B814 - The Health and Specialist Care Bill 2015 (Second Reading)

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toronto353
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B814 - The Health and Specialist Care Bill 2015 (Second Reading), TSR Liberal Party
The Health and Specialist Care Bill 2015
A bill to introduce new Specialist Care Centres, to take pressure off of Hospitals



BE IT ENACTED with the advice and consent of the Commons in this present Parliament assembled, in accordance with the provisions of the Parliament Acts 1911 and 1949, and by the authority of the same, as follows:

Section 1: Specifics

(1) There will be 25 Specialist Care centres set up across England in the first 5 years.
(1.1) After 5 years, providing the Care centres have successfully freed up hospital beds and treated 25,000 patients, more centres will be built.
(2) These centres will specialise in several illnesses and treatments. These illnesses are;
(2.1) Dementia
(2.2) Cancer
(2.3) Deafness
(2.4) Blindness
(2.5) Diabetes
(2.6) Mental Health
(2.7) Renal Failure
(2.8) Arthritis
(2.9) Other conditions can also be treated at these centres.
(3) Each centre will accommodate for 750 Long-Term Patients and 250 Short-Term Patients.
(3.1)There will be a 4:1 Patient to Staff ratio. This includes all staff, from Doctors to Admin workers
(3.2) Each Centre will have two specialists on each condition listed under 1.(2)

Section 2: Patient Qualification

(1) People that qualify for these Specialist Care centres will meet the following conditions;
(1.1) Have been a UK resident for more than 2 years
(1.2) Have been put on a waiting list by their local GP or
(1.2.1) Have been put on a waiting list by a Doctor or Nurse at a Hospital.



Section 3: Waiting List

(1) To get onto the waiting list the carer for the patient must:
(1.1) Make an appointment with their local GP where upon assessment the GP will decide whether the patient needs Specialist Care, should stay at home, or should be admitted to Hospital.
(1.2) If the patient has been taken to hospital, Hospital staff may decide to move the patient to a local centre for better care.

Section 4: Commencement, Short Title, and Extent:

(1) This act may be cited as the Health and Specialist Care Act 2015.
(2) This act extends to the United Kingdom.
(3) This bill shall come into force immediately.


Notes:
This bill originally stemmed from a BBC documentary I watched about A&E's and the elderly.

The idea is very similar to the Long term acute care facilities in America.

The bill is designed to take some pressure off A&E's, freeing up beds, whilst also being a place for some patients to recover and a place for other patients with serious illnesses to be treated, rather than staying in/taking up a hospital bed.

http://www.theguardian.com/society/2014/jan/03/nhs-overwhelmed-long-term-medical-conditions

Each Centre will cost approximately £30million, giving an overall cost of £0.75billion to build the centres.

It will costs each centre £15million to run per year, giving a total cost of £1.9billion for 5 years.

1000 Patients at a 4:1 ratio gives 250 staff.

250 x £50,000 = £12,500,000 per year for Wages.


  • £2.5million for Miscellaneous costs gives £15million per year.


There will be an upfront cost of £0.75billion with £375million being spent per year on running costs.

This gives a total cost of £2.65billion after 5 years.
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Life_peer
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toronto353 I believe that this should be labeled as a second reading.
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toronto353
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(Original post by Life_peer)
toronto353 I believe that this should be labeled as a second reading.
Ah yes, apologies, I will relabel this now. Thank you for alerting me to this
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Saracen's Fez
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Aye. This seems to have dragged on for months.
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Jammy Duel
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What're the changes, other than only 25 centres now
The costing is also still inadequate for my liking, many of the figures seem to have been plucked out of the air
And i still see this is grossly unnecessary.
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Andy98
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Aye

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United1892
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Nay.
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Aph
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Question, should this not be an SOI not a bill?
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cranbrook_aspie
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Sounds good. Aye.
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username456717
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Aye!
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Wellzi
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I also require some convincing over the costs
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Saracen's Fez
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(Original post by Aph)
Question, should this not be an SOI not a bill?
No, only the relevant Minister can produce an SoI.
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Aph
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(Original post by Saracen's Fez)
No, only the relevant Minister can produce an SoI.
I know but what I mean is that this doesn't seem like a bill if that makes sense?
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PetrosAC
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(Original post by Wellzi)
I also require some convincing over the costs
(Original post by Jammy Duel)
What're the changes, other than only 25 centres now
The costing is also still inadequate for my liking, many of the figures seem to have been plucked out of the air
And i still see this is grossly unnecessary.
I was unable to re-find my source that stated it'd cost approximately £30million per centre. I'll do my best to find it.

The £50,000 wage is an approximate value, when you consider specialists will be earning over this and admin staff under it. It would be impossible to get an exact value but we felt this was about right.

The £2.5million miscellaneous costs is for energy bills, extra equipment and other stuff. Again, this will vary but is impossible to get exactly correct.
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InfernoPlato
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Where will these Specialist Care centres be run? Where in England shall they be located?
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PetrosAC
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(Original post by InfernoPlato)
Where will these Specialist Care centres be run? Where in England shall they be located?
They will be located across the United Kingdom, spread out so they serve an approximately equal population size.
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InfernoPlato
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(Original post by PetrosAC)
They will be located across the United Kingdom, spread out so they serve an approximately equal population size.
I think we should go through your bill first in order to get a grasp of what you're trying to achieve.

(Original post by toronto353)
Section 1: Specifics

(1) There will be 25 Specialist Care centres set up across England in the first 5 years.


This is much too broad. First of all, whilst you've just told me that they will serve an equal population size, you've never actually told me where they will be built in the legislation or in the debate.

Will these serve 25 small villages of roughly equal population size? How will you decide how these villages are chosen?

It's all too unclear. In a piece of legislation you need to answer these questions. At the moment you've told NHS England to build 25 centres across England without specifying where. It's not good enough really.

Look around on a map and specify where these centres will go. Where they will be built, and how will they be regulated.

If you don't want to look at a map and tell us where they will be built, at least give us some criteria in the legislation.

(Original post by toronto353)
(2) This act extends to the United Kingdom.
(3) This bill shall come into force immediately.


It should only extend to England since these centres are only being established in England.

It might be worth delaying the enactment of this bill until a later date. It means that workers can be organised ect. Preparation > Rushed building and employment
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PetrosAC
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(Original post by InfernoPlato)
I think we should go through your bill first in order to get a grasp of what you're trying to achieve.

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This is much too broad. First of all, whilst you've just told me that they will serve an equal population size, you've never actually told me where they will be built in the legislation or in the debate.

Will these serve 25 small villages of roughly equal population size? How will you decide how these villages are chosen?

It's all too unclear. In a piece of legislation you need to answer these questions. At the moment you've told NHS England to build 25 centres across England without specifying where. It's not good enough really.

Look around on a map and specify where these centres will go. Where they will be built, and how will they be regulated.

If you don't want to look at a map and tell us where they will be built, at least give us some criteria in the legislation.

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It should only extend to England since these centres are only being established in England.

It might be worth delaying the enactment of this bill until a later date. It means that workers can be organised ect. Preparation > Rushed building and employment
1(1) should be United Kingdom rather than just England.

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InfernoPlato
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Be sure to change it before it goes to vote.

And what about the other complaints I've raised? About how unclear Section 1 (1) is?
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PetrosAC
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(Original post by InfernoPlato)
Be sure to change it before it goes to vote.

And what about the other complaints I've raised? About how unclear Section 1 (1) is?
I will do.

I'll try to specify further in Section 1 (1) before this goes to vote.

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