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Results 141–160 of 486 for speaker:Dr Peter Brand

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

Dr Peter Brand: There is a move towards one-stop shops, especially within large chemist chains, which provide ophthalmic, dental and medical services in walk-in clinics. Thus there must be parallel arrangements for corporate bodies that may want to move into that market.

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

Dr Peter Brand: I am sure that the hon. Gentleman would not be surprised to learn that medical practitioners are often promised future benefits in wills that never arrive. I have problems with the hon. Gentleman's concept because to publish the fact of expectations will put unreasonable pressure on patients, who will feel that they are obliged to fulfil their perhaps rash idea, which they may have had at...

Public Bill Committee: Health and Social Care Bill: Clause 22 - Unsuitability for inclusion in medical, dental,ophthalmic and pharmaceutical etc. lists (25 Jan 2001)

Dr Peter Brand: That is why I am worried about the effect that clause—even with the amendments—may have on the way in which practitioners are distributed around the country. I want everyone to have an equal opportunity to apply for partnerships in all parts of the country. Creating the artificial device of having suitability determined by a health authority, rather than by the people who have to work...

Public Bill Committee: Health and Social Care Bill: Clause 22 - Unsuitability for inclusion in medical, dental,ophthalmic and pharmaceutical etc. lists (25 Jan 2001)

Dr Peter Brand: I fully accept the Minister's reminder that we are not here to judge a particular case, but his hypothetical example suggested a reason not to have someone on a local list, and there have got to be jolly good reasons to do that. If the reasons are good—if there were corrupt practices, which are against the regulations as they are at the moment—they should be grounds for a national...

Public Bill Committee: Health and Social Care Bill: Clause 22 - Unsuitability for inclusion in medical, dental,ophthalmic and pharmaceutical etc. lists (25 Jan 2001)

Dr Peter Brand: The Minister has explained the issue clearly, but I am not reassured. Should there not be some way within the powers of the Bill to make the employer accountable in the same way as the employee? It is quite clear that the employer can affect the way that services are delivered by his or her employee, in the same way as we discussed in relation to the Care Standards Act 2000.

Public Bill Committee: Health and Social Care Bill: Clause 22 - Unsuitability for inclusion in medical, dental,ophthalmic and pharmaceutical etc. lists (25 Jan 2001)

Dr Peter Brand: Medical lists are maintained by health authorities but it is unusual not to get on a medical list if one is suitably qualified, has suitable prescribed experience, is registered with the GMC and has insurance. Those are the criteria. The Bill introduces another qualification—suitability for the job. If we are going to introduce that, I find it surprising that the criteria will not be set...

Public Bill Committee: Health and Social Care Bill: Clause 22 - Unsuitability for inclusion in medical, dental,ophthalmic and pharmaceutical etc. lists (25 Jan 2001)

Dr Peter Brand: It may not lead to inconsistencies in treatment, but it will certainly lead to a burden of administration and bureaucracy. A great delay will be built into the system by which someone moves from one health authority to another. If they have the approval of one health authority, they should be eligible to apply for jobs elsewhere without going through a bureaucratic process.

Public Bill Committee: Health and Social Care Bill: Clause 22 - Unsuitability for inclusion in medical, dental,ophthalmic and pharmaceutical etc. lists (25 Jan 2001)

Dr Peter Brand: I am aware of the current system, but the Bill introduces something new in that suspension from one list will mean suspension from all other lists. The negative powers should be balanced against the positive powers.

Public Bill Committee: Health and Social Care Bill: Clause 22 - Unsuitability for inclusion in medical, dental,ophthalmic and pharmaceutical etc. lists (25 Jan 2001)

Dr Peter Brand: It is helpful to be able to ask the Minister questions as he goes along. I appreciate that the Minister would want the list to be more NHS-specific than the General Medical Council's list, but I do not see why it should involve any local variation. I understand that once a person is on the supplementary list of one authority, they automatically appear on the lists of others. Why should not...

Public Bill Committee: Health and Social Care Bill: Clause 21 - out of hours medical services (25 Jan 2001)

Dr Peter Brand: The Minister did not respond to my specific question about whether rotas for GPs who intend to retain 24-hour responsibility will be caught by the regulatory mechanism.

Public Bill Committee: Health and Social Care Bill: Clause 21 - out of hours medical services (25 Jan 2001)

Dr Peter Brand: If a husband and wife team look after a practice population 90 per cent. of the time, will they have to apply for accreditation in order to have an arrangement about who gets up at night?

Public Bill Committee: Health and Social Care Bill: Clause 21 - out of hours medical services (25 Jan 2001)

Dr Peter Brand: I do not want discussion on the clause to focus solely on NHS Direct. However, it is clearly an evolving service that is having problems during its evolution. Not only has it found it difficult to cope with capacity, but there have also been significant problems with the computer programmes on which the advice is based. It can take a long time to get hold of someone, and the assessment...

Public Bill Committee: Health and Social Care Bill: Clause 21 - out of hours medical services (25 Jan 2001)

Dr Peter Brand: I am grateful for that intervention, which clarifies what I was intending to say. The clause gives the Secretary of State the power, through regulations, to determine how access is provided, irrespective of local traditions or of what has worked in the past. I do not oppose the clause, because I am a realist and I know that the world has moved on during the past 20 years. However, I would...

Public Bill Committee: Health and Social Care Bill: Clause 21 - out of hours medical services (25 Jan 2001)

Dr Peter Brand: I am sure that we have a long way to go on information exchange, as a recent Which report pointed out. Would the Minister answer the question asked by the hon. Member for Runnymede and Weybridge slightly differently? If a patient registers normally at a walk-in centre but specifies that certain aspects of the consultation should not be shared, does that patient have the right to have those...

Public Bill Committee: Health and Social Care Bill: Clause 21 - out of hours medical services (25 Jan 2001)

Dr Peter Brand: It would help if that advice was made available in time for our later debates. It is not uncommon for a patient to share all sorts of information, and a core of information certainly needs to be shared, but a patient may not want to share certain aspects of a consultation. For instance, a pregnant under-age girl may not want a family friend who happens to be the GP to have that information...

Public Bill Committee: Health and Social Care Bill: Clause 21 - out of hours medical services (25 Jan 2001)

Dr Peter Brand: Has the Minister considered an alternative way of tackling this problem? If approval in one health authority qualified a large company to practise in any other, it could lose that approval in all health authorities if its performance was unsatisfactory in any one of them. In some franchising operations, those who trade on well-known national images may not be diligent in ensuring that that...

Public Bill Committee: Health and Social Care Bill: Clause 20 - Payments relating to past performance (25 Jan 2001)

Dr Peter Brand: It is true that before quality can be delivered, a basic practice must be assembled, so there is still a need for a basic practice allowance of some sort. I support what the Government are trying to do, and that is not necessarily because I am so trusting. I have spent my clinical professional life with drug addicts—people who are pathological liars.

Public Bill Committee: Health and Social Care Bill: Clause 20 - Payments relating to past performance (25 Jan 2001)

Dr Peter Brand: I have been anticipated. Medical negotiators can certainly cope with the average politician.

Public Bill Committee: Health and Social Care Bill: Clause 20 - Payments relating to past performance (25 Jan 2001)

Dr Peter Brand: The Minister said that PMS was a voluntary arrangement and clearly that is the case in respect of the move from GMS to PMS. Could the Minister reassure us that the reverse move is also possible? Once people have accepted PMS, if there were to be a disagreement with the commissioning body, under PMS the same health authority would also have the power to block the institution of a GMS contract.

Complementary Medicine (24 Jan 2001)

Dr Peter Brand: I do not think that that is the perception of some of the primary care groups and primary care trusts on the ground. There is a risk of losing diversity of choice for the sake of equity of access.


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