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| Clause 190, page 171, line 18, after ‘to’, insert ‘— |
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| Clause 190, page 171, line 19, at end insert ‘, and |
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| | (b) | any guidance issued by the Secretary of State.’. |
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| Clause 190, page 171, line 19, at end insert— |
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| | ‘( ) | In preparing a strategy under this section, the responsible local authority and each |
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| | of its partner commissioning consortia must— |
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| | (a) | involve the Local Healthwatch Organisation for the area of the |
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| | responsible local authority, and |
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| | (b) | involve the people who live or work in that area.’. |
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| Clause 190, page 171, line 36, leave out ‘relevant’. |
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| Clause 190, page 171, line 37, leave out ‘the most recent’ and insert ‘any’. |
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| Clause 190, page 171, line 39, after ‘section 116’, insert ‘which is relevant to the |
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| exercise of the functions’. |
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| Clause 190, page 171, line 40, leave out ‘the most recent’ and insert ‘any’. |
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| Clause 190, page 171, line 41, after ‘section 116A’, insert ‘which is so relevant’. |
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| Clause 190, page 171, leave out lines 42 to 45. |
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| Clause 190, page 172, line 3, leave out from second ‘to’ to end of line 4 and insert |
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| | (a) | any assessment of relevant needs prepared by the responsible local |
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| | authority and each of its partner commissioning consortia under section |
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| | 116 which is relevant to the exercise of the functions, and |
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| | (b) | any joint health and wellbeing strategy prepared by them under section |
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| | 116A which is so relevant.’. |
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| Clause 242, page 216, line 37, after ‘that’, insert ‘— |
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| Clause 242, page 216, line 39, at end insert ‘, and |
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| | ( ) | the failure is significant.’. |
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| Clause 242, page 217, line 8, at end insert— |
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| | ‘( ) | Where the Secretary of State exercises a power under subsection (1) or (3), the |
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| | Secretary of State must publish reasons for doing so.’. |
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| Clause 265, page 228, line 25, after ‘that’, insert ‘— |
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| Clause 265, page 228, line 27, at end insert ‘, and |
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| | ( ) | the failure is significant.’. |
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| Clause 265, page 228, line 35, at end insert— |
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| | ‘( ) | Where the Secretary of State exercises a power under subsection (1) or (3), the |
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| | Secretary of State must publish reasons for doing so.’. |
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| Clause 295, page 245, line 45, leave out paragraph (j). |
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| Clause 295, page 246, line 16, at end insert ‘(subject to section 63(3))’. |
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| Clause 297, page 247, line 17, at end insert— |
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| | ‘(1A) | Section 28 comes into force in accordance with sections 28(3) and (4).’. |
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| Clause 297, page 247, line 18, leave out subsection (2). |
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| | Secretary of State’s duty to promote comprehensive health service |
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| To move the following Clause:— |
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| | ‘For section 1 of the National Health Service Act 2006 (Secretary of State’s duty |
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| | to promote health service) substitute— |
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| | “1 | Secretary of State’s duty to promote comprehensive health service |
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| | (1) | The Secretary of State must continue the promotion in England of a |
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| | comprehensive health service designed to secure improvement— |
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| | (a) | in the physical and mental health of the people of England, and |
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| | (b) | in the prevention, diagnosis and treatment of illness. |
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| | (2) | For that purpose, the Secretary of State must exercise the functions |
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| | conferred by this Act so as to secure that services are provided in |
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| | accordance with this Act. |
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| | (3) | The services provided as part of the health service in England must be |
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| | free of charge except in so far as the making and recovery of charges is |
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| | expressly provided for by or under any enactment, whenever passed.’. |
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| | Secretary of State’s duty to keep health service functions under review |
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| To move the following Clause:— |
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| | ‘In Part 13 of the National Health Service Act 2006, before section 248 (and the |
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| | cross-heading preceding it) insert— |
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| | |
| | “247AB | Secretary of State’s duty to keep health service functions under |
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| | |
| | (1) | The Secretary of State must keep under review the effectiveness of the |
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| | exercise by the bodies mentioned in subsection (2) of functions in |
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| | relation to the health service in England. |
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| | (2) | The bodies mentioned in this subsection are— |
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| | (c) | the Care Quality Commission; |
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| | (d) | the National Institute for Health and Care Excellence; |
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| | (e) | the Health and Social Care Information Centre; |
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| | (f) | Special Health Authorities. |
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| | (3) | The Secretary of State may include in an annual report under section |
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| | 247B the Secretary of State’s views on the effectiveness of the exercise |
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| | by the bodies mentioned in subsection (2) of functions in relation to the |
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| | The Secretary of State’s duty as to research |
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| To move the following Clause:— |
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| | ‘After section 1C of the National Health Service Act 2006, insert— |
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| | “In exercising functions in relation to the health service, the Secretary of |
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| | State must have regard to the need to promote— |
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| | (a) | research on matters relevant to the health service, and |
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| | (b) | the use in the health service of evidence obtained from |
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| | Secretary of State’s duty as respects variation in provision of health services |
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| To move the following Clause:— |
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| | ‘After section 12D of the National Health Service Act 2006 insert— |
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| | 12E | Secretary of State’s duty as respects variation in provision of health |
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| | (1) | The Secretary of State must not exercise the functions mentioned in |
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| | subsection (2) for the purpose of causing a variation in the proportion of |
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| | services provided as part of the health service that is provided by persons |
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| | of a particular description if that description is by reference to— |
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| | (a) | whether the persons in question are in the public or (as the case |
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| | may be) private sector, or |
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| | (b) | some other aspect of their status. |
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| | (2) | The functions mentioned in this subsection are the functions of the |
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| | Secretary of State under— |
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| | (a) | sections 6E and 13A, and |
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| | (b) | section 67 of the Health and Social Care Act 2011 (requirements |
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| | as to procurement, patient choice and competition).”’. |
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| | General duties: supplementary |
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| To move the following Clause:— |
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| | ‘(1) | This section applies for the purposes of this Part. |
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| | (2) | “Anti-competitive behaviour” means behaviour which would (or would be likely |
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| | to) prevent, restrict or distort competition and a reference to preventing anti- |
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| | competitive behaviour includes a reference to eliminating or reducing the effects |
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| | (or potential effects) of the behaviour. |
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| | (3) | “Health care” means all forms of health care provided for individuals, whether |
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| | relating to physical or mental health, with a reference in this Part to health care |
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| | services being read accordingly; and for the purposes of this Part it does not |
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| | matter if a health care service is also an adult social care service (as to which, see |
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| | |
| | (4) | “The NHS” means the comprehensive health service continued under section 1(1) |
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| | of the National Health Service Act 2006, except the part of it that is provided in |
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| | pursuance of the public health functions (within the meaning of that Act) of the |
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| | Secretary of State or local authorities. |
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| | (5) | A reference to the provision of health care services for the purposes of the NHS |
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| | is a reference to their provision for those purposes in accordance with that Act. |
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| | (6) | Nothing in section 56 requires Monitor to do anything in relation to the supply to |
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| | persons who provide health care services of goods that are to be provided as part |
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| | Standard condition as to transparency in setting and application of certain criteria |
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| To move the following Clause:— |
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| | ‘(1) | The standard conditions applicable to any licence under this Chapter must include |
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| | a condition requiring the licence holder to— |
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| | (a) | set transparent eligibility and selection criteria, and |
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| | (b) | apply those criteria in a transparent way to persons who, having a choice |
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| | of persons from whom to receive health care services for the purposes of |
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| | the NHS, choose to receive them from the licence holder. |
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| | (2) | “Eligibility or selection criteria”, in relation to a licence holder, means criteria for |
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| | |
| | (a) | whether a person is eligible, or is to be selected, to receive health care |
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| | services provided by the licence holder for the purposes of the NHS, and |
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| | (b) | if the person is selected, the manner in which the services are provided to |
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| | |
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| | Consultation: further provision |
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| |
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| To move the following Clause:— |
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| | ‘(1) | For the purpose of securing that the prices payable for the provision of health care |
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| | services for the purposes of the NHS are such as to result in a fair level of pay for |
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| | providers of the services, the National Health Service Commissioning Board and |
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| | Monitor must, in exercising functions under section 117, have regard to— |
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| | (a) | differences in the costs incurred in providing health care services for the |
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| | purposes of the NHS to persons of different descriptions, and |
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| | (b) | differences between providers with respect to the range of health care |
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| | services that they provide for those purposes. |
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| | (2) | In exercising functions under section 117(5), the Board and Monitor must act |
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| | with a view to securing the standardisation throughout England of the |
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| | specification of health care services in the national tariff under section 115(1)(a). |
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| | (3) | In exercising functions under section 117(10A), Monitor and the Board must act |
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| | with a view to securing the standardisation throughout England of the |
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| | specification of health care services in rules provided for in the national tariff |
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| | |
| | (4) | In carrying out the duty under subsection (2) or (3), the Board and Monitor must |
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| | have regard to whether, or to what extent, standardisation is likely to have a |
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| |
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| | significant adverse impact on the provision of health care services for the |
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| | |
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| | Failure to discharge functions |
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| |
| | |
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| To move the following Clause:— |
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| | ‘(1) | In section 82 of the Health and Social Care Act 2008 (failure by Commission to |
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| | discharge functions), in subsection (1), at the end insert “, |
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| | | and that the failure is significant.” |
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| | (2) | After subsection (2) of that section insert— |
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| | “(2A) | But the Secretary of State may not give a direction under subsection (1) |
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| | in relation to the performance of functions in a particular case.” |
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| | (3) | After subsection (3) of that section insert— |
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| | “(4) | Where the Secretary of State exercises a power under subsection (1) or |
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| | (3), the Secretary of State must publish the reasons for doing so.” |
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| | (4) | In section 161 of that Act (orders, regulations and directions: general provisions), |
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| | in subsection (3), before “any power of the Secretary of State to give directions” |
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| | insert “(subject to section 82(2A))”. |
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| | (5) | In section 165 of that Act (directions), at the beginning of subsection (2) insert |
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| | “Subject to subsection (3),”. |
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| | (6) | After that subsection insert— |
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| | “(3) | A direction under section 82 must be given by regulations or by an |
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| | instrument in writing.”’. |
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| |
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| Schedule 2, page 255, line 11, at end insert— |
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| | ‘() | The name of the consortium must comply with such requirements as may be |
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| Schedule 2, page 255, line 14, leave out ‘remuneration and the other’. |
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| |
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| Schedule 2, page 255, line 24, leave out ‘or’ and insert— |
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| | ‘( ) | its governing body, or’. |
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|