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Bill must pass british unelected house of lords { May 7 2003 } Original Source Link: (May no longer be active)    http://www.sfgate.com/cgi-bin/article.cgi?f=/news/archive/2003/05/07/international1711EDT0731.DTL The bill must still be scrutinized by committees, pass another vote in the Commons and be approved by the unelected House of Lords, which can delay but not overturn legislation. http://www.sfgate.com/cgi-bin/article.cgi?f=/news/archive/2003/05/07/international1711EDT0731.DTL Britain's Blair faces heavy protests from own party over hospital reform JILL LAWLESS, Associated Press Writer Wednesday, May 7, 2003 ©2003 Associated Press (05-07) 14:11 PDT LONDON (AP) -- Prime Minister Tony Blair won a key vote Wednesday for his plan to give hospitals more autonomy, but dozens of members of his governing Labor Party voted against a move they fear could undermine Britain's welfare state. The House of Commons gave its approval to the government's plan to turn the best hospitals in Britain's public National Health Service into "foundation hospitals" -- able to manage themselves, hire staff and borrow money without interference from government bureaucrats. Health Secretary Alan Milburn told lawmakers that the health system "is controlled from the top down. If it is to be more responsive, it needs to be run from the bottom up." But many left-wing members of Blair's Labor Party fear the change will create a two-tier health care system out of a state-funded service that serves all Britons for free. Some fear the reorganization could be a step toward eventual privatization of the health service. More than 130 lawmakers, most from the Labor Party, signed a motion opposing the creation of foundation hospitals. The largest opposition party, the Conservatives, also said they would not support the bill that contains the proposal because its reforms did not go far enough. In voting that followed hours of debate in Parliament, the bill to establish the hospitals passed by 304 votes to 230. An earlier vote that would have scrapped the program won support from 65 members of Blair's Labor Party, but was easily defeated. The bill must still be scrutinized by committees, pass another vote in the Commons and be approved by the unelected House of Lords, which can delay but not overturn legislation. But the opposition is not likely to fade. "It will be a major source of strife at the Labor Party conference," said Frank Dobson, a former Labor health minister who voted against the plan. Blair has pumped new money into the health service, raising taxes to foot the bill. He has long argued that new funds must be matched by modernization. Under his plan, the best hospitals would be allowed to reorganize as more independent entities, loosening the reins of control from London and giving local administrators more power. "The important thing is to make sure that at the same time as we're putting this massive investment in the health service, the public sees real reform taking place, because that is the basis upon which they are prepared to support funding the health service," he told the House of Commons. Hoping to win over doubters, Milburn has tweaked the plan, saying the government hopes to give all hospitals foundation status within five years and is allocating $322 million to help them. Conservative health spokesman Liam Fox said the reforms did not give hospitals enough autonomy. "We wanted to see real foundation hospitals with real freedoms to borrow, real freedoms over pay and conditions, real freedom from government interference," Fox said. ©2003 Associated Press

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