Results 81–100 of 400 for (in the 'Commons debates' OR in the 'Westminster Hall debates' OR in the 'Lords debates' OR in the 'Northern Ireland Assembly debates') speaker:Baroness Cumberlege

Health and Social Care (Community Health and Standards) Bill (9 Oct 2003)

Baroness Cumberlege: I too support the amendment. As the noble Baroness, Lady Emerton, has said, the phrase that has echoed through this Committee stage is "minimum requirements and maximum flexibility". I understand why the Minister and the Department of Health want to keep it that way. In some ways I feel that the Bill is being presented to us like an impressionist painting: we are being invited to admire it at...

Health and Social Care (Community Health and Standards) Bill (9 Oct 2003)

Baroness Cumberlege: I find it hard to support this amendment. We have heard this afternoon and in the course of this Committee that the board of governors could number 50 or more people. To give 50 or more people the power of decision to appoint or fire a chief executive is extremely difficult and I am not quite sure that that process would work. Taking a decision to ease somebody out of a job, as I know to my...

"Initial directors of former NHS trusts (9 Oct 2003)

Baroness Cumberlege: I, too, support this group of amendments. They refer to issues raised earlier, when we discussed the balance of the health economy. I do not want to go into all that again, because time is getting on, but I support what the noble Baroness, Lady Finlay, and the right reverend Prelate said. The health service is very complicated; moving one piece of it greatly affects other parts in the local...

"Initial directors of former NHS trusts (9 Oct 2003)

Baroness Cumberlege: I want to raise a point with the Minister. I was interested in what he said about Kidderminster. One of the things that we are trying to do in Committee is anticipate how people will react to a different system. Does the Minister agree that the board of governors will actually be a board of supporters? They will be people who act as advocate for their particular foundation trust hospital....

"Initial directors of former NHS trusts (9 Oct 2003)

Baroness Cumberlege: The noble Lord, Lord Hunt, is right. We do not agree; we disagree.

Health and Social Care (Community Health and Standards) Bill (13 Oct 2003)

Baroness Cumberlege: I support the amendment. Noble Lords who have a good memory may remember that, at the beginning of the Committee stage, I proposed six clauses that would have established an agency that would be responsible for the day-to-day running of the NHS. I hope that, in a year or two, that will come about. I see some of the proposals in the Bill as paving mechanisms to prepare the ground for an agency...

Health and Social Care (Community Health and Standards) Bill (13 Oct 2003)

Baroness Cumberlege: As I understand the legislation—I am sure the Minister will put me right if I am wrong about this—foundation trusts will be able to sub-contract services to the for-profit sector through PFIs and other schemes, as well as to transfer staff. Can the Minister tell the Committee what will be the role of the regulator in those circumstances, in particular if the for-profit sector were to...

Health and Social Care (Community Health and Standards) Bill (13 Oct 2003)

Baroness Cumberlege: I, too, support my noble friend on this very well thought through amendment. When regulators have been introduced in this country, they often feel they have to win their spurs by being very tough. If one looks across the Atlantic to the United States, one sees the enormous damage that very tough regulators have done to the electricity industry, for instance, in order to keep down prices....

Health and Social Care (Community Health and Standards) Bill (13 Oct 2003)

Baroness Cumberlege: I thank the Minister for the sincerity of her response. I understand what she is saying in terms of the Secretary of State, who is the guardian of the NHS in its widest terms. However, I fail to understand one aspect of the Government's proposals; that two people have the right of veto or the right to accede to the request. The Minister said it would be demoralising if the Secretary of State...

Health and Social Care (Community Health and Standards) Bill (13 Oct 2003)

Baroness Cumberlege: I believe that that is a charade. I believe that the whole thing is politicised. The Bill uses the words: "if the application is supported by the Secretary of State". I cannot imagine a regulator going against the Secretary of State. Who will appoint the regulator and ensure that he produces the type of regulations that the Secretary of State wants? We are tied into the political...

Health and Social Care (Community Health and Standards) Bill (13 Oct 2003)

Baroness Cumberlege: I rise to support the amendment. I think the noble Lord, Lord Clement-Jones, is absolutely right. One should see this in the context of what is happening in the National Health Service generally. If we look at the very recent reforms that the NHS has carried out, Shifting the Balance of Power within the NHS is still in its infancy, with PCTs being responsible for 75 per cent of the budget. I...

Health and Social Care (Community Health and Standards) Bill (16 Oct 2003)

Baroness Cumberlege: In the past, we have looked at SHAs as holding the ring in the local economy. We know that in the future some people will be outwith the ring—foundation hospitals. If a foundation hospital finds that a specialist service such as neonatal intensive care, for example, will be uneconomic, or that it cannot attract the necessary staff, and decides to discontinue the service and not to seek a...

Health and Social Care (Community Health and Standards) Bill (16 Oct 2003)

Baroness Cumberlege: The noble Lord, Lord Hunt, raises an interesting question. You seldom get a genuine merger in the private sector. That is also true, as the noble Lord said, in the National Health Service. Sometimes the word "merger" is a misnomer for a takeover—and where there is a takeover there are always aggrieved people. When one considers mergers and the research that has been carried out on them in...

Health and Social Care (Community Health and Standards) Bill (20 Oct 2003)

Baroness Cumberlege: I should very much like to support what the noble Lord, Lord Turnberg, has just said. I know that it is very difficult for the Government to reverse once they have gone down a particular line. In this instance, however, is there not a case for trying to get back into the National Health Service some real confidence in the present system? Perhaps we will have to change the words and reinvent...

Health and Social Care (Community Health and Standards) Bill (20 Oct 2003)

Baroness Cumberlege: I also wish to address the amendment. I have great sympathy with my noble friend's concerns. I wish to comment briefly as I know that time is moving on. I made my maiden speech on patient records. One of the indicators of success of the change in childbirth policy which I pioneered was that pregnant women should hold their own notes. As I have three children and a very diligent GP, my health...

Health and Social Care (Community Health and Standards) Bill (20 Oct 2003)

Baroness Cumberlege: As I understand it, CHAI is interested not in research but in audit. When the Patient Information Advisory Group was set up a number of noble Lords took great interest in determining how it would work and were very impressed with the group's rigour. That ensured that the public interest and the private personal interest were maintained. From time to time during the course of this Bill the...

Health and Social Care (Community Health and Standards) Bill (20 Oct 2003)

Baroness Cumberlege: I thank the Minister for his reply. It was disappointing for me in that I had hoped that the noble Lord would go further. I accept, as do all noble Lords, that confidentiality is not an absolute. There will be circumstances, which the Minister has illustrated, where there is a strong public interest and disclosure is necessary. The matter that worries me is that we do not seem to have a good...

Health and Social Care (Community Health and Standards) Bill (20 Oct 2003)

Baroness Cumberlege: How are we going to see the code?

Health and Social Care (Community Health and Standards) Bill (6 Nov 2003)

Baroness Cumberlege: My Lords, I want to respond to the noble Lords, Lord Hunt and Lord Desai. I fully support the case that has been put in opposition to this form of devolution to local hospitals that has been outlined by my noble friend Lord Howe. The noble Lord, Lord Hunt, and I used to work very closely together and at one time I was actually his boss. He was my chief executive and he was exceptional. He was...

Health and Social Care (Community Health and Standards) Bill (6 Nov 2003)

Baroness Cumberlege: My Lords, not judgment, as I heard a noble Lord say. The noble Lord and I worked extremely well together in the NHS and we knew it very well indeed. That is why I find it breathtaking that the noble Lord suggests that nothing has changed in the governance of the National Health Service over the past 50 years. He will remember very clearly, as I do, the right honourable Kenneth Clarke...


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