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Public Bill Committee: 16 June 2009                     

70

 

Health Bill-[ [], continued

 
 

Mike Penning

 

Mr Stephen O’Brien

 

100

 

Clause  8,  page  5,  line  34,  at end insert—

 

‘( )    

In this section to “publish” includes to make available to the public in paper form,

 

and by means of a website.’.

 


 

Mr Stephen O’Brien

 

Mike Penning

 

120

 

Clause  9,  page  5,  line  41,  after ‘Authority’, insert ‘or a Local Involvement

 

Network’.

 

Mike Penning

 

Mr Stephen O’Brien

 

92

 

Clause  9,  page  6,  line  4,  after first ‘State’, insert ‘and simultaneously laid before

 

Parliament’.

 

Mr Stephen O’Brien

 

Mike Penning

 

121

 

Clause  9,  page  6,  line  6,  at end insert—

 

‘(4A)    

If a patient or member of the public notifies the provider of an error or omission

 

in a document published under that section, the Secretary of State must within 21

 

days make an amended document available to the public.’.

 

Mike Penning

 

Mr Stephen O’Brien

 

157

 

Clause  9,  page  6,  line  6,  at end insert—

 

‘( )    

In subsection (4) “to make the document available” includes in particular—

 

(a)    

to publish electronically and in paper form;

 

(b)    

to take reasonable and appropriate steps to ensure that patients and the

 

public are informed of the manner in which they may access the

 

document;

 

(c)    

to take reasonable and appropriate steps to make the document readily

 

accessible to patients and the public.’.

 

Mike Penning

 

Mr Stephen O’Brien

 

158

 

Clause  9,  page  6,  line  6,  at end insert—

 

‘( )    

A document (whether in whole or in part and whether alone or jointly with others)

 

made available to the public by the Secretary of State must be accompanied by

 

such information as may be recommended to the Secretary of State by the

 

National Institute for Health and Clinical Excellence with a view to enabling the

 

public to assess the document’s contents by reference to relevant and meaningful

 

standards of comparison.’.


 
 

Public Bill Committee: 16 June 2009                     

71

 

Health Bill-[ [], continued

 
 

Mike Penning

 

Mr Stephen O’Brien

 

162

 

Clause  9,  page  6,  line  6,  at end insert—

 

‘(4A)    

In subsection (4) “to make the document available” includes in particular taking

 

reasonable steps to ensure that the document is alternatively available in the

 

appropriate form for any person that may have difficulty accessing an electronic

 

or paper copy.’.

 

Mike Penning

 

Mr Stephen O’Brien

 

163

 

Clause  9,  page  6,  line  6,  at end insert—

 

‘(4A)    

A document (whether in whole or in part and whether alone or jointly with others)

 

made available to the public by the Secretary of State shall contain information

 

about the choice of services available to patients.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

119

 

Clause  9,  page  6,  line  10,  at end insert—

 

‘(aa)    

as to the information technology that trusts will require to measure and

 

report on quality in the quality accounts;’.

 

Mike Penning

 

Mr Stephen O’Brien

 

160

 

Clause  9,  page  6,  line  19,  leave out ‘2’ and insert ‘3’.

 


 

Mr Stephen O’Brien

 

Mike Penning

 

122

 

Clause  10,  page  6,  line  34,  leave out ‘annulment’ and insert ‘approval’.

 


 

Mr Stephen O’Brien

 

Mike Penning

 

186

 

Parliamentary Star    

Clause  11,  page  7,  line  7,  leave out ‘securing the provision to a patient of’ and

 

insert ‘enabling a patient to secure’.

 

Mr Stephen O’Brien

 

Mike Penning

 

106

 

Clause  11,  page  7,  line  28,  at end insert—

 

‘(7)    

Health care provided in accordance with this section constitutes a function of a

 

public nature for the purposes of section 6 of the Human Rights Act 1998.’.


 
 

Public Bill Committee: 16 June 2009                     

72

 

Health Bill-[ [], continued

 
 

Mr Stephen O’Brien

 

Mike Penning

 

187

 

Parliamentary Star    

Clause  11,  page  7,  line  31,  at end insert—

 

‘(a)    

as to the balance of risk between the patient’s autonomy to use the direct

 

payment and the Secretary of State’s accountability for the appropriate

 

use of public funds.’.

 

Sandra Gidley

 

Dr John Pugh

 

170

 

Clause  11,  page  7,  line  34,  at end insert—

 

‘(aa)    

as to whether a patient wishes to use direct payments as a means of

 

obtaining health care;’.

 

Mr Stephen O’Brien

 

Mike Penning

 

15

 

Clause  11,  page  8,  line  5,  at end insert—

 

‘(fa)    

as to circumstances in which the patient might pay a carer with a direct

 

payment,’.

 

Mr Stephen O’Brien

 

Mike Penning

 

188

 

Parliamentary Star    

Clause  11,  page  8,  line  7,  after ‘payments’, insert ‘and the notice period required’.

 

Mr Stephen O’Brien

 

Mike Penning

 

123

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to arrangements to be made where the patient exercises a direct

 

payment alongside a top-up.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

189

 

Parliamentary Star    

Clause  11,  page  8,  line  18,  at end insert—

 

‘(j)    

as regards the procurement of maternity services.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

124

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to the retention of savings made as a result of a direct payment by the

 

Primary Care Trust;

 

(m)    

as to the granting of money for direct payments to the Primary Care Trust

 

by the Secretary of State.’.


 
 

Public Bill Committee: 16 June 2009                     

73

 

Health Bill-[ [], continued

 
 

Mr Stephen O’Brien

 

Mike Penning

 

125

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to the commissioning of emergency, urgent and intensive care with a

 

direct payment.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

126

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to the commissioning of palliative care with a direct payment.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

127

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to the responsibilities of the patient as an employer.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

128

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to the purchase of community services at tariff prices.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

129

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to the use of direct payments by prisoners.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

130

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to the use of direct payments to fund complementary therapies.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

131

 

Clause  11,  page  8,  line  18,  at end insert—

 

‘(l)    

as to the use of direct payments to purchase care in from another health

 

system—

 

(a)    

in the United Kingdom;

 

(b)    

in the European Union’.

 

Mr Stephen O’Brien

 

Mike Penning

 

16

 

Clause  11,  page  8,  line  29,  after ‘Trust’, insert ‘and may also provide for an appeals

 

process’.


 
 

Public Bill Committee: 16 June 2009                     

74

 

Health Bill-[ [], continued

 
 

Mr Stephen O’Brien

 

Mike Penning

 

190

 

Parliamentary Star    

Clause  11,  page  8,  line  29,  at end insert—

 

‘(4A)    

Any overpayment made by the Secretary of State shall not be recoverable under

 

subsection (4).’.

 

Mr Stephen O’Brien

 

Mike Penning

 

191

 

Parliamentary Star    

Clause  11,  page  8,  line  29,  at end insert—

 

‘(4A)    

The regulations may make provision for the use of any surplus arising from the

 

direct payment by—

 

(a)    

the patient; and

 

(b)    

the Secretary of State’.

 

Mr Stephen O’Brien

 

Mike Penning

 

192

 

Parliamentary Star    

Clause  11,  page  8,  line  29,  at end insert—

 

‘(3A)    

The maximum period permissible in regulations made under subsection (3) is

 

three years.’.

 

Sandra Gidley

 

Dr John Pugh

 

171

 

Clause  11,  page  9,  line  14,  at end insert—

 

‘(4A)    

The regulations must make provision that the pilot schemes are fully completed

 

before a recommendation is laid before Parliament.’.

 

Sandra Gidley

 

Dr John Pugh

 

172

 

Clause  11,  page  9,  line  17,  at end insert—

 

‘(aa)    

for a review to be carried out that involves patients, staff, voluntary

 

organisations and representative bodies.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

132

 

Clause  11,  page  9,  line  26,  at end insert—

 

‘(d)    

the impact of direct payments on health inequalities.’.

 

Sandra Gidley

 

Dr John Pugh

 

173

 

Clause  11,  page  9,  line  33,  leave out lines 33 and 34.

 

Mr Stephen O’Brien

 

Mike Penning

 

142

 

Clause  11,  page  9,  line  34,  after ‘this’, insert ‘Part of this’.


 
 

Public Bill Committee: 16 June 2009                     

75

 

Health Bill-[ [], continued

 
 

Mr Stephen O’Brien

 

Mike Penning

 

17

 

Clause  11,  page  9,  line  42,  leave out ‘Secretary of State’ and insert ‘patient’.

 


 

Mr Stephen O’Brien

 

Mike Penning

 

140

 

Schedule  1,  page  38,  line  32,  at end insert—

 

‘(za)    

an order under section 12B’.

 

Mr Stephen O’Brien

 

Mike Penning

 

141

 

Schedule  1,  page  38,  line  33,  leave out ‘(8) or (10)’.

 


 

Mr Stephen O’Brien

 

Mike Penning

 

18

 

Clause  14,  page  10,  line  37,  at end insert—

 

‘(za)    

work in any field relevant to the NHS;

 

(zb)    

work conducted by any individual, group(s) or organisation(s) employed

 

by the NHS or affiliated to it’.

 

Mr Stephen O’Brien

 

Mike Penning

 

136

 

Clause  14,  page  10,  line  40,  at end insert—

 

‘(c)    

work done promoting innovation.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

137

 

Clause  14,  page  10,  line  40,  at end insert—

 

‘(2A)    

A prize may be paid in instalments relating to subsections (2)(a), (2)(b) and (2)(c)

 

above.’.

 

Mr Stephen O’Brien

 

Mike Penning

 

19

 

Clause  14,  page  11,  line  3,  at end insert—

 

‘(4)    

The committee shall advise on—

 

(a)    

the selection of candidates for innovation prizes;

 

(b)    

the payment awarded to each prize winner.’.


 
 

Public Bill Committee: 16 June 2009                     

76

 

Health Bill-[ [], continued

 
 

Mr Stephen O’Brien

 

Mike Penning

 

20

 

Clause  14,  page  11,  line  3,  at end insert—

 

‘(4)    

The Secretary of State and his appointed committee may not determine the field,

 

discipline or sector in which candidates for innovation prizes must develop their

 

innovations.’.

 


 

Mike Penning

 

Mr Stephen O’Brien

 

177

 

Parliamentary Star - white    

Clause  15,  page  11,  line  36,  after ‘it’, insert ‘necessary and’.

 

Mike Penning

 

Mr Stephen O’Brien

 

178

 

Parliamentary Star - white    

Clause  15,  page  12,  line  10,  at end insert—

 

‘( )    

the staff of the Trust.’.

 

Mike Penning

 

Mr Stephen O’Brien

 

182

 

Parliamentary Star - white    

Clause  15,  page  12,  line  21,  at end insert—

 

‘( )    

The Secretary of State’s power to direct a trust special administrator shall not

 

apply in relation to those aspects of a trust special administrator’s duties referred

 

to in sections 65G and 65H (other than subsection (7)).’.

 

Mike Penning

 

Mr Stephen O’Brien

 

101

 

Clause  15,  page  12,  line  26,  leave out from ‘affect’ to end of line 27 and insert ‘the

 

membership of the executive directors to any committee or sub-committee of the trust.’.

 

Mike Penning

 

Mr Stephen O’Brien

 

179

 

Parliamentary Star - white    

Clause  15,  page  13,  line  5,  at end insert—

 

‘( )    

the staff of the Trust.’.

 

Mike Penning

 

Mr Stephen O’Brien

 

180

 

Parliamentary Star - white    

Clause  15,  page  13,  line  5,  at end insert—

 

‘( )    

the trustees,

 

( )    

the board of governors.’.

 

Mike Penning

 

Mr Stephen O’Brien

 

93

 

Clause  15,  page  13,  line  43,  at beginning, insert ‘Immediately’.


 
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