Amendments proposed to the Health and Social Care (Community Health and Standards) Bill, As Amended - continued | House of Commons |
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As Amendments to Mr Secretary Reid's proposed new Clause (General Medical Services contracts) (NC27):
Dr Evan Harris (a) *Line 97, after 'appropriate', insert'(4A) No direction issued under subsection (1) shall involve payment based on rewarding contractors for reaching a target number or target proportion of treatments given.'.
Dr Evan Harris (b) *Line 110, leave out 'may' and insert 'must'.
Dr Evan Harris (c) *Line 131, after 'patient', insert'(3A) Regulations making provision of the kind described in subsections 3(b) and 3(c) must provide for a process whereby such patients or their representatives are informed of the reason or reasons for such a decision. (3B) Regulations making provision in subsection 2(i) must make provisions as to the circumstances in which such persons or patients as referred to in subsections 3(b) or 3(c) may have access to appeal procedure.'.
Dr Evan Harris (d) *Line 145, after 'contract', insert'(6A) Such provisions, as described in subsection (6) must also require the appropriate authority to
General medical services: transitional
Mr Secretary Reid NC28 To move the following Clause:'(1) The appropriate authority shall by order make transitional provision in respect of persons who, immediately before the coming into force of section (general medical services contracts), are providing services under section 29 of the 1977 Act (general medical services). (2) An order under this section may provide that, in such circumstances as the order may prescribe, a Primary Care Trust or Local Health Board must, if any such person so wishes, enter into a general medical services contract with him; and the order may make provision as to the terms of any such contract. (3) An order under this section may provide that, in such circumstances as the order may prescribe, a Primary Care Trust or Local Health Board must, if any such person so wishes, enter into a contract with him, containing such terms as the order may specify, for the provision of medical services. (4) An order under this section may make provision for the resolution of disputes in relation to any contract entered into, or proposed to be entered into, under subsection (2) or (3), including provision for the determination of disputes by the appropriate authority or a person appointed by the authority. (5) An order under this section may make provision in respect of a period beginning before the coming into force of the provision (or of section (general medical services contracts)), provided that the provision is not as a whole detrimental to the remuneration of the persons to whom it relates. (6) In this section "appropriate authority" means
Abolition of pilot schemes
Mr Secretary Reid NC29 To move the following Clause:'(1) Part 1 of the National Health Service (Primary Care) Act 1997 (c.46) (power to make pilot schemes for the provision of personal medical and dental services) shall cease to have effect. (2) This section extends to England and Wales only.'.
Definition of personal medical services
Dr Evan Harris NC40 To move the following Clause:'In the 1977 Act, in section 29(2), leave out "adequate" and, after "attendance", insert "to meet their clinical needs".'.
Mr Secretary Reid 270 Page 78, line 26 [Clause 161], leave out 'it reasonable to do so,' and insert 'necessary to meet all reasonable requirements, exercise its powers so as to'.
Mr Secretary Reid 271 Page 78, line 28 [Clause 161], leave out 'For the purposes of this section'.
Mr Secretary Reid 272 Page 78, line 30 [Clause 161], at end insert '(whether within or outside its area)'.
Mr Secretary Reid 273 Page 78, line 33 [Clause 161], leave out 'section' and insert 'Part'.
Mr Secretary Reid 274 Page 78, line 36 [Clause 161], leave out 'under this section' and insert 'relating to the provision of primary dental services under this Part'.
Mr Secretary Reid 275 Page 80, line 29 [Clause 163], after 'contract', insert 'or a general medical services contract'.
Mr Secretary Reid 276 Page 81, line 1 [Clause 163], leave out from 'employee"' to end of line 3.
Mr Secretary Reid 277 Page 82, line 10 [Clause 163], at end insert
Mr Secretary Reid 278 Page 83, line 32 [Clause 165], leave out from 'for' to end of line 43 and insert 'paragraphs (b) and (c) substitute
Mr Secretary Reid 279 Page 84, line 3 [Clause 165], leave out '(c)(iii)' and insert '(bc)'.
Mr Secretary Reid 280 Page 84, line 10 [Clause 165], leave out from 'subsection,' to end of line 23 and insert 'for the definition of "NHS employee" substitute
Mr Secretary Reid 281 Page 84, line 30 [Clause 165], after 'arrangements;', insert
Mr Secretary Reid 282 Page 84, line 39 [Clause 165], at end insert'( ) In that section, after subsection (3B) (as inserted by subsection (8) above), insert
Mr Secretary Reid 283 Page 84, line 39 [Clause 165], at end insert'( ) In that Act, sections 28F (choice of medical practitioner), 28G (choice of dental practitioner) and 28H (immunisation) shall cease to have effect.'
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