Amendments proposed to the Community Care (Delayed Discharges Etc.) Bill - continued	House of Commons
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Dr Liam Fox
Mr Simon Burns
Mr John Baron
Ms Cheryl Gillan

52

*Clause     3,     page     2,     line     41,     at end insert—

    '(3A)   Before making a decision under subsection (3) the responsible authority must—

(a)	consult the patient and his carer, if he has one;

(b)	inform them of the cost of the proposed care plans; and

(c)	obtain the consent of the patient and any carer and—

    (i)   where informal consent is given, record that on the patient's file, or

    (ii)   in the case where a patient lacks the mental capacity to give such consent, record on the file what steps if has taken to ensure that the patient's best interests have been duly considered.'.

   

Mr Paul Burstow

69

*Clause     3,     page     2,     line     41,     at end insert—

'(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;

(d)

ensure that the assessment carried out under the above provisions provides sufficient information in the care plan, or make arrangements so that a provider of services to the patient can carry out an appropriate assessment, to satisfy Standards 3 and 4 of the National Minimum Care Standards for Care Homes and Standards 2 and 3 of the Draft National Minimum Care Standards for Domiciliary Care, as required by the Care Standards Act 2000.

    (3A)   Where, for the purposes of satisfying the fitness for purpose of proposed accommodation under the Care Standards Act 2000, the assessment procedure exceeds three days, the delayed discharge period shall be disapplied.'.

   

Mr Paul Burstow

101

*Clause     3,     page     2,     line     41,     at end insert—

    '(3A)   The assessment of the patient's needs under subsection (3)(a) must take account of the results of any assessment undertaken of the carer's ability to provide and continue to provide care for the patient under the Carers (Recognition and Services) Act 1995 or the Carers and Disabled Children Act 2000.'.

   

Mr Paul Burstow

104

*Clause     3,     page     3,     line     1,     after 'body', insert 'and the responsible authority'.

   

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

24

Clause     3,     page     3,     line     1,     after 'body', insert 'or responsible social services authority'.

   

Mr Paul Burstow

105

*Clause     3,     page     3,     line     2,     leave out 'may' and insert 'shall'.

   

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

25

Clause     3,     page     3,     line     5,     after 'consult', insert 'and agree with'.

   

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

54

*Clause     3,     page     3,     line     7,     at end insert—

    '(6A)   The responsible NHS body must take into account the views of the patient's carer, if he has one, before deciding what services (if any) it will make available following discharge.'.

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

55

*     Clause     3,     page     3,     line     7,     at end insert—

    '(6A)   The responsible NHS body must consult the patient and—

(a)	where informed consent is give, record that on the patient's file, or

(b)	in the case where a patient lacks the mental capacity to give such consent, record on the file what steps it has taken to ensure that the patient's best interests have been duly considered,

before deciding what services (if any) it will make available following discharge.'.

   

Mr Paul Burstow

106

*Clause     3,     page     3,     line     8,     leave out 'must give the responsible authority notice of' and insert 'and the responsible authority shall agree'.

   

Mr Paul Burstow

107

*Clause     3,     page     3,     line     9,     leave out 'proposes' and insert 'is proposed'.

   

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

10

Clause     3,     page     3,     line     9,     at end insert 'and must compensate it for any expenses which it incurs if the responsible NHS body fails to discharge the patient on that day.'.

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

56

*     Clause     3,     page     3,     line     9, at end insert—

    '(7A)   The responsible NHS body must give the patient and his carer, if he has one—

(a)	notice of the day on which it proposes to discharge the patient and—

    (i)   where informed consent is given, record that on the patient's file, or

    (ii)   in the case where a patient lacks the mental capacity to give such consent, record on the file what steps it has taken to ensure that the patient's best interests have been duly considered, and

(b)	information about their right to request a review if they disagree with the decision to discharge.'.

   

Mr Paul Burstow

108

*Clause     3,     page     3,     line     10,     leave out subsection (8).

   

Mr Paul Burstow

66

*Clause     3,     page     3,     line     11,     at end insert—

'(aa)

the form of a written discharge plan;'.

   

Mr Paul Burstow

109

*Clause     3,     page     3,     line     18,     leave out from 'to' to end of line 19 and insert 'the patient's right to a timely assessment under that section of all needs relating to community care services which the responsible authority may provide).'.

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

47

Clause     3,     page     3,     line     19,     at end add—

'(10)

The Secretary of State shall specify to the bodies charged with inspection of health and social services that they should monitor, at regular intervals, the impact of this Act on patients and their carers.'.

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

48

Clause     3,     page     3,     line     19,     at end add—

'(10)

The Secretary of State must report on an annual basis to Parliament on the outcomes of patients affected by this Act.'.

---

   

Mr Paul Burstow

110

*Clause     4,     page     3,     line     27,     leave out subsections (2) and (3) and insert—

    '(2)   The responsible NHS body and the responsible authority shall, in the case of each patient where a discharge notice under section 3(7) has been issued, agree—

(a)	a definite day of discharge (the "relevant day");

(b)	a joint aftercare plan for the provision of relevant health and community care services following the day of discharge for an agreed period.'.

   

Mr Paul Burstow

73

*Clause     4,     page     3,     line     34,     at beginning insert 'excluding bank holidays and weekends,'.

   

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

26

Clause     4,     page     3,     line     34,     leave out 'two days' and insert 'three working days, excluding Saturdays, Sundays, Bank Holidays and Public Holidays.'.

   

Mr Paul Burstow

111

*Clause     4,     page     3,     line     35,     leave out from 'day' to end of line 42 and insert 'it has not been possible to discharge the patient because, and only because, either the responsible NHS body or responsible local authority have been unable to make available a relevant health and community care service as agreed in the aftercare plan; then the NHS body or authority responsible for the delay shall make a payment of the amount prescribed in regulations for each day of the delayed discharge period.'.

   

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

3

Clause     4,     page     3,     line     38,     leave out ', and only because,'.

   

Mr Paul Burstow

74

*Clause     4,     page     3,     line     39,     leave out 'local' and insert 'responsible'.

   

Sir George Young

35

Clause     4,     page     3,     line     42,     at end insert—

    '(4A)   If at any time the responsible NHS body has not provided the services referred to in section 3(6) then it shall make a payment of the amount prescribed in regulations to the responsible authority.'.

   

Mr Paul Burstow

71

*Clause     4,     page     3,     line     42,     at end insert—

    '(4A)   If by the end of the relevant day it has not been possible to discharge the patient due to a failure to make available an NHS service, such as community nursing services, required for safe discharge under the aftercare plan, the responsible NHS body must make a payment of an amount prescribed in regulations for each day of the delayed discharge period.

    (4B)   Where a patient discharged is then re-admitted within three weeks of the prescribed period, and it can be shown—

(a)	that the assessment of the patient's needs should have indicated that it would not be safe to discharge him, notwithstanding the availability of community care services under section 3(3)(b), or

(b)	that the NHS body failed to withdraw the notice under section 3(5), the responsible NHS body must make a payment of an amount prescribed in regulations for each day of the additional stay in hospital beyond the delayed discharge period.'

Prepared 6 Dec 2002