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Results 21–40 of 486 for speaker:Dr Peter Brand

Neurology (6 Mar 2001)

Dr Peter Brand: rose--

Neurology (6 Mar 2001)

Dr Peter Brand: When the Minister conducts her surveys, does she ask each trust whether it defers putting people on the waiting list, especially in respect of out-patient appointments? In my experience, it is not uncommon for patients to be sent a letter stating, "We have received your referral, but we are not in a position to put you on our waiting list as yet. You will hear from us in about six months' time."

Neurology (6 Mar 2001)

Dr Peter Brand: Is it not essential that, when a decision is made about making a drug available, the economic modelling should include the effects outside the national health service, for instance on benefits and the provision of social services? Would the hon. Gentleman agree that that economic modelling should be done by the Government collectively rather than by NICE?

Neurology (6 Mar 2001)

Dr Peter Brand: The hon. Gentleman is confident that general practitioners can become more expert, but he must recognise that, if we are to meet the Government's own standards in accessing general practitioners, we need an extra 10,000. Giving them an extra job in this area will not solve the overall problems in the national health service.

Neurology (6 Mar 2001)

Dr Peter Brand: I congratulate my hon. Friend the Member for Sutton and Cheam (Mr. Burstow) not only on securing the debate, but on setting out the reasons behind it so clearly and excellently. I am disappointed that there has not been an enormous Back-Bench contribution to the debate, but his speech makes up for that.

Neurology (6 Mar 2001)

Dr Peter Brand: It is. My hon. Friend has made many valuable points, but I shall concentrate on a few. The national service framework is welcome, but I hope that it is not an alibi for not proceeding with the planning and thinking surrounding the diagnosis and treatment of neurological conditions. Over the past few years, the world of neurology has moved on tremendously. Some 30 years ago, when I trained,...

NHS Mental Health Services (1 Mar 2001)

Dr Peter Brand: It is always a great privilege to speak on behalf of the Liberal Democrats on Health Committee reports. It is rare that I do not fully endorse a report, but then I have also had the privilege to serve as a Committee member. I must congratulate the members, staff and advisers on the excellent way in which the Committee works. Our chairman, the hon. Member for Wakefield (Mr. Hinchliffe), keeps...

NHS Mental Health Services (1 Mar 2001)

Dr Peter Brand: That is an extremely valuable point. It is one of the models that we have to work through. It is vital that the prison medical services, the special units and the secure hospitals all work to the same regime and that they have clear financial accountability for the jobs that they take on. I am afraid that rigidly separated budgets will result in a lot of defensive fencing before decisions are...

NHS Mental Health Services (1 Mar 2001)

Dr Peter Brand: I am sorry if I did not make myself clear. I am saying that some people commit offences that may be relatively minor, but those people may present a clear threat and so would be given indeterminate sentences. An arson attack that does not do enormous damage, for instance, might suggest a disturbed personality. In such circumstances, a reviewable sentence may be appropriate if the cases are...

New Clause 2: Community Health Councils: Scheme for Reform (14 Feb 2001)

Dr Peter Brand: Does my hon. Friend agree that the real value of PALS is to encourage the internal resolution of complaints in trusts and that they will be very useful vehicles for doing just that, but that they cannot be a substitute for supporting people who have genuine problems with the care provided by trusts and who have lost faith in them?

New Clause 2: Community Health Councils: Scheme for Reform (14 Feb 2001)

Dr Peter Brand: The hon. Gentleman knows that I have much respect for his views. Is he riot surprised that we are being asked to decide on the Bill tonight, before we know of the outcome of the Government's review of the complaints system? Perhaps he has greater knowledge of what is in the minds of Ministers, put is he not alarmed that we are being invited to adopt a framework without knowing what it has to...

New Clause 1: Patient Data (14 Feb 2001)

Dr Peter Brand: I declare an interest as a clinical practitioner, in that I work as an independent contractor to the health service as a general practitioner. It is relevant to make that declaration, as I would not like to be in conflict with the Secretary of State. Renumbered clause 62 gives the Secretary of State powers to override the wishes of patients on the control of clinical data. I can tell the...

New Clause 1: Patient Data (14 Feb 2001)

Dr Peter Brand: That illustrates the position fairly clearly—and it would be a brave Secretary of State who took on a doctor acting in the interests of his patient. I hope that such circumstances never arise, but the Bill contains the potential for them. 6.30 pm We accept that there is a problem with the maintenance of existing disease registers, especially cancer registers. In the past, consent was...

New Clause 1: Patient Data (14 Feb 2001)

Dr Peter Brand: This is fascinating—it is what the legislation says, but the judge of whether the condition is fulfilled will be the Secretary of State, who will consult both Houses. The Government, almost shocked by their own temerity in wishing to take these powers, obviously felt that they must put the brakes on. I appreciate the fact that they have done something quite unusual in requiring affirmative...

New Clause 1: Patient Data (14 Feb 2001)

Dr Peter Brand: As often, that was a valuable intervention. I think that there is a shared responsibility. It was noticeable that the only people who showed any enthusiasm in Committee were the officials, who agreed with every word that the Minister said. The rest of us shook our heads in some surprise. It is clear that the Minister should take a small step—an interim step—to deal with the concerns...

New Clause 1: Patient Data (14 Feb 2001)

Dr Peter Brand: It depends on how the data are collected. I do not know my medical colleague's practice well, but I know that he has long been concerned with medical education, postgraduate education and training, as I have. I know how many training activities depend on a degree of sponsorship, and it is important to ensure that sponsorship does not corrupt the activities of the practice; but we are talking...

New Clause 1: Patient Data (14 Feb 2001)

Dr Peter Brand: I wish to clarify something said by the hon. Member for Dartford (Dr. Stoate). Epidemiology can deal with anonymised data, and it is perfectly proper that it should do so. Notifiable diseases are notifiable because they may present a risk to the patient if not treated. More importantly, they present a direct risk to people coming into contact with the disease. That is not an argument that can...

New Clause 1: Patient Data (14 Feb 2001)

Dr Peter Brand: The Minister has used very valid examples, and they all involve bits of research where problems can be overcome by anonymising the clinical data. That is why it is so relevant to say that the outcome of his own working party's research on confidentiality and the processing of clinical data should be available before we decide about what should be the proper legislative proposals that the...

New Clause 11: Enhanced Criminal Record Certificates (14 Feb 2001)

Dr Peter Brand: It is clearly important to have the maximum patient protection regulations, but I am worried by what the Minister said about such regulations being in the interests of the NHS. I am also concerned that new clause 12 uses the word "efficiency" but does not define it. If the word "efficiency" is not used to mean the interests of patient care, will the Minister help the House by defining it?

Health and Social Care Bill (Programme)(No.2): Consideration of Lords Amendments and further messages from the Lords (14 Feb 2001)

Dr Peter Brand: I am sure that my hon. Friend the Member for Sutton and Cheam (Mr. Burstow) is too modest to point out to the hon. Gentleman that he had to make the case for giving powers to the National Assembly for Wales to make its own decisions on matters such as personal care and nursing.


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