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. Partners could kill the controversial government reforms . Andrew Lansley is subject to the Health Select Committee

2:07 p.m.

Lord Darzi

, surgeon and former health minister of Labour, spoke a little earlier. He said that "the right to compete for the right reasons" could lead doctors to do more "creative spark and ignite the fire of innovation." But he added:

If the clinical implementation is to allow doctors to reshape and redesign services to improve the quality of patient care, then you have my support. But I need to give the ministers of security it is all the clinical professions - doctors, community services and professionals work together - which is responsible for commissioning

The Press Association news agency has a more complete quotation from Lord Owen before:

I am a reformer. I was the first person to advocate a market in the NHS. But I never thought I would create a foreign market, a pure market. Health is not a public service. Health is different.

1:57 p.m. Lord Mawson, a crossbencher, said at the end of Apple, Steve Jobs, the founder (left) turns technology people could get what they want on the touch of a button. This approach should be applied to social security, he said. Why do not people use iPads in hospitals? Why not use Skype to make phone calls - after all, is free

13:10:

Correction:

10:39 The post originally said that "the bill of the NHS budget cuts of 20 billion pounds. "It was a mistake. The NHS in England was invited by the head of the health service, Sir David Nicholson, 20 billion pounds of efficiency savings by April 2015. But that is not part of the health and social reform. Excuses.

1:01 p.m.

Lord Owen speaks now. He says he came close to an agreement with Lord Howe. But they could not agree on how much time must pass the Lords of the bill.

Owen says that no political party "so far" has never really threatened the NHS. He says that health is a public service. "Health is different." Do not open the free market.

Another mistake is to think that you can separate the role of the Secretary of Health for the implementation of the NHS. Says a document must be preserved for the Minister of Health. What would happen in a pandemic? "Instinctively, we go home" for the leadership, says Owen. In times of high inflation, a dialogue on the health budget must be made between the Secretary of Health and Finance, said.

A selection committee is the only institution that can see the complexity of this new system, said Owen.

"This is not a measure of blockade," he said. Accept the Lords is a "room to reform."

24:42: Tory Lady (Virginia) Bottomley of Nettlestone said the bill gives a very warm welcome. It welcomes the clarity of the duties of the Secretary of Health and the institutions involved. She says it's "romantic nonsense" that the secretary of health may be responsible for all the details of the NHS.

Here is a letter from Lord Howe, Tory health minister, sent his colleagues this morning.

he tries to reassure them that the Minister of Health will maintain responsibility for the NHS:

For avoidance of doubt, I can say without reservation that the Secretary of State will remain responsible for a large NHS. The specific responsibilities in the health services will change in the new NHS bodies are established. However, the law does not diminish the final ministerial responsibility. In fact, we believe is responsible for stronger and clearer than it was in the past.

24:11:

the Royal College of General Practitioners published a survey yesterday that over 70% said they are entirely of agree or agree with the proposals made by some medical organizations and health and social reform is deleted.

Andy Burnham (left), Secretary of Health shade, said the survey "is conclusive proof that the" pause "ordered by Mr. Cameron was a little more than an exercise in public relations.. The doctors know that the NHS will never be the same if this bill passes "He said Cameron

If the cart, regardless of the unwise and undesirable reforms, the NHS was in a dangerous vacuum and the risk of enormous damage to patient care.

Today, thousands of people working at all levels within the NHS and patients everywhere, are pinning their hopes on members of the House of Lords. They are able to get the NHS back from the brink. This speaks for millions when incorporated into the government and say enough.

24:08:

Lib Dem peer Lady

Jolly is speaking now. It explains why Owen does not support or Rea or amended.

She admits that the bill "drive a truck through the [coalition] agreement," but it is the role of the Lords to improve, not reject, accounts, he said .

Modification

Owen is "more subtle but disconcerting." But his colleagues are "very well informed about this bill" and you can look around the house, said she. It must be sent to a select committee

24:04:.

Ms. Thornton says Andrew Lansley not well respected place of the NHS in the nation

Clara Horton

My colleague pointed me to this blog by Tony Blair, former health adviser Paul Corrigan

The contents of the bill ceased to matter to someone in government, except the secretary of state and some of the officials who wrote the thing. The simple motivation for the rest of government is to get rid of the thing to get through.

After the government (I hope), the nightmare is over. The problem for business leaders of the government is simply a matter of tactics needed to process something vaguely recognizable by the other steps.

However, in the real world, the problem is that "to the law through" is not really the problem. The biggest problem is the impact that the project has and will in the effective delivery of NHS services.

11:56

There are 100 speakers lined up to participate in the debate, peers were told. They plan to continue until 11:30.

Mrs. Thornton, the shadow health minister, speak now.

She says the bill to transform the NHS into a "competitive market" and in turn patients and health consumers in the "shopping".

people did not vote for these changes and will not, he said.

Thornton says nothing about the Lib Dem and Conservative manifestos or the coalition agreement proposes to amend the powers of the secretary of health, creating a huge Quango Board of the new GPS service, or other elements of the bill.

She tells him that the Liberal Democrats are putting their reputation as a party that supports the NHS in line. And she said the Conservatives, David Cameron, and break their promises with this bill.

Repeat

Burnham offer to work with the government on a new bill.

However, "the omens are not good."

Thornton said Lord Owen

idea to double review of the legislation is "very attractive".

11:44 is more complex reorganization of the NHS ever, says Rea. And many believe that the intent of the project is "to open the door - which is already open -. In the market and independent business "

Some of these plans to scrap the PCT appear to have been started before the project was approved, said Rea. An investigation could find "illegal," said Rea.

He said that if the change does not take that vote for Owen.