97

House of Commons

Thursday 18 June 2009

Public Bill Committee

New Amendments handed in are marked thus

Amendments which will comply with the required notice period at their next appearance

Health Bill [Lords]

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Note

The Amendments have been arranged in accordance with the Resolution of the

Programming Sub-Committee [15 June 2009].

Mike Penning

Mr Stephen O’Brien

87

Clause  8,  page  5,  line  6,  after ‘containing’, insert ‘(but not limited to)’.

Mike Penning

Mr Stephen O’Brien

159

Clause  8,  page  5,  line  24,  leave out paragraph (c).

Mike Penning

Mr Stephen O’Brien

88

Clause  8,  page  5,  line  26,  after ‘publish’, insert ‘(electronically and in paper form)’.

Mike Penning

Mr Stephen O’Brien

156

Clause  8,  page  5,  line  27,  after ‘containing’, insert ‘(but not limited to)’.

Sandra Gidley

Dr John Pugh

169

Clause  8,  page  5,  line  28,  at end insert—

Public Bill Committee: 18 June 2009

98

Health Bill [Lords] continued

‘(3A)

When required, bodies listed in subsection (2) must provide information for

injury data collection on the causes of injuries for patients admitted.’.

Mike Penning

Mr Stephen O’Brien

174

Clause  8,  page  5,  line  28,  at end insert—

‘(3A)

The regulations may specify that the information relevant to the quality of NHS

services is to be published within the annual reports of NHS Trusts and, subject

to the direction of the Independent Regulator of NHS Foundation Trusts, within

the annual reports of NHS Foundation Trusts.’.

Mike Penning

Mr Stephen O’Brien

99

Clause  8,  page  5,  line  33,  at end insert—

‘( )	The Care Quality Commission shall, in a manner which the Secretary of State

shall prescribe, review and report on the accuracy and completeness of any

information contained in a document published in accordance with subsections

(1) and (3).’.

Mike Penning

Mr Stephen O’Brien

155

Clause  8,  page  5,  line  33,  at end insert—

‘( )	The Secretary of State must undertake appropriate consultation with appropriate

bodies listed under, but not limited to, subsections (2) and (3) before requiring

them by regulation to publish in respect of each reporting period a document

containing prescribed information relevant to the quality of services.’.

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’.

Public Bill Committee: 18 June 2009

99

Health Bill [Lords] continued

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.’.

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—

Public Bill Committee: 18 June 2009

100

Health Bill [Lords] continued

‘(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

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.’.

Mr Stephen O’Brien

Mike Penning

187

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,’.

Public Bill Committee: 18 June 2009

101

Health Bill [Lords] continued

Mr Stephen O’Brien

Mike Penning

188

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

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

‘(l)	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.’.

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.’.

Public Bill Committee: 18 June 2009

102

Health Bill [Lords] continued

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’.

Mr Stephen O’Brien

Mike Penning

190

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

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

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

‘(4A)

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

three years.’.

Public Bill Committee: 18 June 2009

103

Health Bill [Lords] continued

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’.

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)

regulations under section 12B’.

Mr Stephen O’Brien

Mike Penning

141

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

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Revised 18 June 2009