Session 2010 - 11
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Other Bills before Parliament


 
 

Public Bill Committee: 1 March 2011                     

87

 

Health and Social Care Bill, continued

 
 

(b)    

persons with professional expertise in the clinical delivery of cancer

 

services.’.

 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

114

 

Clause  19,  page  17,  line  21,  at end insert ‘including audiology and hearing loss

 

services’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

135

 

Parliamentary Star    

Clause  19,  page  17,  line  21,  at end insert ‘and from persons with professional

 

expertise in patient and public involvement and review and scrutiny.’.

 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

115

 

Clause  19,  page  17,  line  27,  at end insert ‘insofar as making such payments does

 

not to any significant extent interfere with the performance by the Board of its functions.’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

172

 

Parliamentary Star    

Clause  19,  page  17,  line  39,  at end insert—

 

‘13IA

  Duty in respect of regional strategic planning

 

The Board must, in the exercise of its functions and in partnership with

 

commissioning consortia and Health and Wellbeing Boards, take responsibility

 

for regional strategic planning of the provision of health services for the purposes

 

of the NHS and take action to implement those plans, with particular regard to—

 

(a)    

the current health needs of regional populations;

 

(b)    

the future health needs of regional populations;

 

(c)    

the regional configuration of major health services for the purposes of the

 

NHS;

 

(d)    

investment in capital infrastructure for the purposes of the NHS;

 

(e)    

the development of integrated pathways of care for individual conditions;

 

(f)    

the development of clinical networks.’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

122

 

Clause  19,  page  17,  line  43,  after ‘with’, insert ‘other consortia and’.


 
 

Public Bill Committee: 1 March 2011                     

88

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

123

 

Clause  19,  page  17,  line  44,  at end insert—

 

‘(1A)    

In exercising its function of arranging for the provision of services for the

 

purposes of the heath service in England, the Board must act with a view to

 

encouraging providers of health services to cooperate with other providers of

 

health services for the purposes of the NHS, commissioning consortia, and local

 

authorities.

 

(1B)    

Where the duty in this section conflicts with the duty to promote autonomy as

 

specified in section 13E, the duty in this section shall be the primary duty.

 

(1C)    

Where the Board, its members, members of its committees or sub-committees, or

 

its employees, are acting in accordance with this duty, they shall not be regarded

 

as preventing, distorting or restricting competition for the purposes of section

 

2(1) of the Competition Act 1998 or Article 101 of the Treaty on the Functioning

 

of the European Union.

 

(1D)    

If the Board finds that a licensed provider of health services for the purposes of

 

the NHS is failing in its duty to cooperate with other providers of health services

 

for the purposes of the NHS, commissioning consortia, local authorities and the

 

Board, it shall refer the provider to Monitor under its powers under section 82.’.

 

Emily Thornberry

 

165

 

Parliamentary Star    

Clause  19,  page  18,  line  14,  at end insert—

 

‘13KA

    Duty to ensure effective workforce planning

 

In the exercise of its functions the Board must have regard to—

 

(a)    

the future size and makeup of the workforce needed to staff health

 

services for the purposes of the NHS, and

 

(b)    

the necessity to train and ensure the continual professional development

 

of that workforce.’.

 

Emily Thornberry

 

168

 

Parliamentary Star    

Clause  19,  page  18,  line  15,  at end insert—

 

‘13KA

    Duty to encourage public involvement

 

The Board must make arrangements to ensure proper public consultation over

 

significant reconfigurations of services where the reconfiguration will affect

 

more than one commissioning consortium.’.

 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

116

 

Clause  19,  page  18,  line  21,  after second ‘are’, insert ‘continuously’.

 

Emily Thornberry

 

169

 

Parliamentary Star    

Clause  19,  page  18,  line  21,  leave out from second ‘are’ to end of line 22.


 
 

Public Bill Committee: 1 March 2011                     

89

 

Health and Social Care Bill, continued

 
 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

117

 

Clause  19,  page  18,  line  33,  at end insert—

 

‘(d)    

ensuring that reasonable adjustments are made so that the views of people

 

with any impairments or disabilities can also be sought in relation to

 

paragraphs (a) to (c).’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

136

 

Parliamentary Star    

Clause  19,  page  18,  line  37,  at end insert—

 

‘(5)    

The Board must have regard to the outcomes resulting from arrangements made

 

under subsection (2) when exercising its functions.’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

137

 

Parliamentary Star    

Clause  19,  page  18,  line  37,  at end insert—

 

‘(5)    

Where a local authority is exercising its powers in respect of section 175 of this

 

Act, whether through an overview and scrutiny committee or otherwise, the

 

Board shall include in its arrangements under subsection (2) for the local

 

authority, whether through an overview and scrutiny committee or otherwise, to

 

be consulted in relation to matters in paragraphs 2(a) to (c).’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

173

 

Parliamentary Star    

Clause  19,  page  19,  line  35,  at end insert—

 

‘(2A)    

The business plan must include details of regional plans as to how the objectives

 

will be achieved, including through collaboration with and between

 

commissioning consortia for those population groups.’.

 

Mr Simon Burns

 

93

 

Clause  19,  page  20,  line  42,  at end insert—

 

‘13RA

Power to make grants etc.

 

(1)    

The Board may make payments by way of grant or loan to a voluntary

 

organisation which provides or arranges for the provision of services which are

 

similar to the services in respect of which the Board has functions.

 

(2)    

The payments may be made subject to such terms and conditions as the Board

 

considers appropriate.’.


 
 

Public Bill Committee: 1 March 2011                     

90

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

152

 

Parliamentary Star    

Clause  19,  page  21,  line  24,  at end insert—

 

‘13TA

   Contractors

 

(1)    

Where the Board enters into a contractural arrangement to exercise its functions

 

with a person other than—

 

(a)    

its members,

 

(b)    

members of its committees or sub-committees,

 

(c)    

its employees,

 

(d)    

a Special Health Authority, or

 

(e)    

a commissioning consortium,

 

it shall include provision in the contract that applies the duties of the Board

 

under—

 

(i)    

the Freedom of Information Act 2000;

 

(ii)    

the Equality Act 2010; and

 

(iii)    

any requirements, direction or Regulations from the Secretary of

 

State relating to remuneration of employees or publication of

 

prescribed information relating to the remuneration of

 

employees

 

to that person in so far as they are exercising the functions of the Board or

 

assisting the Board in the exercise of its functions.

 

(2)    

The Secretary of State may issue guidance of the Board’s duty under subsection

 

(1).

 

13TB  

  Duty to promote and uphold the NHS Constitution

 

The Board must ensure that all commissioners and providers of services for the

 

purpose of the NHS abide by the NHS Constitution, as legislated for in section 1

 

of the Health Act 2009.

 

13TC  

  Duty to ensure effective workforce planning

 

The Board must ensure that all commissioners and providers of services for the

 

purpose of the NHS follow any relevant provisions of the NHS Constitution, as

 

defined by section 1 of the Health Act 2009.’.

 


 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

118

 

Clause  20,  page  23,  line  40,  at end insert—

 

‘(2A)    

Any variations agreed shall be reported to Parliament.’.


 
 

Public Bill Committee: 1 March 2011                     

91

 

Health and Social Care Bill, continued

 
 

Jeremy Lefroy

 

107

 

Clause  20,  page  24,  line  32,  at end insert—

 

‘(3)    

To ensure the equitable provision of services, the Board must ensure that the per

 

capita resources allocated to each consortium must be no less than 95 per cent. of

 

the average per capita resources allocated for England.’.

 


 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

181

 

Parliamentary Star    

Clause  21,  page  25,  line  38,  after ‘services’, insert ‘or personal medical services’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

182

 

Parliamentary Star    

Clause  21,  page  27,  line  35,  leave out ‘Regulations may make provision’ and insert

 

‘The Board must, after consultation, determine and publish criteria.’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

183

 

Parliamentary Star    

Clause  21,  page  28,  line  20,  at end insert—

 

‘(6)    

In all cases the consortium must consent to the variation.’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

184

 

Parliamentary Star    

Clause  21,  page  28,  line  20,  at end insert—

 

‘(6)    

In discharging its duty under subsection (1), a commissioning consortium must

 

give proper regard to engagement with its local hospital clinicians.’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

185

 

Parliamentary Star    

Clause  21,  page  28,  line  41,  leave out ‘regulations may make provision’ and insert

 

‘The Board must, after consultation, determine and publish criteria.’.

 



 
 

Public Bill Committee: 1 March 2011                     

92

 

Health and Social Care Bill, continued

 
 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

174

 

Parliamentary Star    

Schedule  2,  page  227,  line  11,  at end insert—

 

‘2A(1)  

The consortium must have a board that includes—

 

(a)    

a chair appointed by the membership of the consortium;

 

(b)    

the accountable officer if this is not the chair;

 

(c)    

at least three non-executive directors appointed by the chair that are

 

not members of a commissioning consortium;

 

(d)    

at least one patient representative appointed by the local Healthwatch

 

organisation;

 

(e)    

such additional clinical specialists that are needed to ensure that expert

 

advice is available within the Board for the commissioning of services,

 

including—

 

(i)    

a registered nurse, and

 

(ii)    

a member of the allied health professions;

 

(f)    

at least one representative from local authorities in the consortium

 

area;

 

(g)    

no more than four other members of the consortium.

 

      (2)  

The consortium must meet in public.

 

      (3)  

The agenda and minutes from the consortium board and any sub-committees

 

must be published.’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

179

 

Parliamentary Star    

Schedule  2,  page  228,  line  2,  leave out from first ‘Crown’ to end of line.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

180

 

Parliamentary Star    

Schedule  2,  page  228,  line  3,  leave out ‘not to be regarded as property of, or’.

 

Emily Thornberry

 

153

 

Parliamentary Star    

Schedule  2,  page  228,  line  6,  after ‘such’, insert ‘suitably qualified’.

 

Emily Thornberry

 

154

 

Parliamentary Star    

Schedule  2,  page  228,  line  9,  after ‘determine’, insert ‘having due regard to the

 

NHS pay scales agreed following recommendations by the NHS Pay Review Body and

 

the Doctors and Dentists Pay Review Body, or any successor bodies.’.

 

Emily Thornberry

 

155

 

Parliamentary Star    

Schedule  2,  page  228,  line  11,  after ‘determine’, insert ‘having due regard to

 

agreements made by the NHS Staff Council.’.


 
 

Public Bill Committee: 1 March 2011                     

93

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

156

 

Parliamentary Star    

Schedule  2,  page  228,  line  16,  at end insert—

 

‘(4A)    

Regulations under subsection (3) and guidance under subsection (4) shall also

 

apply to any person with which the consortium enters into a contractural

 

agreement relating to the excercise of its functions, including the employees of

 

such a person, in so far as they are exercising the functions of the consortium or

 

assisting the consortium in the exercise of its functions.’.

 

Emily Thornberry

 

157

 

Parliamentary Star    

Schedule  2,  page  228,  line  21,  after ‘schemes’, insert ‘having due regard to the

 

provisions of the NHS Pension scheme’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

175

 

Parliamentary Star    

Schedule  2,  page  228,  line  28,  leave out ‘Board’ and insert ‘commissioning

 

consortium board’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

176

 

Parliamentary Star    

Schedule  2,  page  228,  line  29,  leave out ‘Board’ and insert ‘commissioning

 

consortium board’.

 

Mr Simon Burns

 

106

 

Schedule  2,  page  229,  line  6,  leave out ‘and 13’ and insert ‘to 14’.

 

Emily Thornberry

 

158

 

Parliamentary Star    

Schedule  2,  page  232,  leave out lines 16 to 20.

 


 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

138

 

Parliamentary Star    

Clause  22,  page  30,  line  29,  at end insert—

 

‘(e)    

promote public involvement in decisions about the health services that

 

are to be commissioned for their areas.’.


 
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Revised 1 March 2011