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Notices of Amendments: 24 June 2011

64

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

Mr Simon Burns

149

Clause  56,  page   75,  line  4,  at end insert—

‘(2A)

Monitor must exercise its functions with a view to preventing 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.

(2B)	Monitor must exercise its functions with a view to enabling health care services

provided for the purposes of the NHS to be provided in an integrated way where

it considers that this would—

(a)	improve the quality of those services (including the outcomes that are

achieved from their provision) or the efficiency of their provision,

(b)	reduce inequalities between persons with respect to their ability to access

those services, or

(c)	reduce inequalities between persons with respect to the outcomes

achieved for them by the provision of those services.

(2C)	Monitor must exercise its functions with a view to enabling the provision of

health care services provided for the purposes of the NHS to be integrated with

the provision of health-related services or social care services where it considers

that this would—

(a)	improve the quality of those health care services (including the outcomes

that are achieved from their provision) or the efficiency of their

provision,

(b)	reduce inequalities between persons with respect to their ability to access

those health care services, or

(c)	reduce inequalities between persons with respect to the outcomes

achieved for them by the provision of those health care services.

(2D)	Monitor must, in carrying out its duties under subsections (2B) and (2C), have

regard to the way in which—

(a)	the National Health Service Commissioning Board carries out its duties

under section 13J of the National Health Service Act 2006, and

(b)	commissioning consortia carry out their duties under section 14OC of

that Act.’.

Mr Simon Burns

150

Clause  56,  page  75,  line  4,  at end insert—

‘( )	Monitor must secure that people who use health care services, and other members

of the public, are involved to an appropriate degree in decisions that Monitor

makes about the exercise of its functions (other than decisions it makes about the

exercise of its functions in a particular case).’.

Mr Simon Burns

151

Clause  56,  page   75,  line  5,  leave out subsection (3).

Mr Simon Burns

152

Clause  56,  page  75,  line  6,  at end insert—

‘( )	Monitor must obtain advice appropriate for enabling it effectively to discharge its

functions from persons who (taken together) have a broad range of professional

expertise in—

(a)	the prevention, diagnosis or treatment of illness (within the meaning of

the National Health Service Act 2006), and

Notices of Amendments: 24 June 2011

65

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

(b)	the protection or improvement of public health.’.

Mr Simon Burns

153

Clause  56,  page  75,  line  9,  at end insert—

‘( )	Monitor must not exercise its functions for the purpose of causing a variation in

the proportion of health care services provided for the purposes of the NHS that

is provided by persons of a particular description if that description is by

reference to—

(a)	whether the persons in question are in the public or (as the case may be)

private sector, or

(b)	some other aspect of their status.’.

Mr Simon Burns

154

Clause  56,  page   75,  line  9,  at end insert—

‘( )	In this section—

“health-related services” means services that may have an effect on people’s

health but are not health care services or social care services;

“social care services” means services that are provided in pursuance of the

social services functions of local authorities (within the  meaning of the

Local Authority Social Services Act 1970).’.

Mr Simon Burns

155

Clause  56,  page   75,  line  10,  leave out subsections (5) to (8).

Liz Kendall

Emily Thornberry

12

Page  74,  line  35,  leave out Clause 56.

Mr Simon Burns

156

Clause  58,  page  76,  line  11,  at end insert—

‘( )	the desirability of persons who provide health care services for the

purposes of the NHS co-operating with each other in order to improve the

quality of health care services provided for those purposes,’.

Liz Kendall

Emily Thornberry

13

Page  75,  line  38,  leave out Clause 58.

Notices of Amendments: 24 June 2011

66

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

Liz Kendall

Emily Thornberry

14

Page  76,  line  29,  leave out Clause 59.

Mr Simon Burns

157

Clause  63,  page  79,  line  29,  leave out ‘a function’ and insert ‘any function of its’.

Liz Kendall

Emily Thornberry

15

Page  79,  line  27,  leave out Clause 63.

Liz Kendall

Emily Thornberry

16

Page  80,  line  3,  leave out Clause 64.

Liz Kendall

Emily Thornberry

17

Page  80,  line  21,  leave out Clause 65.

Liz Kendall

Emily Thornberry

18

Page  81,  line  1,  leave out Clause 66.

Mr Simon Burns

158

Clause  67,  page  82,  line  7,  leave out paragraph (c) and insert—

‘(c)	do not engage in anti-competitive behaviour which is against the interests

of people who use such services.’.

Notices of Amendments: 24 June 2011

67

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

Liz Kendall

Emily Thornberry

43

Clause  67,  page  82,  line  7,  leave out from ‘to)’ to end of line 9 and insert ‘prevent

collaboration or integration in the provision of health care services for those purposes.’.

Liz Kendall

Emily Thornberry

44

Clause  67,  page  82,  line  16,  leave out paragraph (a) and insert—

‘(a)	promoting collaboration and integration within the provision of services,

and’.

Liz Kendall

Emily Thornberry

19

Page  81,  line  44,  leave out Clause 67.

Liz Kendall

Emily Thornberry

20

Page  82,  line  22,  leave out Clause 68.

Liz Kendall

Emily Thornberry

21

Page  83,  line  32,  leave out Clause 69.

Liz Kendall

Emily Thornberry

22

Page  84,  line  10,  leave out Clause 70.

Liz Kendall

Emily Thornberry

23

Page  84,  line  23,  leave out Clause 71.

Notices of Amendments: 24 June 2011

68

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

Liz Kendall

Emily Thornberry

24

Page  84,  line  35,  leave out Clause 72.

Liz Kendall

Emily Thornberry

25

Page  86,  line  1,  leave out Clause 73.

Liz Kendall

Emily Thornberry

26

Page  87,  line  8,  leave out Clause 74.

Liz Kendall

Emily Thornberry

27

Page  87,  line  24,  leave out Clause 75

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

28

Page  100,  line  29,  leave out Clause 100.

Notices of Amendments: 24 June 2011

69

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

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

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

46

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

Liz Kendall

Emily Thornberry

29

Page  101,  line  21,  leave out Clause 101.

Liz Kendall

Emily Thornberry

31

Page  110,  line  4,  leave out Clause 112.

Liz Kendall

Emily Thornberry

47

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

Notices of Amendments: 24 June 2011

70

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

Liz Kendall

Emily Thornberry

32

Page  111,  line  1,  leave out Clause 113.

Liz Kendall

Emily Thornberry

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’.

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

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