Session 2010 - 12
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Other Bills before Parliament

Public Bill Committee: 5 July 2011

217

Health and Social Care (Re-committed) Bill, continued

Mr Simon Burns

159

Clause  100,  page  100,  line  41,  leave out from first ‘of’ to end of line 42 and insert

‘preventing anti-competitive behaviour in the provision of health care services for those

purposes which is against the interests of people who use such services;’.

Mr Simon Burns

160

Clause  100,  page  101,  line  19,  leave out ‘public or (as the case may be) private

ownership’ and insert ‘the public or (as the case may be) private sector’.

Liz Kendall

Emily Thornberry

Owen Smith

28

Page  100,  line  29,  leave out Clause 100.

Mr Simon Burns

161

Clause  101,  page  101,  line  33,  leave out from ‘to’ to end of line 34 and insert

‘prevent anti-competitive behaviour in the provision of health care services for the

purposes of the NHS which is against the interests of people who use such services,’.

Liz Kendall

Emily Thornberry

Owen Smith

45

Clause  101,  page  101,  line  33,  leave out ‘competition’ and insert ‘collaboration or

integration’.

Mr Simon Burns

162

Clause  101,  page  102,  line  14,  at end insert—

‘( )	Monitor must not include a condition under subsection (1)(c) that requires the

licence holder (A) to provide another licence holder with access to facilities of

A.’.

Mr Simon Burns

163

Clause  101,  page  102,  line  15,  leave out subsections (3) and (4).

Liz Kendall

Emily Thornberry

Owen Smith

46

Clause  101,  page  102,  line  15,  leave out subsection (3).

Public Bill Committee: 5 July 2011

218

Health and Social Care (Re-committed) Bill, continued

Liz Kendall

Emily Thornberry

Owen Smith

29

Page  101,  line  21,  leave out Clause 101.

Liz Kendall

Emily Thornberry

Owen Smith

31

Page  110,  line  4,  leave out Clause 112.

Liz Kendall

Emily Thornberry

Owen Smith

47

Clause  113,  page  111,  line  42,  leave out subsection (12).

Liz Kendall

Emily Thornberry

Owen Smith

32

Page  111,  line  1,  leave out Clause 113.

Liz Kendall

Emily Thornberry

Owen Smith

33

Page  112,  line  5,  leave out Clause 114.

Mr Simon Burns

164

Clause  115,  page  112,  line  23,  leave out paragraphs (d) and (e).

Mr Simon Burns

165

Clause  115,  page  112,  line  29,  leave out ‘must also’ and insert ‘may’.

Public Bill Committee: 5 July 2011

219

Health and Social Care (Re-committed) Bill, continued

Mr Simon Burns

166

Clause  115,  page  112,  line  33,  at end insert—

‘(2A)

Where a variation is agreed in accordance with rules provided for under

subsection (2), the commissioner of the service in question must maintain and

publish a written statement of—

(a)	the variation, and

(b)	such other variations as have already been agreed in accordance with

rules provided for under that subsection in the case of that service.’.

Mr Simon Burns

167

Clause  115,  page  112,  line  34,  after ‘also’, insert ‘—

(a)	specify variations to the national price for a service by reference to

circumstances in which the service is provided or other factors relevant

to the provision of the service,

(b)	provide for rules for determining the price payable for the provision for

the purposes of the NHS of health care services which are not specified

under subsection (1)(a), and

(c)

’.

Mr Simon Burns

168

Clause  115,  page  112,  line  36,  at end insert—

‘(3A)

Rules provided for under subsection (3)(b) may specify health care services

which are not specified under subsection (1)(a).

(3B)	The national tariff may also provide for rules for determining, where a health care

service is specified in more than one way under subsection (1)(a) or in more than

one way in rules provided for under subsection (3)(b), which specification of the

service is to apply in any particular case or cases of any particular description.’.

Mr Simon Burns

169

Clause  115,  page  112,  line  37,  leave out subsection (4) and insert—

‘(4)	The national tariff may include guidance as to—

(a)	the application of rules provided for under subsection (2), (3)(b) or (3B),

(b)	the application of variations specified under subsection (3)(a), or

(c)	the discharge of the duty imposed by subsection (2A),

and a commissioner of a health care service for the purposes of the NHS must

have regard to guidance under this subsection.’.

Mr Simon Burns

170

Clause  115,  page  112,  line  43,  leave out ‘provide for different rules under

subsection (1)(d)’ and insert ‘different variations under subsection (3)(a)’.

Mr Simon Burns

171

Clause  115,  page  113,  line  5,  leave out ‘public or private ownership’ and insert ‘the

public or (as the case may be) private sector’.

Public Bill Committee: 5 July 2011

220

Health and Social Care (Re-committed) Bill, continued

Liz Kendall

Emily Thornberry

Owen Smith

48

Clause  115,  page  113,  line  6,  at end insert—

‘(7A)

A description for the purposes of subsection (6)(b) may be framed by reference

to—

(a)	the level of workforce training undertaken by the provider, and

(b)	the extent to which the provision of its service leads to consequential

costs for other providers.’.

Liz Kendall

Emily Thornberry

Owen Smith

34

Page  112,  line  15,  leave out Clause 115.

Mr Simon Burns

172

Clause  116,  page  113,  line  19,  after ‘115(1)(a)’, insert ‘, or in rules provided for in

the national tariff under section 115(3)(b),’.

Mr Simon Burns

173

Clause  116,  page  113,  line  24,  leave out subsections (2) to (4) and insert—

‘( )	In the case of a service specified in the national tariff under section 115(1)(a), the

national tariff must—

(a)	if the service is specified in accordance with subsection (1)(a), specify a

national price for each component of the service;

(b)	if it is specified in accordance with subsection (1)(b), specify a national

price for the bundle;

(c)	if it is specified in accordance with subsection (1)(c), specify a single

price as the national price for each service in the group.

( )	In the case of a service specified in rules provided for in the national tariff under

section 115(3)(b), the rules may—

(a)	if the service is specified in accordance with subsection (1)(a), make

provision for determining the price payable for each component of the

service;

(b)	if it is specified in accordance with subsection (1)(b), make provision for

determining the price payable for the bundle;

(c)	if it is specified in accordance with subsection (1)(c), make provision for

determining the price payable for each service in the group.’.

Mr Simon Burns

174

Clause  116,  page  113,  line  36,  after ‘115’, insert ‘or (as the case may be) in rules

provided for under subsection (3)(b) of that section’.

Public Bill Committee: 5 July 2011

221

Health and Social Care (Re-committed) Bill, continued

Mr Simon Burns

175

Clause  116,  page  113,  line  37,  at end insert—

‘( )	Where the commissioner of a health care service for the purposes of the NHS

agrees to pay a price for the provision of the service other than the price that is

payable by virtue of this Chapter, Monitor may direct the commissioner to take

such steps within such period as Monitor may specify to secure that the position

is, so far as practicable, restored to what it would have been if the commissioner

had agreed to pay the price payable by virtue of this Chapter.

( )	Where the commissioner of a health care service fails to comply with rules

provided for under section 115(2), (3) or (3B), Monitor may direct the

commissioner to take such steps within such period as Monitor may specify—

(a)	to secure that the failure does not continue or recur;

(b)	to secure that the position is, so far as practicable, restored to what it

would have been if the failure was not occurring or had not occurred.’.

Liz Kendall

Emily Thornberry

Owen Smith

35

Page  113,  line  17,  leave out Clause 116.

Mr Simon Burns

176

Clause  117,  page  114,  line  6,  leave out paragraph (c) and insert—

‘(c)	the prices, determined in each case by using the applicable method

specified under paragraph (b), that Monitor proposes as the national

prices of those services,’.

Mr Simon Burns

177

Clause  117,  page  114,  line  8,  leave out paragraph (d).

Mr Simon Burns

178

Clause  117,  page  114,  line  11,  leave out ‘must also specify the rules for which

Monitor proposes to provide’ and insert ‘may specify such rules as Monitor proposes to

provide for’.

Mr Simon Burns

179

Clause  117,  page  114,  line  15,  at end insert—

‘(4A)

The notice may also specify—

(a)	such variations (by reference to circumstances in which a service is

provided or other factors relevant to its provision) as Monitor proposes

to specify to the prices that it proposes as the national prices,

(b)	such rules as Monitor proposes to provide for in the national tariff for

determining the price payable for the provision for the purposes of the

NHS of health care services not specified for the purposes of subsection

(3)(a), and

Public Bill Committee: 5 July 2011

222

Health and Social Care (Re-committed) Bill, continued

(c)	such rules as Monitor proposes to provide for in the national tariff for

determining, where a health care service is specified in more than one

way for the purposes of subsection (3)(a) or in more than one way in rules

specified for the purposes of paragraph (b), which specification of the

service is to apply in any particular case or cases of any particular

description.’.

Mr Simon Burns

180

Clause  117,  page  114,  line  15,  at end insert—

‘(4B)

The notice may include guidance as to the application of rules specified for the

purposes of subsection (4) or (4A)(b) or (c) or the application of variations

specified for the purposes of subsection (4A)(a).’.

Mr Simon Burns

181

Clause  117,  page  114,  line  22,  leave out subsection (6).

Mr Simon Burns

182

Clause  117,  page  114,  line  35,  at end insert—

‘( )	Such variations as are specified for the purposes of subsection (4A)(a), and such

guidance on the application of those variations as is included for the purposes of

subsection (4B), are only such variations and such guidance as Monitor considers

should be so specified and included and—

(a)	as Monitor and the Board agree will be so specified and included, or

(b)	in default of agreement, as are determined by arbitration as being the

variations that will be so specified and the guidance that will be so

included.’.

Mr Simon Burns

183

Clause  117,  page  114,  line  36,  leave out subsection (9).

Mr Simon Burns

184

Clause  117,  page  114,  line  41,  leave out ‘The rules specified for the purposes of

subsection (4) are only such rules’ and insert ‘Such rules as are specified for the purposes

of subsection (4) or (4A)(c), and such guidance on those rules as is included for the

purposes of subsection (4B), are only such rules and such guidance’.

Mr Simon Burns

185

Clause  117,  page  114,  line  43,  after ‘specified’, insert ‘and included’.

Mr Simon Burns

186

Clause  117,  page  114,  line  44,  after ‘specified’, insert ‘and included’.

Mr Simon Burns

187

Clause  117,  page  114,  line  46,  after ‘specified’, insert ‘and the guidance that will

be so included’.

Public Bill Committee: 5 July 2011

223

Health and Social Care (Re-committed) Bill, continued

Mr Simon Burns

188

Clause  117,  page  114,  line  46,  at end insert—

‘(10A)

Such rules as are specified for the purposes of subsection (4A)(b), and such

guidance on those rules as is included for the purposes of subsection (4B), are

only such rules and such guidance as Monitor considers should be so specified

and included and—

(a)	as Monitor and the Board agree will be so specified and included, or

(b)	in default of agreement, as are determined by arbitration as being the

rules that will be so specified and the guidance that will be so included.’.

Liz Kendall

Emily Thornberry

Owen Smith

30

Page  113,  line  38,  leave out Clause 117.

Mr Simon Burns

189

Clause  147,  page  135,  line  7,  at end insert—

‘“anti-competitive behaviour” has the meaning given in section [General

duties: supplementary] and references to preventing anti-competitive

behaviour are to be read in accordance with subsection (2) of that

section;’.

Mr Simon Burns

190

Clause  147,  page  135,  line  13,  at end insert—

‘“facilities” has the same meaning as in the National Health Service Act

2006 (see section 275 of that Act);’.

Mr Simon Burns

191

Clause  147,  page  135,  line  16,  leave out ‘56’ and insert ‘[General duties:

supplementary]’.

Liz Kendall

Emily Thornberry

Owen Smith

36

Page  135,  line  6,  leave out Clause 147.

Mr Simon Burns

192

Clause  149,  page  138,  line  3,  at end insert—

‘( )	After paragraph 18D of that Schedule insert—

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