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Results 81–100 of 486 for speaker:Dr Peter Brand

Care for the Elderly (5 Feb 2001)

Dr Peter Brand: The Minister clearly recognises that personal care is very much part of keeping someone at home, hence the teamwork of an integrated intermediate care package. If that would work for a short-term intervention under his new proposals, does he believe that lots more people could be kept at home by taking away the main barrier to them accepting help, which is usually personal care rather than...

Public Bill Committee: Health and Social Care Bill: Clause 60 - Extension of prescribing rights (1 Feb 2001)

Dr Peter Brand: The Minister is right, but accountability in that case is absolutely clearcut. Responsibility for the overall care of a patient in a hospital is taken by the consultant through clinical governance, and eventually by the chief executive of that hospital. As soon as the patient comes out of hospital, unless on leave as a patient under the mental health legislation, the responsibility becomes...

Public Bill Committee: Health and Social Care Bill: Clause 60 - Extension of prescribing rights (1 Feb 2001)

Dr Peter Brand: In that process, will the Minister also consider the requirements for clinical governance and re-accreditation of prescribers in exactly the same way as doctors are, quite rightly, required statutorily to undergo re-accreditation and to audit their work through clinical governance?

Public Bill Committee: Health and Social Care Bill: Clause 60 - Extension of prescribing rights (1 Feb 2001)

Dr Peter Brand: The Minister is right in saying that most of the work will be done by members of NHS-based teams. I support the plea of the hon. Member for New Forest, West that we should not restrict members of those teams by sheer formulae, because that has been so frustrating in nurse prescribing. Everyone should be able to work within their competence to the benefit of patients. There is often a shared...

Public Bill Committee: Health and Social Care Bill: Clause 60 - Extension of prescribing rights (1 Feb 2001)

Dr Peter Brand: It is a useful amendment. Indeed, I hope that the Government will consider tabling a similar amendment on Report. Some members of the national health service family are already covered through national health service indemnity arrangements, but it is vital that those who are not otherwise covered—especially those working independently—should carry indemnity insurance or be a member of an...

Public Bill Committee: Health and Social Care Bill: Clause 60 - Extension of prescribing rights (1 Feb 2001)

Dr Peter Brand: The Minister is right to attempt to outline the professional groups that should have prescribing rights and to consider specific drugs in relation to those groups. I also invite him to consider the specific settings or circumstances under which prescribing takes place. I share some of the concerns expressed by the hon. Member for the nicer bit of the New Forest—the hon. Member for New...

Public Bill Committee: Health and Social Care Bill: Clause 32 - Reviews of pilot schemes (1 Feb 2001)

Dr Peter Brand: Are we to assume that the retail competition referred to in amendment No. 276 would be restricted to over-the-counter medicines, rather than the wider retail activities of some pharmacists, which should not be of concern to the Committee?

Public Bill Committee: Health and Social Care Bill: Clause 32 - Reviews of pilot schemes (1 Feb 2001)

Dr Peter Brand: I am grateful for, but surprised by, that intervention. I thought that markets would be able to cope with the supply of photographic equipment, sandwiches, clothes or suntan lotions and I do not think that that is a matter for the Department of Health or a local health authority. In view of the hon. Gentleman's clarification, I do not think that I can support amendment No. 276. Amendment No....

Public Bill Committee: Health and Social Care Bill: Schedule 2 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: This is an interesting schedule. I wonder why it has been determined that the Secretary of State or the Welsh Assembly should have to give permission for that work rather than that the health authority should make its own proposals, with the Secretary of State or the Assembly acting as the court of appeal should a party feel aggrieved by the authority's decision. I fail to see how the...

Public Bill Committee: Health and Social Care Bill: Clause 29 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: I raised a small point about the role of hospital pharmacies, especially in out-of-hours prescribing. I should like the Minister to respond to the anxieties that have been expressed. Will that facility no longer be available, or should it be encouraged?

Public Bill Committee: Health and Social Care Bill: Clause 29 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: The point is that at present it is assumed that pharmacies will volunteer to provide adequate out-of-hours cover. That is done on an ad hoc basis and no health authority can require them to open, yet alternatives are not readily available. Perhaps the Minister should deal with that issue.

Public Bill Committee: Health and Social Care Bill: Clause 29 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: Theoretically, would it be possible for a pharmacist employed by a primary care trust to apply to operate as a limited pilot in the provision of out-of-hours services?

Public Bill Committee: Health and Social Care Bill: Clause 29 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: I also said that we arranged a collection service for our patients, so that while the prescriptions and pills had to travel the three miles, the patients could stay in their home village. Sir George Young: I am not sure whether that desirable service is available to all the hon. Gentleman's patients, or whether his explanation fully deals with my point about the number of journeys. I still...

Public Bill Committee: Health and Social Care Bill: Clause 29 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: I hear what the Minister says, but it would help if he were to acknowledge that resale price maintenance pays for some of the professional services that are provided by pharmacists. An acknowledgement would help pharmacists, who are anxious about the outcome of the case, because it would be a recognition of the fact that action may have to be taken by the Department rather than by the Office...

Public Bill Committee: Health and Social Care Bill: Clause 29 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: We very much welcome this part of the Bill. The change is long overdue. Primary care does not mean general practitioner services but a team in which pharmacists play an important role, as do the other professions mentioned later, with their extended prescribing rights. We need to discuss accountability, but I imagine that we will do so on clause 42. I welcome the implied flexibility of pilot...

Public Bill Committee: Health and Social Care Bill: Clause 29 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: I take that point. My example concerned the need to explore the provision of out-of-hours pharmaceutical services if it was not possible for them to be guaranteed locally through contracts with pharmacies—perhaps through a hospital-based pharmacy. Our out-of-hours call-in centre is based on the local hospital pharmacy. It seems ridiculous to send people who live at the other end of the...

Public Bill Committee: Health and Social Care Bill: Clause 29 - Pilot schemes (1 Feb 2001)

Dr Peter Brand: Does the Minister recognise that although there may not have been a shift in numbers of pharmacies, quite a number of licences have been transferred from community pharmacies to superstores, which has distorted the relevant pharmaceutical market considerably? I am sure that the Minister will recognise too that pharmacists have extended their role without a contract to do so, and that that...

Public Bill Committee: Health and Social Care Bill: Clause 13 - Patients Forums: Supplementary (30 Jan 2001)

Dr Peter Brand: I beg to move amendment No. 30, in page 10, line 24, at end insert— `(3A) The regulations must make provision to ensure that the members and the staff of a Patients' Forum are not financially dependent on the health authorities or trusts for which it is established.'. This is another attempt to make the Government reconsider having members of patients forums as executive members of...

Public Bill Committee: Health and Social Care Bill: Clause 13 - Patients Forums: Supplementary (30 Jan 2001)

Dr Peter Brand: The Minister clearly recognises that there is a problem. There are two ways of solving it, one of which is to have a member of the patients forum being a voice, with rights to speak, but without taking on the corporate responsibilities of being a board member of a trust. The alternative would be to have the trust board membership set aside for a nominee chosen by the patients forum but who...

Public Bill Committee: Health and Social Care Bill: Clause 10 - Establishment of Patients' Forums (30 Jan 2001)

Dr Peter Brand: Amendment No. 28 and new clause 3 try to achieve the same end. It is essential to have a national arena in which patients forums can share information, for two reasons. First, forums will be able to carry out their functions better at local level by networking nationally, and sharing experience and knowledge. After all, health authorities network and share experience and knowledge, as do...


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