Session 2010 - 11
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Other Bills before Parliament


 
 

25

 

House of Commons

 
 

Thursday 3 March 2011

 

Public Bill Committee Proceedings

 

Health and Social Care Bill


 

[eleventh and twelfth sittings]


 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

Withdrawn  111

 

Clause  19,  page  14,  line  37,  at end insert ‘for approval by Parliament.’.

 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

Withdrawn  112

 

Clause  19,  page  16,  line  23,  after ‘of’, insert ‘physical and mental’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Negatived on division  132

 

Clause  19,  page  16,  line  38,  at end insert—

 

‘(c)    

any reports or recommendations from local Healthwatch organisations,

 

the Healthwatch England committee or local authorities (through

 

overview and scrutiny committees or otherwise).’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  119

 

Clause  19,  page  16,  line  39,  leave out ‘autonomy’ and insert ‘cooperation’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  120

 

Clause  19,  page  16,  line  43,  leave out from ‘purposes’ to end of line 2 on page 17

 

and insert ‘must cooperate with other commissioners and providers of health services and

 

local authorities, with respect to their duties under section 179 of this Act.’.


 
 

Public Bill Committee Proceedings: 3 March 2011            

26

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  121

 

Clause  19,  page  17,  leave out line 3.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Withdrawn  133

 

Clause  19,  page  17,  line  14,  at end insert—

 

‘(e)    

promote the involvement of the public in decisions taken whether by the

 

Board or Consortia about the health services that are to be commissioned

 

for their areas.’.

 

Emily Thornberry

 

Not moved  151

 

Clause  19,  page  17,  line  14,  at end insert—

 

‘(1A)    

In exercising its functions, the Board shall uphold the provisions of the Equality

 

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

 

2009, and ensure that these provisions apply to all providers of health services

 

that it commissions in so far as they are providing health services.’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  134

 

Clause  19,  page  17,  line  16,  at end insert—

 

‘(b)    

in this section “Public” means people or groups of people who receive

 

services or who may receive services provided as a result of the exercise

 

of functions by the Board or consortia.’.

 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

Withdrawn  113

 

Clause  19,  page  17,  line  21,  at end insert—

 

‘(2)    

In discharging its duty under subsection (1), the board must make arrangements

 

with a view to securing that it obtains advice from—

 

(a)    

persons with professional expertise in the commissioning of cancer

 

services, and

 

(b)    

persons with professional expertise in the clinical delivery of cancer

 

services.’.

 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

Not called  114

 

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

 

services’.


 
 

Public Bill Committee Proceedings: 3 March 2011            

27

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  135

 

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

 

Not called  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

 

Negatived on division  172

 

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

 

Not called  122

 

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

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  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


 
 

Public Bill Committee Proceedings: 3 March 2011            

28

 

Health and Social Care Bill, continued

 
 

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

 

Withdrawn  165

 

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

 

Negatived on division  168

 

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

 

Not called  116

 

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

 

Emily Thornberry

 

Not called  169

 

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

 

‘consulted’.

 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

Not called  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).’.


 
 

Public Bill Committee Proceedings: 3 March 2011            

29

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  136

 

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

 

Not called  137

 

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

 

Not called  173

 

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

 

Agreed to  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.’.

 

Emily Thornberry

 

Withdrawn  152

 

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,


 
 

Public Bill Committee Proceedings: 3 March 2011            

30

 

Health and Social Care Bill, continued

 
 

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 on 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.’.

 

Clause, as amended, Agreed to on division.

 


 

Derek Twigg

 

Emily Thornberry

 

Liz Kendall

 

Withdrawn  118

 

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

 

‘(2A)    

Any variations agreed shall be reported to Parliament.’.

 

Jeremy Lefroy

 

Withdrawn  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.’.

 

Clause Agreed to.

 



 
 

Public Bill Committee Proceedings: 3 March 2011            

31

 

Health and Social Care Bill, continued

 
 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

Withdrawn  181

 

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

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

Negatived on division  182

 

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

 

Not called  183

 

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

 

Not selected  184

 

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

 

Negatived on division  185

 

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

 

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

 

Clause Agreed to on division.

 

[Adjourned until Tuesday 8 March at 10.30 am


 
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