213

House of Commons

Tuesday 12 January 2010

Committee of the whole House

New Amendments handed in are marked thus

Personal Care at Home Bill

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Mr Stephen O’Brien

1

Clause  1,  page  1,  line  1,  leave out ‘free’.

Mr Stephen O’Brien

2

Clause  1,  page  1,  line  1,  after ‘home’, insert ‘free of charge’.

Mr Stephen O’Brien

3

Clause  1,  page  1,  line  2,  leave out ‘power to require’.

Mr Stephen O’Brien

4

Clause  1,  page  1,  line  3,  leave out ‘of local authority care’.

Mr Stephen O’Brien

5

Clause  1,  page  1,  line  4,  at end insert—

‘(1A)

Section 15 shall be retitled “Provision of services in England free of charge.”’.

Mr Stephen O’Brien

6

Clause  1,  page  1,  line  5,  leave out subsection (2).

Mr Stephen O’Brien

7

Clause  1,  page  1,  line  5,  leave out ‘free’.

Mr Stephen O’Brien

8

Clause  1,  page  1,  line  5,  after ‘services’, insert ‘free of charge’.

Mr Stephen O’Brien

9

Clause  1,  page  1,  line  7,  leave out from ‘in’ to end of line 8 and insert—

Committee of the whole House: 12 January 2010

214

Personal Care at Home Bill, continued

‘(i)	extra care housing;

(ii)	sheltered accommodation;

(iii)

warden controlled accommodation;

(iv)	care home without nursing;

(v)	care home with nursing.’.

Mr Stephen O’Brien

34

Clause  1,  page  1,  line  8,  at end insert—

‘(2A)

In subsection (4), leave out paragraph (c).’.

Mr Stephen O’Brien

10

Clause  1,  page  1,  line  8,  at end insert—

‘(2A)

After subsection (4) insert—

“(4A)

In subsection (4) “care home”—

(a)	in relation to England and Wales, has the same meaning as in the

Care Standards Act 2000 (c. 14), and

(b)	in relation to Northern Ireland, means a residential care home as

defined by Article 10 of the Health and Personal Social Services

(Quality, Improvement and Regulation) (Northern Ireland)

Order 2003 (S.I. 2003/431 (N.I. 9)) or a nursing home as defined

by Article 11 of that Order.”’.

Mr Stephen O’Brien

11

Clause  1,  page  1,  line  10,  after ‘apply’, insert—

‘(a)

’.

Mr Stephen O’Brien

12

Clause  1,  page  1,  line  13,  at end insert—

‘(b)	to such other arrangements for the provision of personal care as the

Secretary of State may, by regulations, specify.’.

Mr Stephen O’Brien

35

Clause  1,  page  1,  line  15,  leave out ‘personal’.

Mr Stephen O’Brien

14

Clause  1,  page  1,  line  17,  after ‘authority’, insert ‘or primary care trust’.

Mr Stephen O’Brien

13

Clause  1,  page  1,  line  17,  leave out ‘(including the exercise of a discretion)’.

Mr Stephen O’Brien

16

Clause  1,  page  1,  line  20,  at end insert—

Committee of the whole House: 12 January 2010

215

Personal Care at Home Bill, continued

‘(c)	exempt a local authority from providing personal care free of charge to a

person eligible for or in receipt of continuing care.’.

Mr Stephen O’Brien

15

Clause  1,  page  1,  line  20,  at end insert—

‘(4BA)

Any local authority not in receipt of funds from central government equivalent to

the full cost of providing personal care to people living at home shall not be

obliged to provide such care.’.

Mr Stephen O’Brien

31

Clause  1,  page  1,  line  20,  at end insert—

‘(4BA)

The Secretary of State shall report annually to Parliament the compatibility of any

new regulations and guidance relating to the provision of personal care to a

person living at home with the European Convention on Human Rights.’.

Mr Stephen O’Brien

39

Clause  1,  page  1,  line  20,  at end insert—

‘(c)	make provision for a local authority to operate additional schemes for the

provision of personal care free of charge.’.

Norman Lamb

Greg Mulholland

44

Clause  1,  page  1,  line  20,  at end insert—

‘(c)	allow for a direct payment to be made if requested, in lieu of direct

provision of the service.’.

Mr Stephen O’Brien

47

Clause  1,  page  1,  line  20,  at end insert—

‘(c)	specify that the assessment of the person in need of assistance with

personal care should not be prejudiced by whether a carer is willing or

able to provide care;

(d)	allow for any “qualifying service” to be any service which meets any

need of the person who requires assistance with personal care;

(e)	ensure that any services which are purchased or arranged do not preclude

those provided under section 2 of the Carers and Disabled Children Act

2000.

(4BB)

For the purposes of this section, “carer” has the meaning of section (1) of the

Carers and Disabled Children Act 2000.’.

Mr Stephen O’Brien

17

Clause  1,  page  1,  line  21,  leave out from beginning to end of line 2 on page 2.

Mr Stephen O’Brien

18

Clause  1,  page  2,  line  1,  leave out ‘undergoing’ and insert ‘undertaking to

undergo’.

Committee of the whole House: 12 January 2010

216

Personal Care at Home Bill, continued

Mr Stephen O’Brien

19

Clause  1,  page  2,  line  1,  leave out ‘a’ and insert ‘at least one’.

Mr Stephen O’Brien

20

Clause  1,  page  2,  line  2,  at end insert—

‘(4CA)

Any process under subsection (4C) may not be contingent on the activity of, or

acquiring, a carer.’.

Mr Stephen O’Brien

21

Clause  1,  page  2,  line  2,  at end insert—

‘(4CA)

The process under subsection (4C) shall be available to any person with care

needs according to guidance issued under section 7(1) of the Local Authority

Social Services Act 1970.’.

Mr Stephen O’Brien

36

Clause  1,  page  2,  line  3,  leave out ‘personal’.

Mr Stephen O’Brien

22

Clause  1,  page  2,  line  4,  leave out from ‘provision does not come within subsection

(4)(a) or (b)’ and insert ‘person identifies their place of residence as their only or principal

home; and “only or principal home” has the same meaning as in the Housing Act 1985 (c.

68).’.

Mr Stephen O’Brien

48

Clause  1,  page  2,  line  4,  at end insert—

‘(4DA)

The Secretary of State may by regulations restrict the cost to local authorities of

providing personal care to people living at home.’.

Mr Stephen O’Brien

40

Clause  1,  page  2,  line  4,  at end insert—

‘(4E)

For the purposes of this section “personal care” has the meaning in section

[Definition of “personal care”].’.

Norman Lamb

Greg Mulholland

43

Clause  1,  page  2,  line  4,  at end insert—

‘(4E)

Provision by virtue of subsection (4B) may for the purposes of this section not

require the recipient of care to undergo the process defined in subsection (4C) if,

in the assessment of a registered medical practitioner, the life expectancy of the

person is such that the process will be limited or no benefit, or detrimental to the

health of the patient, or will not alter their care needs.

(4F)	Provision by virtue of subsection (4B) may for the purposes of this section not

require the recipient of care to undergo the process defined in subsection (4C) if,

in the assessment of a registered practitioner, the process will be of limited or no

Committee of the whole House: 12 January 2010

217

Personal Care at Home Bill, continued

benefit, or detrimental to the health of the patient, or will not alter their care

needs.’.

Mr Stephen O’Brien

23

Clause  1,  page  2,  line  9,  at end insert—

‘(5A)

After subsection (4E) (inserted by subsection (5) of this section) insert—

“(4F)

The Secretary of State may by regulations authorise a local authority to

disburse a cash payment to a person living in accommodation that an

establishment provides to the person together with the care which is

equivalent to the payment they would have received were they not living

in such accommodation.”’.

Mr Stephen O’Brien

24

Clause  1,  page  2,  line  9,  at end insert—

‘(5A)

For subsection (6) substitute—

“The Secretary of State may not make a statutory instrument under this

section unless a draft of the instrument has been laid before, and

approved by a resolution of, each House of Parliament.”’.

Mr Stephen O’Brien

38

Clause  1,  page  2,  line  9,  at end insert—

‘(4F)

For the purposes of this section where a person has been assessed as deafblind,

personal care shall include the provision of communication and mobility

support.’.

Mr Stephen O’Brien

41

Clause  1,  page  2,  line  9,  at end insert—

‘(5A)

After subsection (4E) insert—

“(4F)

The Secretary of State may by regulations authorise a local authority to

make transitional arrangements for a person moving from or to

accommodation that an establishment provides to the person together

with the care.”’.

Norman Lamb

Greg Mulholland

46

Clause  1,  page  2,  line  9,  at end insert—

‘(4F)

For the purposes of this section where a person has been assessed as having a

diagnosis of dementia local authorities providing personal care at home shall

ensure that the services are delivered by staff with an understanding of

dementia.’.

Mr Stephen O’Brien

25

Clause  1,  page  2,  line  14,  leave out ‘free’.

Committee of the whole House: 12 January 2010

218

Personal Care at Home Bill, continued

Mr Stephen O’Brien

37

Clause  1,  page  2,  line  15,  leave out ‘personal’.

Mr Stephen O’Brien

26

Clause  1,  page  2,  line  15,  after ‘care’, insert ‘free of charge’.

Mr Stephen O’Brien

27

Clause  1,  page  2,  line  16,  at end insert—

‘(6A)

The Secretary of State shall report annually to Parliament—

(a)	the costs of delivering personal care at home in that year;

(b)	the estimated costs of delivering personal care at home in future years.’.

Norman Lamb

Greg Mulholland

45

Clause  1,  page  2,  line  16,  at end insert—

‘(6A)

The Secretary of State shall report annually to Parliament—

(a)	the number of people receiving personal care at home under the terms of

the Act in that year in every local authority area in England;

(b)	the cost of providing personal care at home under the terms of the Act in

that year in every local authority area in England.’.

Mr Stephen O’Brien

28

Clause  1,  page  2,  line  17,  leave out subsection (7).

Mr Stephen O’Brien

29

Clause  1,  page  2,  line  18,  after ‘accommodation’, insert ‘England and Wales’.

Mr Stephen O’Brien

30

Clause  1,  page  2,  line  20,  leave out from ‘26’ to ‘in’ in line 21 and insert

‘(provision of accommodation in premises maintained by voluntary organisations)’.

Mr Stephen O’Brien

42

Clause  2,  page  2,  line  27,  at end insert—

‘(1A)

The provisions of this Act come into force on whatever day the Secretary of State

appoints by order made by statutory instrument.’.

Committee of the whole House: 12 January 2010

219

Personal Care at Home Bill, continued

Mr Stephen O’Brien

33

Clause  2,  page  2,  line  28,  leave out ‘at Home’.

New ClausES

Feasibility report

Mr Stephen O’Brien

NC1

To move the following Clause:—

‘The Government will report on the feasibility of the Govenment underwriting

providers of social care insurance.’.

Definition of “personal care”

Mr Stephen O’Brien

NC2

To move the following Clause:—

‘For the purposes of this Act “personal care” means:

(a)	as regards the personal hygiene of the person cared for—

(i)

shaving;

(ii)	cleaning teeth (whether or not they are artificial) by means of a

brush or dental floss and (in the case of artificial teeth) by means

of soaking;

(iii)

providing assistance in rinsing the mouth;

(iv)	keeping finger nails and toe nails trimmed;

(v)	assisting the person with going to the toilet or with using a

bedpan or other receptacle;

(vi)	where the person is fitted with a catheter or stoma, providing

such assistance as is requisite to ensure cleanliness and that the

skin is kept in a favourable hygienic condition;

(vii)

where the person is incontinent—

(a)	the consequential making of the person’s bed and

consequential changing and laundering of the person’s

bedding and clothing; and

(b)	caring for the person’s skin to ensure that it is not

adversely affected;

(b)	as regards eating requirements, the preparation of, or the provision of any

assistance with the preparation of, the person’s food including (without

prejudice to that generality)—

(i)	defrosting, washing, peeling, cutting, chopping, pureeing,

mixing or combining, cooking, heating or re-heating, or

otherwise preparing food or ingredients;

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Revised 12 January 2010