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Other Bills before Parliament


 
 

Public Bill Committee: 30 June 2011                     

160

 

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

 
 

(3)    

The Board may direct a commissioning consortium to ensure that its revenue

 

resource use in a financial year which is attributable to prescribed matters relating

 

to administration does not exceed an amount specified in the direction.

 

(4)    

The Board may give directions, in relation to a financial year, specifying uses of

 

capital resources or revenue resources which must, or must not, be taken into

 

account for the purposes of subsection (1) or (as the case may be) subsection (2)

 

or (3).

 

(5)    

The Board may not exercise the power conferred by subsection (1) or (2) in

 

relation to particular matters unless the Secretary of State has given a direction in

 

relation to those matters under subsection (1) of section 223DB or (as the case

 

may be) subsection (2) of that section.

 

(6)    

The Board may not exercise the power conferred by subsection (3) in relation to

 

prescribed matters relating to administration unless the Secretary of State has

 

given a direction in relation to those matters under subsection (3)(a) of section

 

223DB.’.

 

Liz Kendall

 

Emily Thornberry

 

38

 

Clause  23,  page  42,  line  11,  leave out from beginning to end of line 3 on page 43.

 

Mr Simon Burns

 

143

 

Clause  23,  page  42,  line  11,  leave out ‘performance’ and insert ‘quality’.

 

Mr Simon Burns

 

144

 

Clause  23,  page  42,  line  13,  leave out from ‘consortium’ to end of line 15.

 

Mr Simon Burns

 

145

 

Clause  23,  page  42,  line  15,  at end insert—

 

‘(1B)    

For the purpose of determining whether to make a payment under subsection (1)

 

and (if so) the amount of the payment, the Board must take into account at least

 

one of the following factors—

 

(a)    

the quality of relevant services provided during the financial year;

 

(b)    

any improvement in the quality of relevant services provided during that

 

year (in comparison to the quality of relevant services provided during

 

previous financial years);

 

(c)    

the outcomes identified during the financial year as having been achieved

 

from the provision at any time of relevant services;

 

(d)    

any improvement in the outcomes identified during that financial year as

 

having been so achieved (in comparison to the outcomes identified

 

during previous financial years as having been so achieved).

 

(1C)    

For that purpose, the Board may also take into account either or both of the

 

following factors—

 

(a)    

relevant inequalities identified during that year;

 

(b)    

any reduction in relevant inequalities identified during that year (in

 

comparison to relevant inequalities identified during previous financial

 

years).

 

(1D)    

Regulations may make provision as to the principles or other matters that the

 

Board must or may take into account in assessing any factor mentioned in

 

subsection (1B) or (1C).


 
 

Public Bill Committee: 30 June 2011                     

161

 

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

 
 

(1E)    

Regulations may provide that, in prescribed circumstances, the Board may, if it

 

considers it appropriate to do so—

 

(a)    

not make a payment that would otherwise be made to a consortium under

 

subsection (1), or

 

(b)    

reduce the amount of such a payment.

 

(1F)    

Regulations may make provision as to how payments under subsection (1) may

 

be spent (which may include provision as to circumstances in which the whole or

 

part of any such payments may be distributed to members of the commissioning

 

consortium).

 

(1G)    

A commissioning consortium must publish an explanation of how the consortium

 

has spent any payment made to it under subsection (1).

 

(1H)    

In this section—

 

“relevant services” means services provided in pursuance of arrangements

 

made by the consortium—

 

(a)    

under section 3 or 3A or Schedule 1, or

 

(b)    

by virtue of section 7A or 12;

 

“relevant inequalities” means inequalities between the persons for whose

 

benefit relevant services are at any time provided with respect to—

 

(a)    

their ability to access the services, or

 

(b)    

the outcomes achieved for them by their provision.’.

 

Mr Simon Burns

 

146

 

Clause  23,  page  42,  line  16,  leave out from beginning to end of line 3 on page 43.

 


 

Liz Kendall

 

Emily Thornberry

 

39

 

Clause  28,  page  46,  line  38,  at end add—

 

‘(3)    

This section comes into force on a date to be specified by order by the Secretary

 

of State.

 

(4)    

The time specified in subsection (3) must be after such time as the Secretary of

 

State is satisfied that the workforce education and training functions of strategic

 

health authorities are being fulfilled by another body.’.

 


 

Mr Simon Burns

 

147

 

Schedule  3,  page  262,  line  4,  leave out ‘223J and 223K(2)’ and insert ‘and

 

223J(3)’.

 



 
 

Public Bill Committee: 30 June 2011                     

162

 

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

 
 

Liz Kendall

 

Emily Thornberry

 

11

 

Page  74,  line  29,  leave out Clause 55.

 


 

Mr Simon Burns

 

148

 

Clause  56,  page   74,  line  37,  leave out from ‘services’ to end of line 2 on page 75

 

and insert ‘by promoting provision of health care services which—

 

(a)    

is economic, efficient and effective, and

 

(b)    

maintains or improves the quality of the services.’.

 

Liz Kendall

 

Emily Thornberry

 

40

 

Clause  56,  page  75,  line  1,  leave out paragraphs (a) and (b) and insert ‘by

 

promoting collaboration and integration within health services in England’.

 

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.’.


 
 

Public Bill Committee: 30 June 2011                     

163

 

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

 
 

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

 

(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).


 
 

Public Bill Committee: 30 June 2011                     

164

 

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

 
 

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.

 


 

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

 

Monitor’s’.

 

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.

 



 
 

Public Bill Committee: 30 June 2011                     

165

 

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

 
 

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.’.

 

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.

 



 
 

Public Bill Committee: 30 June 2011                     

166

 

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

 
 

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.

 


 

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.

 



 
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