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| | (i) | there is, or will be, an inability to carry out several personal care |
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| | or domestic routines and/or |
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| | (ii) | the individual will be unable to maintain control over several |
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| | aspects of their day-to-day life or; |
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| | (iii) | involvement in several aspects of work, education, training or |
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| | recreation cannot or will not be sustained; and/or |
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| | (iv) | several domestic, family and personal relationships cannot or |
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| | will not be sustained; and/or |
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| | (v) | there is a risk of abuse or neglect, |
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| | (b) | they form part of a combination of needs described in paragraph (a).’. |
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| Clause 14, page 14, line 9, at end insert ‘and in assessing the cost a local authority |
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| incurs, it must (unless either Condition 2 in section 18, or either Condition 2 or Condition |
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| 4 in section 20, is met) ignore the cost it incurs (directly or indirectly) in assessing that |
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| need under sections 9 or 10.’. |
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| |
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| Clause 14, page 14, line 9, at end insert— |
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| | ‘(4A) | Where a local authority that meets an individual’s needs under sections 18 to 20 |
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| | is satisfied that the individual’s means are insufficient for it to be reasonably |
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| | practicable for the individual to pay the amount which would otherwise be |
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| | charged, the authority shall not require the individual to pay more for it than it |
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| | appears to them that is it reasonably practicable to be paid.’. |
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| Clause 18, page 17, line 32, after the first ‘adult’, insert ‘(or someone acting on the |
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| adult’s behalf if the adult lacks capacity to arrange for the provision of care)’. |
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| Clause 19, page 18, line 28, leave out ‘may’ and insert ‘should’. |
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| Clause 19, page 18, line 28, after ‘needs’, insert ‘and their carer’s needs’. |
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| Clause 22, page 20, line 32, after ‘is’ insert ‘authorised or’. |
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| | Member’s explanatory statement
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| | This amendment seeks to introduce wording which replicates the terms used in other legislation |
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| | on the boundaries between social and health care in order to meet the concerns of the Joint |
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| | Committee on the draft Bill about a court’s likely interpretation of any substantive differences |
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| Clause 42, page 38, line 13, at end add ‘if the local authority has reason to believe |
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| enquiries are being impeded such that it cannot determine whether any action is necessary |
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| it shall record whether or not an application for an adult safeguarding access order was |
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| considered or made under section [ ].’. |
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| Clause 60, page 51, line 37, leave out ‘”Parent” and “carer” each have’ and insert |
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| Clause 61, page 51, line 39, after ‘child’, insert ‘has or’. |
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| Clause 61, page 51, line 40, leave out ‘after the child becomes 18’. |
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| Clause 61, page 51, line 41, leave out ‘significant’. |
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| Clause 61, page 51, line 44, at beginning insert ‘where the child is 16 or over’. |
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| Clause 61, page 52, line 20, leave out ‘with “parent” having the meaning given in |
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| Clause 62, page 53, line 10, leave out subsections (5) and (6). |
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| Clause 62, page 53, line 19, at end insert— |
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| | ‘(5A) | Where, in the case of a carer to whom a child’s carer’s assessment relates, the |
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| | child becomes 18, the local authority must decide whether to treat the assessment |
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| | as a carer’s assessment; and if the authority decides to do so, this Part applies to |
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| | the child’s carer’s assessment as if it were a carer’s assessment that had been |
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| | carried out after the child had become 18. |
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| | (5B) | In considering what to decide under subsection (5A), a local authority must have |
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| | (a) | when the child’s carer’s assessment was carried out, and |
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| | (b) | whether it appears to the authority that the circumstances of the carer to |
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| | whom the child’s carer’s assessment relates have changed in a way that |
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| | might affect the assessment.’. |
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| Clause 63, page 53, line 30, at end insert— |
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| | ‘(4) | “Carer” has the same meaning as in section 61.’. |
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| Clause 64, page 54, line 20, leave out subsection (7). |
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| Clause 65, page 55, line 40, leave out subsection (9). |
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| Clause 67, page 56, leave out lines 43 to 46 and insert— |
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| | ‘(1) | Subsections (2) to (4) apply where a local authority in England providing |
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| | services for a child in need in the exercise of functions conferred by |
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| | (a) | are required by section 59(1) or 64(1) of the Care Act 2014 to |
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| | carry out a child’s needs assessment or young carer’s assessment |
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| | in relation to the child, or |
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| | (b) | are required by section 61(1) of that Act to carry out a child’s |
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| | carer’s assessment in relation to a carer of the child.’. |
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| Clause 67, page 57, line 1, leave out ‘requested’. |
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| Clause 67, page 57, line 3, after ‘60(6)’ insert ‘, 62(5A)’. |
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| Clause 67, page 57, line 7, leave out ‘requested’. |
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| Clause 67, page 57, line 9, after ‘60(6)’ insert ‘, 62(5A)’. |
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| Clause 67, page 57, line 15, leave out ‘decide to comply with the request but’. |
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| Clause 67, page 57, line 21, at end insert— |
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| | ‘(4A) | Subsection (5) applies where a local authority in England providing |
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| | services for a child in need in the exercise of functions conferred by |
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| | |
| | (a) | receive a request for a child’s needs assessment or young carer’s |
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| | assessment to be carried out in relation to the child or for a |
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| | child’s carer’s assessment to be carried out in relation to a carer |
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| | |
| | (b) | have yet to be required by section 59(1), 61(1) or 64(1) of the |
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| | Care Act 2014 to carry out the assessment.’. |
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| Clause 67, page 57, line 38, after first ‘assessment”,’ insert ‘“child’s carer’s |
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| Clause 67, page 58, leave out lines 11 to 13 and insert— |
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| | ‘(1) | Subsections (2) to (4) apply where a local authority in England making |
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| | arrangements for a disabled child under section 2 are required by section |
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| | 59(1) of the Care Act 2014 to carry out a child’s needs assessment in |
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| Clause 67, page 58, line 14, leave out ‘requested’ |
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| Clause 67, page 58, line 20, leave out ‘requested’ |
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| Clause 67, page 58, line 27, leave out ‘decide to comply with the request but’ |
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| Clause 67, page 58, line 33, at end insert— |
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| | ‘(4A) | Subsection (5) applies where a local authority in England making |
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| | arrangements for a disabled child under section 2— |
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| | (a) | receive a request for a child’s needs assessment to be carried out |
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| | in relation to the child, but |
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| | (b) | have yet to be required by section 59(1) of the Care Act 2014 to |
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| | carry out the assessment.’. |
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| Clause 67, page 59, line 6, leave out subsection (4). |
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| Clause 79, page 71, line 18, at end insert— |
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| ‘Child’s carer’s assessment |
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| Clause 79, page 71, line 29, at end insert— |
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| Clause 79, page 72, line 3, at end insert— |
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| Clause 81, page 72, line 34, at end insert— |
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| | ‘(1A) | Regulations must make provision for— |
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| | (a) | the definition of “significant improvement”, and |
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| | (b) | the assessment of progress towards the improvements so specified.’. |
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| |
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| Clause 88, page 79, line 18, leave out subsection (4). |
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| | Member’s explanatory statement
|
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| | This amendment is one of a number intended, collectively, to restore the powers of the Care |
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| | Quality Commission to review or investigate local authority social care provision or |
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| | commissioning without first securing, singular or joint, Ministerial approval. |
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| |
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| Clause 89, page 80, line 23, at end add ‘in particular indicators relating to specified |
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| relevant physical and mental health conditions’. |
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| |
| | |
| Clause 89, page 81, leave out lines 16 to 18. |
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| | Member’s explanatory statement
|
|
| | This amendment is one of a number intended, collectively, to restore the powers of the Care |
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| | Quality Commission to review or investigate local authority social care provision or |
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| | commissioning without first securing, singular or joint, Ministerial approval. |
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| |
| | |
| Clause 89, page 81, line 19, leave out ‘(5) Omit subsection (1A) of that section.’. |
|
| | Member’s explanatory statement
|
|
| | This amendment is one of a number intended, collectively, to restore the powers of the Care |
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| | Quality Commission to review or investigate local authority social care provision or |
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| |
| |
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| | commissioning without first securing, singular or joint, Ministerial approval. |
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| |
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| | |
| To move the following Clause:— |
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| | ‘(1) | In section 26 of the Health and Social Care Act 2008 (registration procedure: |
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| | notice of proposals), after subsection (4) insert— |
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| | “(4A) | Where a proposal under subsection (4) names an individual and specifies |
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| | action that the Commission would require the registered person to take in |
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| | relation to that individual, the Commission must give that individual |
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| | notice in writing of the proposal.” |
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| | (2) | In section 28 of that Act (notice of decisions), in subsection (6), for “subsection |
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| | (7)” substitute “subsections (7) to (9)”. |
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| | (3) | In that section, after subsection (7) insert— |
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| | “(8) | But in a case where notice of the proposal has been given to an individual |
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| | under section 26(4A) subsection (7) does not apply unless, by the time |
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| | the Commission receives the applicant’s notification, it has received |
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| | notification from the individual that he or she does not intend to appeal. |
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| | (9) | And if the Commission receives notification from the individual after it |
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| | receives the applicant’s notification and before the end of the period |
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| | mentioned in subsection (6)(a), the decision is to take effect when the |
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| | Commission receives the individual’s notification.”’. |
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| |
| | Integration of care and support with health services etc: integration fund |
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| |
| | |
| To move the following Clause:— |
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| | ‘(1) | At the end of section 223B of the National Health Service Act 2006 (funding of |
|
| | the National Health Service Commissioning Board) insert— |
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| | “(6) | Where the mandate specifies objectives relating to service integration, |
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| | the requirements that may be specified under section 13A(2)(b) include |
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| | such requirements relating to the use by the Board of an amount of the |
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| | sums paid to it under this section as the Secretary of State considers it |
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| | necessary or expedient to impose. |
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| | (7) | The amount referred to in subsection (6)— |
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| | (a) | is to be determined in such manner as the Secretary of State |
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| | considers appropriate, and |
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|