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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


 

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.’.


 
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Revised 11 February 2011