Amendments proposed to the Health and Social Care (Community Health and Standards) Bill - continued House of Commons

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Mr Andrew Lansley

232

Clause     3,     page     2,     line     2,     at beginning insert—

    '(1)   The primary duty of the regulator is to facilitate the provision by NHS foundation trusts of health care services at a higher clinical standard and responsiveness to patients.

    (2)   '.

   

Mr Andrew Lansley

107

Clause     3,     page     2,     line     2,     leave out from 'functions' to end of line and insert 'in order to secure that NHS foundation trusts have the freedom from external constraints needed to enable them to offer health care services which are enhanced in terms of their volume and quality, and in a manner not inconsistent with'.

   

Dr Evan Harris
Patsy Calton
Mr Paul Burstow

244

Clause     3,     page     2,     line     2,     leave out 'consistent with' and insert 'in pursuance of'.

   

Dr Evan Harris
Patsy Calton
Mr Paul Burstow

245

Clause     3,     page     2,     line     5,     at end add 'and that is consistent with the principles of fairness and of universal coverage'.

   

Sir George Young

200

Clause     3,     page     2,     line     5,     at end add 'and shall have a duty to safeguard the best interests of the NHS as a whole'.

   

Mr Andrew Lansley

123

Clause     3,     page     2,     line     5,     at end add—

    '(2)   In performing his duties under this Act, the regulator must have regard to such of the following as appear to him to be relevant in the circumstances—

      (a) the principles under which regulatory activities should be transparent, accountable, proportionate, consistent and targeted only at cases where action is needed,

      (b) the different needs and interests of persons using NHS services and, in particular, of the different interests of children, and of those living in rural and urban areas; and

      (c) the principles set out in the Compact between Government and the voluntary sector and the codes of practice set out under it.'.


   

Mr Andrew Lansley

103

Clause     4,     page     2,     line     8,     after 'trust', insert ', a Primary Care Trust, or any combination of trusts,'.

   

Mr Andrew Lansley

201

Clause     4,     page     2,     line     8,     after 'trust', insert 'or combination of NHS trusts'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan
Mr Andrew Lansley
Dr Evan Harris

Patsy CaltonMr Paul Burstow

75

Clause     4,     page     2,     line     9,     leave out from 'trust' to end of line 10.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

134

Clause     4,     page     2,     line     20,     leave out paragraph (a) and insert—

    '(a)   the proposed constitution has effect, but the applicant may exercise the functions of the corporation on its behalf until a board of governors has been elected and a board of directors has been appointed,'.

   

Dr Evan Harris
Patsy Calton
Mr Paul Burstow

170

Clause     4,     page     2,     line     28,     at end add 'subject to the approval of the Commission for Healthcare Audit and Inspection'.

   

Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

199

Clause     4,     page     2,     line     28,     at end add 'as long as it does not affect the trust's ability to deliver the goods and services described in its application'.

   

Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

198

Clause     4,     page     2,     line     28,     at end add—

    '(5)   The applicant trust must not use money allocated for clinical purposes to finance the cost of the application.'.


   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

219

Clause     5,     page     2,     line     30,     after 'persons', insert ', corporate bodies, charity and voluntary organisations'.

   

Mr Andrew Lansley

106

Clause     5,     page     2,     line     31,     after 'trust', insert ', Primary Care Trust or combination of trusts'.

   

Mr Andrew Lansley

202

Clause     5,     page     2,     line     31,     after 'trust', insert 'or combination of NHS trusts'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan
Dr Evan Harris
Patson Calton

Mr Paul Burstow

135

Clause     5,     page     2,     line     32,     leave out from 'trust' to end of line 33.

   

Dr Evan Harris
Patsy Calton
Mr Paul Burstow

171

Clause     5,     page     2,     line     32,     leave out from 'trust' to end of line 33 and insert 'provided those persons do not continue to undertake commissioning work on behalf of NHS patients'.

   

Mr Andrew Lansley

228

Clause     5,     page     3,     line     1,     leave out from 'Schedule 1' to end of line 2 and insert—

       'except that in respect of an application by a voluntary body it incorporates such further provisions, including enabling volunteer workers and charitable donors to be members of the corporation, as appear to be appropriate'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

137

Clause     5,     page     3,     line     2,     at end insert—

    '(d)   the applicant has demonstrated the ability to meet quality thresholds consistent with standards demanded by the official inspectorate,'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

136

Clause     5,     page     3,     line     3,     leave out 'may' and insert 'shall'.

   

Dr Evan Harris
Patsy Calton
Mr Paul Burstow

172

Clause     5,     page     3,     line     15,     at end add 'subject to the approval of the Commission for Healthcare Audit and Inspection'.


   

Mr Andrew Lansley

105

Clause     6,     page     3,     line     23,     at end insert—

      '(aa) the application is not objected to by the Secretary of State,'.

   

Dr Evan Harris
Patsy Calton
Mr Paul Burstow

246

Clause     6,     page     3,     line     29,     after 'provide', insert—

      '(dd) the application is endorsed by the relevant local authorities, primary care trusts, patients' forums and representatives from local staff side organisations;'.

   

Mr Andrew Lansley

225

Clause     6,     page     3,     line     32,     at end insert ', but shall not impose restrictions on the financial terms and conditions under which an NHS foundation trust shall contract to provide goods and services to Primary Care Trusts'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

138

Clause     6,     page     3,     line     32,     at end insert—

    '(3A)   The applicant may at any stage make written representations to the regulator about the terms of its authorisation.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

76

Clause     6,     page     3,     line     33,     leave out subsection (4).


   

Mr Gareth Thomas (Harrow West)

188

Clause     8,     page     4,     line     15,     at end insert 'including conversion to an industrial and provident society, operating for the benefit of the community.'.

   

Dr Evan Harris
Patsy Calton
Mr Paul Burstow

160

Clause     8,     page     4,     line     17,     at end add 'to patient forums in the trust and in surrounding primary care trusts, to overview and scrutiny committees in the local area, and to members of the NHS foundation trust'.


   

Mr Andrew Lansley

223

Clause     9,     page     4,     line     19,     at end insert—

    '(1A)   The regulator shall secure that a substantial change in services provided by an NHS foundation trust will require a variation in the authorisation.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

139

Clause     9,     page     4,     line     20,     leave out 'is to' and insert 'must'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

77

Clause     9,     page     4,     line     21,     at end insert—

    '( )   any written representation made to the regulator by an NHS foundation trust,'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan
Dr Evan Harris
Patsy Calton

Mr Paul Burstow

220

Clause     9,     page     4,     line     28,     at end insert—

      '(c) any report or recommendation made to him by a Patient Forum.'.

   

Mr Andrew Lansley

224

Clause     9,     page     4,     line     28,     at end insert—

      '(c) the expressions of opinion of the public or staff constituencies, including, if appropriate, as expressed in a referendum or otherwise,

      (d) views expresed by the board of governors of the NHS foundation trust,

      (e) views expressed by other NHS foundation trusts, Primary Care Trusts or NHS trusts, and

      (f) views expressed by the Independent Reconfiguration Panel.'.

 
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Prepared 20 May 2003