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given up to and including

Friday 6th December 2002

New Amendments handed in are marked thus *




The Programming Sub-Committee appointed by the Speaker in respect of the Bill agreed the following Resolution at its meeting on Thursday 5th December (Sessional Order C relating to Programming):


(1) During proceedings on the Community Care (Delayed Discharges etc.) Bill the Standing Committee shall meet four times, namely on Tuesday 10th December at 10.30 a.m. and 4.30 p.m., and on Thursday 12th December at 8.55 a.m. and 2.30 p.m.

(2) Proceedings on the Bill in Standing Committee shall, so far as not previously concluded, be brought to a conclusion in accordance with the following table—


Jacqui Smith has given notice of her intention to move a motion in the terms of the resolution of the Programming Sub-Committee [Sessional Order C(9) relating to Programming (28th June 2001).]

ProceedingsConclusion of proceedings
Clauses 1 to 31.00 p.m. on 10th December
Clauses 4 and 57.00 p.m. on 10th December
Clauses 6 to 1111.25 a.m. on 12th December
Clauses 12 to 16, new Clauses, new
Schedules and any remaining
5.00 p.m. on 12th December


The Amendments have been arranged in accordance with the Resolution of the Programming Sub-committee.


Mr Paul Burstow


*Clause     1,     page     1,     line     5,     at end insert—

       'Delayed discharge means a delay in transfer occurring when—

      (a) a clinical recommendation has been made that the patient is ready for transfer from a general and acute hospital bed to another care setting, subject to a single assessment process, and

      (b) a multi-disciplinary team decision has been made that the patient is ready for, and safe to, discharge or transfer to another care setting, but the patient is still occupying such a bed.'.


Mr Paul Burstow


*Clause     1,     page     1,     line     5,     at end insert—

       '"Carer" in relation to a qualifying hospital patient, means a person aged over 16 who—

      (a) provided (prior to admission in hospital) or intends to provide a substantial amount of care to the qualifying hospital patient on a regular basis once he is discharged, and

      (b) did not or will not provide this care—

      (i) by virtue of a contract of employment or other contract with any person, or

      (ii) as a volunteer for a voluntary organisation;'.


Mr Paul Burstow


*Clause     1,     page     1,     line     9,     leave out 'and' and insert 'or

      (c) a Care Trust within the meaning of section 45 of the Health and Social Care Act 2001; and'.


Dr Liam Fox
Mr Simon Burns
Mr John Baron
Mrs Cheryl Gillan
Sir George Young


Clause     1,     page     1,     line     14,     leave out 'or is expected to receive'.


Dr Liam Fox
Mr Simon Burns
Mr John Baron
Mrs Cheryl Gillan


Clause     1,     page     1,     line     14,     leave out from 'receive)' to end of line 15 and insert 'geriatric, acute care'.


Mr Paul Burstow


*Clause     1,     page     1,     line     15,     at end add 'except where the patient is accommodated in an independent hospice, an NHS palliative care unit, or a care home within the meaning of the Care Standards Act 2000'.


Mr Paul Burstow


*Clause     1,     page     1,     line     15,     at end add—

       '"voluntary organisation" has the same meaning as in the National Assistance Act 1948.'.


Dr Liam Fox
Mr Simon Burns
Mr John Baron
Mrs Cheryl Gillan
Sir George Young


Clause     2,     page     2,     line     4,     leave out 'or is expected to become'.


Mr Paul Burstow


*Clause     2,     page     2,     line     6,     after 'the,' insert 'responsible authority and the'.


Dr Liam Fox
Mr Simon Burns
Mr John Baron
Mrs Cheryl Gillan


Clause     2,     page     2,     line     6,     after 'body', insert 'and the responsible authority'.


Mr Paul Burstow


*Clause     2,     page     2,     line     10,     after second 'the', insert 'Primary Care Trust, housing and'.


Sir George Young


Clause     2,     page     2,     line     10,     after 'services', insert 'or housing'.


Mr Paul Burstow


*Clause     2,     page     2,     line     11,     at end insert—

    '(2A)   Further to the fulfilment of the requirements under subsection 1(a) and (b) a single assessment process shall be undertaken to include—

      (a) assessment of entitlement for continuing care in pursuance of statutory responsibilities under the National Health Service Act 1977;

      (b) assessment of entitlement to NHS funded nursing care pursuant to section 49 of the Health and Social Care Act 2001;

      (c) assessment of the local authorities' duties under section 47(1) of the National Health Service and Community Care Act 1990;

      (d) a joint aftercare plan for the provision of relevant health and community care services following the day of discharge for an agreed period, including ensuring that general practitioners receive written discharge summaries promptly so that they are aware of their patient's needs in the community;

      (e) a single information-gathering process regarding the patient's needs, no matter that the assessment and subsequent care planning and service delivery involves a number of professionals and agencies, whereby each patient is informed of, and consents to, information about their needs and circumstances being collected and shared, and with key decisions and issues to be copied in writing, or other appropriate formats, to the older person;

      (f) a duty on the professionals undertaking the assessment to work together in the best interests of the older person, as defined by the older person or those close to them;

      (h) consideration of the older person's views and wishes and external or environmental factors that are causing or exacerbating needs, including not only health and social care issues but also relevant housing, benefits, transport and other issues, the depth and detail of the assessment to be proportionate to an individual's needs;

      (i) the results of any assessment undertaken of the carer's ability to provide and continue to provide care for patient under the Carers (Recognition and Services) Act 1995 and/or the Carers and Disabled Children Act 2000.'.


Mr Paul Burstow


*Clause     2,     page     2,     line     13,     leave out 'and' and insert—

      '(aa) must contain a written discharge plan, including an assessment of community needs within the meaning of section 47 of the National Health Service and Community Care Act 1990, and arrangements for aftercare;

      (ab) must contain, where the patient has an intending carer within the meaning of section 1(1)(b) of the Carers (Recognition and Services) Act 1995, an assessment in compliance with section 1 of that Act; and'.


Sir George Young


Clause     2,     page     2,     line     15,     leave out 'eight days' and insert 'one day'.


Mr Paul Burstow


*Clause     2,     page     2,     line     19,     at end insert—

      '(aa) the form of a written discharge plan,',


Sir George Young


Clause     2,     page     2,     line     30,     after 'services', insert 'or housing'.


Mr Paul Burstow


*Clause     3,     page     2,     line     36,     at beginning insert 'Subject to subsection (3A) below,'.


Mr Paul Burstow


*Clause     3,     page     2,     line     36,     leave out subsection (3) and insert—

    '   The responsible NHS body and the responsible authority shall—

      (a) carry out a joint assessment of the patient's needs with a view to identifying those health and community care services that need to be made available in order for it to be safe to discharge him; and

      (b) agree which of those services (if any) the authority will make available for the patient.'.


Mr Paul Burstow


*Clause     3,     page     2,     line     37,     after 'assessment', insert 'under the single assessment process'.


Mr Paul Burstow


*Clause     3,     page     2,     line     38,     after 'services', insert 'or community health services'.


Mr Paul Burstow


*Clause     3,     page     2,     line     39,     leave out 'and'.


Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan


Clause     3,     page     2,     line     39,     after 'him', insert 'and the responsible NHS body must also assess the need for health support on discharge'.


Mr Paul Burstow


*Clause     3,     page     2,     line     41,     at end insert 'and

      (c) inform any person where it appears to them that they may be entitled under section (1) of the Carers (Recognition and Services) Act 1995 and section (1) of the Carers and Disabled Children Act 2000 to request an assessment of their ability to provide and continue to provide care.'.

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Prepared 6 Dec 2002