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Index of Amendments

S.C.E.

Amendment Paper as at
Thursday 1st February 2001

STANDING COMMITTEE E


New Amendments handed in are marked thus *

HEALTH AND SOCIAL CARE BILL

NOTE

The Amendments have been arranged in accordance with the Order of the Committee [18th January]:

   

Mr John Denham

206

Clause     29,     page     30,     line     1,     leave out from 'Chapter' to second 'services' in line 2 and insert '—

    "pharmaceutical services" means services of a kind which may be provided under section 41 of the 1977 Act, or by virtue of section 41A of that Act; and

    "local pharmaceutical services" means such pharmaceutical services (other than practitioner dispensing'.

   

Sir George Young

39

Clause     29,     page     30,     line     2,     leave out '(other than practitioner services)'.

   

Mr John Denham

207

Clause     29,     page     30,     line     4,     leave out from beginning to end of line 8 and insert—

    '( ) "Practitioner dispensing services" means the provision of drugs, medicines or listed appliances (within the meaning of section 41 of the 1977 Act) by a medical practitioner or dental practitioner to a patient of his pursuant to arrangements made by virtue of section 43(1) of the 1977 Act.'.

   

Sir George Young

280

Clause     29,     page     30,     line     4,     leave out from beginning to end of line 8.


   

Mr John Denham

218

Schedule     2,     page     60,     line     19,     leave out 'as to the circumstances in which a Health Authority must' and insert 'requiring a Health Authority to'.

   

Mr John Denham

219

Schedule     2,     page     61,     line     17,     at end insert—

    '( ) Sub-paragraphs (3) to (6) of paragraph 2 apply in relation to an application for preliminary approval of proposals under this paragraph as they apply in relation to proposals under that paragraph.

Effect of proposals on existing services

     . —(1) Proposals for a pilot scheme submitted under paragraph 2, or included in an application for preliminary approval of proposals under paragraph 4, must include—

    (a) an assessment by the Health Authority of the likely effect of the implementation of the proposals in the Health Authority's area on the services mentioned in sub-paragraph (2);

    (b) any assessment supplied to the Health Authority by another Health Authority under sub-paragraph (4).

    (2) The services are—

    (a) pharmaceutical services (within the meaning of section 41 of the 1977 Act);

    (b) local pharmaceutical services provided under existing pilot schemes or LPS schemes (within the meaning of Schedule 8A to the 1977 Act);

    (c) general medical services provided under arrangements made under section 29(1) of the 1977 Act;

    (d) personal medical services provided under arrangements made under section 28C of the 1977 Act or under pilot schemes made under section 1 of the National Health Service (Primary Care) Act 1997.

    (3) If it appears to a Health Authority that the proposals would, if implemented, affect any of the services mentioned in sub-paragraph (2) provided in the area of another Health Authority, they must consult that other Health Authority about the proposals before submitting them under paragraph 2 or including them in an application for preliminary approval under paragraph 4.

    (4) A Health Authority consulted under sub-paragraph (3) must prepare an assessment of the likely effect of the implementation of the proposals on those services and supply it to the Health Authority which consulted them.'.

As an Amendment to Mr John Denham's proposed Amendment (No. 219) (Schedule 2, page 61, line 7):

   

Dr Liam Fox
Mr Philip Hammond

(a)

Line     21,     at end insert—

    '(e) the provision of retail pharmacy services for the supply of non-prescription medicines.'.


   

Mr John Denham

208

Clause     31,     page     30,     line     24,     leave out from beginning to end of line 25.


   

Dr Liam Fox
Mr Philip Hammond

277

Clause     32,     page     30,     line     37,     leave out 'three' and insert 'two'.

   

Dr Liam Fox
Mr Philip Hammond

276

Clause     32,     page     31,     line     4,     at end add—

    '(5) The review referred to in this section must include a review of—

    (a) the impact of the pilot scheme on patient services, and

    (b) the cost effectiveness to the NHS of the pilot scheme, and

    (c) the impact of the pilot scheme on retail competition.

    (6) A report detailing the conclusions of every review under this section shall be published by the health authority concerned not less than three months after the completion of the review.'.


   

Mr John Denham

209

Clause     36,     page     32,     line     29,     leave out 'piloted' and insert 'local pharmaceutical'.

   

Mr John Denham

210

Clause     36,     page     32,     line     35,     leave out 'piloted' and insert 'local pharmaceutical'.

   

Mr John Denham

211

Clause     36,     page     32,     line     38,     leave out 'piloted' and insert 'local pharmaceutical'.


   

Mr John Denham

212

Clause     39,     page     33,     line     21,     at end insert '(within the meaning of section 128(1) of the 1977 Act)'.


   

Mr John Denham

220

Schedule     3,     page     62,     line     11,     leave out 'has such meaning as may be prescribed' and insert 'means such services of a kind which may be provided under section 41 of this Act, or by virtue of section 41A of this Act (other than practitioner dispensing services) as may be prescribed; and

    "practitioner dispensing services" means the provision of drugs, medicines or listed appliances (within the meaning of section 41) by a medical practitioner or dental practitioner to a patient of his pursuant to arrangements made by virtue of section 43(1).'.

   

Mr John Denham

221

Schedule     3,     page     63,     line     1,     leave out from beginning to end of line 2.

   

Mr Paul Burstow
Dr Peter Brand

36

Schedule     3,     page     63,     line     10,     leave out 'may' and insert 'shall'.

   

Mr Paul Burstow
Dr Peter Brand

37

Schedule     3,     page     63,     line     13,     at end insert—

    '(2A) The regulations must include provision for setting service standards, imposing conditions (including conditions as to qualifications, training and experience) to be satisfied by persons providing LP services, and for National Health Service redress mechanisms to be available in relation to the provision of LP services.'.

   

Mr John Denham

222

Schedule     3,     page     63,     line     19,     leave out 'of a prescribed description' and insert 'determined in accordance with the regulations'.

   

Mr John Denham

284

Schedule     3,     page     63,     line     28,     at end insert—

    '( ) prevent (except in such circumstances and to such extent as may be prescribed) the provision of both LP services and pharmaceutical services from the same premises;

    ( ) make provision with respect to the inclusion, removal, re-inclusion or modification of an entry in respect of premises in a list under section 42;'.

   

Mr John Denham

223

Schedule     3,     page     63,     line     42,     at end insert—

    ' .—(1) Regulations may provide for the making and recovery, in such manner as may be prescribed, of charges for local pharmaceutical services.

    (2) The regulations may, in particular provide for—

    (a) exemptions from charges;

    (b) the liability to pay charges to be disregarded in prescribed circumstances or for prescribed purposes;

    (c) section 122A of this Act (recovery of certain charges and payments) to apply also in relation to local pharmaceutical services (with or without modification);

    (d) section 122B of this Act (penalties) to apply also in relation to local pharmaceutical services (with or without modification).

    (3) The regulations must secure that the amount charged for any service is the same as the amount that would be charged for that service if it were provided under Part II of this Act.'.


   

Mr John Denham

281

Clause     41,     page     33,     line     39,     leave out from beginning to end of line 2 on page 34 and insert—

    '( ) The relevant authority may by regulations make, in relation to Schedule 8A arrangements or persons providing or assisting in the provision of services under such arrangements, provision corresponding (whether or not exactly) to enactments containing provision relating to—

    (a) arrangements made under section 28C of the 1977 Act (provision of personal medical or dental services); or

    (b) pilot schemes made under Part I of the National Health Service (Primary Care) Act 1997,

    or relating to persons who provide or perform services under them.'.

   

Mr John Denham

282

Clause     41,     page     34,     line     4,     leave out 'provision' and insert 'such enactment'.

 
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