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Results 121–140 of 486 for speaker:Dr Peter Brand

Public Bill Committee: Health and Social Care Bill: Clause 28 - The Family Health Services appeal authority (25 Jan 2001)

Dr Peter Brand: On a point of order, Mr. Maxton. If the clause is not agreed, can the Minister table an alternative clause later in the Committee's proceedings?

Public Bill Committee: Health and Social Care Bill: Clause 28 - The Family Health Services appeal authority (25 Jan 2001)

Dr Peter Brand: The clause is thin and inadequate, and it has become more confusing now that we have heard from the Minister that the authority is not to be set up under the Bill, but plugs into an existing set of regulations relating to tribunal services. I shall echo the comments made by the hon. Member for Runnymede and Weybridge. We have medical practitioners providing general ophthalmic services...

Public Bill Committee: Health and Social Care Bill: Clause 27 - PMS and PDS lists (25 Jan 2001)

Dr Peter Brand: I listened carefully to what the Minister said, and I was thinking particularly about an earlier commitment that he made. He said that PMS was a voluntary arrangement and there would always be the opportunity to opt out of it and return to GMS. Can we have an assurance from the Minister that should that option no longer exist—and I believe that it could be extinguished without primary...

Public Bill Committee: Health and Social Care Bill: Clause 28 - The Family Health Services appeal authority (25 Jan 2001)

Dr Peter Brand: I beg to move amendment No. 34, in page 28, line 39, at end insert `such number being equivalent to at least fifty per cent of the total membership of the FHSAA'. The spirit of the amendment is the same as that of the amendments to the previous group. I am always slightly worried about setting out such prescriptions as specifying that a body must comprise six members but not specifying the...

Public Bill Committee: Health and Social Care Bill: Clause 28 - The Family Health Services appeal authority (25 Jan 2001)

Dr Peter Brand: If the Lord Chancellor is involved, they might all be lawyers. Under the definition that we are discussing, the members would be lay. I hope that the Minister will come back to that issue on Report because it would be unsatisfactory not to get a flavour of the tribunal and know, for example, whether it will represent patient groups or interests.

Public Bill Committee: Health and Social Care Bill: Clause 28 - The Family Health Services appeal authority (25 Jan 2001)

Dr Peter Brand: I would value your guidance, Mr. Maxton, as to whether we will have a stand part debate.

Public Bill Committee: Health and Social Care Bill: Clause 28 - The Family Health Services appeal authority (25 Jan 2001)

Dr Peter Brand: I am happy, therefore, to let the matter rest for the time being and return to it on Report. I beg to ask leave to withdraw the amendment. Amendment, by leave, withdrawn.

Public Bill Committee: Health and Social Care Bill: Clause 26 - Suspension and disqualification of practitioners (25 Jan 2001)

Dr Peter Brand: I beg to ask leave to withdraw the amendment. Amendment, by leave, withdraw. Amendments made: No. 159, in page 24, line 9, leave out `the body which regulates the practitioner's profession' and insert `prescribed persons, or persons of prescribed descriptions,' No. 160, in page 24, line 10, at end insert— `Withdrawal from lists . Regulations may provide for circumstances in which a...

Public Bill Committee: Health and Social Care Bill: Clause 26 - Suspension and disqualification of practitioners (25 Jan 2001)

Dr Peter Brand: I beg to move amendment No. 32, in page 24, line 8, leave out `may' and insert `shall'.

Public Bill Committee: Health and Social Care Bill: Clause 26 - Suspension and disqualification of practitioners (25 Jan 2001)

Dr Peter Brand: I apologise to the Committee as the amendment seems to have gained something in translation. It should have read—I realise it makes the amendment slightly incompetent— delete `or in prescribed cases may'. I am anxious that even using all the safeguards built into the clause, it may take up to six months before a suspension is resolved. It would be against natural justice if that...

Public Bill Committee: Health and Social Care Bill: Clause 25 - Supplementary lists (25 Jan 2001)

Dr Peter Brand: I should like to return to the PMS question, about which I am still unclear. I presume that, in a nurse-led PMS contract, the doctor employed by a nurse would have to be accountable by being on a list, but that the nurse employed by a practice nurse would not. There is no accountability between the practice nurse and practice doctor, so the practice doctor cannot have any responsibility for...

Public Bill Committee: Health and Social Care Bill: Clause 25 - Supplementary lists (25 Jan 2001)

Dr Peter Brand: If the Minister will allow me—

Public Bill Committee: Health and Social Care Bill: Clause 25 - Supplementary lists (25 Jan 2001)

Dr Peter Brand: The Liberal Democrats welcome the idea of bringing locums out from the cold and into a regulatory framework, but let me have a final go at explaining my difficulty with developments under PMS. When a PMS project is led by a person who is not on a list—it could be any employer—the doctor will have to work to directions, so it is the employer who determines the patterns of work. The...

Public Bill Committee: Health and Social Care Bill: Clause 25 - Supplementary lists (25 Jan 2001)

Dr Peter Brand: I hear the Minister's explanation, but hospital doctors are not on a supplementary list. They are accountable to their employing authority, the hospital, as are other practitioners within the team. I do not have an anti-nurse-led PMS worry, but a worry about PMS itself. That is why I developed the point about corporations running PMS services. Either accountability stops with the practitioner...

Public Bill Committee: Health and Social Care Bill: Clause 25 - Supplementary lists (25 Jan 2001)

Dr Peter Brand: Returning to an earlier discussion, the hon. Gentleman's point illustrates that, under PMS, the employer must be held accountable. Under GMS, a practice nurse would be accountable for her actions to whoever has the contract—the partner responsible. However, in the circumstances described by the hon. Gentleman, would be no accountability to the practitioners listed under the clause. In fact,...

Public Bill Committee: Health and Social Care Bill: Clause 25 - Supplementary lists (25 Jan 2001)

Dr Peter Brand: I should be grateful if the Minister could solve a conundrum. If someone who wants to work as a locum for a PMS project have to be on a list, or does an individual contractual arrangement have to be entered into every time someone wants to work for a PMS set up?

Public Bill Committee: Health and Social Care Bill: Clause 24 - Declaration of financial interests, gifts, etc (25 Jan 2001)

Dr Peter Brand: I am happy to respond to the hon. Member for Lancaster and Wyre (Mr. Dawson), whose opinions I normally value a great deal. There is an enormous difference between being a general practitioner, who has to live in the community that he serves, and a doctor, who has to work in an institution or hospital. I have known most of my patients for more than 20 years, and the gifts do not all go in one...

Public Bill Committee: Health and Social Care Bill: Clause 24 - Declaration of financial interests, gifts, etc (25 Jan 2001)

Dr Peter Brand: I support the spirit behind these amendments. The issue of gifts to practitioners is extremely difficult. It is churlish to turn down a gift, especially when people have made a special effort. In the appropriate season, we are frequently given a brace of pheasant. We particularly appreciate it when it comes from the wife of the gamekeeper, because she prepares them for the oven. I am afraid...

Public Bill Committee: Health and Social Care Bill: Clause 23 - Dental Corporations (25 Jan 2001)

Dr Peter Brand: For completeness, will bodies providing medical services under PMS be mentioned?


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