House of Lords Amendments - Health Bill [H.L.]

Health Bill [H.L.] - Amendments to be debated in the House of Lords - continued	House of Lords
back to previous amendments

After Clause 18
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
Insert the following new Clause--
	(" .--(1) The bodies mentioned in subsection (2) below must make arrangements to secure continuous improvement in the way in which their functions are exercised, having regard to a combination of economy, efficiency and effectiveness. (2) The bodies are-- (a) Health Authorities; (b) Special Health Authorities; (c) Primary Care Trusts; and (d) NHS Trusts. (3) For the purpose of deciding how to fulfil the duty arising under subsection (1), a body must consult-- (a) representatives of persons who use or are likely to use services provided by the body; and (b) representatives of persons appearing to the body to have an interest in any area within which the body carries out functions. (4) The Secretary of State may by order specify-- (a) factors "performance indicators" by reference to which a body's performance in exercising functions can be measured; and (b) standards "performance standards" to be met by bodies in relation to performance indicators specified under paragraph (a). (5) In specifying performance indicators and standards, and in deciding whether to do so, the Secretary of State shall-- (a) aim to promote improvement of the way in which the functions of bodies are exercised, having regard to a combination of economy, efficiency and effectiveness; and (b) have regard to any recommendations made to him by the Audit Commission and the Commission for Health Improvement. (6) In exercising a function a body must meet any applicable performance standard specified under subsection (4)(b).")	Performance standards and indicators.
Clause 19
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
Page 15, line 32, after ("other") insert ("and relevant voluntary and community organisations")
BY THE LORD HARRIS OF HARINGEY
Page 15, line 33, at end insert-- ("(2) This duty of co-operation shall extend wherever appropriate to groups representing patients and the wider community.")
Clause 21
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
Page 16, line 6, after ("Authority") insert ("and Special Health Authority")
Page 16, line 6, leave out from ("Authority") to ("to") in line 7
Page 16, line 10, at end insert-- ("( ) Health Authorities shall before drawing up any plan under this section consult relevant voluntary and community organisations, including in particular organisations representing carers.")
Page 16, line 10, at end insert-- ("( ) Each Health Authority shall prepare and publish a plan under this section annually.")
BY THE LORD HARRIS OF HARINGEY
Page 16, line 26, after ("of") insert ("community health councils and patient groups and")
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
Page 16, line 27, after ("direct,") insert ("which shall include voluntary and community organisations, including specifically organisations representing patients and carers, those who provide local services for the NHS and others with an interest or contribution to offer including relevant universities, Training and Enterprise Councils, trade unions, local schools and employers,")
After Clause 25
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
Insert the following new Clause--
("Regional Assemblies
	. Upon a regional assembly being created for any region in England, such regional assembly shall for the purposes of the 1977 Act, the National Health Service and Community Care Act 1990, or under or by virtue of any prescribed provision of any other act, assume responsibility for-- (a) strategic planning, (b) capital infrastructure, and (c) specialised services commissioning in the health service in respect of such region.")	Regional assemblies to be responsible for strategic planning etc. in NHS.
Insert the following new Clause--
("Specialised services: consultation
	. Before arrangements to provide specialised services between an NHS regional office and the relevant providers are finalised, an NHS regional office shall ensure that the Primary Care Groups and Primary Care Trusts in the area covered by the relevant NHS regional office are fully consulted.")	Consultation in respect of specialised services.
Clause 26
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
The above-named Lords give notice of their intention to oppose the Question that Clause 26 stand part of the Bill.
Clause 28
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
Page 21, line 41, after ("State") insert ("for Trade and Industry")
Clause 29
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
Page 22, line 33 after ("body") insert ("and bodies representing consumers and patients,")
Page 22, line 33, after ("body") insert ("and the National Institute for Clinical Excellence")
Page 22, line 44, at end insert-- ("(4) The Secretary of State shall make regulations to provide for the right of appeal to an independent tribunal by any person who may become subject to a statutory scheme, either in respect of a decision by the Secretary of State regarding the control of prices or profits or in respect of the disclosure of information.")
After Clause 36
BY THE LORD MACKAY OF ARDBRECKNISH
Insert the following new Clause--
	(" .--(1) Section 2 of the 1978 Act (health boards) is amended as follows. (2) In subsection (3) after "order", in the first place it occurs, there is inserted "create an all Scotland Health Board or".")	All Scotland Health Board.
Clause 39
BY THE LORD MACKAY OF ARDBRECKNISH
Page 31, line 6, at end insert-- ("(2) In section 12A of the 1978 Act (NHS trusts), after subsection (3) there is inserted-- (3A) The chairman and directors of every NHS trust shall, on appointment, be resident in or employed in the area covered by the Trust."")
After Clause 40
BY THE LORD MACKAY OF ARDBRECKNISH
Insert the following new Clause--
(" . In Schedule 7A to the 1978 Act, after paragraph 13 there is inserted-- 13A. If no local healthcare cooperative has been set up in any part of an NHS Trust's area, the Trust shall have power to set one up and keep it in place."")		Local healthcare cooperatives.
Clause 47
BY THE LORD CLEMENT-JONES THE BARONESS SHARP OF GUILDFORD
Page 38, line 14, after ("Council") insert ("within the period of one year from the coming into force of this section")
Page 38, line 28, at end insert-- ("( ) Orders under this section shall make provision for the regulation of the use of specific professional titles in relation to professions to which subsection (3)(a) above refers.")
Schedule 4
BY THE LORD HARRIS OF HARINGEY
Page 63, line 8, at end insert-- ("( ) In section 15 (Information and consultation)-- (a) for subsection (1A) there is substituted-- (1A) Subsection (1B) applies where information has been obtained by a Commissioner or any of his officers in the course of or for the purposes of an investigation which is to the effect that a person is likely to constitute a threat to the health or safety of patients.", and (b) in subsection (1B), omit the words following "patients".")
Clause 52
BY THE LORD MACKAY OF ARDBRECKNISH
Page 40, line 19, at end insert-- ("(3) No order may be made appointing a day for any provision of Part II of this Act to come into force until that provision has been approved by the Scottish Parliament.")



© Parliamentary copyright 1999	Prepared 18 February 1999