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S.C.E.

Amendment Paper as at
Tuesday 3rd June 2003

STANDING COMMITTEE E


HEALTH AND SOCIAL CARE (COMMUNITY HEALTH AND STANDARDS) BILL

NOTE

The Amendments have been arranged in accordance with the Orders of the Committee [13th and 22nd May].

   

Mr John Hutton

148

Clause     14,     page     6,     line     14,     leave out from 'for' to end of line 17 and insert 'purposes related to the provision of health care.

    ( )   But the authorisation must secure that the principal purpose of the trust is the provision of goods and services for the purposes of the health service in England.'.

As an Amendment to Mr John Hutton's proposed Amendment (No. 148) (Clause 14, page 6, line 14):

   

Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

(a)

Line     5,     leave out 'in England'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

1

Clause     14,     page     6,     line     14,     leave out 'England' and insert 'the United Kingdom'.

   

Mr John Hutton

252

Clause     14,     page     6,     line     17,     at end insert—

    '(2A)   The trust may also carry on activities other than those mentioned in subsection (1), subject to any restrictions in the authorisation, for the purpose of making additional income available in order to carry on its principal purpose better.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

2

Clause     14,     page     6,     line     18,     leave out subsection (3).

   

Mr John Hutton

149

Clause     14,     page     6,     line     23,     leave out 'may authorise or' and insert 'must authorise and may'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

3

Clause     14,     page     6,     line     23,     leave out 'or require'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

4

Clause     14,     page     6,     line     27,     leave out subsection (6).

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

5

Clause     14,     page     6,     line     37,     leave out subsection (7).


   

Mr John Hutton
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

253

Clause     15,     page     7,     line     5,     leave out 'must' and insert 'may'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

6

Clause     15,     page     7,     line     6,     leave out 'England' and insert 'the United Kingdom'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

7

Clause     15,     page     7,     line     7,     leave out 'which was an NHS trust'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

8

Clause     15,     page     7,     line     8,     leave out subsection (2).

   

Mr John Hutton

254

Clause     15,     page     7,     line     8,     leave out 'duty' and insert 'power'.

   

Dr Evan Harris
Mrs Patsy Calton
Mr Paul Burstow

266

Clause     15,     page     7,     line     8,     leave out from 'that' to end of line 11 and insert 'no services be provided to a patient other than an NHS patient, other than in circumstances prescribed in subsection (2A).

    (2A)   Where a certificate issued by the lead clinician in that speciality states that the services so provided are not needed by an NHS patient with equal or greater clinical need.'.

   

Sir George Young

195

Clause     15,     page     7,     line     11,     at end insert 'or 25 per cent., whichever is the higher'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

9

Clause     15,     page     7,     line     12,     leave out subsection (3).

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

10

Clause     15,     page     7,     line     15,     leave out subsection (4).

   

Dr Evan Harris

Mr Paul Burstow

Mrs Patsy Calton

414

Clause     15,     page     7,     line     15,     after 'means', insert '(a)'.

   

Mr John Hutton

255

Clause     15,     page     7,     line     16,     leave out from 'patients' to end of line 17 and insert 'other than patients being provided with goods and services for the purposes of the health service'.

   

Dr Evan Harris

Mr Paul Burstow

Mrs Patsy Calton

415

Clause     15,     page     7,     line     17,     at end, insert ', and

      (b) other income from private practice received by an NHS foundation trust whether directly or from bodies or persons undertaking or managing private practice in conjunction with that NHS foundation trust or from premises owned by that NHS foundation trust.'.

   

Mr Stephen Pound

262

Clause     15,     page     7,     line     17,     at end insert—

    '(4A)   Each NHS foundation trust must produce annually a comprehensive and publicly available report which separately identifies all income received from the provision of any and all private goods and services.

    (4B)   Each NHS foundation trust must produce annually a comprehensive and publicly available account of the costs to the trust of all goods and services provided privately.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

11

Clause     15,     page     7,     line     18,     leave out subsection (5).


   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

12

Clause     16,     page     7,     line     25,     at end insert 'but does not include property acquired subsequent to the date of its establishment as an NHS foundation trust.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

13

Clause     16,     page     7,     line     29,     leave out 'England' and insert 'the United Kingdom'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

14

Clause     16,     page     7,     line     30,     leave out 'may' and insert 'shall'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

15

Clause     16,     page     7,     line     30,     leave out 'on any terms he considers appropriate' and insert 'unless he believes the disposal of the protected property will render it impossible to deliver a comparable level of service to that provided on the date of the trust's formation.'.


   

Mr Stephen Pound

263

Clause     17,     page     7,     line     34,     after 'money', insert 'only'.

   

Mr Stephen Pound

264

Clause     17,     page     7,     line     34,     at end insert 'direct'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

18

Clause     17,     page     7,     line     36,     leave out subsection (2) and insert—

    '(2)   The trust shall have no constraints on its right to borrow except as outlined in subsection (3)'.

   

Dr Evan Harris
Mrs Patsy Calton
Mr Paul Burstow

161

Clause     17,     page     7,     line     36,     leave out subsections (2) and (3) and insert—

    '(2)   The trust will have certain limits on its rights to borrow, as outlined in subsection (3).

    (3)   The trust's borrowings shall not endanger, or incur the loss of protected property, as outlined in section 16.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

19

Clause     17,     page     7,     line     38,     leave out subsection (3) and insert—

    '(3)   A trust's total borrowings shall not exceed 100 per cent. of its total revenues without the approval of the regulator.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

146

Clause     17,     page     7,     line     38,     at end insert—

    '(3A)   In calculating these limits, no regard shall be had to any borrowing incurred under the Private Finance Initiative.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

20

Clause     17,     page     8,     line     3,     at end insert—

    '(5A)   A trust may use the assets acquired as a result of an investment in a body corporate as security to secure funding to make further such investments.'.

   

Dr Liam Fox
Mr Simon Burns
Chris Grayling
Mrs Cheryl Gillan

21

Clause     17,     page     8,     line     6,     at end add—

    '(7)   A foundation trust shall show the total value of all its liabilities on its balance sheet.'.

   

Mr Andrew Lansley

124

Clause     17,     page     8,     line     6,     at end add—

    '(7)   An NHS foundation trust shall have the power to direct surpluses generated from any of its activities towards the provision of goods and services under the NHS, but it will not have the power to distribute surpluses generated from the provision of NHS goods and services towards any other activities or by way of a distribution to its members.'.

 
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Prepared 3 Jun 2003