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Opposition day on Wednesday, 27 January 2010, in the House of Commons, led by Mark Simmonds. The answering member was Mike O'Brien.

Out-of-Hours Care

Out-of-hours care. Third opposition day debate (part 2). Main question negatived on division (267 to 176). Amendment agreed on question.

Secondary information

Type
Parliamentary proceeding
Reference
504 c873-916 
Session
2009-10
Department
Department of Health
Chamber / Committee
House of Commons chamber
Proceeding contributions
Speaker | 504 c873 (Link to this contribution) I inform the House that Mr. Speaker has selected the amendment in the name of the Prime Minister. B...
Speaker | 504 c873 (Link to this contribution) I inform the House that Mr. Speaker has selected the amendment in the name of the Prime Minister. B...
Show all contributions (87)
Mark Todd | 504 c877 (Link to this contribution) May I draw the hon. Gentleman's attention to the letter from Dr. Laurence Buckman of the British Med...
Howard Stoate | 504 c875 (Link to this contribution) I am listening with interest to the hon. Gentleman. As he knows, I am a practising GP. A matter of g...
Mark Simmonds | 504 c875-7 (Link to this contribution) The hon. Gentleman is right to say that there needs to be much more co-ordination and co-operation o...
Andrew Murrison | 504 c875 (Link to this contribution) Does my hon. Friend share my concern about the pressure that this problem can place on casualty depa...
Mark Simmonds | 504 c875 (Link to this contribution) My hon. Friend makes a very good point. He is absolutely right to say that there needs to be more co...
Lord Beith | 504 c875 (Link to this contribution) The hon. Gentleman recognises that it often costs more to provide those services in rural areas. Doe...
Mark Simmonds | 504 c875 (Link to this contribution) I am grateful to the right hon. Gentleman for that intervention. He is absolutely right. There are s...
Speaker | 504 c873 (Link to this contribution) I inform the House that Mr. Speaker has selected the amendment in the name of the Prime Minister. B...
Mark Simmonds | 504 c873-5 (Link to this contribution) I beg to move,"That this House supports family doctors as the bedrock of healthcare services in the ...
Kevin Barron | 504 c879 (Link to this contribution) The hon. Gentleman might know that I spent nine years as a lay member of the GMC. Does he think that...
Norman Lamb | 504 c877 (Link to this contribution) I agree with much of what the hon. Gentleman has said about how the system works at present, but wha...
Mark Simmonds | 504 c878 (Link to this contribution) We propose that GPs will commission out-of-hours care, but there will certainly not be a compulsion ...
Maria Miller | 504 c878 (Link to this contribution) The out-of-hours service in my constituency is delivered in a central location in my local hospital—...
Mark Simmonds | 504 c878-9 (Link to this contribution) It sounds as though an excellent model is being used in my hon. Friend's constituency. We do not thi...
Mark Simmonds | 504 c879 (Link to this contribution) I will give way a little later, but I wish to make some progress because I know that many other hon....
Mark Simmonds | 504 c877 (Link to this contribution) The fundamental difference between what we propose and what happened before 2004 is that we do not n...
Mark Todd | 504 c877-8 (Link to this contribution) May I ask the hon. Gentleman, I hope helpfully, to distinguish between commissioning and governance ...
Mark Simmonds | 504 c878 (Link to this contribution) I am grateful for that intervention, but I disagree with the hon. Gentleman. I travel extensively ar...
Norman Lamb | 504 c878 (Link to this contribution) I wish to pursue the point that I raised a little earlier. The hon. Gentleman said that things are d...
Mike O'Brien | 504 c880-1 (Link to this contribution) I beg to move an amendment, to leave out from 'NHS' to the end of the Question and add:""welcomes th...
Mark Simmonds | 504 c880 (Link to this contribution) Clearly, there has to be a professional responsibility for the provision of health care that that do...
Mike O'Brien | 504 c882 (Link to this contribution) It was clear that many areas would provide the service through various rotas among doctors' co-opera...
Lord Beith | 504 c881 (Link to this contribution) The Minister has described how the Government came to hand over to PCTs the responsibility for commi...
Mike O'Brien | 504 c882 (Link to this contribution) The right hon. Gentleman repeats his question from a sedentary position. Most out-of-hours services ...
Lord Beith | 504 c882 (Link to this contribution) But where were the doctors to come from?
Mark Simmonds | 504 c879-80 (Link to this contribution) I support the mechanisms that are in place at the moment—the list that the GMC holds and the provide...
Norman Lamb | 504 c883 (Link to this contribution) Can the Minister specify the consequences of breaches of the regulations which allow a doctor to pra...
Mike O'Brien | 504 c883 (Link to this contribution) If my hon. Friend will forgive me, I need to make progress, as other Members wish to contribute to t...
Mark Todd | 504 c883 (Link to this contribution) Will my right hon. and learned Friend give way?
Mike O'Brien | 504 c884 (Link to this contribution) It is important that Members understand there is not only the GMC, which was mentioned by the hon. M...
Mike O'Brien | 504 c883 (Link to this contribution) If a doctor did not carry the required level of knowledge and the ability to speak English, they cou...
Mike O'Brien | 504 c883 (Link to this contribution) My hon. Friend is quite right—we cannot turn the clock back. We need to improve the quality of care ...
Anthony D Wright | 504 c883 (Link to this contribution) I accept that there have indeed been improvements. Although I disagree fundamentally with the Opposi...
Mike O'Brien | 504 c882 (Link to this contribution) The shadow Secretary of State, who has not deigned to lead this important debate, and did not bother...
Mike O'Brien | 504 c886-7 (Link to this contribution) My hon. Friend makes a very good point, which I shall certainly take on board. I look forward to hea...
Mark Todd | 504 c886 (Link to this contribution) My right hon. and learned Friend's response provoked me to add my name to the debate, so he will get...
Mike O'Brien | 504 c885 (Link to this contribution) I am indeed going to come on to that.
Mark Simmonds | 504 c885 (Link to this contribution) The Minister mentioned that some primary care trusts were clearly not fulfilling their obligations u...
Mike O'Brien | 504 c885 (Link to this contribution) They do not, and that is an important point. A doctor from the EEA—comprising the European Union and...
Jacqui Lait | 504 c885 (Link to this contribution) My hon. Friend the Member for Boston and Skegness (Mark Simmonds) mentioned that doctors from the Eu...
Mike O'Brien | 504 c884-5 (Link to this contribution) Out-of-hours providers were also reminded of the need to ensure rigorous recruitment, induction and ...
Mike O'Brien | 504 c884 (Link to this contribution) No. I shall make progress, then I will give way to some people. I say a few words and am then interr...
Mike O'Brien | 504 c885 (Link to this contribution) The fatality relates to the patients, but the primary care trusts would clearly be in breach of thei...
Norman Lamb | 504 c885 (Link to this contribution) I am grateful to the Minister for giving way again. He talked about the regulations that were in pla...
Mark Simmonds | 504 c891 (Link to this contribution) The hon. Gentleman makes a very powerful point. Is he aware that rumours are circulating among GPs t...
Norman Lamb | 504 c890 (Link to this contribution) That is a very fair point. I was previously a solicitor. Some women solicitors joined a rota to prov...
Robert Syms | 504 c890 (Link to this contribution) The hon. Gentleman makes a good point. However, there are also a lot more women doctors both in hosp...
Norman Lamb | 504 c889-90 (Link to this contribution) My right hon. Friend is right. That can result in unnecessary admissions to acute hospitals, which a...
Lord Beith | 504 c889 (Link to this contribution) In a situation that often arises, when a family with a sick child has to decide whether to ring the ...
Norman Lamb | 504 c888-9 (Link to this contribution) May I first join the Minister in expressing my deepest sympathy to the families of those whose death...
Mike O'Brien | 504 c887-8 (Link to this contribution) Let me deal with a couple more points, and I will give way before I conclude. The hon. Member for B...
Mike O'Brien | 504 c891 (Link to this contribution) Does the hon. Gentleman agree that it needs to be addressed by ensuring that regulations are more ef...
Norman Lamb | 504 c891 (Link to this contribution) I am grateful for that intervention, and I agree that the rules have to be tight and effective. If a...
Mike O'Brien | 504 c891 (Link to this contribution) Criminal penalties involve someone having to pay a price, be that a fine, imprisonment or something ...
Norman Lamb | 504 c891-3 (Link to this contribution) Of course the idea requires thinking through, but trusts can be criminally liable, if they behave in...
Lord Beith | 504 c893 (Link to this contribution) I can give an example of the problem to which my hon. Friend is referring. Practice differs in rural...
Norman Lamb | 504 c893 (Link to this contribution) Absolutely. My right hon. Friend makes the point very well; before a doctor can practise in a partic...
Lord McCrea of Magherafelt and Cookstown | 504 c894 (Link to this contribution) Having pointed out serious flaws in the present system, perhaps before he finishes the hon. Gentlema...
Norman Lamb | 504 c894 (Link to this contribution) The GMC is arguing for the reform of directives in Europe. Indeed, it is already lobbying for that, ...
Howard Stoate | 504 c894 (Link to this contribution) Can the hon. Gentleman not see that he is getting to the nub of why the previous system did not work...
Norman Lamb | 504 c894-5 (Link to this contribution) He does not. That point looks like work in progress to me, but it is a critical issue. My problem wi...
Norman Lamb | 504 c894 (Link to this contribution) That is the reason why I have concerns about the Conservative proposition. I am not entirely sure wh...
Malcolm Moss | 504 c898-9 (Link to this contribution) In the light of Madam Deputy Speaker's ruling at the outset of this debate that the case of my const...
Speaker | 504 c895 (Link to this contribution) Order. I remind the House that there is a limit of eight minutes on Back-Bench speeches. The Front B...
Howard Stoate | 504 c895-7 (Link to this contribution) Thank you, Mr. Deputy Speaker. I shall endeavour to keep my remarks within your eight-minute time sc...
Speaker | 504 c904 (Link to this contribution) Order. Eighteen minutes remain before the debate is wound up, so I appeal to hon. Members to see if ...
Mark Todd | 504 c900-1 (Link to this contribution) I had not expected to speak in this debate, but the robust handling of interventions by my right hon...
Maria Miller | 504 c902-3 (Link to this contribution) Many people were shocked when they read the media stories on the issues that we are discussing. Alth...
Ann Keen | 504 c910-1 (Link to this contribution) I too wish to say how well this debate has gone. There have been improvements in out-of-hours servic...
Martin Salter | 504 c911 (Link to this contribution) My hon. Friend mentions nursing. I am interested in the development of policy in that area. Does she...
Ann Keen | 504 c911 (Link to this contribution) My hon. Friend raises an important point. I wonder whether Opposition Front Benchers have met that g...
Speaker | 504 c911 (Link to this contribution) Order. I have not met anyone.
Jacqui Lait | 504 c904 (Link to this contribution) I will do my best to help, Mr. Deputy Speaker. It is interesting that we have debated the problems ...
Richard Taylor | 504 c904-6 (Link to this contribution) I shall try to be rapid. Out of hours comprises two thirds of the week, and most emergencies will th...
Nadine Dorries | 504 c906-8 (Link to this contribution) The Minister was right to identify fatigue as a reason for the out-of-hours service as we know it ha...
Mike Penning | 504 c908-10 (Link to this contribution) We have had an eminently sensible debate this afternoon. Hon. Members of all parties care about the ...
Ann Keen | 504 c911-2 (Link to this contribution) From what I have read of that group, my hon. Friend's remarks are very worrying. The hon. Member fo...
Mark Simmonds | 504 c877 (Link to this contribution) I will come to a comment from the BMA in a moment, but the hon. Gentleman should be cautious: he wil...
Kevin Barron | 504 c880 (Link to this contribution) I completely agree with the hon. Gentleman on the issue of English language testing and the need to ...
Norman Lamb | 504 c891 (Link to this contribution) I am aware of that and I am grateful to the hon. Gentleman for raising it. At the end of that debat...
Subjects
Doctors Health services General practitioners NHS Working hours NHS Direct Locums
Link
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