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33

 

House of Commons

 
 

Tuesday 8 March 2011

 

Public Bill Committee Proceedings

 

Health and Social Care Bill


 

[Thirteenth and Fourteenth sittings]


 

Schedule 2

 

Another Amendment (No. 174) proposed, in page 227, line 11, at end to 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]

 

Question proposed, That the Amendment be made.

 

Withdrawn

 

Jeremy Lefroy

 

Withdrawn  186

 

Schedule  2,  page  227,  line  29,  at end insert—

 

  ‘(3)  

The consortium must make provision for its members individually to have the

 

opportunity to decide the maximum number of patients they serve.’.

 

Emily Thornberry

 

Withdrawn  153

 

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


 
 

Public Bill Committee Proceedings: 8 March 2011            

34

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

Negatived on division  154

 

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

 

Not called  155

 

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

 

agreements made by the NHS Staff Council.’.

 

Emily Thornberry

 

Not called  156

 

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

 

Not called  157

 

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

 

Not called  175

 

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

 

consortium board’.

 

Liz Kendall

 

Derek Twigg

 

Emily Thornberry

 

Not called  176

 

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

 

consortium board’.

 

Mr Simon Burns

 

Agreed to  106

 

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

 

Emily Thornberry

 

Withdrawn  158

 

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

 

Schedule, as amended, Agreed to.

 



 
 

Public Bill Committee Proceedings: 8 March 2011            

35

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Withdrawn  138

 

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.’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  124

 

Clause  22,  page  30,  line  31,  at end insert—

 

‘14NA

 Duties as to integration and collaboration

 

(1)    

Each commissioning consortium must, in the exercise of its functions, cooperate

 

with the NHS Board, other commissioning consortia and local authorities.

 

(2)    

In arranging for the provision of services, each commissioning consortium must

 

act with a view to encouraging providers of health services to cooperate with

 

other providers of health services, commissioning consortia, local authorities and

 

the Board.’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  139

 

Clause  22,  page  30,  line  31,  at end insert—

 

‘(b)    

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

 

services or may receive services.’.

 

Liz Kendall

 

Emily Thornberry

 

Derek Twigg

 

Withdrawn  207

 

Clause  22,  page  30,  line  33,  leave out from ‘arrangements’ to end of line 36 and

 

insert ‘for the involvement of relevant clinicians from—

 

(a)    

community, primary or secondary care,

 

(b)    

professions allied to medicine,

 

(c)    

pharmacists,

 

(d)    

representatives from patients’ groups, and

 

(e)    

other persons with experience relating to the physical or mental health of

 

individuals.’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  140

 

Clause  22,  page  30,  line  36,  at end insert ‘and from persons with professional

 

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

 

Emily Thornberry

 

Negatived on division  159

 

Clause  22,  page  30,  line  36,  at end insert—


 
 

Public Bill Committee Proceedings: 8 March 2011            

36

 

Health and Social Care Bill, continued

 
 

‘14OA

   Duty to consult staff

 

(1)    

Each commissioning consortium must have regard to the NHS Constitution, as

 

legislated for in section 1 of the Health Act 2009, including the reponsibility to

 

engage staff in the exercise of its functions and to engage staff on changes that

 

may affect their working practices.

 

(2)    

Each commissioning consortium must publish a staff engagement strategy in

 

relation to commissioning, including—

 

(a)    

developing and implementing commissioning strategies;

 

(b)    

reviewing services and care pathways;

 

(c)    

developing service specifications;

 

(d)    

procurement of services.

 

(3)    

Each commissioning consortium must engage regularly with staff representatives

 

through local or regional Social Partnership Forums, or similar bodies, or any

 

successor bodies.

 

14OB  

Duty to work in partnership

 

Each commissioning consortium must seek to work in partnership with

 

employers and staff side representatives in implementing new contracts,

 

particularly where this would involve transfers or other changes that could affect

 

working practices.’.

 

Liz Kendall

 

Emily Thornberry

 

Derek Twigg

 

Withdrawn  208

 

Clause  22,  page  30,  line  36,  at end insert—

 

‘14OA

  Duty to publish information

 

A commissioning consortium must make arrangements to publish information

 

about services that it is seeking to commission in such a manner that ensures that

 

any prospective providers are able to respond to express an interest in providing

 

the services, before commissioning decisions are taken.’.

 

Emily Thornberry

 

Not called  170

 

Clause  22,  page  30,  line  43,  leave out from second ‘are’ to end of line 44 and insert

 

‘consulted’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  141

 

Clause  22,  page  31,  line  19,  at end insert—

 

‘(7)    

Consortia must have regard to the outcomes resulting from arrangements made

 

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

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  142

 

Clause  22,  page  31,  line  19,  at end insert—


 
 

Public Bill Committee Proceedings: 8 March 2011            

37

 

Health and Social Care Bill, continued

 
 

‘(7)    

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, consortia

 

shall include in their arrangements under subsection (2) for the local authority to

 

be consulted, through an overview and scrutiny committee or otherwise, in

 

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

 

Liz Kendall

 

Emily Thornberry

 

Derek Twigg

 

Withdrawn  209

 

Clause  22,  page  31,  line  44,  at end insert—

 

‘14QA

  Arrangements in respect of local authorities

 

A commissioning consortium must work closely with local authorities in the

 

provision of services for people with complex health and/or social care needs,

 

carers or those otherwise at risk of poor health or care outcomes or social

 

exclusion.’.

 

Mr Simon Burns

 

Agreed to  94

 

Clause  22,  page  32,  line  20,  after ‘grant’, insert ‘or loan’.

 

Mr Simon Burns

 

Agreed to  

 

That the Order of the Committee of 8 February 2011 be amended as follows:

 


 

    In paragraph (3) for the words from “Clauses 22 to 43;” to the end of the paragraph

 

substitute “Clauses 22 to 38; Clauses 40 to 43; Schedule 3; Clause 44; Clauses 47 to 50;

 

Clauses 186 to 192; Clauses 166 and 167; Schedule 13; Clauses 168 to 183; Clause 185;

 

Clause 51; Schedule 7; Clauses 52 to 59; Clause 39; Clause 45; Schedules 4 to 6; Clause

 

46; Clauses 60 to 92; Schedule 8; Clauses 93 to 97; Schedule 9; Clauses 98 to 106;

 

Schedule 10; Clauses 107 to 135; Schedule 11; Clauses 136 to 164; Schedule 12; Clause

 

165; Clause 184; Clauses 193 to 215; Schedule 14; Clause 216; Schedule 15; Clauses 217

 

to 233; Schedule 16; Clauses 234 to 236; Schedule 17; Clauses 237 to 257; Schedule 18;

 

Clauses 258 to 260; Schedule 19; Clauses 261 to 271; Schedule 20; Clauses 272 to 274;

 

Schedules 21 and 22; Clauses 275 to 281; new Clauses; new Schedules; remaining

 

proceedings on the Bill;”.

 

Mr Simon Burns

 

Agreed to  95

 

Clause  22,  page  33,  leave out lines 12 to 14.

 

Liz Kendall

 

Emily Thornberry

 

Derek Twigg

 

Negatived on division  211

 

Clause  22,  page  33,  line  14,  at end insert—

 

‘(3A)    

This guidance must include procedures for the management of conflicts of

 

interest in the commissioning arrangements of commissioning consortia, in

 

particular between the interests of persons engaged in commissioning services

 

and the interests of those engaged in their provision.’.


 
 

Public Bill Committee Proceedings: 8 March 2011            

38

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

Withdrawn  171

 

Clause  22,  page  33,  line  15,  after ‘consult’, insert ‘representatives of

 

commissioning consortia and’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  143

 

Clause  22,  page  33,  leave out lines 15 to 19 and insert—

 

‘(4)    

The Board must consult, and have regard to the views of, the Healthwatch

 

England committee of the Care Quality Commission and other bodies and

 

persons with professional expertise relating to patient and public involvement and

 

review and scrutiny.’.

 

Mr Simon Burns

 

Agreed to  96

 

Clause  22,  page  34,  line  5,  leave out ‘each financial year, each’ and insert ‘each

 

relevant period, a’.

 

Mr Simon Burns

 

Agreed to  97

 

Clause  22,  page  34,  line  7,  leave out ‘year’ and insert ‘period’.

 

Mr Simon Burns

 

Agreed to  98

 

Clause  22,  page  34,  line  7,  at end insert—

 

‘( )    

In subsection (1), “relevant period”, in relation to a commissioning consortium,

 

means—

 

(a)    

the period which —

 

(i)    

begins on such day during the first financial year of the

 

consortium as the Board may direct, and

 

(ii)    

ends at the end of that financial year, and

 

(b)    

each subsequent financial year.’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  144

 

Clause  22,  page  34,  line  10,  after ‘14L’, insert ‘and 14P’.

 

Liz Kendall

 

Emily Thornberry

 

Derek Twigg

 

Not called  210

 

Clause  22,  page  34,  line  12,  leave out from ‘consortium’ to end of line 16 and insert

 

‘is required to address the needs identified in the most recent joint health and wellbeing

 

strategy published by the Health and Wellbeing Board by virtue of section 180 of the

 

Health and Social Care Act 2011 and must consult each relevant Health and Wellbeing

 

Board about its view on whether the plan adequately addresses the needs of its locality.’.


 
 

Public Bill Committee Proceedings: 8 March 2011            

39

 

Health and Social Care Bill, continued

 
 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  145

 

Clause  22,  page  34,  line  21,  at end insert—

 

‘(aa)    

a Health and Wellbeing Board must have regard to the views of a relevant

 

overview and scrutiny committee for its area (where operated) when

 

preparing to give its opinion on consortia commissioning plans.’.

 

Emily Thornberry

 

Derek Twigg

 

Liz Kendall

 

Not called  146

 

Clause  22,  page  34,  line  23,  after ‘opinion’, insert ‘and the views of any overview

 

and scrutiny committee.’.

 

Liz Kendall

 

Emily Thornberry

 

Derek Twigg

 

Not called  212

 

Clause  22,  page  34,  line  26,  at end insert—

 

‘(5A)    

Where the Board has received the opinion of the Health and Wellbeing Board it

 

must reply to that opinion in 28 days.’.

 

Mr Simon Burns

 

Agreed to on division  99

 

Clause  22,  page  34,  line  31,  at end insert—

 

‘(8A)    

The commissioning consortium may revise the plan.

 

(8B)    

If the consortium proposes to revise the plan so as to make changes which it

 

considers significant, subsections (3), (4)(a) and (5) apply in relation to the

 

revision of the plan as they apply in relation to its preparation.

 

(8C)    

If the consortium revises the plan so as to make changes which it considers

 

significant, subsections (4)(b) and (6) to (8) apply in relation to the revised plan

 

as they apply in relation to the plan.

 

(8D)    

If the consortium revises the plan in any other way the consortium must—

 

(a)    

publish a document setting out the changes it has made to the plan, and

 

(b)    

give a copy of the document to the Board and each relevant Health and

 

Wellbeing Board.

 

(8E)    

The Board may publish guidance for commissioning consortia on the discharge

 

of their functions by virtue of subsections (8A) to (8D).

 

(8F)    

A commissioning consortium must have regard to any guidance published by the

 

Board under subsection (8E).’.

 

Mr Simon Burns

 

Agreed to  100

 

Clause  22,  page  34,  line  33,  leave out ‘established for an area which’ and insert

 

‘established by a local authority whose area’.

 

Mr Simon Burns

 

Agreed to  101

 

Clause  22,  page  34,  leave out lines 35 to 37.


 
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