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| | New Amendments handed in are marked thus  |
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| | Amendments which will comply with the required notice period at their next appearance
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| | Health and Social Care Bill
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| | | The Amendments have been arranged in accordance with the Orders of the |
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| | | Committee [8 February and 8 March]. |
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| | Clause 69, page 73, line 21, leave out from first ‘the’ to end of line 21 and insert |
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| | ‘non-designation of the service for the purposes of this Part. |
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| | | (1A) | In the absence of an application under subsection (1) it is assumed that all health |
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| | | services are designated.’. |
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| | Clause 69, page 73, leave out line 23. |
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| | Clause 69, page 73, line 24, after second ‘is,’ insert ‘not’. |
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| | Clause 69, page 73, line 31, at end insert— |
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| | | ‘(c) | increase or fail to decrease inequalities between the people of England |
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| | | (iii) | access to health services.’. |
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| | Clause 69, page 73, line 39, at end insert— |
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| | | ‘(ba) | the potential impact on other services in the organisation or region’. |
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| | Clause 69, page 74, line 1, leave out ‘must grant an application under this section’ |
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| | and insert ‘may grant an application under this section only’. |
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| | Clause 69, page 74, line 6, leave out from beginning to ‘to’ in line 7 and insert |
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| | ‘Monitor must give notice of its decision on an application under this section’. |
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| | Clause 69, page 74, line 10, at beginning insert ‘Where Monitor grants the |
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| | Clause 69, page 74, line 11, leave out ‘right of appeal conferred by section 70’ and |
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| | insert ‘rights conferred by section (Complaint about grant of application for |
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| | Clause 69, page 74, line 11, at end insert— |
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| | | ‘( ) | Where Monitor refuses the application, a notice under subsection (7) given to the |
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| | | commissioner or the provider of the service must— |
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| | | (a) | give the reasons for the refusal, and |
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| | | (b) | explain the rights conferred by section (Complaint about refusal of |
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| | | application for designation).’. |
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| | Page 74, line 42, leave out Clause 70. |
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| | Clause 71, page 75, line 10, leave out ‘the relevant’ and insert ‘each review’. |
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| | Clause 71, page 75, line 14, leave out subsection (2) and insert— |
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| | | ‘(2) | The first review period is a period which is of such duration as Monitor may by |
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| | | direction specify but which— |
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| | | (a) | must not begin before the expiry of the period of one year after the date |
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| | | of the notice under section 69(7), and |
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| | | (b) | must end before the expiry of the period of ten years after that date. |
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| | | (2A) | Each subsequent review period is a period which is of such duration as Monitor |
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| | | may by direction specify but which— |
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| | | (a) | must not begin before the expiry of the period of one year after the date |
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| | | on which the previous review under subsection (1) was completed, and |
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| | | (b) | must end before the expiry of the period of ten years after that date. |
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| | | (2B) | For the purposes of subsections (2) and (2A), Monitor may specify— |
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| | | (a) | the same period in respect of all designated services, or |
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| | | (b) | different periods in respect of different designated services or designated |
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| | | services of different descriptions.’. |
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| | Clause 71, page 75, line 35, leave out ‘must grant an application under subsection |
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| | (3)’ and insert ‘may grant an application under subsection (3) only’. |
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| | Clause 71, page 75, line 40, leave out from beginning to ‘to’ in line 41 and insert |
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| | ‘Monitor must give notice of its decision on an application under subsection (3)’. |
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| | Clause 71, page 75, line 43, at end insert— |
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| | | ‘( ) | Where Monitor grants the application, a notice under subsection (7) given to a |
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| | | provider of a service for the purposes of the NHS must explain the rights |
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| | | conferred by section (Complaint about grant of application for removal of |
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| | | ( ) | Where Monitor refuses the application, the notice under subsection (7) given to |
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| | | (a) | give the reasons for the refusal, and |
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| | | (b) | explain the rights conferred by section (Complaint about refusal of |
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| | | application for removal of designation).’. |
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| | Clause 71, page 76, line 1, leave out subsections (8) to (10). |
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| | Clause 77, page 79, line 24, at end insert ‘; |
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| | | ( ) | where the Secretary of State is proposing to give a direction under |
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| | | subsection (3)(b) or (c), give notice of the proposal to the person from |
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| | | whom the Secretary of State proposes to withdraw the exemption.’. |
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| | Clause 77, page 79, line 30, at end insert— |
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| | | ‘( ) | The period so specified must be not less than 28 days beginning with the |
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| | | day after that on which the notice is received or (as the case may be) |
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| | Clause 82, page 80, line 32, at end insert— |
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| | | ‘(2) | If a provider of health services for the purposes of the NHS is referred by the |
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| | | National Health Service Commissioning Board with respect to subsection (1D) |
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| | | of section 13J of the National Health Service Act 2006, Monitor shall investigate |
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| | | with respect to the provider’s licence.’. |
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| | Clause 84, page 81, line 16, leave out ‘of 28 days mentioned in’ and insert ‘for |
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| | bringing an appeal under’. |
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| | Clause 84, page 81, line 18, leave out from ‘after’ to the end and insert ‘that |
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| | Clause 89, page 84, line 5, leave out ‘or accountability’. |
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| | Clause 89, page 84, line 13, at end insert— |
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| | | ‘( ) | Monitor must not exercise a function to which this section applies in a way which |
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| | | it considers would result in a particular licence holder or holders of licences of a |
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| | | particular description being put at an unfair advantage or disadvantage in |
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| | | competing with others in the provision of health care services for the purposes of |
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| | | (a) | being in public or (as the case may be) private ownership, or |
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| | | (b) | some other aspect of its or their status.’. |
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| | Clause 90, page 84, line 23, leave out from ‘things’ to second ‘in’ in line 24 and |
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| | insert ‘or things of a specified description (or to do, or not to do, any such things in a |
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| | specified manner) within such period as may be specified’. |
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| | Clause 90, page 84, line 26, at end insert— |
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| | | ‘(ca) | requiring the licence holder to do, or not to do, specified things (or to do, |
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| | | or not to do, specified things in a specified manner) in order to promote |
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| | | cooperation in the provision of health care services for the purposes of |
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| | Clause 90, page 84, line 42, at end insert— |
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| | | ‘( ) | to do, or not to do, specified things or things of a specified |
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| | | description (or to do, or not to do, any such things in a specified |
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| | | manner) within such period as may be specified in order to |
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| | | ensure the continued provision of designated services,’. |
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| | Clause 90, page 84, line 47, at end insert— |
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| | | ‘(ia) | requiring the licence holder, with respect to Monitor’s duty under section |
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| | | (i) | to make such provision as Monitor deems necessary for staff |
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| | | (ii) | to allow the easy transfer of staff between the licence holder and |
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| | | other licence holders for the purposes of staff training.’. |
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| | Clause 90, page 85, line 23, at end insert— |
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| | | ‘( ) | The references in subsections (1)(d) and (6) to the activities of a business include |
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| | | a reference to the activities of an NHS foundation trust in so far as its activities |
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| | | would not otherwise be the activities of a business.’. |
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| | Clause 91, page 86, line 31, leave out ‘licences’ and insert ‘all licences or (as the |
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| | case may be) licences of that description’. |
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| | Clause 92, page 87, line 37, after ‘applicant’ insert ‘or licence holder concerned’. |
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| | Clause 92, page 87, line 41, after ‘applicant’ insert ‘or licence holder concerned’. |
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| | Clause 92, page 87, line 44, after ‘applicant’ insert ‘or licence holder concerned’. |
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| | Clause 92, page 88, line 5, at end insert— |
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| | | ‘( ) | Where the standard conditions applicable to all licences or (as the case may be) |
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| | | to licences of a particular description are modified pursuant to a reference made |
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| | | under subsection (4), Monitor— |
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| | | (a) | may also make such incidental or consequential modifications as it |
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| | | considers necessary or expedient of any other conditions of a licence |
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| | | which is affected by the modifications, |
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| | | (b) | must make (as nearly as may be) the same modifications of those |
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| | | conditions for the purposes of their inclusion in all licences or (as the case |
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| | | may be) licences of that description granted after that time, and |
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| | | (c) | must publish any modifications made under this subsection.’. |
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| | Clause 92, page 88, line 6, leave out subsection (7). |
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| | Schedule 8, page 285, line 33, leave out paragraph (b). |
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| | Schedule 8, page 286, line 20, after ‘day’ insert ‘after that’. |
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| | Schedule 8, page 288, line 19, leave out ‘and (6)’ and insert ‘, (6) and (8) to (11)’. |
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| | Schedule 8, page 288, line 34, after ‘(7)’ insert ‘to (11)’. |
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| | Schedule 8, page 288, line 35, leave out ‘7’ and insert ‘8’. |
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| | Schedule 8, page 289, line 44, leave out ‘offences and’. |
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| | Clause 93, page 89, line 6, leave out ‘licences’ and insert ‘all licences or (as the |
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| | case may be) licences of that description’. |
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| | Schedule 9, page 290, line 14, at end insert— |
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| | | ‘( ) | explain the effect of section 96,’. |
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| | Schedule 9, page 291, line 1, after ‘period’, insert ‘(“the payment period”)’. |
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| | Schedule 9, page 291, line 1, after ‘made’, insert— |
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| | | ‘( ) | any discount applicable for early payment of the penalty,’. |
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| | Schedule 9, page 291, line 5, at end insert— |
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| | | ‘() | The payment period must be not less than 28 days beginning with the day after |
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| | | that on which the final notice is received.’. |
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| | Schedule 9, page 291, line 29, at end insert— |
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| | | ‘ | Monitor may by notice to a person on whom a discretionary requirement has |
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| | | (a) | withdraw the discretionary requirement, |
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| | | (b) | in the case of a variable monetary penalty, reduce the amount of the |
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| | | penalty or extend the payment period, or |
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