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Notices of Amendments: 24 June 2011

71

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

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’.

Liz Kendall

Emily Thornberry

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

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),’.

Notices of Amendments: 24 June 2011

72

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

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’.

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

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—

Notices of Amendments: 24 June 2011

73

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

‘(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 from ‘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

(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

Notices of Amendments: 24 June 2011

74

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

(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’.

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

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

Notices of Amendments: 24 June 2011

75

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

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

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—

“18E (1)

The constitution must provide for meetings of the board of directors to

be open to members of the public.

(2)	But the constitution may provide for members of the public to be

excluded from a meeting for special reasons.”’.

Mr Simon Burns

193

Clause  156,  page  141,  line  34,  at end insert—

‘( )	After section 35(3) of that Act (things the regulator must consider before deciding

whether it is satisfied as to the matters in subsection (2)) insert—

“(3A)

The regulator must not give an authorisation unless it is notified by the

Care Quality Commission that it is satisfied that the applicant is

complying with (so far as applicable) the requirements mentioned in

section 12(2) of the Health and Social Care Act 2008 in relation to the

regulated activity or activities the applicant carries on.

(3B)	In subsection (3A), “regulated activity” has the same meaning as in

section 8 of the Health and Social Care Act 2008.”’.

Notices of Amendments: 24 June 2011

76

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

Mr Simon Burns

194

Clause  165,  page  147,  line  29,  after ‘applicant’, insert ‘(that is an NHS foundation

trust)’.

Mr Simon Burns

195

Clause  165,  page  147,  line  31,  leave out paragraph (a).

Mr Simon Burns

196

Clause  166,  page  148,  line  12,  after ‘applicant’, insert ‘(that is an NHS foundation

trust)’.

Mr Simon Burns

197

Clause  166,  page  148,  line  13,  after ‘must’, insert ‘—

(a)	be supported by the Secretary of State if B is an NHS trust, and

(b)

’.

Mr Simon Burns

198

Clause  176,  page  155,  line  10,  leave out subsections (3) and (4).

Liz Kendall

Emily Thornberry

49

Page  155,  line  6,  leave out Clause 176.

Mr Simon Burns

199

Clause  178,  page  157,  line  36,  at end insert ‘; and the Commission must inform the

committee in writing of its response or proposed response to the advice.’.

Mr Simon Burns

200

Clause  178,  page  158,  line  31,  after ‘discharge’, insert ‘,

and that the failure is significant’.

Notices of Amendments: 24 June 2011

77

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

Mr Simon Burns

201

Clause  178,  page  158,  line  34,  at end insert—

‘( )	In subsection (2A) of that section (inserted by section [Failure to discharge

functions]), after “(1)” insert “or (1A)”.’.

Mr Simon Burns

202

Clause  178,  page  158,  line  37,  at end insert—

‘( )	In subsection (4) of that section (inserted by section [Failure to discharge

functions]), after “(1)” insert “, (1A)”.’.

Mr Simon Burns

203

Clause  178,  page  158,  line  37,  at end insert—

‘( )	For the title to that section substitute “Failure by the Commission or Healthwatch

England in discharge of functions”.’.

Mr Simon Burns

205

Clause  179,  page  160,  line  5,  at end insert—

‘( )	In Part 1 of Schedule 19 to the Equality Act 2010 (bodies subject to public sector

equality duty), after the entry for the Health Service Commissioner for England

insert—

“A Local Healthwatch organisation.”’.

Mr Simon Burns

206

Clause  189,  page  170,  line  23,  after ‘(8)’, insert ‘—

‘(a)

’.

Mr Simon Burns

207

Clause  189,  page  170,  line  24,  at end insert ‘, and

(b)	after paragraph (b) (but before the “and” immediately following it)

insert—

“(ba)

involve the Local Healthwatch Organisation for the area

of the responsible local authority;

(bb)	involve the people who live or work in that area;”, and

(c)	in paragraph (c) for “consult” substitute “involve”.’.

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