Road Traffic (NHS Charges) Bill — 21 Jan 1999

Order for Third Reading read.

I beg to move, That the Bill be now read the Third time.

Today and in Committee we have had the opportunity to look carefully at the Bill and its purpose. We are trying to streamline, improve and manage more effectively the existing scheme for recovering the cost to the national health service of treating road traffic accident victims. We are determined to do that for a number of reasons that we have repeatedly spelt out during proceedings on the Bill.

The NHS needs the extra resources that the scheme will provide, and the Bill is badly needed. It will free hospital staff from the burden of questioning patients when the care and treatment of those patients should be uppermost in everyone's mind. Patients will no longer be confused or worried about a scheme that does not affect them directly.

It is worth emphasising that since the 1930s the insurance industry has had the primary obligation to meet the costs of treating road traffic accident victims. We want there to be no misunderstanding about the Bill.

The scheme will raise a good deal of money for the NHS, not, as some hon. Members wanted, going to another tier of NHS administration--an outcome that the Liberal Democrats tried to secure in Committee--but going directly to hospitals, where it can be used to the immediate benefit of patients. In the overall scale of NHS finance, the amounts may not be great, but they are substantial injections to the budgets of the hospitals that stand to receive them and the sooner the Bill is enacted, the sooner the benefits will be received.

A number of specific concerns have been raised and it would be helpful if I took the opportunity to set the record straight. We reject the accusation that we are imposing a

21 Jan 1999 : Column 1068

new tax or a new charge. It is vital to remember that NHS charges can be recovered only when it has been recognised that the patient has a claim against another person in respect of his or her injuries. In such cases, insurers have always known that the victim is entitled to use and claim for private sector treatment if he or she so wishes. The insurer has no choice but to pay. However, insurers have largely escaped paying equivalent NHS charges simply because of the lack of a system for their recovery. The Bill will fundamentally address that by putting into place a new, effective, streamlined costs recovery system.

Question put, That the Bill be now read the Third time:--

The House divided: Ayes 228, Noes 24.

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Frank DoranAberdeen CentralLabaye
Mr Malcolm SavidgeAberdeen NorthLabaye
Anne BeggAberdeen SouthLab (minister)aye
Judy MallaberAmber ValleyLabaye
Geoff HoonAshfieldLab (minister)aye
Sandra OsborneAyrLab (minister)aye
Margaret HodgeBarkingLab (minister)aye
Michael ClaphamBarnsley West and PenistoneLabaye
John HuttonBarrow and FurnessLab (minister)aye
Angela SmithBasildonLabaye
Mr Joe AshtonBassetlawLabaye
Don FosterBathLDem (front bench)no
Mike WoodBatley and SpenLabaye
Martin LintonBatterseaLabaye
Patrick HallBedfordLabaye
Alan BeithBerwick-upon-TweedLDem (front bench)no
Ms Oona KingBethnal Green and BowLab (minister)aye
Frank FieldBirkenheadLabaye
Gisela StuartBirmingham, EdgbastonLabaye
Steve McCabeBirmingham, Hall GreenLab (minister)aye
Mr Terry DavisBirmingham, Hodge HillLabaye
Mr Jeff RookerBirmingham, Perry BarrLab (minister)aye
Ronnie CampbellBlyth ValleyLab (minister)aye
Dennis SkinnerBolsoverLabaye
Brian IddonBolton South EastLabaye
Ruth KellyBolton WestLabaye
Joe BentonBootleLab (minister)aye
Gerry SutcliffeBradford SouthLabaye
Mr Alan HurstBraintreeLabaye
Mr Richard LivseyBrecon and RadnorshireLDem (front bench)no
Ken LivingstoneBrent Eastwhilst Labaye
Barry GardinerBrent NorthLab (minister)aye
Ann KeenBrentford and IsleworthLabaye
David LepperBrighton, PavilionLabaye
Ms Jean CorstonBristol EastLabaye
Doug NaysmithBristol North WestLabaye
Dawn PrimaroloBristol SouthLab (minister)aye
Nick PalmerBroxtoweLabaye
Mr Peter PikeBurnleyLabaye
Janet DeanBurtonLabaye
David ChaytorBury NorthLabaye
Ivan LewisBury SouthLabaye
Mrs Anne CampbellCambridgeLabaye
Tony WrightCannock ChaseLabaye
Julie MorganCardiff NorthLabaye
Eric MartlewCarlisleLabaye
Tom BrakeCarshalton and WallingtonLDem (front bench)no
Mrs Christine ButlerCastle PointLabaye
Jonathan R ShawChatham and AylesfordLabaye
Mr Tony BennChesterfieldLabaye
Christine RussellCity of ChesterLabaye
Mr Gerry SteinbergCity of DurhamLabaye
Hugh BayleyCity of YorkLab (minister)aye
Shona McIsaacCleethorpesLabaye
Martyn JonesClwyd SouthLabaye
Bob RussellColchesterLDem (front bench)no
Bob AinsworthCoventry North EastLab (minister)aye
Geoffrey RobinsonCoventry North WestLabaye
Jim CunninghamCoventry SouthLab (minister)aye
Geraint DaviesCroydon CentralLab (minister)aye
Malcolm WicksCroydon NorthLabaye
David HansonDelynLab (minister)aye
Mr Andrew BennettDenton and ReddishLabaye
Bob LaxtonDerby NorthLabaye
Mrs Ann TaylorDewsburyLab (minister)aye
Mr Kevin HughesDoncaster NorthLab (minister)tellaye
Gwyn ProsserDoverLabaye
Professor Ross CranstonDudley NorthLab (minister)aye
Ian PearsonDudley SouthLabaye
Tessa JowellDulwich and West NorwoodLab (minister)aye
Russell BrownDumfriesLabaye
John McAllionDundee EastLabaye
Mr Ernie RossDundee WestLabaye
Steve PoundEaling NorthLab (minister)aye
Mr Clive SoleyEaling, Acton and Shepherd's BushLab (minister)aye
Piara S KhabraEaling, SouthallLabaye
John CummingsEasingtonLabaye
Stephen TimmsEast HamLab (minister)aye
John Home RobertsonEast LothianLabaye
Alistair DarlingEdinburgh CentralLab (minister)aye
Gavin StrangEdinburgh East and MusselburghLabaye
Malcolm ChisholmEdinburgh North and LeithLabaye
Dr Lynda ClarkEdinburgh PentlandsLab (minister)aye
Nigel GriffithsEdinburgh SouthLabaye
Andrew LoveEdmontonLab (minister)aye
Andrew MillerEllesmere Port and NestonLabaye
Clive EffordElthamLab (minister)aye
Joan RyanEnfield NorthLabaye
Stephen TwiggEnfield, SouthgateLabaye
John AustinErith and ThamesmeadLabaye
Ben BradshawExeterLab (minister)aye
Rudi VisFinchley and Golders GreenLabaye
Mrs Diana OrganForest of DeanLabaye
Alasdair MorganGalloway and Upper NithsdaleSNPno
Ms Joyce QuinGateshead East and Washington WestLab (minister)aye
Vernon CoakerGedlingLab (minister)aye
George GallowayGlasgow KelvinLabaye
Mrs Maria FyfeGlasgow MaryhillLabaye
Thomas McAvoyGlasgow RutherglenLab (minister)aye
David MarshallGlasgow ShettlestonLabaye
Ms Tess KinghamGloucesterLabaye
Martin CatonGowerLab (minister)aye
Dr Norman GodmanGreenock and InverclydeLabaye
Nick RaynsfordGreenwich and WoolwichLab (minister)aye
Diane AbbottHackney North and Stoke NewingtonLab (minister)aye
Mr Brian SedgemoreHackney South and ShoreditchLabaye
Sylvia HealHalesowen and Rowley Regiswhilst Labaye
Mrs Alice MahonHalifaxLabaye
Mr George RobertsonHamilton SouthLab (minister)aye
Mr Iain ColemanHammersmith and FulhamLabaye
Bill RammellHarlowLabaye
Phil WillisHarrogate and KnaresboroughLDem (front bench)no
Tony McNultyHarrow EastLabaye
Gareth ThomasHarrow WestLab (minister)aye
Mr Peter MandelsonHartlepoolLabaye
Mr Ivan HendersonHarwichLabaye
Michael Jabez FosterHastings and RyeLabaye
John Martin McDonnellHayes and HarlingtonLabaye
Mr Tony McWalterHemel HempsteadLabaye
Paul KeetchHerefordLDemno
John CryerHornchurchLabaye
Greg PopeHyndburnLab (minister)aye
Ms Linda PerhamIlford NorthLabaye
Mike GapesIlford SouthLabaye
Mr David StewartInverness East, Nairn and LochaberLabaye
Dr Peter BrandIsle of WightLDemno
Jeremy CorbynIslington NorthLabaye
Don TouhigIslwynLabaye
Ann CryerKeighleyLabaye
Mr Phil SawfordKetteringLabaye
Roger BerryKingswoodLabaye
Edward O'HaraKnowsley SouthLabaye
Mr Harold BestLeeds North WestLabaye
Keith VazLeicester EastLabaye
Bridget PrenticeLewisham EastLabaye
Jim DowdLewisham WestLab (minister)tellaye
Gillian MerronLincolnLabaye
Mr Tam DalyellLinlithgowLabaye
Maria EagleLiverpool, GarstonLab (minister)aye
Louise EllmanLiverpool, RiversideLabaye
Peter KilfoyleLiverpool, WaltonLab (minister)aye
Jane KennedyLiverpool, WavertreeLab (minister)aye
Robert WareingLiverpool, West DerbyLabaye
Mr Denzil DaviesLlanelliLabaye
Andy ReedLoughboroughLabaye
Kelvin HopkinsLuton NorthLabaye
Margaret MoranLuton SouthLabaye
Tony LloydManchester CentralLab (minister)aye
Graham StringerManchester, BlackleyLab (minister)aye
Mr Keith BradleyManchester, WithingtonLab (minister)aye
Robert Marshall-AndrewsMedwayLabaye
Phyllis StarkeyMilton Keynes South WestLabaye
Siobhain McDonaghMitcham and MordenLabaye
Lembit ÖpikMontgomeryshireLDemno
Geraldine SmithMorecambe and LunesdaleLabaye
Mr Calum MacDonaldNa h-Eileanan an IarLab (minister)aye
Mr David RendelNewburyLDemno
Doug HendersonNewcastle upon Tyne NorthLab (minister)aye
Paul FlynnNewport WestLabaye
Mr Bill O'BrienNormantonLabaye
Mr Paul TylerNorth CornwallLDem (front bench)no
Mr Harry BarnesNorth East DerbyshireLabaye
Menzies CampbellNorth East FifeLDem (front bench)no
Mr Brian WhiteNorth East Milton KeynesLabaye
Simon HughesNorth Southwark and BermondseyLDem (front bench)no
Mike O'BrienNorth WarwickshireLab (minister)aye
Hilary ArmstrongNorth West DurhamLab (minister)aye
David TaylorNorth West LeicestershireLabaye
Dr George TurnerNorth West NorfolkLabaye
Sally KeebleNorthampton NorthLabaye
Mr Tony ClarkeNorthampton SouthLabaye
Charles ClarkeNorwich SouthLab (minister)aye
Graham AllenNottingham NorthLab (minister)aye
Alan SimpsonNottingham SouthLabaye
Bill OlnerNuneatonLabaye
Mr Martin O'NeillOchilLab (minister)aye
Mr Raymond PowellOgmoreLabaye
Phil WoolasOldham East and SaddleworthLabaye
Evan HarrisOxford West and AbingdonLDemno
Mrs Irene AdamsPaisley NorthLab (minister)aye
Gordon PrenticePendleLabaye
Yvette CooperPontefract and CastlefordLab (minister)aye
Jim FitzpatrickPoplar and Canning TownLabaye
Mr Syd RapsonPortsmouth NorthLabaye
Mr Tony ColmanPutneyLabaye
Ms Jane GriffithsReading EastLabaye
Karen BuckRegent's Park and Kensington NorthLab (minister)aye
Ms Lorna FitzsimonsRochdaleLabaye
Mrs Eileen GordonRomfordLabaye
Charles KennedyRoss, Skye and Inverness WestLDem (front bench)no
Janet AndersonRossendale and DarwenLab (minister)aye
Mr Andy KingRugby and KenilworthLabaye
Mr Lawrie QuinnScarborough and WhitbyLabaye
Elliot MorleyScunthorpeLab (minister)aye
John GroganSelbyLab (minister)aye
Clive BettsSheffield, AttercliffeLab (minister)aye
Mr Richard AllanSheffield, HallamLDem (front bench)no
Mr Bill MichieSheffield, HeeleyLabaye
Mrs Helen JacksonSheffield, HillsboroughLabaye
Paddy TippingSherwoodLab (minister)aye
Chris LeslieShipleyLabaye
Mr Paul MarsdenShrewsbury and AtchamLabaye
David HeathSomerton and FromeLDem (front bench)no
Mark ToddSouth DerbyshireLabaye
Colin BreedSouth East CornwallLDemtellno
David BorrowSouth RibbleLabaye
Stephen LadymanSouth ThanetLabaye
Alan WhiteheadSouthampton, TestLab (minister)aye
Mr Kerry PollardSt AlbansLabaye
Andrew GeorgeSt IvesLDem (front bench)no
Barbara FollettStevenageLabaye
Anne McGuireStirlingLab (minister)aye
Ann CoffeyStockportLabaye
Frank CookStockton NorthLabaye
Mark FisherStoke-on-Trent CentralLabaye
Ms Debra ShipleyStourbridgeLabaye
Keith HillStreathamLab (minister)aye
David DrewStroudLab (minister)aye
Bill EtheringtonSunderland NorthLabaye
Chris MullinSunderland SouthLabaye
Paul BurstowSutton and CheamLDem (front bench)no
Mr Donald AndersonSwansea EastLab (minister)aye
Alan WilliamsSwansea WestLabaye
Brian JenkinsTamworthLabaye
Mr Bruce GrocottTelfordLabaye
Mr Peter BradleyThe WrekinLabaye
Andrew MacKinlayThurrockLabaye
Mr Tom CoxTootingLabaye
Adrian SandersTorbayLDem (front bench)tellno
Mr John BurnettTorridge and West DevonLDemno
Michael MooreTweeddale, Ettrick and LauderdaleLDem (front bench)no
David ClellandTyne BridgeLab (minister)aye
Mr Keith DarvillUpminsterLabaye
Chris RuaneVale of ClwydLab (minister)aye
John SmithVale of GlamorganLabaye
Kate HoeyVauxhallLab (minister)aye
Mr David HinchliffeWakefieldLabaye
Angela EagleWallaseyLab (minister)aye
Neil GerrardWalthamstowLabaye
Denis MurphyWansbeckLabaye
Dan NorrisWansdykeLabaye
John SpellarWarleyLab (minister)aye
Helen JonesWarrington NorthLab (minister)aye
Helen SouthworthWarrington SouthLabaye
James PlaskittWarwick and LeamingtonLabaye
Bob BlizzardWaveneyLabaye
Mike HallWeaver ValeLab (minister)aye
John HealeyWentworthLab (minister)aye
Robert SmithWest Aberdeenshire and KincardineLDemno
Mr Colin PickthallWest LancashireLabaye
Mr Brian CotterWeston-Super-MareLDem (front bench)no
Mr Roger CasaleWimbledonLabaye
Ben ChapmanWirral SouthLabaye
Ms Jenny JonesWolverhampton South WestLabaye
Dr John MarekWrexhamLabaye
Paul GogginsWythenshawe and Sale EastLabaye

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