Vote Bundle Text (990615-02)

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

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Relaxation of duty of clinical confidentiality in respect of patients under 18

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

NC20

To move the following Clause:—

'The duty of clinical confidentiality in relation to patients under the age of 18 shall not prevent the disclosure, in the case of the death of such a patient, of records, whether in documentary form or otherwise, relating to his treatment, to any person legally responsible for the deceased patient prior to his death.'.

Waiting times

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

NC21

To move the following Clause:—

'.—(1) The Secretary of State shall, by 31st March 2000, put in place such systems and procedures as he thinks fit for the monitoring, collection, and publication of—

(a) mean waiting times for first outpatient appointments, by major specialty,

(b) mean waiting times for admission to NHS hospitals, by major specialty.

(2) The Secretary of State shall be responsible for ensuring that publication under subsection (1) is made at least four times annually.

(3) The Secretary of State shall set and publish performance targets in relation to the mean waiting times mentioned in subsection (1) above.'.

Independent hospitals

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

NC22

To move the following Clause:—

'.—(1) The Secretary of State may by regulations—

(a) extend the duty in section 18,

(b) extend any or all of the functions of the Commission for Health Improvement as he sees fit, and

(c) Specify additional functions for the Commission for Health Improvements to be extended for the purposes of accreditation and further regulation to any independent hospital.

(2) In this section "independent hospital" means premises—

(a) within the meaning of "hospital" given by section 128(1) of the 1977 Act;

(b) which are not a health service hospital within the meaning of the 1977 Act nor any other premises maintained or controlled by a government department or local authority or any other authority or body instituted by special Act of Parliament or incorporated by Royal Charter; and

but excludes—

(i) any premises used, or intended to be used solely or predominantly, for the reception of and the provision of nursing for persons suffering from any sickness, injury or infirmity;

(ii) any sanatorium provided at a school or educational establishment and used, or intended to be used, solely by persons in attendance at, or members of the staff of, that school or establishment or members of their familities;

(iii) any first aid or treatment room provided at factory premises, at premises to which the Officers Shops and Railway Premises Act 1963 applies or at a sports ground, show ground, or place of public entertainment;

(iv) any premises used, or intended to be used, wholly or predominantly—

(b) by a dental practitioner or chiropodist for the purpose of treating his patients, or

unless they are used or intended to be used for the provision of treatment by specially controlled techniques as defined in section 21 of the Registered Homes Act 1984 and any regulations made thereunder,

(v) any premises used, or intended to be used, wholly or mainly as a private dwelling; or

(vi) any other premises excepted from the definition of a "nursing home" for the purposes of section 21 of the Registered Homes Act 1984 by regulations made thereunder by the Secretary of State.'.

Leave to withdraw from Primary Care Trust

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

NC23

To move the following Clause:—

'.—(1) The Secretary of State may, by order—

(a) grant any individual provider of general medical services leave to withdraw from any established Primary Care Trust;

(b) grant any indivdual provider of general medical services leave to withdraw from the direct budgetary control of a Health Authority, or sub-commitee thereof.

(2) Any provider of general medical services given leave under subsection (1) above shall take on such powers, functions and budget as may be prescribed by the Secretary of State.'.

Duty to publish report on healthcare expenditure

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

NC24

To move the following Clause:—

'The Secretary of State and the Chancellor of the Exchequer shall publish each year in respect of the preceding financial year a statement showing—

(a) the percentage of United Kingdom gross domestic product spent on the NHS;

(b) the percentage of United Kingdom gross domestic product spent on all healthcare; and

Duty of Secretary of State to promote partnership with private sector

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

NC25

To move the following Clause:—

'.—(1) It shall be the duty of the Secretary of State to promote partnership between the NHS and the private and voluntary sectors with the objective of securing an aggregate level of resources for the delivery of healthcare in the United Kingdom such that the maximum possible percentage of total demand for clinically appropriate treatment is met.

(2) The Secretary of State shall publish in respect of each financial year an estimate of the additional financial and human resources which the NHS would have required during that financial year to meet all demands for health care which were clinically appropriate.'.

Duty to publish reports on standard of heath care in different parts of United Kingdom

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

NC26

To move the following Clause:—

'.—(1) The Secretary of State shall establish an independent body the duty of which shall be to monitor the provision of health services in England and Wales and in Scotland and to report annually to him on differences between the level of health service provision in Scotland, and England and Wales.

(2) The Secretary of State shall cause each such report received to be published.'.

Report on cost-effectiveness of NHS health provision

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

NC27

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

NC28

To move the following Clause:—

'The Secretary of State shall, prior to 31st March in each year, make regulations which shall have effect from the following 1st January for a period of twelve months, laying down—

(a) the maximum average number of—

(i) working hours, and

(ii) on call hours

that may be worked by hospital doctors in the training grades;

(b) the maximum average number of—

(i) working hours, and

(ii) on-call hours

that may be worked by hospital consultants; and

Mergers of primary care trusts

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

NC29

To move the following Clause:—

'No order merging the functions of two or more Primary Care Trusts may be made until—

(a) The Boards of each of the PCTs involved in the merger have each agreed to the proposed merger, and

(b) A draft order has been laid before and approved by both Houses of Parliament.'.

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

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 practitioner fund holding.'.