| Amendments proposed to the Health Bill [Lords], As Amended - continued | House of Commons |
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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 Primary Care Trust.".'.
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 subsection (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 shall, by direction, vary those terms as he sees fit.'.
Mr Secretary Dobson 8 Page 8, line 44 [Clause 5], after 'accommodation' insert 'or services'.
Mr Secretary Dobson 9 Page 8, line 47 [Clause 5], at end insert 'or services'.
Mr William Hague 126 Page 8, line 47 [Clause 5], at end insert 'provided that no such charges shall be made in respect of NHS patients'.
Mr Secretary Dobson 10 Page 9, line 4 [Clause 5], after 'accommodation' insert 'or services'.
Mr Secretary Dobson 11 Page 9 [Clause 5], leave out line 17.
Mr William Hague 127 Page 11, line 24 [Clause 8], at end insert—'(3CC) The objectives mentioned in subsection (3C) above shall not include Health Authority or NHS Trust performance with regard to waiting lists for first out-patient consultations or waiting lists for surgery.'.
Mr Secretary Dobson 12 Page 13, line 23 [Clause 9], after 'below', insert 'and".'.
Mr Secretary Dobson 13 Page 15, line 5 [Clause 10], leave out from 'he' to end of line 10 and insert—
Mr Secretary Dobson 14 Page 15, line 18 [Clause 10], leave out 'revised' and insert 'varied'.
Mr William Hague 128 Page 15, line 38 [Clause 10], leave out 'may be determined from time to time.' and insert 'shall be reviewed annually.'.
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| ©Parliamentary copyright 1998 | Prepared 15 Jun 1999 |