Session 2013 - 14
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Consideration of Bill: 10 March 2014                  

1800

 

Care Bill, continued

 
 

Liz Kendall

 

Mr Jamie Reed

 

Mrs Emma Lewell-Buck

 

Meg Munn

 

Grahame M. Morris

 

19

 

Clause  90,  page  81,  line  27,  at end insert—

 

‘(2A)    

The Commission must, in respect of such English local authorities as may be

 

prescribed—

 

(a)    

conduct reviews of the provision of such adult social services provided

 

or commissioned by the authorities as may be prescribed;

 

(b)    

assess the performance of the authorities following each such review; and

 

(c)    

publish a report of its assessment.

 

(2B)    

Regulations under subsection (2A) may prescribe—

 

(a)    

all adult social services of a particular description; and

 

(b)    

all local authorities or particular local authorities.’.

 


 

NEW CLAUSES AND NEW SCHEDULES RELATING TO CHAPTERS 1 TO 3 OF PART 3,

 

AMENDMENTS TO CHAPTERS 1 TO 3 OF PART 3

 

The Health and Social Care Information Centre: restrictions on dissemination of

 

information

 

Secretary Jeremy Hunt

 

NC34

 

To move the following Clause:—

 

‘(1)    

Chapter 2 of Part 9 of the Health and Social Care Act 2012 (the Health and Social

 

Care Information Centre) is amended as follows.

 

(2)    

In section 253(1) (general duties), after paragraph (c) (but before the “and” after

 

it) insert—

5

“(ca)    

the need to respect and promote the privacy of recipients of

 

health services and of adult social care in England,”.

 

(3)    

In section 261 (other dissemination of information), after subsection (1) insert—

 

“(1A)    

But the Information Centre may do so only if it considers that

 

disseminating the information would be for the purposes of—

10

(a)    

the provision of health care or adult social care;

 

(b)    

the promotion of health.”.

 

(4)    

After section 262 insert—

 

“262A

Publication and other dissemination: supplementary

 

In exercising any function under this Act of publishing or otherwise

15

disseminating information, the Information Centre must have regard to

 

any advice given to it by the committee appointed by the Health Research

 

Authority under paragraph 8(1) of Schedule 7 to the Care Act 2014

 

(committee to advise in connection with information dissemination

 

etc).”’.


 
 

Consideration of Bill: 10 March 2014                  

1801

 

Care Bill, continued

 
 

As Amendments to Secretary Jeremy Hunt’s proposed New Clause (The Health and

 

Social Care Information Centre: restrictions on dissemination of information) (NC14):—

 

Dr Sarah Wollaston

 

Paul Burstow

 

Charlotte Leslie

 

Andrew George

 

Barbara Keeley

 

(a)

 

Line  9,  after ‘of’, insert ‘improving’.

 

Dr Sarah Wollaston

 

Paul Burstow

 

Charlotte Leslie

 

Andrew George

 

Barbara Keeley

 

(b)

 

Line  10,  at end insert ‘; and if it has satisfied itself that the recipient is competent

 

to handle the data in compliance with all statutory duties and to respect and

 

promote the privacy of recipients of health services and adult social care.”.’.

 


 

Misuse of data provided by the Health and Social Care Information Centre: offence

 

Mr Jamie Reed

 

Barbara Keeley

 

NC25

 

To move the following Clause:—

 

‘(1)    

A person or entity commits an offence if they misuse, or negligently allow the

 

misuse of information they have requested and received from the Health and

 

Social Care Information Centre.

 

(2)    

“Misuse” means—

 

(a)    

using information in a way that violates the agreement with the Health

 

and Social Care Information Centre;

 

(b)    

using information in a way that does not violate the agreement with the

 

Health and Social Care Information Centre, but that gives rise to use that

 

is outside the agreed limits of use; or

 

(c)    

using information supplied by the Health and Social Care Information

 

Centre in such a way as to allow or enable individual patients to be

 

identified by a third party.

 

(3)    

A person who is guilty of an offence under subsection (1) is liable—

 

(a)    

on summary conviction, to an unlimited fine;

 

(b)    

on conviction on indictment, to imprisonment for not more than two

 

years or a fine, or both.

 

(4)    

An entity who is guilty of an offence under subsection (1)—

 

(a)    

is liable to an unlimited fine; and


 
 

Consideration of Bill: 10 March 2014                  

1802

 

Care Bill, continued

 
 

(b)    

must disclose the conviction on all future applications to access data from

 

the Health and Social Care Information Centre.’.

 


 

Secretary Jeremy Hunt

 

8

 

Clause  109,  page  96,  line  2,  after ‘individuals’ insert ‘aged 18 or over who are’.

 


 

Mr Jamie Reed

 

29

 

Clause  116,  page  100,  line  29,  after ‘Authority’, insert ‘and the Secretary of State’.

 


 

Secretary Jeremy Hunt

 

17

 

Schedule  7,  page  145,  line  34,  at end insert—

 

‘(c)    

to the Health and Social Care Information Centre in connection with—

 

(i)    

the exercise by the Centre of functions conferred in

 

regulations under section 251 of the National Health Service

 

Act 2006 (processing of patient information for medical

 

purposes);

 

(ii)    

any publication or other dissemination by the Centre of

 

information which is in a form which identifies an individual

 

to whom the information relates or enables the identity of such

 

an individual to be ascertained.’.

 

Secretary Jeremy Hunt

 

18

 

Schedule  7,  page  146,  line  4,  at end insert—

 

‘8A      

Regulations may provide for the committee appointed under paragraph 8(1) to

 

be required, in giving advice, to have regard to specified factors or matters.’.

 



 
 

Consideration of Bill: 10 March 2014                  

1803

 

Care Bill, continued

 
 

NEW CLAUSES AND NEW SCHEDULES RELATING TO Chapter 4 of part 3,

 

amendments to chapter 4 of part 3, parts 4 and 5, amendments to part 4 and

 

5; remaining proceedings on consideration

 

Secretary of State’s response to a section 65 regulator’s report on an NHS foundation

 

trust

 

Jeremy Lefroy

 

Mr William Cash

 

Fiona Bruce

 

Mr Gary Streeter

 

Jacob Rees-Mogg

 

John Hemming

 

Mr Philip Hollobone

 

Mr Aidan Burley

 

Dr Julian Lewis

 

Mr David Davis

 

Bob Blackman

 

NC6

 

To move the following Clause:—

 

‘In section 65KD of the National Health Service Act 2006, after subsection (1)

 

insert—

 

“(1A)    

If the Secretary of State, in relation to the report, would be satisfied as

 

mentioned in subsection (1), with the addition, omission and/or alteration

 

of recommedations contained therein that the Secretary of State regards

 

as reasonable—

 

(a)    

to secure the safety, quality or efficiency of some or all services,

 

or

 

(b)    

in the circumstances of the case

 

    

he may accept the final report as if it had been amended to provide for the

 

addition, omission or alteration so specified.

 

(1B)    

Where the Secretary of State has accepted the report with amendments as

 

specified in subsection (1A), the Secretary of State must as soon as

 

reasonably practicable—

 

(a)    

publish a notice of the decision, the amendments and the reasons

 

for them;

 

(b)    

lay a copy of the notice before each House of Parliament.”.’.

 



 
 

Consideration of Bill: 10 March 2014                  

1804

 

Care Bill, continued

 
 

Powers of local commissioners in relation to TSA recommendations

 

Paul Burstow

 

Andrew George

 

John Hemming

 

Sir Andrew Stunell

 

Mr Jamie Reed

 

Caroline Lucas

 

Dr Julian Huppert

 

Mr Michael Thornton

 

Grahame M. Morris

 

NC16

 

To move the following Clause:—

 

‘(1)    

In section 65DA(1) of the National Health Service Act 2006 (Chapter 5A of Part

 

2: Objective of trust special administration) omit “objective” and insert

 

“objectives” and omit “is” and insert “are”.

 

(2)    

After subsection (1)(a) insert—

 

“(b)    

the continued provision of such of the services provided for the purposes

 

of the NHS by any affected trust at such level, as the commissioners of

 

those services determine.”.

 

(3)    

After subsection 1(b) omit “(b)” and insert “(c)”.

 

(4)    

In subsection (2) of that section after “The commissioners” insert “of the trust in

 

special administration and any affected trust”.

 

(5)    

In subsection (4) of that section after “the commissioners” add “of the trust in

 

special administration and any affected trust”.

 

(6)    

In subsection (9) of that section after ““commissioners” means the persons to

 

which the trust provides services under this Act” add “and the commissioners of

 

services at any affected trust”.

 

(7)    

In section 65F insert—

 

“(2E)    

Where the administrator is considering recommending taking action in

 

relation to another NHS foundation trust or an NHS trust which may

 

become an affected trust, the administrator shall engage with the

 

commissioners of services at any such NHS foundation trust or NHS trust

 

in order to enable those commissioners to make decisions pursuant to the

 

matters set out in section 65DA.”.

 

(8)    

In section 651(1)—

 

(a)    

after “action which the administrator recommends that the Secretary of

 

State” insert “or the commissioners of any affected trust“; and

 

(b)    

after “should take in relation to the trust” insert “or any affected trust”.

 

(9)    

In section 65K add—

 

“(3)    

Where the final report contains recommendations for changes to be made

 

to services provided by an affected trust, the commissioners of services

 

at that affected trust shall make a decision within 20 working days

 

whether they wish to undertake public and patient involvement regarding

 

all or any of the recommendations and, if they are so minded, shall

 

comply with any arrangements for patient and public involvement agreed

 

by those commissioners under this Act before making any final decision

 

concerning the said recommendations.”.

 

(10)    

In section 65KA add—

 

“(7)    

Where the final report contains recommendations for changes to be made

 

to services provided by an affected trust, the commissioners of those

 

services shall make a decision within 20 working days whether they wish


 
 

Consideration of Bill: 10 March 2014                  

1805

 

Care Bill, continued

 
 

to undertake public and patient involvement regarding all or any of the

 

recommendations and, if they are so minded, shall comply with any

 

arrangements for patient and public involvement agreed by those

 

commissioners under this Act before making any final decision

 

concerning the said recommendations.”.

 

(11)    

In section 65KB(1)(d) after “that” insert “to the extent that the report

 

recommends action in relation to the trust in administration”.

 

(12)    

In section 65KB(2)(a) after “decision” insert “in relation to any recommendations

 

made the in relation to the trust in administration”.

 

(13)    

In section 65O add—

 

“(4)    

In this chapter “affected trust” means—

 

(a)    

where the trust in question is an NHS trust, another NHS trust, or

 

an NHS foundation trust, which provides goods or services under

 

this Act that would be affected by the action recommended in the

 

draft report; and

 

(b)    

where the trust in question is an NHS foundation trust, another

 

NHS foundation trust, or an NHS trust, which provides services

 

under this Act that would be affected by the action recommended

 

in the draft report.

 

(14)    

In section 13Q(4) at the end insert “save to the extent required by section 65K(3)

 

or 65KA(7)”.

 

(15)    

In section 14Z2(7) at the end insert “save to the extent required by section 65K(3)

 

or 65KA(7)”.

 

(16)    

In section 242(6)(b) at the end insert “save to the extent required by section

 

65K(3) or 65KA(7)”.’.

 

Member’s explanatory statement

 

This Clause ensures that all commissioners of services affected by a trust special administrator’s

 

report have the right to define local specified services; clarifies that, save for the trust in

 

administration, local commissioners remain the decision makers for services they commission;

 

and restores public engagement for changes other than for a trust in administration.

 


 

Andy Burnham

 

Mr Jamie Reed

 

Caroline Lucas

 

Mark Durkan

 

Kate Hoey

 

Grahame M. Morris

 

30

 

Page  102,  line  31,  leave out Clause 119.

 

Secretary Jeremy Hunt

 

35

 

Clause  119,  page  104,  line  3,  at end insert—

 

‘(bzc)    

any local authority in whose area the trust provides goods or services

 

under this Act;

 

(bzd)    

any local authority in whose area an affected trust provides goods or

 

services under this Act;

 

(bze)    

any Local Healthwatch organisation for the area of a local authority

 

mentioned in paragraph (bzc) or (bzd);”.


 
 

Consideration of Bill: 10 March 2014                  

1806

 

Care Bill, continued

 
 

( )    

In subsection (8) of that section, omit paragraph (e).’.

 

Paul Burstow

 

Dr Daniel Poulter

 

34

 

Clause  119,  page  104,  line  3,  at end insert—

 

‘( )    

In subsection (8) of that section, omit paragraph (e).’.

 

Secretary Jeremy Hunt

 

36

 

Clause  119,  page  104,  line  13,  at end insert— ‘, and

 

(c)    

hold at least one meeting to seek responses from representatives of each

 

of the local authorities and Local Healthwatch organisations from which

 

the administrator must request a written response under subsection

 

(7)(bzc), (bzd) and (bze).”.’.

 

Secretary Jeremy Hunt

 

11

 

Clause  119,  page  104,  line  23,  at end insert—

 

‘(11B)    

In this section, a reference to a local authority includes a reference to the council

 

of a district only where the district is comprised in an area for which there is no

 

county council.”.’.

 

Secretary Jeremy Hunt

 

12

 

Clause  119,  page  104,  line  24,  leave out ‘and (bzb)’ and insert ‘, (bzb), (bzc) and

 

(bzd)’.

 

Secretary Jeremy Hunt

 

13

 

Clause  119,  page  105,  line  26,  leave out ‘and (bzb)’ and insert ‘, (bzb), (bzc) and

 

(bzd)’.

 


 

Secretary Jeremy Hunt

 

14

 

Clause  123,  page  109,  line  18,  at end insert—

 

‘(ia)    

regulations under section 72 (Part 1 appeals) which include provision that

 

amends or repeals a provision of an Act of Parliament.’.

 


 

Secretary Jeremy Hunt

 

15

 

Clause  125,  page  110,  line  26,  leave out ‘3’ and insert ‘4’.

 



 
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