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Clause 39 | |
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BY THE BARONESS HAYMAN | |
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Page 41, line 26, leave out from ("1978") to ("sections") in line 27 | |
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Clause 45 | |
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BY THE LORD MACDONALD OF TRADESTON | |
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Page 43, line 28, leave out ("(d)") and insert ("(e)") | |
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After Clause 49 | |
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BY THE LORD MACDONALD OF TRADESTON | |
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Insert the following new Clause-- | |
| | (".--(1) For sections 28A and 28B of the 1978 Act (regulations as to remuneration) there is substituted-- | Remuneration for Part II services: Scotland. |
| | Remuneration for Part II services. |
28A.--(1) The remuneration to be paid to persons who provide general medical services, general dental services, general ophthalmic services or pharmaceutical services under this Part Act shall be determined by determining authorities (and they may also determine the remuneration to be paid to persons providing those services in respect of the instruction of any person in matters relating to those services).
(2) For the purposes of this section and section 28B, determining authorities are--
(a) the Secretary of State; and
(b) so far as authorised by him to exercise the functions of determining authorities, any Health Board or other person appointed by him in an instrument (referred to in this section and section 28B as an instrument of appointment).
(3) An instrument of appointment--
(a) may contain requirements with which a determining authority appointed by that instrument must comply in making determinations; and
(b) may be contained in regulations.
(4) Subject to this section and section 28B, regulations may make provision about determining remuneration under subsection (1) and may in particular impose requirements with which determining authorities must comply in making, or in connection with, determinations (including requirements as to consultation and publication).
(5) Regulations may provide--
(a) that determinations may be made by reference to any of the following--
(i) rates or conditions of remuneration of any persons or any descriptions of persons which are fixed or determined, or to be fixed or determined, otherwise than by way of a determination under subsection (1);
(ii) scales, indices or other data of any description specified in the regulations;
(b) that any determination which in accordance with regulations made by virtue of paragraph (a)(ii) falls to be made by reference to a scale or an index or to any other data may be made not only by reference to that scale or index or those data in the form current at the time of the determination but also by reference to the scale, index or data in any subsequent form attributable to amendment or revision taking effect after that time or to any other cause.
(6) Regulations may--
(a) provide that determining authorities may make determinations which have effect in relation to remuneration in respect of a period beginning on or after a date specified in the determination, which may be the date of the determination or an earlier or later date, but may be an earlier date only if, taking the determination as a whole, it is not detrimental to the persons to whose remuneration it relates;
(b) provide that any such determination which does not specify such a date shall have effect in relation to remuneration in respect of a period beginning--
(i) if it is required to be published, on the date of publication;
(ii) if it is not so required, on the date on which it is made.
(7) A reference in this section or section 28B to a determination is a reference to a determination of remuneration under subsection (1) of this section. | |
| | Part II remuneration: supplementary. |
28B.--(1) Before a determination is made by the Secretary of State which relates to all persons who provide services of, or of a category falling within, one of the descriptions of services mentioned in section 28A(1), he shall consult at least one of the following bodies--
(a) a body one of whose functions is to provide advice in connection with the matters to be determined; or
(b) a body appearing to him to be representative of persons to whose remuneration the determination would relate.
(2) Determinations may make different provision for different cases including different provision for any particular case, class of case or area.
(3) Determinations may--
(a) be made in more than one stage;
(b) be made by than one determining authority;
(c) be varied or revoked by subsequent determinations.
(4) A determination may be revised--
(a) to correct an error; or
(b) where it appears to the determining authority that it was made in ignorance of or under a mistake as to a relevant fact.
(5) Determinations may, in particular, provide that the whole or any part of the remuneration--
(a) is payable only if the determining authority is satisfied as to certain conditions; or
(b) is to be applied for certain purposes or is otherwise subject to certain conditions.
(6) Subject to sections 19(3) and 25(3), remuneration under section 28A may consist of payments by way of--
(d) reimbursement (in full or in part) of expenses incurred or expected to be incurred in connection with the provision of the services or instruction,
and may be determined from time to time.
(7) At the time a determination is made or varied, certain matters which require determining may be reserved to be decided at a later date.
(8) The matters which may be reserved include in particular--
(a) the amount of remuneration to be paid in particular cases;
(b) whether any remuneration is to be paid in particular cases.
(9) Any determination shall be made after taking into account all the matters which are considered to be relevant by the determining authority and such matters may include in particular--
(a) the amount or estimated amount of expenses (taking into account any discounts) incurred in the past or likely to be incurred in the future (whether or not by persons to whose remuneration the determination will relate) in connection with the provision of services of the description in section 28A(1) to which the determination will relate or of any category falling within that description;
(b) the amount or estimated amount of any remuneration paid or likely to be paid to persons providing such services;
(c) the amount or estimated amount of any other payments or repayments or other benefits received or likely to be received by any such persons;
(d) the extent to which it is desirable to encourage the provision, either generally or in particular places, of the description or category of services to which the determination will relate;
(e) the desirability of promoting services which are--
(i) economic and efficient; and
(ii) of an appropriate standard.
(10) If the determination is of remuneration for a category of services falling within one of the descriptions of services mentioned in section 28A(1), the reference in subsection (9)(a) to a category of services is a reference to the same category of services or to any other category of services falling within the same description." | |
| | (2) Sections 28A and 28B of the 1978 Act as substituted by this section have effect in relation to--
(a) the making of determinations on or after the commencement of this section; and
(b) the variation, revocation or revision on or after the commencement of this section of determinations whenever made,
and in this subsection "determinations" means determinations under Part II of the 1978 Act of the remuneration to be paid to persons who provide services mentioned in section 28A(1). | |
| | (3) Section 7(4) of the Health and Social Security Act 1984 and section 15(3) of the Health and Medicines Act 1988 (determinations of remuneration for services under Part II of the 1978 Act deemed to be valid) have effect in relation to Scotland as if--
(a) after "inserted by this section" in section 7(4)(b) of the 1984 Act; and
(b) after "section 7 of the Health and Social Security Act 1984" in section 15(3) of the 1988 Act,
there were inserted "and before the coming into force of section (Remuneration for Part II services: Scotland) of the Health Act 1999".
(4) The reference in section 28B(6) of the 1978 Act (as substituted by this section) to section 19(3) of that Act is to be read on and after the commencement of section 10 of the National Health Service Act 1966 as a reference to that section.") | 1984 c.48.
1988 c.49. |
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Clause 55 | |
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BY THE BARONESS HAYMAN | |
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Page 56, line 23, at end insert--
(""the 1978 Act" means the National Health Service (Scotland) Act 1978,") | |
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Schedule 1 | |
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BY THE BARONESS HAYMAN | |
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Page 61, line 32, leave out from beginning to ("to") in line 33 and insert ("Provision must be made by regulations requiring Primary Care Trusts") | |
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Page 61, line 39, at end insert--
("by taking such steps as may be specified in the regulations.") | |
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Schedule 2 | |
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BY THE BARONESS HAYMAN | |
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Page 67, line 1, leave out sub-paragraph (3) | |
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Page 67, line 3, leave out (", together with copies of the auditors' report,") | |
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Schedule 3 | |
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BY THE BARONESS HAYMAN | |
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Page 69, leave out lines 26 and 27 and insert--
("(b) invite representations to be made to him about the draft by persons appearing to him appropriate to represent the profession to be regulated, persons appearing to him appropriate to represent those provided with services by the profession and any other persons appearing to him appropriate to consult about the draft.") | |
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Page 70, line 11, leave out ("references") and insert ("the reference") | |
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Page 70, line 12, leave out ("include") and insert ("includes") | |
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Page 70, line 12, leave out ("references") and insert ("the reference") | |
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Page 70, line 13, leave out ("include") and insert ("includes") | |
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Schedule 4 | |
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BY THE BARONESS HAYMAN | |
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Page 71, line 8, at end insert--
(". In section 12 (supplementary provisions for sections 8 and 11), subsection (1) is omitted.") | |
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Page 71, line 15, at end insert--
(". After section 16B (exercise of functions by Primary Care Trusts) there is inserted-- | |
| | Advice for Health Authorities and Primary Care Trusts. |
16C.--(1) Every Health Authority shall make arrangements with a view to securing that they receive advice appropriate for enabling them effectively to exercise the functions exercisable by them from persons with professional expertise relating to the physical or mental health of individuals.
(2) This section applies to Primary Care Trusts as it applies to Health Authorities." ") | |
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Page 72, line 6, at end insert--
(". In section 28C(4) (personal medical or dental services), for "13" there is substituted "16D".") | |
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Page 73, line 39, leave out from ("Tribunal") to ("they") in line 40 and insert ("make a national disqualification,") | |
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Page 73, line 48, leave out from ("substituted") to ("and") in line 49 and insert (""national disqualification"") | |
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Page 75, line 42, at end insert--
("( ) In subsection (4), after "to make such" there is inserted "transitional, saving".") | |
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Page 76, line 5, leave out ("in") and insert ("by") | |
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Page 76, line 27, leave out ("16C(1)") and insert ("16D(1)") | |
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Page 80, line 25, leave out (""16C"") and insert (""16D"") | |
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Page 83, line 7, after ("Act)") insert--
("(a) in subsection (1), for "13" there is substituted "16D" and") | |
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Page 83, line 8, at end insert--
("(b) in subsection (2)(b), for "13" there is substituted "16D".") | |
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Schedule 5 | |
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BY THE BARONESS HAYMAN | |
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Page 83, line 22, column 3, at end insert-- | |
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Page 83, line 27, column 3, at end insert-- | |
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("In section 49A, subsection (5) and, in subsection (6)(a), "prepared under this Part of this Act".
Section 49B(4).") |
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Page 83, line 35, column 3, after ("section 97,") insert ("subsection (2),") | |
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Page 83, line 40, column 3, at end insert-- | |
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("In section 122(2), "as a simple contract debt".") |
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BY THE LORD MACDONALD OF TRADESTON | |
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Page 84, line 5, column 3, leave out ("(2)(j)") and insert ("(2)(d) and(j)") | |
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Page 84, line 8, column 3, at end insert--
("In section 32A, subsection (5) and, in subsection (6)(a), "prepared under this Part of this Act".
In section 32B, subsection (4).")
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BY THE BARONESS HAYMAN | |
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Page 85, line 11, column 3, after ("paragraphs") insert ("3(a),") | |
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Page 85, line 15, at end insert-- | |
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("1997 c. 24. |
The Nurses, Midwives and Health Visitors Act 1997. |
The whole Act.") |
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Page 85, line 19, at end insert--
("The repeal of section 97(2) of the 1977 Act has effect for the financial year 1999-2000 and subsequent financial years.") | |
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In the Title | |
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BY THE EARL HOWE | |
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Line 4, after ("functions;") insert ("make provision in relation to monitoring and improving the quality of health care in independent hospitals;") | |
