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Amendments to the Community Care (Delayed Discharges etc.) Bill

Community Care (Delayed Discharges etc.) Bill


 

Clause 2

 

THE BARONESS BARKER
THE LORD CLEMENT-JONES

Page 2, line 8, at end insert—
"(   )  the responsible NHS body and the social services authority publish and operate an agreed code of practice governing the sharing of patient information;
(   )  in cases where a patient has limited mental capacity, a procedure exists to appoint an independent advocate."
 

Clause 3

 

THE BARONESS BARKER
THE LORD CLEMENT-JONES

Page 2, line 38, after "an" insert "initial"
Page 3, line 45, at end insert—
"(   )  Anything done under subsections (3) and (4) must be subject to review under the Single Assessment Procedure no later than 42 days after the relevant day determined under section 4(4)."
 

After Clause 3

 

THE BARONESS BARKER
THE LORD CLEMENT-JONES

Insert the following new Clause—
  "Action plans and joint local protocols
(1)  The responsible NHS body and responsible authority are required to agree the following as regard the discharge of qualifying hospital patients defined in section 1 of this Act—
(a)  action plans to prevent and reduce delayed discharges;
(b)  joint local protocols on the administrative and practical arrangements for the implementation of the legislation defining the roles and responsibilities of all parties;
(c)  local targets for reducing delayed discharges;
(d)  joint administrative arrangements for the local implementation of the duties in sections 2 to 5.
(2)  An action plan under this section is a document drawn up by the relevant bodies specifying action intended to reduce delayed discharges, and to change procedures and arrangements which may cause or contribute to the failure to comply with duties under section 3.
(3)  Joint local protocols will include named persons responsible for co-ordinating all stages of the patient journey up to and beyond discharge, and ensuring that all necessary arrangements are put in place at the right time.
(4)  Local protocols will include joint agreement on how payments made under section 4 are used to encourage a whole systems approach to services for older people, and to ensure that all stakeholders are involved in deciding how the payments are spent."
 

Before Clause 4

 

THE BARONESS BARKER
THE LORD CLEMENT-JONES

Insert the following new Clause—
  "Assessment of needs
(1)  Further to the fulfilment of the requirements under section 3(3)(a) and (b) a written discharge plan shall be produced and taken to include—
(a)  an assessment of community needs within the meaning of section 47 of the National Health Service and Community Care Act 1990 (c. 19) (assessment of needs for community care services), and arrangements for aftercare; and
(b)  where the patient has an intending carer, within the meaning of section 1(1)(b) of the Carers (Recognition and Services) Act 1995 (c. 12) (assessment of ability of carers to provide care: England and Wales), an assessment in compliance with section 1 of that Act.
(2)  Regulations may prescribe the form of a written discharge plan."
 

Clause 12

 

THE BARONESS BARKER
THE LORD CLEMENT-JONES

Page 8, line 19, at end insert—
"(   )  the provision of community equipment, including aids to daily living, mobility aids, adaptations to the home, equipment for home nursing, communication aids and other items listed in Schedule (Community Equipment);"
Page 8, line 20, leave out subsection (4) and insert—
"(   )  The regulations may require that certain services be provided free of charge for a limited period only, and may specify what that period shall be."
 

Schedule

 

THE BARONESS BARKER
THE LORD CLEMENT-JONES

Insert the following new Schedule—
 

"SCHEDULE

 

COMMUNITY EQUIPMENT

  Community equipment shall be taken to include—
(a)  equipment which may assist with daily living as follows—
(i)  special seating,
(ii)  shower chairs,
(iii)  bath-mats,
(iv)  raised toilet seats,
(v)  teapot tippers, and
(vi)  liquid level indicators;
(b)  minor adaptations to the home, such as—
(i)  grab rails,
(ii)  lever taps,
(iii)  improved domestic lighting, and
(iv)  improving the use of contrasting colours;
(c)  equipment for home nursing such as—
(i)  pressure relief mattresses, and
(ii)  commodes;
(d)  mobility equipment such as—
(i)  walking sticks,
(ii)  zimmer frames, and
(iii)  wheelchairs for non-permanent wheelchair users;
(e)  ancillary equipment for people with sensory impairments, such as—
(i)  flashing doorbells,
(ii)  low vision optical aids, and
(iii)  textphones and assistive listening devices;
(f)  telecare equipment such as—
(i)  fall alarms,
(ii)  gas escape alarms,
(iii)  health state monitoring, and
(iv)  "wandering detectors" for people who are vulnerable."

 
 
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©Parliamentary copyright 2003
11 February 2003