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9

 

House of Commons

 
 

Notices of Amendments

 

given on

 

Thursday 23 June 2011

 

Public Bill Committee


 

Health and Social Care (Re-committed) Bill

 

The Bill is re-committed in respect of the following Clauses and Schedules:

 


 

Clauses 1-6, 9-11, 19-24, 28 and 29, Schedules 1-3, Clauses 55 and 56, 58 and 59, 63-

 

75 100 and 101, 112-117, 147, Schedules 8 and 9, Clauses 149, 156, 165 and 166, 176,

 

178-180, 189-193, Schedule 15, Clauses 242, 265, 285 and 286, 295, 297 and 298.

 


 

Mr Simon Burns

 

54

 

Page  1,  line  4,  leave out Clause 1.

 

Mr Simon Burns

 

55

 

Clause  5,  page  3,  leave out lines 34 to 36 and insert—

 

‘(b)    

must exercise the functions conferred on it by this Act in relation to

 

commissioning consortia so as to secure that services are provided for

 

those purposes in accordance with this Act.’.

 

Mr Simon Burns

 

56

 

Clause  5,  page  3,  line  37,  at end insert—

 

‘(5)    

In this Act—

 

(a)    

any reference to the public health functions of the Secretary of State is a

 

reference to the functions of the Secretary of State under sections 2A and

 

2B and paragraphs 7C, 8 and 12 of Schedule 1, and

 

(b)    

any reference to the public health functions of local authorities is a

 

reference to the functions of local authorities under sections 2B and 111

 

and paragraphs 1 to 7B and 13 of Schedule 1.’.


 
 

Notices of Amendments: 23 June 2011                     

10

 

Health and Social Care (Re-committed) Bill, continued

 
 

Mr Simon Burns

 

57

 

Clause  9,  page  6,  line  3,  after ‘for’, insert ‘—

 

(a)    

’.

 

Mr Simon Burns

 

58

 

Clause  9,  page  6,  line  4,  at end insert ‘, and

 

(b)    

persons who usually reside in the consortium’s area and are not provided

 

with primary medical services by a member of any consortium.’.

 

Mr Simon Burns

 

59

 

Clause  9,  page  6,  line  10,  at end insert—

 

‘( )    

The power conferred by subsection (1B)(b) must be exercised so as to provide

 

that, in relation to the provision of services or facilities for emergency care, a

 

commissioning consortium has responsibility for every person present in its

 

area.’.

 

Mr Simon Burns

 

60

 

Clause  19,  page  15,  line  4,  after ‘year’, insert ‘and such subsequent financial years

 

as the Secretary of State considers appropriate’.

 

Mr Simon Burns

 

61

 

Clause  19,  page  15,  line  8,  leave out from ‘mandate’ to end of line 13 and insert

 

‘the amounts that the Secretary of State has decided to specify in relation to the financial

 

year for the purposes of section 223DA(2) and (3) (limits on capital and revenue resource

 

use).’.

 

Mr Simon Burns

 

62

 

Clause  19,  page  15,  leave out lines 15 to 20.

 

Mr Simon Burns

 

63

 

Clause  19,  page  15,  leave out lines 21 to 27 and insert—

 

‘( )    

any proposals that the Secretary of State has as to the amounts that the

 

Secretary of State will specify in relation to subsequent financial years

 

for the purposes of section 223DA(2) and (3).’.

 

Mr Simon Burns

 

64

 

Clause  19,  page  15,  line  40,  at end insert—

 

‘( )    

the Healthwatch England committee of the Care Quality Commission,

 

and’.

 

Mr Simon Burns

 

65

 

Clause  19,  page  15,  leave out lines 43 and 44.


 
 

Notices of Amendments: 23 June 2011                     

11

 

Health and Social Care (Re-committed) Bill, continued

 
 

Mr Simon Burns

 

66

 

Clause  19,  page  16,  line  1,  leave out from ‘Secretary of State’ to second ‘the’ in

 

line 2 and insert ‘varies the amount specified for the purposes of section 223DA(2) or

 

(3),’.

 

Mr Simon Burns

 

67

 

Clause  19,  page  16,  line  15,  at end insert—

 

‘13BA

   Duty to promote NHS Constitution

 

(1)    

The Board must, in the exercise of its functions—

 

(a)    

act with a view to securing that health services are provided in a way

 

which promotes the NHS Constitution, and

 

(b)    

promote awareness of the NHS Constitution among patients, staff and

 

members of the public.

 

(2)    

In this section—

 

“health services” means services provided as part of the health service;

 

“patients” and “staff” have the same meanings as in Chapter 1 of Part 1 of

 

the Health Act 2009 (see section 3(7) of that Act).’.

 

Mr Simon Burns

 

68

 

Clause  19,  page  17,  line  4,  leave out ‘, promoting patient involvement etc.’.

 

Mr Simon Burns

 

69

 

Clause  19,  page  17,  leave out lines 11 to 14.

 

Mr Simon Burns

 

70

 

Clause  19,  page  17,  line  16,  at end insert—

 

‘13FA

 Duty to promote involvement of each patient

 

(1)    

The Board must, in the exercise of its functions, promote the involvement of

 

patients, and their carers and representatives (if any), in decisions about the

 

provision of health services to the patients.

 

(2)    

In this section, “health services” has the same meaning as in section 13F.

 

13FB  

Duty as to patient choice

 

(1)    

The Board must, in the exercise of its functions, act with a view to enabling

 

patients to make choices with respect to aspects of health services provided to

 

them.

 

(2)    

In this section, “health services” has the same meaning as in section 13F.’.

 

Mr Simon Burns

 

71

 

Clause  19,  page  17,  line  18,  leave out from ‘must’ to ‘advice’ in line 19 and insert

 

‘obtain’.


 
 

Notices of Amendments: 23 June 2011                     

12

 

Health and Social Care (Re-committed) Bill, continued

 
 

Mr Simon Burns

 

72

 

Clause  19,  page  17,  line  20,  leave out from ‘persons’ to end of line 21 and insert

 

‘who (taken together) have a broad range of professional expertise in—

 

(a)    

the prevention, diagnosis or treatment of illness, and

 

(b)    

the protection or improvement of public health.’.

 

Mr Simon Burns

 

73

 

Clause  19,  page  17,  leave out lines 40 to 44 and insert—

 

‘13J  

Duty as to promoting integration

 

( )    

The Board must exercise its functions with a view to securing that health services

 

are provided in an integrated way where it considers that this would—

 

(a)    

improve the quality of those services (including the outcomes that are

 

achieved from their provision),

 

(b)    

reduce inequalities between persons with respect to their ability to access

 

those services, or

 

(c)    

reduce inequalities between persons with respect to the outcomes

 

achieved for them by the provision of those services.

 

( )    

The Board must exercise its functions with a view to securing that the provision

 

of health services is integrated with the provision of health-related services or

 

social care services where it considers that this would—

 

(a)    

improve the quality of the health services (including the outcomes that

 

are achieved from the provision of those services),

 

(b)    

reduce inequalities between persons with respect to their ability to access

 

those services, or

 

(c)    

reduce inequalities between persons with respect to the outcomes

 

achieved for them by the provision of those services.’.

 

Mr Simon Burns

 

74

 

Clause  19,  page  18,  line  3,  at end insert—

 

‘( )    

In this section—

 

“health services” means services provided as part of the health service;

 

“health-related services” means services that may have an effect on the

 

health of individuals but are not health services or social care services;

 

“social care services” means services that are provided in pursuance of the

 

social services functions of local authorities (within the meaning of the

 

Local Authority Social Services Act 1970).’.

 

Mr Simon Burns

 

75

 

Clause  19,  page  18,  line  14,  at end insert—

 

‘13KA

 Duty as respects variation in provision of health services

 

The Board must not exercise its functions for the purpose of causing a variation

 

in the proportion of services provided as part of the health service that is provided

 

by persons of a particular description if that description is by reference to—

 

(a)    

whether the persons in question are in the public or (as the case may be)

 

private sector, or


 
 

Notices of Amendments: 23 June 2011                     

13

 

Health and Social Care (Re-committed) Bill, continued

 
 

(b)    

some other aspect of their status.’.

 

Mr Simon Burns

 

76

 

Clause  19,  page  18,  line  27,  leave out ‘a significant’ and insert ‘an’.

 

Mr Simon Burns

 

77

 

Clause  19,  page  19,  line  15,  at end insert—

 

‘( )    

Arrangements made under subsection (7) do not affect the liability of the Board

 

for the exercise of any of its functions.’.

 

Mr Simon Burns

 

78

 

Clause  19,  page  19,  line  32,  at end insert—

 

‘( )    

The business plan must, in particular, explain how the Board proposes to

 

discharge its duties under—

 

(a)    

sections 13D and 13L, and

 

(b)    

sections 223D to 223DB.’.

 

Mr Simon Burns

 

79

 

Clause  19,  page  19,  leave out lines 38 to 40.

 

Mr Simon Burns

 

80

 

Clause  19,  page  21,  line  31,  at end insert—

 

‘( )    

Arrangements made under this section do not affect the liability of the Board for

 

the exercise of any of its functions.’.

 

Mr Simon Burns

 

81

 

Clause  19,  page  22,  line  4 ,  after ‘that’, insert ‘—

 

( )    

’.

 

Mr Simon Burns

 

82

 

Clause  19,  page  22,  line  6 ,  at end insert ‘and

 

( )    

the failure is significant.’.

 

Mr Simon Burns

 

83

 

Clause  19,  page  22,  line  14 ,  at end insert—

 

‘( )    

Where the Secretary of State exercises a power under subsection (1) or (3), the

 

Secretary of State must publish the reasons for doing so.’.

 

Mr Simon Burns

 

84

 

Clause  20,  page  23,  line  14,  leave out from ‘when’ to end of line 15 and insert ‘the

 

Board is notified in writing by the Secretary of State that the amount is allotted to it for

 

that year.’.


 
 

Notices of Amendments: 23 June 2011                     

14

 

Health and Social Care (Re-committed) Bill, continued

 
 

Mr Simon Burns

 

85

 

Clause  20,  page  23,  leave out lines 21 to 26.

 

Mr Simon Burns

 

86

 

Clause  20,  page  23,  leave out lines 33 and 34.

 

Mr Simon Burns

 

87

 

Clause  20,  page  23,  leave out lines 35 to 37.

 

Mr Simon Burns

 

88

 

Clause  20,  page  23,  line  38,  leave out from beginning to end of line 5 on page 24.

 

Mr Simon Burns

 

89

 

Clause  20,  page  24,  leave out lines 6 to 15 and insert—

 

‘223D

 Financial duties of the Board: expenditure

 

(1)    

The Board must ensure that total health expenditure in respect of each financial

 

year does not exceed the aggregate of—

 

(a)    

the amount allotted to the Board for that year under section 223B,

 

(b)    

any sums received by the Board or commissioning consortia in that year

 

under any provision of this Act (other than sums received by the Board

 

under section 223B or by commissioning consortia under section 223H),

 

and

 

(c)    

any sums received by the Board or commissioning consortia in that year

 

otherwise than under this Act for the purpose of enabling it or them to

 

defray such expenditure.

 

(1A)    

In this section, “total health expenditure”, in relation to a financial year, means—

 

(a)    

expenditure which is attributable to the performance by the Board of its

 

functions in that year, other than sums paid by it under section 223H, and

 

(b)    

expenditure which is attributable to the performance by commissioning

 

consortia of their functions in that year.’.

 

Mr Simon Burns

 

90

 

Clause  20,  page  24,  line  17,  after ‘the Board’, insert ‘or a commissioning

 

consortium which is’.

 

Mr Simon Burns

 

91

 

Clause  20,  page  24,  line  19,  leave out ‘expenditure within subsection (1)’ and

 

insert ‘part of total health expenditure’.

 

Mr Simon Burns

 

92

 

Clause  20,  page  24,  line  21,  leave out ‘under section 223B’ and insert ‘or a

 

commissioning consortium under section 223B or (as the case may be) 223H’.


 
 

Notices of Amendments: 23 June 2011                     

15

 

Health and Social Care (Re-committed) Bill, continued

 
 

Mr Simon Burns

 

93

 

Clause  20,  page  24,  line  23,  leave out ‘the expenditure of the Board’ and insert

 

‘total health expenditure’.

 

Mr Simon Burns

 

94

 

Clause  20,  page  24,  line  28,  leave out from beginning to end of line 12 on page 25

 

and insert—

 

‘223DA 

 Financial duties of the Board: controls on total resource use

 

(1)    

In this Chapter—

 

“total capital resource use”, in relation to a financial year, means the use of

 

capital resources in that year by the Board and commissioning consortia

 

(taken together);

 

“total revenue resource use”, in relation to a financial year, means the use of

 

revenue resources in that year by the Board and commissioning consortia

 

(taken together).

 

(2)    

The Board must ensure that total capital resource use in a financial year does not

 

exceed the amount specified by the Secretary of State.

 

(3)    

The Board must ensure that total revenue resource use in a financial year does not

 

exceed the amount specified by the Secretary of State.

 

(4)    

The Secretary of State may give directions, in relation to a financial year,

 

specifying descriptions of resources which must, or must not, be treated as capital

 

resources or revenue resources for the purposes of this Chapter.

 

(5)    

The Secretary of State may give directions, in relation to a financial year,

 

specifying uses of capital resources or revenue resources which must not be taken

 

into account for the purposes of this Chapter.

 

(6)    

The Secretary of State may give directions, in relation to a financial year,

 

specifying uses of capital resources or revenue resources which must be taken

 

into account for the purposes of this section.

 

(7)    

The amount specified for the purposes of subsection (2) or (3) may be varied only

 

if—

 

(a)    

the Board agrees to the change, or

 

(b)    

the Secretary of State considers that there are exceptional circumstances

 

which make the variation necessary.

 

(8)    

Any reference in this Chapter to the use of capital resources or revenue resources

 

is a reference to their expenditure, consumption or reduction in value.

 

223DB

 Financial duties of the Board: additional controls on resource use

 

(1)    

The Secretary of State may direct the Board to ensure that total capital resource

 

use in a financial year which is attributable to matters specified in the direction

 

does not exceed an amount so specified.

 

(2)    

The Secretary of State may direct the Board to ensure that total revenue resource

 

use in a financial year which is attributable to matters specified in the direction

 

does not exceed an amount so specified.

 

(3)    

The Secretary of State may direct the Board to ensure —

 

(a)    

that total revenue resource use in a financial year which is attributable to

 

such prescribed matters relating to administration as are specified in the

 

direction does not exceed an amount so specified;


 
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