Amendments proposed to the Community Care (Delayed Discharges Etc.) Bill - continued House of Commons

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Mr Paul Burstow
Mrs Patsy Calton

95

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

    '(4A)   No such payments shall be made where the reason for the delayed discharge is not the responsibility of the responsible authority.'.

   

Mr Paul Burstow
Mrs Patsy Calton

112

Clause     4,     page     3,     line     43,     leave out 'subject to subsections (6) and (7)'.

   

Mr Paul Burstow
Mrs Patsy Calton

75

Clause     4,     page     4,     line     2,     at end insert—

    '(5A)   Where the NHS body gives notice after 5.00 pm on the relevant day, that notification will not take effect until 10.00 am on the following day.'.

   

Mr Paul Burstow
Mrs Patsy Calton

113

Clause     4,     page     4,     line     3,     leave out subsection (6).

   

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

27

Clause     4,     page     4,     line     8,     leave out 'with that day' and insert 'at 12:00 noon or 12:00 midnight of that day with the final day's reimbursement applied pro rata.'.

   

Mr Paul Burstow
Mrs Patsy Calton

114

Clause     4,     page     4,     line     9,     leave out subsection (7).

   

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

4

Clause     4,     page     4,     line     19,     leave out paragraph (d).

   

Mr Paul Burstow
Mrs Patsy Calton

72

Clause     4,     page     4,     line     24,     leave out subsection (8) and insert—

    '(8)   Any payment which a relevant NHS body or relevant social services authority is required to make under this section shall be made to a fund—to be known as the "discharge aftercare fund"—which shall be held and jointly administered by the Primary Care Trusts and relevant social services authority in each area.

    (8A)   Expenditure from the discharge aftercare fund shall be agreed jointly by the Primary Care Trusts and social services authority in each area, but any payments may only be allocated following consultation with the patient's commissioner'.

   

Mr Paul Burstow
Mrs Patsy Calton

115

Clause     4,     page     4,     line     24,     leave out subsection (8) and insert—

    '(8)   Any payment which a relevant NHS body or relevant social services authority is required to make under this section shall be made to a fund—to be known as the "discharge aftercare fund"—which shall be held and jointly administered by the Primary Care Trusts and relevant social services authority in each area.

    (8A)   Expenditure from the discharge aftercare fund shall be agreed jointly by the Primary Care Trusts and social services authority in each area, but the funds may only be used for the purposes of providing health and community care services for patients qualifying under section 2 above.

    (8B)   The Secretary of State may make regulations regarding the administration of and payments into and out of any discharge aftercare fund held by any Primary Care Trust or social services authority.'.

   

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

5

Clause     4,     page     4,     line     25,     leave out 'responsible NHS body' and insert 'Primary Care Trust and spent according to local decision'.

   

Mr Paul Burstow
Mrs Patsy Calton

117

Clause     4,     page     4,     line     26,     at end add 'and spent according to an agreement drawn up locally.'

   

Mr Paul Burstow
Mrs Patsy Calton

116

Clause     4,     page     4,     line     27,     leave out subsection (9).

   

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

11

Clause     4,     page     4,     line     28,     at end add—

    '(10)   No such payments shall be made where the reason for the delayed discharge is not the responsibility of the responsible authority.'.

   

Sir George Young

36

Clause     4,     page     4,     line     28,     at end add—

    '(10)   All payments made under subsection 4 shall be applied to the care of qualifying hospital patients.'.

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

43

Clause     4,     page     4,     line     28,     at end add—

    '(10)   The amount prescribed for London and the South East is not to exceed that prescribed for elsewhere by more than the level of weighting defined for London and the South East in the funding formula as defined by the ODPM.'.


   

Mr Paul Burstow
Mrs Patsy Calton

76

Clause     6,     page     4,     line     41,     leave out subsection (1) and insert—

    '(1)   The responsible NHS body and the responsible local authority have a duty to set up an independent panel to hear the complaints of patients (and/or their carers) where they—

      (a) disagree with the decision of the NHS that they should be discharged from NHS care, or they disagree with the type or quantity of NHS care to be delivered; or

      (b) disagree with the community care services proposed by social services for a safe discharge.

    (1A)   The independent panel should complete its review of the case within two weeks, having sought appropriate advice from professionals who know the patient (and/or carers), and independent clinical advice where this is deemed necessary; and considered the evidence of the patient and/or carer or other representative of the patient, and during this time the patient should remain under the care of the NHS, and the decision of the panel will be binding.

    (1B)   Further the social services department have a duty to provide a fast track complaints system for people who within 8 weeks of discharge from hospital, feel that the support provided is inadequate to their needs.'.

   

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

6

Clause     6,     page     4,     line     41,     leave out 'may' and insert 'shall'.

   

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

19

Clause     6,     page     4,     line     41,     after 'Authority', insert 'and local authority'.

   

Sir George Young

38

Clause     6,     page     4,     line     41,     after 'Authority', insert 'and Social Services Authority'.

   

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

20

Clause     6,     page     4,     line     42,     after 'Board', insert 'and local authority'.

   

Sir George Young

39

Clause     6,     page     4,     line     42,     after 'Wales', insert 'jointly'.

   

Mr Paul Burstow
Mrs Patsy Calton

118

Clause     6,     page     4,     line     42,     after 'Wales', insert 'in agreement with their local authority counterparts'.

   

Dr Liam Fox
Mr Simon Burns
Mr John Baron
Mrs Cheryl Gillan
Mr Paul Burstow
Mrs Patsy Calton

18

Clause     6,     page     4,     line     42,     leave out 'a' and insert 'an independent'.

   

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

21

Clause     6,     page     5,     line     3,     leave out 'a panel' and insert 'an independent panel comprised, in equal proportions, of representatives from a Strategic Health Authority and from a local authority, with a wholly independent chairperson'.

   

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

22

Clause     6,     page     5,     line     4,     leave out 'a' and insert 'an independent'.

   

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

23

Clause     6,     page     5,     line     5,     after 'which', insert 'independent'.

   

Mr Paul Burstow
Mrs Patsy Calton

77

Clause     6,     page     5,     line     8,     leave out subsection (3) and insert—

    '(3)   Any NHS body or social services authority shall be prohibited from bringing legal proceedings against another such body in relation to a dispute under this Part before such steps have been taken in relation to a panel established by virtue of this section.'.

   

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

53

Clause     6,     page     5,     line     13,     at end add—

    '(5)   Each independent panel shall publish annually the cost of dispute resolutions.'.

   

Mr Paul Burstow
Mrs Patsy Calton

119

Page     4,     line     30,     leave out Clause 6.


   

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

12

Clause     7,     page     5,     line     18,     after first 'it', leave out 'it' and insert 'is'.

   

Mr Paul Burstow
Mrs Patsy Calton

78

Clause     7,     page     5,     line     23,     leave out subsection (2).

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

44

Clause     7,     page     5,     line     25,     leave out paragraph (a).

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

45

Clause     7,     page     5,     line     27,     leave out paragraph (b).

 
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Prepared 10 Dec 2002