Health Bill (HL). Lords Committee stage third day. Clauses 9, 10, 11 agreed to. Schedule 1 agreed to. Grand Committee held in the Moses Room.
Health Bill [HL]
Type
Parliamentary proceeding
Reference
708 c203-56GC 
Session
2008-09
Legislative stage
Committee stage
Chamber / Committee
House of Lords Grand Committee
Health Bill (HL). Explanatory Notes HL Bill 18-EN also published. (Lords Minutes).
Thursday, 15 January 2009
Bills
House of Lords
Thursday, 15 January 2009
Bills
House of Lords
Proceeding contributions
Baroness Barker | 708 c233-4GC (Link to this contribution)
In response to the amendment tabled by the noble Baroness, Lady Wilkins, I want to point out a parti...
Baroness Wilkins | 708 c235GC (Link to this contribution)
On the point made by the noble Baroness, Lady Barker, I hope that the role of support services will ...
Show all contributions (85)
Baroness Finlay of Llandaff | 708 c235GC (Link to this contribution)
Amendment 63A is probably the most important amendment that we have looked at today. A feature of vo...
Baroness Barker | 708 c245GC (Link to this contribution)
I do not wish to spend tremendous time on this group of amendments because to some extent the point ...
Baroness Barker | 708 c240GC (Link to this contribution)
Amendment 52A
52A: Clause 9, page 7, line 8, at end insert—
"( ) as to whether a patient wishes to ...
Baroness Finlay of Llandaff | 708 c242GC (Link to this contribution)
I think that all the points that I raised earlier have been covered in questions, so I will not cove...
Lord Darzi of Denham | 708 c251-3GC (Link to this contribution)
There are many amendments so I may take a little time to go through them. Most of them are concerned...
Lord Darzi of Denham | 708 c220-2GC (Link to this contribution)
Direct payments for healthcare form part of a wider programme, which I announced last year in High Q...
Lord Darzi of Denham | 708 c224GC (Link to this contribution)
Page 42 of the document, Personal Health Budgets: First Steps, says: ""The ‘boundary’ between health...
Earl Howe | 708 c206-8GC (Link to this contribution)
I do not think that the noble Baroness, Lady Barker, needs to apologise at all for the number of ame...
Baroness Campbell of Surbiton | 708 c234-5GC (Link to this contribution)
I will speak briefly in support of the amendment, because we have gone over all the arguments on the...
Baroness Barker | 708 c235GC (Link to this contribution)
I direct the noble Baroness to the IBSEN report.
Lord Campbell-Savours | 708 c239GC (Link to this contribution)
Would not the pilots collectively be a good subject for the National Audit Office to consider in a v...
Lord Darzi of Denham | 708 c246-8GC (Link to this contribution)
The amendments in this group are concerned with the design of the pilot schemes for healthcare direc...
Baroness Barker | 708 c248GC (Link to this contribution)
Amendment 62
62: Clause 9, page 8, leave out line 12
Baroness Barker | 708 c248GC (Link to this contribution)
I thank the Minister for that reply. The amendment tabled by the noble Lord, Lord Campbell-Savours, ...
Earl Howe | 708 c250GC (Link to this contribution)
I shall speak briefly to Amendment 66, the purpose of which is simply to emphasise the importance of...
Baroness Barker | 708 c249GC (Link to this contribution)
We continue to talk about the review of the pilots, which again is one of the most important things ...
Lord Campbell-Savours | 708 c241-2GC (Link to this contribution)
That is a particularly interesting question which my noble friend will know is being asked by a numb...
Earl Howe | 708 c239GC (Link to this contribution)
That was another helpful reply from the Minister. It is probably time that we moved on. We can alway...
Lord Darzi of Denham | 708 c239GC (Link to this contribution)
If that is another avenue that we can use to evaluate the pilots, I will certainly look into it.
Baroness Pitkeathley | 708 c256GC (Link to this contribution)
The Committee stands adjourned until Thursday at 2 pm.
Lord Darzi of Denham | 708 c256GC (Link to this contribution)
I am grateful for the noble Lord’s intervention. I believe that that still happens although we may b...
Lord Campbell-Savours | 708 c250-1GC (Link to this contribution)
Would it be possible for the local authority overview and scrutiny committees and county authorities...
Baroness Barker | 708 c254GC (Link to this contribution)
Perhaps the Minister might write to me about the issue of provider failure; I do not want to prolong...
Lord Patel | 708 c217GC (Link to this contribution)
I support the amendment tabled by noble Baroness, Lady Cumberlege. I must be the only obstetrician i...
Baroness Murphy | 708 c217-8GC (Link to this contribution)
I rise to add my tuppenceworth to this debate. I very much support the amendments but, at the same t...
Lord Darzi of Denham | 708 c224GC (Link to this contribution)
That would probably fall within the direct payment budget of social care rather than healthcare, so ...
Lord Warner | 708 c224GC (Link to this contribution)
I am grateful for that assurance, but the mattress cited by the noble Baroness, Lady Campbell, is sy...
Lord Darzi of Denham | 708 c225GC (Link to this contribution)
I am grateful for the noble Baroness’s intervention.
On the interface between health and social car...
Lord Colwyn | 708 c203GC (Link to this contribution)
Good afternoon. If there is a Division in the Chamber while we are sitting, the Committee will adjou...
Lord Warner | 708 c211-3GC (Link to this contribution)
I was first involved in introducing direct payments 20 years ago as a director of social services in...
Baroness Barker | 708 c203GC (Link to this contribution)
Clause 9: Direct payments for health care
Amendment 50
50: Clause 9, page 6, line 18, at end inser...
Baroness Campbell of Surbiton | 708 c214-5GC (Link to this contribution)
I was not going to speak until the amendments tabled by the noble Baroness, Lady Wilkins—on which, o...
Earl Howe | 708 c227GC (Link to this contribution)
Amendment 52
52: Clause 9, page 7, line 8, at end insert—
"( ) as to the manner in which the patien...
Lord Darzi of Denham | 708 c226GC (Link to this contribution)
I am sorry if I did not touch on the issues raised by the noble Earl, Lord Listowel, in relation to ...
Baroness Wilkins | 708 c232-3GC (Link to this contribution)
I shall speak to Amendments 63A, 69A and 69B in my name and that of my noble friend Lady Campbell. I...
Earl Howe | 708 c239GC (Link to this contribution)
This has been a useful debate. I thank the Minister, in particular, for his reply.
I am still uncle...
Lord Darzi of Denham | 708 c239GC (Link to this contribution)
The evaluation issue will come up in debates on later amendments, but I will touch on it now. We wil...
Baroness Masham of Ilton | 708 c246GC (Link to this contribution)
I support that amendment because conditions in a rural area are totally different from those in a la...
Baroness Barker | 708 c245GC (Link to this contribution)
Amendment 61
61: Clause 9, page 8, line 11, at end insert—
"( ) the demographic groups in which a p...
Baroness Barker | 708 c244-5GC (Link to this contribution)
I thank the Minister for his reassurances in respect of the two amendments that I tabled. I say to t...
Lord Campbell-Savours | 708 c245-6GC (Link to this contribution)
Once again, I want to say a few words on behalf of UNISON. It is concerned about the spread of pilot...
Baroness Cumberlege | 708 c241GC (Link to this contribution)
I shall address Amendment 55 in relation to top-ups. At the briefing last week, I asked whether a pe...
Baroness Barker | 708 c240GC (Link to this contribution)
The noble Lord, Lord Campbell-Savours, mentioned the National Audit Office. I think he will find tha...
Lord Darzi of Denham | 708 c242-4GC (Link to this contribution)
Amendment 52A, which was tabled by the noble Baronesses, Lady Barker and Lady Tonge, would add a spe...
Baroness Thornton | 708 c256GC (Link to this contribution)
This may be a convenient moment for the Committee to adjourn until Thursday at 2 pm.
Baroness Barker | 708 c253-4GC (Link to this contribution)
I thank the noble Lord, Lord Darzi, for that very full response to the large number of issues raised...
Lord Rea | 708 c250GC (Link to this contribution)
I shall say a few words about Amendment 65, to which I have added my name. I am considerably reassur...
Baroness Barker | 708 c254GC (Link to this contribution)
Amendment 70
70: Before Clause 10, insert the following new Clause—
"Choice to top-up accommodation...
Baroness Barker | 708 c254-5GC (Link to this contribution)
I thank the Committee for being prepared to put up with a bit more of me at this time of night. I pr...
Lord Darzi of Denham | 708 c254GC (Link to this contribution)
Thank you. I spend a fair bit of time teaching the Department of Health how to do PowerPoints, but t...
Baroness Masham of Ilton | 708 c219GC (Link to this contribution)
I have a question, too. Will drug and alcohol services be included in direct payments? So many peopl...
Earl of Listowel | 708 c219-20GC (Link to this contribution)
I will speak as briefly as I can in support of the thrust of Amendment 58 in the name of the noble B...
Lord Campbell-Savours | 708 c223GC (Link to this contribution)
Can I take my noble friend back to maternity services? Suppose that it can be shown that a maternity...
Lord Campbell-Savours | 708 c224GC (Link to this contribution)
Going back to the speech made by the noble Baroness, Lady Campbell, on Second Reading, which was rea...
Baroness Cumberlege | 708 c215-6GC (Link to this contribution)
Before the Minister replies, I thank the noble Lord, Lord Campbell-Savours for entering the debate. ...
Earl Howe | 708 c227-8GC (Link to this contribution)
Amendment 52 and the other amendments in this group are in large part about information and support ...
Lord Campbell-Savours | 708 c229-32GC (Link to this contribution)
I shall speak to two amendments: Amendment 57, which I tabled, and Amendment 54. In speaking to Amen...
Baroness Masham of Ilton | 708 c226GC (Link to this contribution)
I have one more question. What happens if one PCT gives a direct payment to one patient and the next...
Lord Darzi of Denham | 708 c226GC (Link to this contribution)
I will bring this discussion back. We are running pilots across the country, and it is for the PCTs ...
Baroness Masham of Ilton | 708 c235GC (Link to this contribution)
I shall give an example of what happened to me. I cannot leave my home in Yorkshire without my helpe...
Lord Darzi of Denham | 708 c235-9GC (Link to this contribution)
These amendments deal with the provision of information, protection and support for recipients of di...
Earl Howe | 708 c240-1GC (Link to this contribution)
I shall speak briefly to Amendments 55 and 56. An issue flagged up earlier this afternoon was what h...
Baroness Masham of Ilton | 708 c242GC (Link to this contribution)
This relates to the point that I was making before about what happens when the budget goes over. It ...
Baroness Barker | 708 c256GC (Link to this contribution)
I thank the Minister for his kind and full response. I hoped that we might have got to it quicker, b...
Lord Walton of Detchant | 708 c256GC (Link to this contribution)
Might I raise an issue about which the Minister may not be aware? At the beginning of the National H...
Lord Darzi of Denham | 708 c255-6GC (Link to this contribution)
I start by putting firmly on the record that the Government are committed to the NHS as a service ba...
Baroness Cumberlege | 708 c250GC (Link to this contribution)
I pay tribute to the noble Baroness, Lady Barker, and her diligence in taking through legislation. H...
Baroness Finlay of Llandaff | 708 c218-9GC (Link to this contribution)
I have hesitated over whether to speak now or later, but this debate has gone on for some time so I ...
Lord Campbell-Savours | 708 c219GC (Link to this contribution)
Are we straying into the next set of amendments? If we are, we might miss the opportunity to seek co...
Lord Darzi of Denham | 708 c223-4GC (Link to this contribution)
I fully appreciate my noble friend’s concerns when it comes to the impact of this, and that is exact...
Lord Darzi of Denham | 708 c224GC (Link to this contribution)
Yes. The case was made in that powerful speech. It was a good example of how an empowered patient co...
Baroness Thomas of Winchester | 708 c224GC (Link to this contribution)
Would it be all right with the Committee if I do not stand up at this point?
Earl of Listowel | 708 c225-6GC (Link to this contribution)
I thank the Minister for his helpful and encouraging response, particularly about the pilots looking...
Baroness Thomas of Winchester | 708 c225GC (Link to this contribution)
The interface between health and social care is very interesting. While we are on this, I seize the ...
Baroness Cumberlege | 708 c208-11GC (Link to this contribution)
I have coupled my name with the amendment tabled by my noble friend Lord Howe, and I declare an inte...
Baroness Barker | 708 c203-6GC (Link to this contribution)
We now come to a series of groups of amendments which are all about a crucial part of the Bill; name...
Baroness Emerton | 708 c216GC (Link to this contribution)
I shall speak on two issues: learning disabilities, which my noble friend Lady Campbell raised; and ...
Lord Walton of Detchant | 708 c213-4GC (Link to this contribution)
I agree entirely with what has been said about supporting the idea in principle of direct payments i...
Lord Campbell-Savours | 708 c213GC (Link to this contribution)
Once again, as the non-professional, I shall speak on behalf of the consumers of these services. I l...
Baroness Barker | 708 c228-9GC (Link to this contribution)
I, too, have amendments in this group. The noble Earl, Lord Howe, is absolutely right to focus atten...
Baroness Barker | 708 c226-7GC (Link to this contribution)
I thank all noble Lords who not only took part in this debate but proved my point. There is a great ...
Lord Walton of Detchant | 708 c232GC (Link to this contribution)
I return briefly to the issue that I raised earlier in our debate on Amendment 54, which refers to s...
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