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Provision of Palliative Care Bill


 

Provision of Palliative Care Bill

 

 
 

Contents

1   

Duty to provide palliative care

2   

Provision of services

3   

Regulations

4   

Standards set by Secretary of State

5   

Publication of palliative care strategies

6   

Reports on implementation of palliative care strategies

7   

Interpretation

8   

Wales

9   

Expenses

10   

Short title, commencement and extent

 

Bill 40                                                                                                 

54/2

 
 

Provision of Palliative Care Bill

1

 

A

Bill

To

require the provision of palliative care for persons suffering from a terminal

illness; and for connected purposes. 

Be it enacted by the Queen’s most Excellent Majesty, by and with the advice and

consent of the Lords Spiritual and Temporal, and Commons, in this present

Parliament assembled, and by the authority of the same, as follows:—

1       

Duty to provide palliative care

(1)   

It shall be the duty of the Secretary of State to provide palliative care to every

person with a terminal illness, to such extent as is necessary to meet all

reasonable requirements.

(2)   

The palliative care so provided shall be free of charge.

5

2       

Provision of services

The Secretary of State shall—

(a)   

provide such services as he considers appropriate for the purpose of

discharging the duty in section 1 of this Act; and

(b)   

take any other reasonable steps that are intended to facilitiate, or are

10

conducive or incidental to, the discharge of that duty.

3       

Regulations

(1)   

The Secretary of State may by regulations make arrangements for the provision

of palliative care in accordance with this Act.

(2)   

Regulations under subsection (1) may, in particular, make provision for—

15

(a)   

palliative care services to be regarded as primary medical services for

the purposes of Part 2 of the National Health Service Act 2006 (c.41) and

the National Health Service (Wales) Act 2006 (c. 42);

(b)   

access to advice and care from a specialist in palliative medical services

for persons with terminal illnesses;

20

(c)   

the commissioning of specialists in palliative care;

 
Bill 40 54/2
 
 

Provision of Palliative Care Bill

2

 

(d)   

appropriate palliative care services for any person with a terminal

illness who expresses a choice to be cared for at home, if reasonably

practicable;

(e)   

hospice or hospital accommodation for persons suffering from terminal

illnesses;

5

(f)   

training and guidance on the provision of palliative care for all health

and social care professionals who care for persons with terminal

illnesses;

(g)   

the facilitation and promotion of research into all aspects of palliative

care;

10

(h)   

the improvement of co-operation between the voluntary sector, the

National Health Service and social services in the provision of

palliative care and between different health and social care

professionals working within the National Health Service;

(i)   

prompt provision of necessary equipment, medication staff and

15

ancillary services for persons with terminal illnesses; and

(j)   

the monitoring and review of palliative care by the Commission for

Healthcare Audit and Inspection.

(3)   

A statutory instrument containing regulations made by the Secretary of State

under subsection (1) shall be subject to annulment in pursuance of a resolution

20

of either House of Parliament.

4       

Standards set by Secretary of State

(1)   

The Secretary of State shall prepare and publish statements of standards in

relation to the provision of palliative care by and for the NHS bodies referred

to in section 5(1) in accordance with the provisions of section 46 of the Health

25

and Social Care (Community Health and Standards) Act 2003 (c. 43) (standards

set by Secretary of State).

(2)   

Welsh Ministers shall prepare and publish statements of standards in relation

to the provision of palliative care by and for Welsh NHS bodies in accordance

with the provisions of section 47 of the Health and Social Care (Community

30

Health and Standards) Act 2003 (standards set by Assembly).

5       

Publication of palliative care strategies

(1)   

It shall be the duty of each Strategic Health Authority, Primary Care Trust,

NHS Trust, NHS Foundation Trust and Local Health Board to publish a

strategy for the provision of palliative care in its area (“palliative care

35

strategies”).

(2)   

Palliative care strategies shall be published within nine months of the passing

of this Act.

(3)   

Palliative care strategies shall include information on the measures that are to

be taken to improve the provision of palliative care over the following five year

40

period.

(4)   

A palliative care strategy may be revised by the body producing it at any time.

 
 

Provision of Palliative Care Bill

3

 

6       

Reports on implementation of palliative care strategies

(1)   

It shall be the duty of NHS bodies in England to report annually to the

Secretary of State on progress on the implementation of their palliative care

strategies.

(2)   

It shall be the duty of Welsh NHS bodies to report annually to Welsh Ministers

5

on progress on the implementation of their palliative care strategies

7       

Interpretation

In this Act—

“palliative care” means care given with the intention of improving the

quality of life of persons suffering with terminal illness by—

10

(a)   

treatment which controls and relieves pain, distress, discomfort

or other symptoms caused by, related to or coincidental with

terminal illness, and

(b)   

psychological, social and spiritual help and support;

“terminal illness” means an illness, disease or condition which—

15

(a)   

is inevitably progressive and fatal, and

(b)   

the progress of which cannot be reversed by treatment;

“specialist in palliative care” means a medical or nursing practitioner who

is on the relevant specialist register for palliative care;

“Welsh NHS bodies” means—

20

(a)   

any Local Health Board, and

(b)   

any NHS trust all or most of whose hospitals, establishments

and facilities are situated in Wales.

8       

Wales

In its application to Wales—

25

(a)   

sections 1, 2, 3 and 4 of this Act shall have effect as if for each reference

to the Secretary of State there were substituted a reference to Welsh

Ministers; and

(b)   

section 3 shall have effect as if for each reference to regulations there

were substituted a reference to Assembly Measures.

30

9       

Expenses

There shall be paid out of money provided by Parliament—

(a)   

any sums to be paid by the Secretary of State for or in connection with the

carrying out of his functions under this Act; and

(b)   

any increase attributable to this Act in the sums which are payable out of

35

money so provided under any other Act.

10      

Short title, commencement and extent

(1)   

This Act may be cited as the Provision of Palliative Care Act 2007.

(2)   

This Act extends to England and Wales only.

(3)   

This Act shall come into force on the day on which it is passed.

40

 
 

 
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