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

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Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

46

Clause     7,     page     5,     line     29,     leave out paragraph (c).


   

Mr Paul Burstow
Mrs Patsy Calton

79

Clause     8,     page     5,     line     36,     leave out 'subject to subsection (2).'.

   

Mr Paul Burstow
Mrs Patsy Calton

80

Clause     8,     page     5,     line     37,     at end insert 'by statutory instrument and no such shall be made unless a draft has been laid before and approved by resolution of each House of Parliament.'.

   

Mr Paul Burstow
Mrs Patsy Calton

81

Clause     8,     page     5,     line     38,     leave out subsection (2).

   

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

13

Clause     8,     page     6,     line     1,     leave out subsection (4) and insert—

    '(4)   Any powers to make regulations of this kind referred to in this section shall be exercisable by statutory instrument, and any such instrument shall not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament.'.

   

Mr Paul Burstow
Mrs Patsy Calton

82

Clause     8,     page     6,     line     1,     leave out subsection (4).

   

Mr Paul Burstow
Mrs Patsy Calton

85

Clause     8,     page     6,     line     2,     leave out from 'State' to 'to' in line 3.

   

Mr Paul Burstow
Mrs Patsy Calton

83

Clause     8,     page     6,     line     4,     at end insert—

    '(5)   Any regulations made under this part shall be drawn up in consultation with local authorities.'.

   

Mr Paul Burstow
Mrs Patsy Calton

84

Clause     8,     page     6,     line     4,     at end insert—

    '(5)   The Assembly may make regulations under this Part.'.


   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

49

Clause     11,     page     6,     line     38,     after 'provision', insert—

      '(c) make it contingent on an assessment that continuing NHS health care is no longer required and that the patient has been informed of their review rights.'.

   

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

14

Clause     11,     page     7,     line     9,     leave out subsection (5) and insert—

    '(5)   Any powers to make regulations of this kind referred to in this section shall be exercisable by statutory instrument, and any such instrument shall not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament.'.

   

Mr Paul Burstow
Mrs Patsy Calton

86

Page     6,     line     29,     leave out Clause 11.


   

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

28

Clause     12,     page     7,     line     18,     at end insert 'Intermediate Care is to be defined as in the Department of Health Circular HSC 2001/001, paragraph 7.'.

   

Mr Paul Burstow
Mrs Patsy Calton

87

Clause     12,     page     7,     line     18,     at end insert 'and that local authorities are not to charge for social care; if that social care is

      (a) personal care defined in section 121(9) of the Care Standards Act 2000 as assistance in connection with bodily functions;

      (b) nursing care, whether or not from a registered nurse; or

      (c) the care of a kind mentioned in Schedule (Social care not ordinarily charged for) to this Act.'.

   

Mr Paul Burstow
Mrs Patsy Calton

121

Clause     12,     page     7,     line     18,     at end insert 'and that local authorities are not to charge for care provided by them of a kind for the time being mentioned in Schedule (Social care not ordinarily charged for (No. 2)) to this Act or for nursing care, whether or not from a registered nurse.

   

Mr Paul Burstow
Mrs Patsy Calton

123

Clause     12,     page     7,     line     21,     after 'charge', insert 'and in the case of equipment that is community equipment as defined in the Guide to Integrating Community Equipment Services'.

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

50

Clause     12,     page     7,     line     22,     after 'provided', insert 'following the patient being informed of the costs of services following this free period and an assessment made for continuing NHS health care and for community care services of that patient'.

   

Mr Paul Burstow
Mrs Patsy Calton

91

Clause     12,     page     7,     line     29,     after '(c)', insert 'and (f)'.

   

Mr Paul Burstow
Mrs Patsy Calton

92

Clause     12,     page     7,     line     31,     at end insert 'or

      (c) community equipment, including aids to daily living, mobility aids, adaptations to the home, equipment for home nursing, communication aids and other items listed in Schedule (Community Equipment); or

      (d) intermediate care as defined in Schedule (Intermediate care).'.

   

Mr Paul Burstow
Mrs Patsy Calton

93

Clause     12,     page     7,     line     32,     leave out subsection (4).

   

Mr Paul Burstow
Mrs Patsy Calton

122

Clause     12,     page     7,     line     32,     leave out subsection (4) and insert—

    '(4)   The regulations may not require that the costs of accommodation and living costs (excluding the care costs of the kind referred to in subsection (1) and Schedule (Social Care not ordinarily charged for (No. 2)) referred to in subsection 3(a) are to be free of charge for a period exceeding six weeks.'.

   

Dr Liam Fox
Simon Burns
John Baron
Cheryl Gillan

51

Clause     12,     page     7,     line     33,     leave out 'exceeding six weeks' and insert 'outside of the time when the patient is assessed as within the criteria for receiving services free of charge'.

   

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

15

Clause     12,     page     7,     line     39,     leave out subsection (6) and insert—

    '(6)   Any powers to make regulations of this kind referred to in this section shall be exercisable by statutory instrument, and any such instrument shall not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament.'.

   

Sir George Young

40

Clause     12,     page     7,     line     41,     at end add—

    '(6A)   Before laying such regulations, the Secretary of State shall quantify the amount of money which local authorities will forego in revenue.'.


   

Mr Paul Burstow
Mrs Patsy Calton

88

Clause     13,     page     8,     line     7,     at end insert 'and to Schedule (Social care not ordinarily charged for) of that Act'.

   

Mr Paul Burstow
Mrs Patsy Calton

89

Clause     13,     page     8,     line     13,     at end insert 'and to Schedule (Social care not ordinarily charged for) of that Act'.

   

Mr Paul Burstow
Mrs Patsy Calton

90

Clause     13,     page     8,     line     19,     at end add 'and to Schedule (Social care not ordinarily charged for) of that Act'.


   

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

16

Clause     16,     page     8,     line     37,     after 'shall', insert 'not'.

   

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

17

Clause     16,     page     8,     line     37,     after 'force', insert 'until pilot schemes have been carried out for at least a six month period and thereafter'.

   

Sir George Young

41

Clause     16,     page     8,     line     37,     leave out from 'force' to end of line 39 and insert 'not before 1st April 2006'.

   

Mr Paul Burstow
Mrs Patsy Calton

94

Clause     16,     page     8,     line     37,     leave out subsection (2) and insert—

    '(2)   Part 1 may only come into effect subject to evaluation by the Audit Commission of pilot schemes under subsection (2A).

    (2A)   The Secretary of State or the Assembly shall by order elect pilot schemes in selected areas after consultation with the Commission for Health Improvement or any successor bodies.

    (2B)   Part 1 shall not come into effect before 1st April 2005, and subject to subsection (2) above the appropriate Minister may by order on such a day appoint that Part 1 come into force; and different days may be appointed for different purposes.'.

   

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

7

Clause     16,     page     8,     line     38,     after 'appoint', insert 'at the end of the period of at least 12 months beginning with the day on which it is passed'.


NEW CLAUSES

Actions plans and joint local protocols

   

Mr Paul Burstow
Mrs Patsy Calton

NC1

To move the following Clause:—

    '(1)   The responsible NHS body and responsible authority are required to agree the following as regards the discharge of qualifying hospital patients as defined in section 1 of this Act—

      (a) action plans to prevent and reduce delayed discharges;

      (b) joint local protocols on the administrative and practical arrangements for the implementation of the legislation to ensure that all parties are clear about their respective roles and responsibilities;

      (c) local targets for reducing delayed discharges;

      (d) joint administrative arrangements for the local implementation of the duties in sections 2, 3, 4 and 5 in this Act.

    (2)   An action plan is a document drawn up by the relevant bodies specifying action intended to reduce delayed discharges, and to change procedures and arrangements which may cause or contribute to the failure to comply with duties under section 3.

    (3)   Joint local protocols will include named persons responsible for co-ordinating all stages of the patient journey up to and beyond discharge, and ensuring that all necessary arrangements are put in place at the right time.

    (4)   Local protocols will include joint agreement on how payments made under section 4 are used to encourage a whole systems approach to services for older people, and to ensure that all stakeholders are involved in deciding how the payments are spent.'.

 
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Prepared 10 Dec 2002