Vote Bundle Text (990615-04)

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

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Mr Secretary Dobson

Page 16, line 39 [Clause 10], leave out 'revocation or revision' and insert 'or revocation'.

Mr Secretary Dobson

Page 17, line 5 [Clause 10], leave out subsection (4).

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

115

Page 17, line 14 [Clause 11], after 'services', insert '(including deputy medical practitioners'.

Mr Secretary Dobson

Page 17, line 15 [Clause 11], leave out from 'area;' to 'the' in line 16 and insert—

'(b) those medical practitioners and the deputy medical practitioners for that area; or

(i) paragraph (a) above; or

(ii) paragraph (b) above,

and'.

Mr Secretary Dobson

Page 17, line 23 [Clause 11], leave out from 'area;' to 'the' in line 24 and insert—

'(b) those dental practitioners and the deputy dental practitioners for that area; or

(i) paragraph (a) above; or

(ii) paragraph (b) above,

and'.

Mr Secretary Dobson

Page 17, line 31 [Clause 11] leave out from beginning to end of line 4 on page 18 and insert—

' "(3) For the purposes of this section and section 45 below, a person who meets the condition in subsection (4) below—

(a) is a deputy medical practitioner for the area of a Health Authority if he is a medical practitioner who assists a medical practitioner providing general medical services in that area in the provision of those services but is not himself on a list;

(b) is a section 28C medical practitioner for the area of a Health Authority if he is a medical practitioner who provides or performs personal medical services in accordance with arrangements made under section 28C above by the Health Authority (whether with himself or another);

(c) is a deputy dental practitioner for the area of a Health Authority if he is a dental practitioner who assists a dental practitioner providing general dental services in that area in the provision of those services but is not himself on a list;

(d) is a section 28C dental practitioner for the area of a Health Authority if he is a dental practitioner who provides or performs personal dental services in accordance with arrangements made under section 28C above by the Health Authority (whether with himself or another).

(4) The condition referred to in subsection (3) above is that the person concerned has notified the Health Authority that he wishes to be represented under this section by the appropriate committee for their area (and has not notified them that he wishes to cease to be so represented).

(5) For the purposes of subsection (3) above—

(a) a person is to be treated as assisting a medical practitioner or dental practitioner in the provision of services if he is employed by that practitioner for that purpose or if he acts as his deputy in providing those services; and

(b) "list" has the same meaning as in section 46 below.".'.

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

116

Page 17, line 42 [Clause 11], at end insert—

'(c) a person is a deputy medical practitioner for the area of a Health Authority if—

(i) he is a medical practitioner who assists in the provision of general medical services as a deputy acting for a person who provides such services within that area; and

(ii) he meets the conditions mentioned in subsection (4) below.'.

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

117

Page 17, line 46 [Clause 11], after 'another)', insert 'or he is a deputy medical practitioner'.

Mr Secretary Dobson

Page 18, line 14 [Clause 11], leave out '44(A1)(b) or (B1)(b)' and insert '44(A1)(c) or (B1)(c)'.

Mr Secretary Dobson

Page 18, line 21 [Clause 11], leave out 'section 44(A1)(b) or (B1)(b)' and insert 'subsection (A1)(b) or (c) or (B1)(b) or (c) of section 44'.

Mr Secretary Dobson

Page 18, line 23 [Clause 11], leave out from 'attributable' to end of line 25 and insert '—

(a) in the case of a committee recognised under subsection (A1)(b) or (c)(ii) of that section, to the deputy medical practitioners for the area;

(b) in the case of a committee recognised under subsection (A1)(c) of that section, to the section 28C medical practitioners for the area;

(c) in the case of a committee recognised under subsection (B1)(b) or (c)(ii) of that section, to the deputy dental practitioners for the area;

(d) in the case of a committee recognised under subsection (B1)(c) of that section, to the section 28C dental practitioners for the area.'.

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

118

Page 18, line 24 [Clause 11], after 'or', insert 'the deputy medical practitioners or'.

Mr Secretary Dobson

100

Page 18, line 30 [Clause 11], at end insert 'deputy medical practitioners,'.

Mr Secretary Dobson

101

Page 18, line 31 [Clause 11], after first 'practitioners' insert 'deputy dental practitioners'.

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

119

Page 18, line 31 [Clause 11], after first 'practitioners', insert 'or the deputy practitioners'.

Mr Secretary Dobson

102

Page 18 [Clause 11], leave out lines 33 to 36 and insert 'each such practitioner'.

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

120

Page 18, line 33 [Clause 11], leave out from 'practitioner' to 'and' in line 34 and insert 'or deputy medical practitioner for the area, in the case of a Local Medical Committee, as the case may be'.

Mr Secretary Dobson

103

Page 18, line 44 [Clause 11], leave out from second 'to' to end of line 46 and insert 'any practitioners mentioned in that subsection.".'.

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

Page 19, line 21 [Clause 12], at end insert—

'( ) The power conferred by subsection (1) shall be exercised so as to require the employment as specialists of only those who are appointed to a consultant post under the NHS (Appointment of Consultants) Regulations or who are responsible to a named consultant employed by that body.'.

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

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

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

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".'.