act is passed, introduce a scheme for evaluating on a systematic basis the cost-effectiveness of all services provided by NHS bodies against the cost-effectiveness of purchasing such services from non-NHS providers, with the purpose of ensuring that the NHS is achieving optimum value in provision and procurement. (2) The Secretary of State shall lay an annual report before Parliament detailing the findings of the evaluation referred to in (1) above.'.
Regulation of doctors' working hours
Mr William Hague NC28 *To move the following Clause:—'The Secretary of State shall, in each year prior to 31st March make regulations which shall have effect from the following 1st January for a period of twelve months, laying down:—
(a) working hours, and (b) on call hours that may be worked by hospital doctors in the training grades
(a) working hours, and (b) on-call hours that may be worked by hospital Consultants
Mergers of PCTs
Mr William Hague NC29 *To move the following Clause:—'No Order merging the functions of two or more Primary Care Trusts may be made until—
Mr William Hague Mr Peter Lilley Mr James Arbuthnot Miss Ann Widdecombe Mr Alan Duncan
Mr Philip Hammond 107 *Page 1, line 10 [Clause 1], at end insert 'from 1 April 2000.'.
Mr William Hague 108 *Page 1, line 10 [Clause 1] at end insert—'( ) The Secretary of State shall establish an independent review body to investigate and report on the extent to which services that were available prior to 1st April 1999 ceased to be available as result of the abolition of general practitionery fund holding.'.
Mr William Hague 109 *Page 1, line 14 [Clause 2], leave out 'The Secretary of State may' and insert 'following a written request approved by more than half of the relevant providers of general medical services on the medical list of the relevant Health Authority the Secretary of State may start proceedings to'.
Mr William Hague 111 *Page 2, line 4 [Clause 2], at end insert—'(2A) No order shall be made under section (2) above until the Secretary of State is satisfied that there has been:
Mr William Hague 112 *Page 2, line 7 [Clause 2], at end insert—'(3A) Any change to the boundaries of any established Primary Care Trust after the establishment of a PCT Order shall only occur after consultation with all Primary Care Trusts concerned.'.
Mr William Hague 181 *Page 2, line 13, [Clause 2], after 'establishes', insert 'or merges'.
Mr William Hague 110 *Page 2, line 13 [Clause 2], at end insert—'(5A) In this section "relevant provider of General Medical Services" means "providers of such services who are within the area of the proposed PCT.".
Mr Paddy Ashdown 78 *Page 2, line 20 [Clause 2], at end insert—'(1A) Appropriate arrangements shall be made with a view to securing that a Primary Care Trust's functions are exercised with due regard to the principle that there should be no discrimination on the basis of age, race, sex and sexual orientation, except where clinically justifiable.'.
Mr Paddy Ashdown 85 *Page 2, line 44 [Clause 2], at end insert—'16C—(1) Where PCT orders are made for areas covering the whole area of a Health Authority, the Health Authority shall after consultation with the relevant local authority or local authorities publish proposals for the merger of its remaining functions with the relevant local authority or authorities. (2) Upon approval by the Secretary of State of such proposals, the relevant local authority or authorities shall exercise all the functions of the Health Authority under this Act, the National Health Service and Community Care Act 1990 or under or by virtue of any prescribed provision of any other Act as if it were a Health Authority.'.
Mr William Hague 122 *Page 3, line 9 [Clause 3], at end insert ', including an identified minimum sum to meet the need for investment in primary care infrastructure.'.
Mr William Hague 121 *Page 4, line 4 [Clause 3], at end insert ', provided that such directions do not have the consequence of reducing the availability of health care services to patients covered by that Primary Care Trust.'.
Mr William Hague 176 *Page 4, line 4 [Clause 3], at end insert 'and he shall be responsible for setting out the clinical priorities of that Trust should he issue such directions.'.
Mr Paddy Ashdown 84 *Page 4, line 4 [Clause 3], at end insert—'(2A) The Primary Care Trust shall present to the Secretary of State an annual account of services that they provide themselves to their own patients, whether formally commissioned or not, and the Secretary of State shall have a duty to audit any agreement in respect of such services to ensure value for money.'.
Mr William Hague 123 *Page 4, line 43 [Clause 3], at end insert—'(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.'.
Mr William Hague 124 *Page 7, line 26 [Clause 4], at end insert—'(1A) Where any Primary Care Trust informs a Health Authority that the level of remuneration will result in new restrictions on the availability of drugs or treatments, the Health Authority has a duty to advise the PCT on the appropriate restrictions to impose and to inform the Secretary of State, who shall publish annually a full list of all such new restrictions.'.
Mr Secretary Dobson 7 Page 8, line 32 [Clause 5], after 'services' insert '(including accommodation)'.
Mr William Hague 125 *Page 8, line 38 [Clause 5], after 'services', insert "or any other health care services it deems appropriate'.
Mr William Hague 166 *Page 8, line 42 [Clause 5] leave out 'it thinks fit' and insert 'which are reasonable and proper'.
Mr William Hague 170 *Page 8, line 42 [Clause 5], at end insert—'(3A) Any person providing general medical services, general dental services, general optical services or pharmaceutical services within a PCT area may, where he believes he is disadvantaged by any action of a PCT under the provisions of (3) above, appeal to the Secretary of State who shall determine whether the terms imposed by the PCT are such as to unreasonably disadvantage the appellant, and in the case of such a determination the Secretary of State by direction shall vary these terms as he sees fit.'.
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| ©Parliamentary copyright 1998 | Prepared 10 Jun 1999 |