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Results 161–180 of 486 for speaker:Dr Peter Brand

Complementary Medicine (24 Jan 2001)

Dr Peter Brand: I congratulate the hon. Member for Bosworth (Mr. Tredinnick) on securing the debate, and on highlighting the valuable contribution made by the House of Lords Select Committee on Science and Technology. As he pointed out, we may not be dealing with a mainstream medical activity, but we are certainly dealing with a mainstream commercial and patient activity; a turnover of some £350 million...

Complementary Medicine (24 Jan 2001)

Dr Peter Brand: I did not say that there was no evidence; I merely objected to the contention that the evidence was not understood. Simply because something has been done for a few thousand years does not mean that it is useful. The health outcomes in China are not especially good; nor are those in India. That type of medicine may be the only resource available to those populations, but their morbidity and...

Complementary Medicine (24 Jan 2001)

Dr Peter Brand: I am glad that I have given the hon. Gentleman an opportunity to correct what he said by misadventure. In my experience, fundholding created a blossoming of access to alternative medicine, for three reasons. First, the interventions on the whole were not harmful. Doctors are always minded that their first duty is not to do harm. Secondly, patients liked being referred to alternative...

Complementary Medicine (24 Jan 2001)

Dr Peter Brand: Does the hon. Gentleman accept that many Members signed the early-day motion because it urged the House to look at the House of Lords report, which is quite specific about some of the values--and, indeed, some of the non-proven aspects about alternative medicine? The hon. Gentleman must be very careful not to attribute motives to people supporting the motion. Members of Parliament signed to...

Orders of the Day — Tribunals of Inquiry (Evidence) Act 1921 (23 Jan 2001)

Dr Peter Brand: Being a doctor can be an extremely lonely occupation at times. Medicine is not clear-cut; there are many grey areas. It is not surprising that some doctors, especially those in single-handed general practice—and, indeed, single-specialty hospital doctors—can find it extraordinarily difficult. It is well known that many doctors in such circumstances tend to move in two directions: they...

Orders of the Day — Tribunals of Inquiry (Evidence) Act 1921 (23 Jan 2001)

Dr Peter Brand: I am grateful for that intervention, because it allows me to clarify my view. As I have said earlier, Shipman dealt with his sense of infallibility—or, perhaps, insecurity; we do not know what motivated him—in a uniquely wicked, murderous way. I hope that the inquiry will, in a sense, be in two parts: one part considering Shipman and how he managed to get away with his wicked and evil...

Orders of the Day — Tribunals of Inquiry (Evidence) Act 1921 (23 Jan 2001)

Dr Peter Brand: The hon. Gentleman ascribes to me a motivation that does not relate to what I said. There is no excuse for a Shipman: that was unique wickedness, on an enormous scale. The point I am trying to make is that the circumstances in which Shipman practised allowed him to put himself in a position in which he could commit multiple despicable murders. I suspect that if Shipman had been a member of a...

Orders of the Day — Tribunals of Inquiry (Evidence) Act 1921 (23 Jan 2001)

Dr Peter Brand: I shall touch on that, but I wish to return to the point that I was making. Patterns of deaths are important, not only within general practice but within hospital practice. It is helpful for people who audit these issues to look at death patterns in long-stay wards or wards specialising in the care of elderly people to see whether a pattern emerges. I share the concerns of the hon. Member for...

Orders of the Day — Tribunals of Inquiry (Evidence) Act 1921 (23 Jan 2001)

Dr Peter Brand: There were two problems: first, inappropriate quantities were given to Dr. Shipman; and, secondly, he neither destroyed the drugs—the proper thing to do—nor entered them in his own drug register as having been received. It is essential that drugs are trackable between the manufacturer and the patient. In this case, the system clearly failed. I am sure that many issues will come out in...

Public Bill Committee: Health and Social Care Bill: Clause 4 - Public-private partnerships (23 Jan 2001)

Dr Peter Brand: Will the hon. Member explain why the Conservatives were so enthusiastic about the Government's private finance initiative projects, which tied the health service to contracts of some 60 years with a 30-year break clause?

Public Bill Committee: Health and Social Care Bill: Clause 3 - Supplementary payments to NHS trusts and Primary Care Trusts (23 Jan 2001)

Dr Peter Brand: We are not discussing this matter in terms of education policy. However, there is a fascinating parallel in that there is a clear direction in the Government's enabling legislation towards directly managed trusts which are providers of services rather than commissioners of services. If that is the direction that the Government want to take, they will be wasting a lot of House of Commons time,...

Public Bill Committee: Health and Social Care Bill: Clause 3 - Supplementary payments to NHS trusts and Primary Care Trusts (23 Jan 2001)

Dr Peter Brand: I am uneasy about clause 3 for several reasons. Currently there is a partnership between commissioning health authorities and trusts that deliver, in the case of primary care trusts, through secondary commissioning. The relationship is usually positive under that scheme and it is clear who does what. I am anxious about allowing the Secretary of State to fund trusts directly and bypass health...

Public Bill Committee: Health and Social Care Bill: Clause 2 - Payments relating to past performance (23 Jan 2001)

Dr Peter Brand: I am interested in that response. What would the reaction have been if the previous Government had introduced not just Ofsted and league tables for schools, but financial rewards for those schools that received a good Ofsted report? Failing schools or trusts that are having difficulties may receive additional funds on an informal basis. However, the message to the public is quite different....

Public Bill Committee: Health and Social Care Bill: Clause 2 - Payments relating to past performance (23 Jan 2001)

Dr Peter Brand: I do not want to disabuse the hon. Member, but as a doctor I had to make decisions like that and I have seen letters like that in the 70s, 80s and 90s; it were ever thus. The real point is whether health authorities and trusts have the power to say publicly that their allocations are not adequate. It is an inescapable fact that it happens.

Public Bill Committee: Health and Social Care Bill: Clause 2 - Payments relating to past performance (23 Jan 2001)

Dr Peter Brand: I beg to move amendment No. 40, in page 3, line 5, at end insert— `(c) Subject to paragraph 5A(2) of Schedule 3 to the National Health Service and Community Care Act 1990, payments may be made to improve unsatisfactory performance against those criteria set out in paragraph (b) above'. We had an interesting debate on the first group of amendments to clause 2, during which the Minister...

Public Bill Committee: Health and Social Care Bill: Clause 16 - Intervention orders (23 Jan 2001)

Dr Peter Brand: Even though we do not seek a statutory instrument, will the Minister accept that it is important to have a statutory means of communicating? We must ensure that Ministers give reasons that are readily accessible to Members of the House.

Public Bill Committee: Health and Social Care Bill: Clause 16 - Intervention orders (23 Jan 2001)

Dr Peter Brand: May I draw the Minister's attention to our discussions on the Food Standards Agency? Such considerations were made, and the relevant Minister has to publish the reasons for intervention by statute.

Public Bill Committee: Health and Social Care Bill: Clause 16 - Intervention orders (23 Jan 2001)

Dr Peter Brand: Will the Minister give way?

Public Bill Committee: Health and Social Care Bill: Clause 16 - Intervention orders (23 Jan 2001)

Dr Peter Brand: I am slightly concerned that the Secretary of State says that one particular failure may not lead to intervention. However, if there were a deliberate failure to provide a service—and I am going back to the points made by my hon. Friend the Member for Sutton and Cheam—where, for instance, a trust said that no-one over the age of 60 should be dialysed, or that it would not provide adequate...


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