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69

 

House of Commons

 
 

Tuesday 12 January 2010

 

Committee of the whole House

 

Proceedings

 

Personal Care at Home Bill


 

Mr Stephen O’Brien

 

Not selected  1

 

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

 

Mr Stephen O’Brien

 

Not selected  2

 

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

 

Mr Stephen O’Brien

 

Not selected  3

 

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

 

Mr Stephen O’Brien

 

Not selected  4

 

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

 

Mr Stephen O’Brien

 

Not selected  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

 

Not selected  6

 

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

 

Mr Stephen O’Brien

 

Not selected  7

 

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

 

Mr Stephen O’Brien

 

Not selected  8

 

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


 
 

Committee of the whole House Proceedings: 12 January 2010    

70

 

Personal Care at Home Bill, continued

 
 

Mr Stephen O’Brien

 

Withdrawn  9

 

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

 

‘(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

 

Not selected  34

 

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

 

‘(2A)    

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

 

Mr Stephen O’Brien

 

Not called  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

 

Withdrawn  11

 

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

 

‘(a)    

’.

 

Mr Stephen O’Brien

 

Not called  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

 

Not selected  35

 

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

 

Mr Stephen O’Brien

 

Not selected  14

 

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

 

Mr Stephen O’Brien

 

Withdrawn  13

 

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


 
 

Committee of the whole House Proceedings: 12 January 2010    

71

 

Personal Care at Home Bill, continued

 
 

Mr Stephen O’Brien

 

Not called  16

 

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

 

‘(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

 

Withdrawn  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

 

Negatived on division  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

 

Not selected  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

 

Not selected  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

 

Not selected  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

 

Withdrawn  17

 

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


 
 

Committee of the whole House Proceedings: 12 January 2010    

72

 

Personal Care at Home Bill, continued

 
 

Mr Stephen O’Brien

 

Negatived on division  18

 

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

 

undergo’.

 

Mr Stephen O’Brien

 

Not called  19

 

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

 

Mr Stephen O’Brien

 

Not called  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

 

Not called  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

 

Not selected  36

 

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

 

Mr Stephen O’Brien

 

Not selected  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

 

Not called  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

 

Not moved  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

 

Not called  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


 
 

Committee of the whole House Proceedings: 12 January 2010    

73

 

Personal Care at Home Bill, continued

 
 

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

 

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

 

needs.’.

 

Mr Stephen O’Brien

 

Not selected  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

 

Not moved  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

 

Not called  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

 

Not called  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

 

Not called  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.’.


 
 

Committee of the whole House Proceedings: 12 January 2010    

74

 

Personal Care at Home Bill, continued

 
 

Mr Stephen O’Brien

 

Not selected  25

 

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

 

Mr Stephen O’Brien

 

Not selected  37

 

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

 

Mr Stephen O’Brien

 

Not selected  26

 

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

 

Mr Stephen O’Brien

 

Not called  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

 

Not called  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

 

Not moved  28

 

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

 

Mr Stephen O’Brien

 

Not selected  29

 

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

 

Mr Stephen O’Brien

 

Not selected  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)’.

 

Clause Agreed to.

 


 

Mr Stephen O’Brien

 

Negatived on division  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 Proceedings: 12 January 2010    

75

 

Personal Care at Home Bill, continued

 
 

Mr Stephen O’Brien

 

Not selected  33

 

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

 

Clause Agreed to.

 


 

New ClausES

 

Feasibility report

 

Mr Stephen O’Brien

 

Not selected  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

 

Not called  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)—


 
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