Health Service Medical Supplies (Costs) Bill

My Lords, Amendment 1 is in my name and those of the noble Lord, Lord Hunt of Kings Heath, and th...

My Lords, I support this amendment and compliment the noble Lord, Lord Warner, on his comprehensi...

My Lords, I hesitate before speaking about this amendment because I do not profess any particular...

My Lords, I support this amendment. I have a real concern that the whole process of pricing and c...

My Lords, I declare my interests as recorded in the register and formally welcome my noble friend...

My Lords, I am pleased to have the opportunity to contribute in Committee. I join in welcoming ou...

Will the noble Lord clarify something for me? The point of my amendment was, in a sense, not any ...

The short answer is yes. We should aim for what is a price paid by the NHS to the industry for th...

The noble Lord referred to me-too drugs. I hope that he agrees that it is important to recognise ...

I understand that. There is a perfectly good argument for the benefits that are derived from incr...

My Lords, cost-effective medicines which work for patients are vital, but some orphan drugs will ...

My Lords, that is a very interesting question. The exchange between the noble Lords, Lord Lansley...

My Lords, I thank the noble Lord, Lord Warner, for his amendment and for the opportunity it has p...

Let me thank the Minister for that comprehensive reply and for his openness in discussing things ...

I thank the noble Baroness for that point, with which I completely concur. This is obviously a bi...

My Lords, I am grateful to the Minister for his response but I was not convinced and I am not sur...

Moved by

Lord Hunt of Kings Heath

2: Clause 1, page 1, line 14, at end insert—

...

My Lords, in moving Amendment 2 and speaking to Amendment 4, I will inevitably go over some of th...

My Lords, I support these amendments, to which I have added my name. I do not want to go over aga...

I have added my name to the first of the amendments. I would have added it to the second, but the...

May I say a quick word on these two amendments, which would have the same effect in relation to t...

Surely it is the other way round. The NHS could up its intake of new medicines willy-nilly, knowi...

The position is that the PPRS is a deal based on a budget. If you want to construct something tha...

That is very interesting. It has always struck me that when you chair a board of an NHS foundatio...

What we set up a long time ago was, effectively, NICE to be the arbitrator, and we controlled the...

There is a risk of going on about this, but the structure of the amendment in the context of the ...

I thank noble Lords for these amendments and for the discussion that has followed. I will come ba...

My Lords, I am grateful to the Minister and other noble Lords who have spoken. We have had a very...

Moved by

Lord Hunt of Kings Heath

3: Clause 2, page 2, line 15, at end insert—

...

My Lords, I will speak to the second part of Amendment 3, as I think we have comprehensively cove...

The purpose of Amendment 5, in my name, is to recognise that the Government have brought forward ...

My Lords, I reassure the noble Lord, Lord Lansley, that I see excellent reasons for his amendment...

My Lords, I thank noble Lords for their amendments. The noble Lord, Lord Hunt, skipped over the f...

My Lords, one of the benefits of Committee is that one can draft imperfect amendments, have them ...

Moved by

Baroness Wheeler

7: Clause 3, page 2, line 41, at end insert—

“( ) The...

My Lords, we tabled Amendment 7 to probe the Government on why, in their new draft regulations, w...

My Lords, I thank the noble Baroness, Lady Wheeler, for raising important issues through these am...

My Lords, I thank the Minister for his response and for the focus that he says that he will give ...

Moved by

Lord Hunt of Kings Heath

9: After Clause 3, insert the following new Clause—...

My Lords, I shall speak also to Amendment 10A, which was inserted at a late stage, and Amendment ...

My Lords, I am in favour of this group of amendments. The Government plan to introduce new regula...

My Lords, I have added my name to Amendment 14, but I also support in principle Amendments 9 and ...

My Lords, I am grateful to noble Lords for raising the issue of reporting requirements. We will a...

My Lords, I am grateful to the Minister. On the two arguments he put forward against the amendmen...

Moved by

Lord Lansley

10: After Clause 3, insert the following new Clause—

“Pri...

Amendment 10 is intended to insert into the Bill some of the criteria that I hope would form part...

My Lords, I am very grateful to my noble friend Lord Lansley for this amendment and I pay tribute...

I am grateful to my noble friend for that thoughtful and helpful response. I will say three thing...

My Lords, I think it goes back even further, to an Oxera report on value-based pricing.

The noble Lord is absolutely right about that. There is a history to this. The reason why there i...

This is very interesting and rows back to a point that the noble Lord made earlier. One issue is ...

Without repeating what I said earlier about the consultation being conducted jointly by NHS Engla...

In light of the noble Lord’s remarks, I wonder how he sees there being flexibility. The problem w...

There is a risk of making this debate too extended, but the amendment is not about the whole stru...

Moved by

Lord O'Shaughnessy

11: Clause 5, page 3, line 25, at end insert—

“( ) ...

My Lords, this group of government amendments would ensure that, as is the case with the power to...

Moved by

Lord O'Shaughnessy

12: Clause 5, page 3, line 26, leave out from “In” to sec...

My Lords, we discussed at Second Reading the general concern that the Bill extends amendments aim...

My Lords, I am very interested in this part, and added my name to the Motion of the noble Lord, L...

My Lords, I think you only want to modernise something when you are planning to use it. Therefore...

I thank noble Lords for the debate on Clause 5. I am also grateful for the tour d’horizon or hist...

My Lords, I am grateful to the Minister for his response. I also thank him for his consultation a...

Perhaps the Minister will consider the Bill’s definition of “medical supplies”. It states that it...

On that specific point, there are number of things—for example, supplements, cosmetics and foods—...

Perhaps I may continue, my Lords. My noble friend will move an amendment on this later on, but th...

Moved by

Baroness Finlay of Llandaff

15: After Clause 5, insert the following new Cla...

My Lords, I will now move into a very different area, but one that is integrally related to the B...

My Lords, I hope that the Minister will accept the common-sense amendment of the noble Baroness, ...

My Lords, we very much support the intention behind this amendment and commend the noble Baroness...

My Lords, I thank the noble Baroness, Lady Finlay, for the work that she has put into investigati...

I am grateful to the Minister for his very full reply, which I intend to study in detail. While h...

Moved by

Lord Lansley

16: After Clause 5, insert the following new Clause—

“Pri...

Amendment 16 takes us to an issue that was the subject of consultation prior to the introduction ...

My Lords, this is helpful. Medicines have been referred to, but I would have thought that it coul...

My Lords, I too am sympathetic to this amendment. I have a linked amendment, Amendment 33, which ...

I too have a great deal of sympathy with the amendment, but I just wonder what the definition wou...

That is a helpful suggestion. It might not necessarily be defined in regulations, but one might c...

I thank my noble friend for his amendment and am very happy to show sympathy with it, as other no...

I am grateful to my noble friend for his interesting response. Like the noble Baroness, Lady Finl...

Moved by

Baroness Wheeler

17: Clause 6, page 4, line 4, leave out “products” and inse...

My Lords, this important group of amendments to Clauses 6 and 7 covering England and Wales is int...

My Lords, I have added my name to the set of amendments and strongly support what the noble Baron...

My Lords, I thank noble Lords for their many amendments in this group. They cover two very import...

My Lords, I thank the Minister for his response. Quite honestly, at this late stage, I will