13

House of Commons

Notices of Amendments

given on

Thursday 10 February 2011

For other Amendment(s) see the following page(s):

Health and Social Care Bill Committee 9-12

Public Bill Committee

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Health and Social Care Bill

Emily Thornberry

5

Clause  3,  page  3,  line  4,  leave out from beginning to end of line 7 and insert—

‘(1)	In exercising functions in relation to the health service, the Secretary of State

must—

(a)	act to reduce inequalities between all the people of England with respect

to—

(i)	their health,

(ii)	the benefits and quality of care they can obtain from the health

service, and

(iii)

their access to health services, and

(b)	report annually to Parliament on his Department’s progress in reducing

inequalities.

(2)	For the purposes of this Act “inequalities” shall refer to differences between

people based on—

(a)	age disability, gender reassignment, marriage and civil partnership,

pregnancy and maternity, race, religion or belief, sex or sexual

orientation;

(b)	geographical variation; and

(c)	socio-economic variation.’.

Emily Thornberry

6

Clause  3,  page  3,  line  5,  leave out ‘must have regard to the need’ and insert ‘has a

duty’.

Emily Thornberry

7

Clause  3,  page  3,  line  6,  after ‘benefits’, insert ‘and quality of care’.

Notices of Amendments: 10 February 2011

14

Health and Social Care Bill, continued

Emily Thornberry

8

Clause  3,  page  3,  line  7,  at end add ‘and must report annually to Parliament on his

Department’s progress in reducing inequalities.’.

Emily Thornberry

9

Clause  3,  page  3,  line  5,  leave out ‘between the people of England’.

Emily Thornberry

10

Clause  4,  page  3,  line  17,  after ‘appropriate’, add ‘provided that is consistent with

the values and principles of the NHS Constitution’.

Emily Thornberry

11

Clause  4,  page  3,  line  15,  after ‘purposes’, insert ‘has complete autonomy from

direction from the Secretary of State, the NHS Commissioning Board or Monitor, and’.

Emily Thornberry

12

Clause  4,  page  3,  line  18,  at end insert—

‘(c)	for the purposes of this Act, “unnecessary burdens” shall exclude any

requirements to—

(i)	ensure public involvement, consultation and accountability, or

(ii)	publish data relating to performance or quality of services.’.

Emily Thornberry

14

Clause  3,  page  3,  line  7,  at end insert—

‘The duty of the Secretary of State under this section shall include upholding the

provisions of the Equality Act 2010 and the NHS Constitution as defined in Section 1 of

the Health Act 2009, and ensuring that these provisions apply to—

(a)	the National Health Service Commissioning Board;

(b)	commissioning consortia;

(c)	local authorities (as respects their public health functions);

(d)	Health and Wellbeing Boards; and

(e)	all providers of health care services for the purposes of the NHS.’.

Emily Thornberry

15

Clause  4,  page  3,  line  10,  leave out ‘autonomy’ and insert ‘collaboration and

integration’.

Emily Thornberry

16

Clause  4,  page  3,  line  15,  leave out from ‘purposes’ to ‘and’ in line 17 and insert

‘must collaborate with other commissioners and providers of health services and local

authorities.’.

Notices of Amendments: 10 February 2011

15

Health and Social Care Bill, continued

Emily Thornberry

17

Clause  4,  page  3,  leave out line 18.

Emily Thornberry

Liz Kendall

Derek Twigg

18

Clause  4,  page  3,  line  18,  at end add—

‘(1)	Any regulations made by the Secretary of State in relation to health services for

the people in England shall only be enforced following the publication of an

autonomy impact assessment.

(2)	An autonomy impact assessment will assess the likely or actual effects of the

Secretary of State’s regulations on the ability of NHS bodies to undertake their

duties without unnecessary interference or burdens being placed on them by other

bodies or persons, including the Secretary of State.

(3)	The assessment will include consultation with any bodies that are impacted by the

Secretary of State’s regulations.’.

Emily Thornberry

Liz Kendall

Derek Twigg

19

Schedule  1,  page  221,  line  14,  at end add—

‘(c)	a medical practitioner;

(d)	a registered nurse.’.

Public Health England

Emily Thornberry

NC1

To move the following Clause:—

‘(1)	After section 1C of the National Health Service Act 2006 insert—

“Public Health England

1D	Public Health England and its functions

(1)	There is a body to be known as Public Health England (“PHE”).

(2)	The PHE shall exercise such functions of the Secretary of State under this

Act as may be prescribed.

(3)	The Secretary of State may make regulations in relation to PHE about—

(a)	its status;

(b)	its membership and its members;

(c)	its staff;

(d)	committees, procedures and exercise of functions;

(e)	provision of information;

(f)	accounts; and

(g)	its seal and evidence.

Notices of Amendments: 10 February 2011

16

Health and Social Care Bill, continued

(4)	The Secretary of State may by regulations prescribe health-related

functions of the Secretary of State (other than functions under the

National Health Service Act 2006) which are to be exercisable by Public

Health England.

(5)	In subsection (4), “health-related functions” means functions related

either directly or indirectly to the health of the public.’.

Emily Thornberry

20

Clause  7,  page  4,  line  15,  leave out from ‘take’ to ‘for’ in line 16 and insert

‘appropriate steps’.

Emily Thornberry

21

Clause  7,  page  4,  line  38,  at end add—

‘(c)	consult the Chief Medical Officer and local Medical Directors of public

health and have regard to their advice.’.

Emily Thornberry

22

Clause  8,  page  5,  line  7,  leave out ‘may’ and insert ‘must’.

Emily Thornberry

23

Clause  8,  page  5,  line  9,  at end add ‘where the Secretary of State, after consulting

with local authorities, is satisfied that such steps are more appropriate at national rather

than local level.’.

Emily Thornberry

24

Clause  8,  page  5,  line  5,  leave out ‘such steps it considers appropriate’ and insert

‘appropriate steps’.

Emily Thornberry

25

Clause  8,  page  5,  line  7,  leave out ‘may take such steps as the Secretary of State

considers appropriate’ and replace with ‘must take appropriate steps’.

Emily Thornberry

26

Clause  8,  page  5,  line  35,  at end add—

‘(6)	In exercising these functions the Secretary of State and local authorities must

consult relevant local Directors of Public Health and the Chief Medical Officer

and have regard to their advice.’.

Emily Thornberry

27

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

‘(4A)

Where these functions are exercised by a county council, the county council shall

consult any relevant district councils in its area about how best to exercise its

functions under this part of the Act.’.

Notices of Amendments: 10 February 2011

17

Health and Social Care Bill, continued

Emily Thornberry

28

Clause  8,  page  5,  line  31,  leave out from ‘England’ to end of line 32.

Emily Thornberry

29

Clause  8,  page  5,  line  25,  at end insert—

‘(h)	supporting research into the prevention, diagnosis or treatment of

illness.’.

Emily Thornberry

Liz Kendall

Derek Twigg

30

Schedule  1,  page  221,  line  5,  leave out ‘Commissioning’.

Liz Kendall

Emily Thornberry

Derek Twigg

31

Clause  1,  page  1,  line  9,  after ‘has’, insert ‘and is accountable to Parliament for’.

Liz Kendall

Emily Thornberry

Derek Twigg

32

Clause  1,  page  2,  leave out lines 1 to 4 and insert—

‘(b)	must for the purposes of section 1 provide or secure the provision of

services in accordance with this Act and the NHS Constitution, through

exercising functions in relation to a body mentioned in subsection (2A).’.

Liz Kendall

Emily Thornberry

Derek Twigg

33

Clause  1,  page  2,  line  6,  leave out ‘Commissioning’.

Liz Kendall

Emily Thornberry

Derek Twigg

34

Clause  1,  page  2,  line  7,  leave out ‘commissioning consortia’ and insert ‘primary

care trusts’.

Liz Kendall

Emily Thornberry

Derek Twigg

35

Clause  1,  page  2,  line  8,  at end insert—

‘(d)	NHS providers and providers to the NHS.’.

Notices of Amendments: 10 February 2011

18

Health and Social Care Bill, continued

Liz Kendall

Emily Thornberry

Derek Twigg

36

Clause  2,  page  2,  line  23,  leave out ‘with a view to securing’ and insert ‘to secure’.

Liz Kendall

Emily Thornberry

Derek Twigg

37

Clause  2,  page  2,  line  29,  leave out ‘with a view to securing’ and insert ‘to secure’.

Liz Kendall

Emily Thornberry

Derek Twigg

38

Clause  3,  page  2,  line  33,  leave out from ‘show’ to end of line 36 and insert—

‘(a)	the effectiveness of services,

(b)	the safety of services,

(c)	that services are patient-centred,

(d)	the timeliness of services,

(e)	the efficiency of services, and

(f)	the equity of services.’.

Liz Kendall

Emily Thornberry

Derek Twigg

39

Clause  2,  page  2,  line  38,  leave out ‘have regard to’ and insert ‘seek to deliver’.

Liz Kendall

Emily Thornberry

Derek Twigg

40

Clause  2,  page  2,  line  39,  at end insert—

‘(5)	In discharging the duty under subsection (1), the Secretary of State must ensure

the people in a local area are consulted before significant changes to their health

services.’.

Liz Kendall

Emily Thornberry

Derek Twigg

41

Clause  5,  page  3,  line  22,  leave out ‘Commissioning’.

Liz Kendall

Emily Thornberry

Derek Twigg

42

Clause  5,  page  3,  line  25,  leave out ‘Commissioning’.

Notices of Amendments: 10 February 2011

19

Health and Social Care Bill, continued

Liz Kendall

Emily Thornberry

Derek Twigg

43

Clause  5,  page  3,  line  36,  at end add—

‘(c)	must lead in the reconfiguration of services for the areas over which it has

commissioning responsibility, and

(d)	have regard to the principles and values of the NHS Constitution.’.

Liz Kendall

Emily Thornberry

Derek Twigg

44

Schedule  1,  page  221,  line  7,  leave out ‘not’.

Liz Kendall

Emily Thornberry

Derek Twigg

45

Schedule  1,  page  221,  line  7,  leave out from‘Crown’ to end of line 8.

Liz Kendall

Emily Thornberry

Derek Twigg

46

Schedule  1,  page  221,  line  9,  leave out from‘property’ to end of line.

Liz Kendall

Emily Thornberry

Derek Twigg

47

Schedule  1,  page  221,  line  13,  leave out ‘Secretary of State’ and insert

‘Appointments Commission’.

Liz Kendall

Emily Thornberry

Derek Twigg

48

Schedule  1,  page  221,  line  14,  at end insert—

‘(c)	at least one other member appointed by the Local Government

Association, and’.

Liz Kendall

Emily Thornberry

Derek Twigg

49

Schedule  1,  page  221,  line  16,  at end insert ‘including—

(i)	at least two people who are qualified medical practitioners, and

(ii)	at least two people appointed by HealthWatch England to

represent patient involvement.’.

© Parliamentary copyright	Revised 11 February 2011