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

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