The Department of Health and Social Care will retain ultimate control over key NHS functions after a series of amendments were agreed in Keys.
Lawrie Hooper successfully moved to transfer powers from Manx Care back to the department, including responsibility for a new statutory Care Charter and oversight of performer lists for GPs, dentists, pharmacists and opticians.
The amendments mean the Care Charter will now apply to all organisations delivering NHS services, not just Manx Care directly.
Health Minister Claire Christian backed the changes and said the shift does not represent a step toward privatisation, saying: “I really do take that sort of language in here very seriously. That’s not what’s being done here.”
The bill introduces statutory “performers lists” for individual practitioners, a power that has existed in law for 25 years but never been activated.
Mr Hooper raised concerns about the department becoming a “quasi-regulator”, warning it could create a two-tier system for doctors in hospitals versus those in general practice.
Ms Christian said the department would develop a “light touch” streamlined system for emergency locum pharmacists to avoid service disruptions.