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

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Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

129

Page     19,     line     32     [Clause 12],     at end insert—

    '(4) The Secretary of State may direct NHS Trusts to establish that number of consultant posts assessed as being needed in order to deliver a consultant-based service.

    (5) In pursuance of subsection (4) above the Secretary of State may establish the appropriate mechanism to ensure that agreement is reached centrally on the relationship between the number of junior staff in training and the number of consultants required.'.

   

Mr Secretary Dobson

104

Page     19,     line     44     [Clause     12],     leave out '45(2) or (3)' and insert '45(1C) to (4)'.


   

Mr Secretary Dobson

17

Page     20,     line     6     [Clause     12],     at end insert—

    'or a function referred to in section 28EE(1)(a) to (d) below'.


   

Mr Paddy Ashdown
Mr A J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler

2

Page     21,     line     14     [Clause     13],     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.'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

130

Page     21,     line     14     [Clause 13],     at end insert—

    '(6A) 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 establishment of an occupational health service.'.

   

Mr Secretary Dobson

18

Page     21,     line     43     [Clause     13],     at end insert—

    '( ) In paragraph 16(2) of that Schedule (general powers of NHS trusts), for "which is owned and managed" there is substituted "at or from which services are provided".'.


   

Mr Secretary Dobson

19

Page     22,     line     7     [Clause     14],     leave out from beginning to 'be' in line 9 and insert—

    'For section 5(9) of the 1990 Act (restrictions on exercise of certain powers) there is substituted—

            "(9) A power conferred by paragraph 14 or 15 of Part II of Schedule 2 to this Act may only".'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

131

Page     22,     line     14     [Clause 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 William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

132

Page     23,     line     6     [Clause 16],     at end insert—

    '(4A) The Secretary of State shall publish details of such determinations in full annually.'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

133

Page     23,     line     6     [Clause     16],     at end insert—

    '(4A) Any loan authorised by the Secretary of State may not be used by a Trust for the compulsory purchase of any building owned by any provider of general medical services.'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

134

Page     23,     line     18     [Clause     17],     at end insert—

    '(6A) It shall be the duty of the Secretary of State to ensure that the terms of any loans made to any NHS Trust take account of the ability of that NHS Trust to meet such repayments as he determines without detriment to the delivery of health services'.

   

Mr Paddy Ashdown
Mr A. J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler

89

Page     23,     line     20     [Clause     18],     leave out 'Primary Care Trust, and each NHS Trust' and insert 'Health Authority, Primary Care Trust, and NHS Trust.'.

   

Mr Paddy Ashdown
Mr A. J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler

90

Page     23,     line     20     [Clause     18],     after 'trust', insert 'each Health Authority, each Primary Care Trust, and other commissioners of tertiary services.'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

135

Page     23,     line     21     [Clause     18],     after 'arrangements', insert ', including identifying adequate resources,'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Anne Widdecombe
Mr Alan Duncan
Mr Philip Hammond

137

Page     23,     line     23     [Clause     18],     at end insert—

    '(1A) The Secretary of State shall publish annually a report on the progress made in achieving the duty imposed in subsection (1) above.'.

   

Mr Paddy Ashdown
Mr A. J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler

83

Page     23,     line     23     [Clause     18],     at end insert 'with due regard to the principle that there shoud be no discrimination on the basis of age, race, sex and sexual orientation, except where clinically justified.'.

   

Mr Paddy Ashdown
Mr A. J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler

80

Page     23,     line     23     [Clause     18],     at end insert—

    '(1A) The reference in subsection (1) to monitoring includes the monitoring by ethnic origin of individuals receiving health care.'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

136

Page     23,     line     23     [Clause     18],     at end insert—

    '(1A) It is the duty of the Secretary of State to ensure that adequate 'identified resources are available to meet this duty.'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

180

Page     23,     line     23     [Clause     18],     at end insert—

    '(1A) It is the duty of each Health Authority, PCT and NHS trust to put and keep in place arrangements for ensuring the safety and health of staff and patients.

    (1B) In pursuance of the duty defined in subsection (1A) above each body shall prepare, publish and implement a plan to reduce to a safe level the hours worked by doctors in training grades and shall review the implementation of that plan annually and publish the result of that review.'.

   

Mr Secretary Dobson

20

Page     23,     line     36     [Clause     19],     leave out 'section 20' and insert 'sections 20 to 22'.


   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

172

Page     24,     line     6     [Clause     20],     at end insert—

      '(c) the function of assessing equality of access to treatment within the NHS of persons of different race, gender and age, of reporting on any such inequalities which it considers inappropriate and of making recommendations for their elimination.'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

173

Page     24,     line     14     [Clause     20],     at end insert—

      '( ) the function of reviewing and reporting on the implementation of recommendations of the National Institute for Clinical Excellence by NHS bodies or service providers and of assessing and reporting on the effects on availability of services of such implementation.'.

   

Mr Paddy Ashdown
Mr A. J. Beith
Mr Simon Hughes
Dr Evan Harris
Mr Paul Burstow
Mr Paul Tyler

81

Page     24,     line     18     [Clause     20],     at end insert—

    '(1A) Appropriate arrangements 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.'.

   

Mr Secretary Dobson

21

Page     24,     line     37     [Clause     20],     leave out subsection (5).


   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

139

Page     28,     line     26     [Clause     24],     after 'lifetime', insert 'or within 30 years after the recorded death'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

140

Page     28,     line     34     [Clause     24],     after 'lifetime', insert 'or within 30 years after the recorded death'.


   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

174

Page     30,     line     25     [Clause     26],     at beginning insert '(1)'.

   

Mr William Hague
Mr Peter Lilley
Mr James Arbuthnot
Miss Ann Widdecombe
Mr Alan Duncan
Mr Philip Hammond

106

Page     30,     line     27,     [Clause     26],     at end insert—

    '(2) It is the duty of Health Authorities, Special Health Authorities, Primary Care Trusts, NHS Trust, and the Secrectary of State to seek, wherever appropriate in the interests of patient care, to work in partnership with non-NHS health care bodies in exercising their functions.'.

 
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©Parliamentary copyright 1998
Prepared 14 Jun 1999