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Session 2010 - 11
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Other Bills before Parliament

Health and Social Care Bill

Health and Social Care Bill
[AS AMENDED IN PUBLIC BILL COMMITTEE]
The Bill is divided into two volumes. Volume I contains the Clauses. Volume II
contains the Schedules to the Bill.
Contents
Part 1
The health service in England
The health service: overview
1    The Secretary of State and the comprehensive health service
2    The Secretary of State’s duty as to improvement in quality of services
3    The Secretary of State’s duty as to reducing inequalities
4    The Secretary of State’s duty as to promoting autonomy
5    The NHS Commissioning Board
6    Commissioning consortia
Arrangements for provision of health services
7    The Secretary of State’s duty as to protection of public health
8    Duties as to improvement of public health
9    Duties of consortia as to commissioning certain health services
10    Power of consortia as to commissioning certain health services
11    Power to require Board to commission certain health services
12    Secure psychiatric services
13    Other services etc. provided as part of the health service
14    Regulations as to the exercise by local authorities of certain public health
functions
15    Regulations relating to EU obligations
16    Regulations as to the exercise of functions by the Board or consortia
17    Functions of Special Health Authorities
18    Exercise of public health functions of the Secretary of State
Further provision about the Board
19    The NHS Commissioning Board: further provision
20    Financial arrangements for the Board
Further provision about commissioning consortia
21    Commissioning consortia: establishment etc.
22    Commissioning consortia: general duties etc.
Bill 177                                                                                                 55/1
Health and Social Care Bill ii
23    Financial arrangements for consortia
24    Requirement for primary medical services provider to belong to consortium
Further provision about local authorities’ role in the health service
25    Other health service functions of local authorities under the 2006 Act
26    Appointment of directors of public health
27    Exercise of public health functions of local authorities
Abolition of Strategic Health Authorities and Primary Care Trusts
28    Abolition of Strategic Health Authorities
29    Abolition of Primary Care Trusts
Functions relating to fluoridation of water
30    Fluoridation of water supplies
31    Procedural requirements in connection with fluoridation of water supplies
32    Fluoridation of water supplies: transitional provision
Functions relating to mental health matters
33    Approval functions
34    Discharge of patients
35    After-care
36    Provision of pocket money for in-patients
37    Transfers to and from special hospitals
38    Independent mental health advocates
39    Patients’ correspondence
40    Notification of hospitals having arrangements for special cases
Emergency powers
41    Role of the Board and consortia in respect of emergencies
42    Secretary of State’s emergency powers
Miscellaneous
43    New Special Health Authorities
44    Primary care services: directions as to exercise of functions
45    Charges in respect of certain public health functions
46    Pharmaceutical services expenditure
47    Secretary of State’s annual report
48    Certification of death
49    Amendments related to Part 1 and transitional provision
Part 2
Further provision about public health
50    Abolition of Health Protection Agency
51    Functions in relation to biological substances
52    Radiation protection functions
53    Repeal of AIDS (Control) Act 1987
Health and Social Care Bill iii
54    Co-operation with bodies exercising functions in relation to public health
Part 3
Economic regulation of health and adult social care services
Chapter 1
Monitor
55    Monitor
56    General duties
57    Power to give Monitor functions relating to adult social care services
58    Matters to have regard to in exercise of functions
59    Conflicts between functions
60    Duty to review regulatory burdens
61    Duty to carry out impact assessments
62    Information
63    Failure to perform functions
Chapter 2
Competition
64    Functions under the Competition Act 1998
65    Functions under Part 4 of the Enterprise Act 2002
66    Competition functions: supplementary
67    Requirements as to procurement, patient choice and competition
68    Requirements under section 67: investigations, declarations and directions
69    Requirements under section 67: undertakings
70    Guidance
71    Mergers involving NHS foundation trusts
72    Reviews by the Competition Commission
73    Reviews under section 72: powers of investigation
74    Reviews under section 72: considerations relevant to publication
75    Co-operation with the Office of Fair Trading
Chapter 3
Designated services
76    Designation of services
77    Complaint about grant of application for designation
78    Complaint about refusal of application for designation
79    Reviews and removals of designations
80    Complaint about grant of application for removal of designation
81    Complaint about refusal of application for removal of designation
82    Complaints: general provisions
83    Designations affecting more than one commissioner
84    Guidance
Health and Social Care Bill iv
Chapter 4
Licensing
Licensing requirement
85    Requirement for health service providers to be licensed
86    Deemed breach of requirement to be licensed
87    Exemption regulations
88    Exemption regulations: supplementary
Licensing procedure
89    Application for licence
90    Licensing criteria
91    Grant or refusal of licence
92    Application and grant: NHS foundation trusts
93    Revocation of licence
94    Right to make representations
95    Notice of decisions
96    Appeals to the Tribunal
97    Register of licence holders
Licence conditions
98    Standard conditions
99    Special conditions
100    Limits on Monitor’s functions to set or modify licence conditions
101    Conditions: supplementary
102    Modification of standard conditions
103    Modification references to the Competition Commission
104    Modification of conditions by order under other enactments
Enforcement
105    Power to require documents and information
106    Discretionary requirements
107    Enforcement undertakings
108    Further provision about enforcement powers
109    Guidance as to use of enforcement powers
110    Publication of enforcement action
111    Notification of enforcement action
Transitional provision
112    Designation of NHS foundation trusts during transitional period
113    Imposition of licence conditions on designated NHS foundation trusts
Chapter 5
Pricing
114    Price payable by commissioners for NHS services
115    The national tariff
Health and Social Care Bill v
116    The national tariff: further provision
117    Consultation on proposals for the national tariff
118    Responses to consultation
119    Determination on reference under section 118
120    Changes following determination on reference under section 118
121    Power to veto changes proposed under section 120
122    Local modifications of prices of designated services: agreements
123    Local modifications of prices of designated services: applications
124    Correction of mistakes
Chapter 6
Insolvency and health special administration
125    Application of insolvency law to NHS foundation trusts
126    Health special administration orders
127    Objective of a health special administration
128    Health special administration regulations
129    Transfer schemes
130    Indemnities
131    Modification of this Chapter under Enterprise Act 2002
Chapter 7
Financial assistance in health special administration cases
Establishment of mechanisms
132    Duty to establish mechanisms for providing financial assistance
133    Power to establish fund
Applications for financial assistance
134    Applications
135    Grants and loans
Charges on commissioners
136    Power to impose charges on commissioners
Levy on providers
137    Imposition of levy
138    Power of Secretary of State to set limit on levy and charges
139    Consultation
140    Responses to consultation
141    Amount payable
Supplementary
142    Investment principles and reviews
143    Borrowing
144    Shortfall or excess of available funds, etc.
Health and Social Care Bill vi
Chapter 8
General
145    Service of documents
146    Electronic communications
147    Interpretation and consequential amendments
Part 4
NHS foundation trusts & NHS trusts
Governance and management
148    Governors
149    Directors
150    Members
151    Accounts: initial arrangements
152    Accounts: variations to initial arrangements
153    Annual report and forward plan
154    Meetings
155    Voting
Foundation trust status
156    Authorisation
157    Bodies which may apply for foundation trust status
158    Amendment of constitution
159    Panel for advising governors
Finance
160    Financial powers etc.
Functions
161    Goods and services
162    Private health care
163    Information
164    Significant transactions
Mergers, acquisitions, separations and dissolution
165    Mergers
166    Acquisitions
167    Separations
168    Dissolution
169    Supplementary
Failure
170    Repeal of de-authorisation provisions
171    Trust special administrators
172    Procedure etc.
Health and Social Care Bill vii
173    Action following final report
174    Sections 171 to 173: supplementary
175    Repeal of Chapter 5A of Part 2 of the National Health Service Act 2006
Abolition of NHS trusts
176    Abolition of NHS trusts in England
177    Repeal of provisions on authorisation for NHS foundation trusts
Part 5
Public involvement and local government
Chapter 1
Public involvement
Healthwatch England
178    Healthwatch England
Local Healthwatch organisations
179    Establishment and constitution
180    Activities relating to local care services
181    Local authority arrangements
182    Independent advocacy services
183    Requests, rights of entry and referrals
184    Dissolution and transfer schemes
185    Annual reports
186    Transitional arrangements
Chapter 2
Local government
Scrutiny functions of local authorities
187    Scrutiny functions of local authorities
188    Amendments consequential on section 187
Joint strategic needs assessments and strategies
189    Joint strategic needs assessments
190    Joint health and wellbeing strategies
Health and Wellbeing Boards: establishment
191    Establishment of Health and Wellbeing Boards
Health and Wellbeing Boards: functions
192    Duty to encourage integrated working
193    Other functions of Health and Wellbeing Boards

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