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| | Schedule 1, page 226, line 26, leave out ‘if the Secretary of State so directs’. |
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| | Clause 6, page 4, line 3, leave out ‘commissioning consortia’ and insert ‘primary |
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| | Clause 6, page 4, line 4, leave out ‘commissioning consortia’ and insert ‘primary |
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| | Clause 6, page 4, line 5, leave out ‘commissioning consortia’ and insert ‘primary |
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| | Clause 6, page 4, line 7, leave out ‘commissioning consortium’ and insert ‘primary |
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| | Clause 6, page 4, line 9, at end add— |
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| | | ‘(3) | In exercising functions in relation to the health service, the commissioning |
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| | | consortia must have regard to the need to reduce inequalities between the people |
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| | | of England with respect to the benefits that they can obtain from the health |
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| | Page 4, line 1, leave out Clause 6. |
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| | Clause 7, page 4, line 15, leave out from ‘take’ to ‘for’ in line 16 and insert |
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| | Clause 8, page 5, line 5, leave out ‘such steps it considers appropriate’ and insert |
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| | Clause 8, page 5, line 7, leave out ‘may’ and insert ‘must’. |
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| | Clause 8, page 5, line 7, leave out ‘may take such steps as the Secretary of State |
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| | considers appropriate’ and replace with ‘must take appropriate steps’. |
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| | Clause 8, page 5, line 9, at end add ‘where the Secretary of State, after consulting |
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| | with local authorities, is satisfied that such steps are more appropriate at national rather |
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| | Clause 8, page 5, line 9, at end insert— |
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| | | ‘(2A) | The Secretary of State must identify funding to be passed to local authorities for |
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| | | the purposes of taking steps under subsection (1). |
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| | | (2B) | Such funding passed to local authorities may only be spent on activities consistent |
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| | Clause 8, page 5, line 16, at end insert— |
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| | | ‘(ca) | providing services or facilities designed to promote early diagnosis of |
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| | Clause 8, page 5, leave out lines 17 and 18. |
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| | Clause 8, page 5, line 20, after ‘their’, insert ‘employment,’. |
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| | Clause 8, page 5, line 25, at end insert— |
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| | | ‘(h) | supporting research into the prevention, diagnosis or treatment of |
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| | Clause 8, page 5, line 28, at end insert— |
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| | | ‘(4A) | Where these functions are exercised by a county council, the county council shall |
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| | | consult any relevant district councils in its area about how best to exercise its |
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| | | functions under this part of the Act.’. |
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| | Clause 8, page 5, line 31, leave out from ‘England’ to end of line 32. |
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| | Clause 8, page 5, line 35, at end add— |
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| | | ‘(6) | In exercising these functions the Secretary of State and local authorities must |
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| | | consult relevant local Directors of Public Health and the Chief Medical Officer |
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| | | and have regard to their advice.’. |
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| | Clause 9, page 6, line 4, at end insert ‘, reside in the area covered by the consortium |
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| | or are visiting the area.’. |
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| | Clause 9, page 6, line 7, after ‘who’, insert ‘— |
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| | | (a) | were provided with primary medical services by a person who is or was |
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| | | a member of the consortium, or |
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| | Clause 9, page 6, line 8, at end insert ‘including persons living in the area covered |
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| | by the relevant Health and Wellbeing strategy.’. |
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| | Clause 9, page 6, line 16, at end insert— |
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| | | ‘(4A) | In exercising their duties under this section consortia must act with regard to the |
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| | | relevant Joint Strategic Needs Assessments and Health and Wellbeing |
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| | Clause 10, page 6, line 25, leave out ‘may’ and insert ‘must’. |
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| | Clause 10, page 6, line 31, at end insert— |
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| | | ‘(c) | in exercising its powers under (a) and (b) the consortium must take into |
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| | | account the NHS Constitution and the appropriate Joint Strategic Needs |
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| | Clause 10, page 6, line 36, at end insert— |
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| | | ‘(4) | In exercising their functions under this part of the Act commissioning consortia |
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| | | shall have regard to relevant Joint Strategic Needs Assessments and relevant |
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| | | Health and Wellbeing strategies approved by relevant Health and Wellbeing |
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| | Clause 11, page 7, leave out line 7. |
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| | Clause 11, page 7, line 9, at end add ‘and Armed Forces veterans’. |
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| | Clause 11, page 7, line 12, leave out ‘may be prescribed’ and insert ‘set out in the |
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| | Specialised Services National Definitions Set.’. |
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| | Clause 11, page 7, line 14, leave out from second ‘the’ to end of line 16 and insert |
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| | ‘provision of the service to be arranged at a national level rather than a local level’. |
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| | Clause 11, page 7, line 25, at end insert— |
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| | | ‘(e) | the extent to which services are provided by local providers rather than |
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| | | by regional or national providers.’. |
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| | Clause 11, page 7, line 29, at end insert— |
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| | | ‘(c) | consult with commissioning consortia and Health and Wellbeing |
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| | Clause 14, page 11, line 9, leave out ‘protection’ and insert ‘health’. |
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| | Clause 15, page 11, line 38, at end insert— |
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| | | ‘(5) | The Secretary of State shall issue a report annually to Parliament in respect of |
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| | | directions he has issued to the Board or commissioning consortia.’. |
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| | Clause 19, page 14, line 37, at end insert ‘for approval by Parliament.’. |
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| | Clause 19, page 16, line 23, after ‘of’, insert ‘physical and mental’. |
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| Clause 19, page 16, line 38, at end insert— |
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| | | ‘(c) | any reports or recommendations from local Healthwatch organisations, |
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| | | the Healthwatch England committee or local authorities (through |
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| | | overview and scrutiny committees or otherwise).’. |
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| | Clause 19, page 16, line 39, leave out ‘autonomy’ and insert ‘cooperation’. |
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| | Clause 19, page 16, line 43, leave out from ‘purposes’ to end of line 2 on page 17 |
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| | and insert ‘must cooperate with other commissioners and providers of health services and |
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| | local authorities, with respect to their duties under section 179 of this Act.’. |
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| | Clause 19, page 17, leave out line 3. |
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| | | Clause 19, page 17, line 14, at end insert ‘promote the involvement of the public in |
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| | decisions taken whether by the Board or Consortia about the health services that are to be |
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| | commissioned for their areas.’. |
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| | | Clause 19, page 17, line 14, at end insert— |
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| | | ‘(1A) | In exercising its functions, the Board shall uphold the provisions of the Equality |
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| | | Act 2010 and the NHS Constitution as defined in Section 1 of the Health Act |
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| | | 2009, and ensure that these provisions apply to all providers of health services |
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| | | that it commissions in so far as they are providing health services.’. |
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| | | Clause 19, page 17, line 16, at end insert— |
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| | | ‘(b) | in this section “Public” means people or groups of people who receive |
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| | | services or who may receive services provided as a result of the exercise |
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| | | of functions by the Board or consortia.’. |
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| | Clause 19, page 17, line 21, at end insert— |
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| | | ‘(2) | In discharging its duty under subsection (1), the board must make arrangements |
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| | | with a view to securing that it obtains advice from— |
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| | | (a) | persons with professional expertise in the commissioning of cancer |
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