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Public Bill Committee Proceedings: 5 July 2011            

24

 

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

 
 

‘14NA

 Duty to promote involvement of each patient

 

(1)    

Each commissioning consortium must, in the exercise of its functions, promote

 

the involvement of patients, and their carers and representatives (if any), in

 

decisions about the provision of health services to the patients.

 

(2)    

The Board may publish guidance for commissioning consortia on the discharge

 

of their duties under this section.

 

(3)    

A commissioning consortium must have regard to any guidance published by the

 

Board under subsection (2).

 

(4)    

In this section, “health services” has the same meaning as in section 14N.

 

14NB  

Duty as to patient choice

 

(1)    

Each commissioning consortium must, in the exercise of its functions, act with a

 

view to enabling patients to make choices with respect to aspects of health

 

services provided to them.

 

(2)    

In this section, “health services” has the same meaning as in section 14N.’.

 

Mr Simon Burns

 

Agreed to  112

 

Clause  22,  page  31,  line  2,  leave out from ‘must’ to ‘advice’ in line 3 and insert

 

‘obtain’.

 

Mr Simon Burns

 

Agreed to  113

 

Clause  22,  page  31,  line  4,  leave out from ‘persons’ to end of line 5 and insert ‘who

 

(taken together) have a broad range of professional expertise in—

 

(a)    

the prevention, diagnosis or treatment of illness, and

 

(b)    

the protection or improvement of public health.’.

 

Mr Simon Burns

 

Agreed to  114

 

Clause  22,  page  31,  line  5,  at end insert—

 

‘(2)    

The Board may publish guidance for commissioning consortia on the discharge

 

of their duties under subsection (1).

 

(3)    

A commissioning consortium must have regard to any guidance published by the

 

Board under subsection (2).’.

 

Mr Simon Burns

 

Agreed to  115

 

Clause  22,  page  31,  line  5,  at end insert—

 

‘14OA

 Duty to promote innovation

 

(1)    

Each commissioning consortium must, in the exercise of its functions, promote

 

innovation in the provision of health services (including innovation in the

 

arrangements made for their provision).

 

(2)    

In this section, “health services” means services provided as part of the health

 

service.’.

 

Mr Simon Burns

 

Agreed to  116

 

Clause  22,  page  31,  line  5,  at end insert—


 
 

Public Bill Committee Proceedings: 5 July 2011            

25

 

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

 
 

‘14OB

  Duty in respect of research

 

Each commissioning consortium must, in the exercise of its functions, have

 

regard to the need to promote—

 

(a)    

research on matters relevant to the health service, and

 

(b)    

the use in the health service of evidence obtained from research.’.

 

Mr Simon Burns

 

Agreed to  117

 

Clause  22,  page  31,  line  5,  at end insert—

 

‘14OC

 Duty as to promoting integration

 

(1)    

Each commissioning consortium must exercise its functions with a view to

 

securing that health services are 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),

 

(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.

 

(2)    

Each commissioning consortium must exercise its functions with a view to

 

securing that the provision of health services is integrated with the provision of

 

health-related services or social care services where it considers that this would—

 

(a)    

improve the quality of the health services (including the outcomes that

 

are achieved from the provision of those services),

 

(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.

 

(3)    

In this section—

 

“health services” means services provided as part of the health service;

 

“health-related services” means services that may have an effect on the

 

health of individuals but are not health 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).’.

 

Liz Kendall

 

Emily Thornberry

 

Owen Smith

 

Not called  7

 

Clause  22,  page  31,  line  5,  at end insert—

 

‘14OA

 Duty as to conflicts of interest

 

(1)    

Each commissioning consortium must exercise its functions so as to ensure that

 

any conflicts of interest, and personal and prejudicial interests are dealt with.

 

(2)    

The Secretary of State must issue guidance on how conflicts of interest and

 

personal and prejudicial interests should be dealt with by commissioning

 

consortia as part of their decision making.’.


 
 

Public Bill Committee Proceedings: 5 July 2011            

26

 

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

 
 

Liz Kendall

 

Emily Thornberry

 

Owen Smith

 

Not called  8

 

Clause  22,  page  31,  line  12,  leave out from second ‘are’ to end of line 13 and insert

 

‘fully consulted—’.

 

Mr Simon Burns

 

Agreed to  118

 

Clause  22,  page  31,  line  18,  leave out ‘a significant’ and insert ‘an’.

 

Mr Simon Burns

 

Agreed to  119

 

Clause  22,  page  31,  line  24,  at end insert—

 

‘( )    

The commissioning consortium must include in its constitution—

 

(a)    

a description of the arrangements made by it under subsection (2), and

 

(b)    

a statement of the principles which it will follow in implementing those

 

arrangements.’.

 

Mr Simon Burns

 

Agreed to  120

 

Clause  22,  page  32,  line  10,  at end insert—

 

‘( )    

Arrangements made under this section do not affect the liability of a

 

commissioning consortium for the exercise of any of its functions.’.

 

Mr Simon Burns

 

Agreed to  121

 

Clause  22,  page  32,  line  22,  at end insert—

 

‘( )    

Arrangements made by virtue of this section do not affect the liability of a

 

commissioning consortium for the exercise of any of its functions.’.

 

Liz Kendall

 

Emily Thornberry

 

Owen Smith

 

Not called  9

 

Clause  22,  page  32,  line  28,  at end insert—

 

‘(1A)    

The Secretary of State must publish guidance to commissioning consortia about

 

its exercise of powers under subsection (1), to which each commissioning

 

consortia must have regard.’.

 

Mr Simon Burns

 

Agreed to  122

 

Clause  22,  page  33,  line  42,  at end insert—

 

‘( )    

Arrangements made under this section do not affect the liability of a

 

commissioning consortium for the exercise of any of its functions.’.

 

Mr Simon Burns

 

Agreed to  123

 

Clause  22,  page  34,  line  29,  leave out ‘section 14L’ and insert ‘sections 14L and

 

14P’.


 
 

Public Bill Committee Proceedings: 5 July 2011            

27

 

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

 
 

Mr Simon Burns

 

Agreed to  124

 

Clause  22,  page  34,  line  30,  leave out ‘223K’ and insert ‘223JA’.

 

Mr Simon Burns

 

Agreed to  125

 

Clause  22,  page  34,  line  31,  leave out from beginning to end of line 3 on page 35.

 

Liz Kendall

 

Emily Thornberry

 

Owen Smith

 

Not called  10

 

Clause  22,  page  34,  line  41,  leave out paragraph (b) and insert—

 

‘(b)    

the consortium must provide information on its plan in response to the

 

Health and Wellbeing Board, and

 

(c)    

before submitting the plan to the National Commissioning Board, the

 

consortium must obtain the consent of the Health and Wellbeing Board.’.

 

Mr Simon Burns

 

Agreed to  126

 

Clause  22,  page  35,  leave out lines 9 to 22.

 

Mr Simon Burns

 

Agreed to  127

 

Clause  22,  page  35,  line  24,  leave out ‘subsections (10) to (13)’ and insert ‘this

 

section and sections 14YA and 14YB’.

 

Mr Simon Burns

 

Agreed to  128

 

Clause  22,  page  35,  line  27,  leave out ‘section’ and insert ‘Chapter’.

 

Mr Simon Burns

 

Agreed to  129

 

Clause  22,  page  35,  line  27,  after ‘Board”’, insert ‘, in relation to a commissioning

 

consortium,’.

 

Mr Simon Burns

 

Agreed to  130

 

Clause  22,  page  35,  line  30,  at end insert—

 

‘14YA

 Revision of commissioning plans

 

(1)    

A commissioning consortium may revise a plan published by it under section

 

14Y.

 

(2)    

If the commissioning consortium revises the plan in a way which it considers to

 

be significant—

 

(a)    

the consortium must publish the revised plan, and

 

(b)    

subsections (8) and (9) of section 14Y apply in relation to the revised plan

 

as they apply in relation to the original plan.

 

(3)    

If the commissioning consortium revises the plan in any other way, the

 

consortium must—

 

(a)    

publish a document setting out the changes it has made to the plan, and


 
 

Public Bill Committee Proceedings: 5 July 2011            

28

 

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

 
 

(b)    

give a copy of the document to the Board and each relevant Health and

 

Wellbeing Board.’.

 

Mr Simon Burns

 

Agreed to  131

 

Clause  22,  page  35,  line  30,  at end insert—

 

‘14YB

 Consultation about commissioning plans

 

(1)    

This section applies where a commissioning consortium is—

 

(a)    

preparing a plan under section 14Y, or

 

(b)    

revising a plan under section 14YA in a way which it considers to be

 

significant.

 

(2)    

The commissioning consortium must consult individuals for whom it has

 

responsibility for the purposes of section 3.

 

(3)    

The consortium must involve each relevant Health and Wellbeing Board in

 

preparing or revising the plan.

 

(4)    

The consortium must, in particular—

 

(a)    

give each relevant Health and Wellbeing Board a draft of the plan or (as

 

the case may be) the plan as revised, and

 

(b)    

consult each such Board on whether the draft takes proper account of

 

each joint health and wellbeing strategy published by it which relates to

 

the period (or any part of the period) to which the plan relates.

 

(5)    

Where a Health and Wellbeing Board is consulted under subsection (4)(b), the

 

Health and Wellbeing Board must give the consortium its opinion on the matter

 

mentioned in that subsection.

 

(6)    

Where a Health and Wellbeing Board is consulted under subsection (4)(b)—

 

(a)    

it may also give the Board its opinion on the matter mentioned in that

 

subsection, and

 

(b)    

if it does so, it must give the consortium a copy of its opinion.

 

(7)    

If a commissioning consortium revises or further revises a draft after it has been

 

given to each relevant Health and Wellbeing Board under subsection (4),

 

subsections (4) to (6) apply in relation to the revised draft as they apply in relation

 

to the original draft.

 

(8)    

A commissioning consortium must include in a plan published under section

 

14Y(7) or 14YA(2)—

 

(a)    

a summary of the views expressed by individuals consulted under

 

subsection (2),

 

(b)    

an explanation of how the consortium took account of those views, and

 

(c)    

a statement of the final opinion of each relevant Health and Wellbeing

 

Board consulted in relation to the plan under subsection (4).

 

(9)    

In this section, “joint health and wellbeing strategy” means a strategy under

 

section 116A of the Local Government and Public Involvement in Health Act

 

2007 which is prepared and published by a Health and Wellbeing Board by virtue

 

of section 193 of the Health and Social Care Act 2011.’.

 

Mr Simon Burns

 

Agreed to  132

 

Clause  22,  page  35,  line  30,  at end insert— 

 

‘14YC

  Opinion of Health and Wellbeing Boards on commissioning plans

 

(1)    

A relevant Health and Wellbeing Board—


 
 

Public Bill Committee Proceedings: 5 July 2011            

29

 

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

 
 

(a)    

may give the Board its opinion on whether a plan published by a

 

commissioning consortium under section 14Y(7) or 14YA(2) takes

 

proper account of each joint health and wellbeing strategy published by

 

the Health and Wellbeing Board which relates to the period (or any part

 

of the period) to which the plan relates, and

 

(b)    

if it does so, must give the consortium a copy of its opinion.

 

(2)    

In this section, “joint health and wellbeing strategy” has the same meaning as in

 

section 14YB.’.

 

Mr Simon Burns

 

Agreed to  133

 

Clause  22,  page  35,  line  35,  after ‘particular’, insert ‘—

 

(a)    

’.

 

Mr Simon Burns

 

Agreed to  134

 

Clause  22,  page  35,  line  36,  at end insert ‘, and—

 

(b)    

review the extent to which the consortium has contributed to the delivery

 

of any joint health and wellbeing strategy to which it was required to have

 

regard under section 116B(1)(b) of the Local Government and Public

 

Involvement in Health Act 2007.

 

( )    

In preparing the review required by subsection (2)(b), the consortium must

 

consult each relevant Health and Wellbeing Board.’.

 

Mr Simon Burns

 

Agreed to  135

 

Clause  22,  page  36,  line  9,  leave out ‘and’ and insert—

 

‘( )    

section 14O,’

 

Mr Simon Burns

 

Agreed to  136

 

Clause  22,  page  36,  line  9,  at end insert—

 

‘( )    

section 14P, and’

 

Mr Simon Burns

 

Agreed to  137

 

Clause  22,  page  36,  line  10,  leave out ‘223K’ and insert ‘223JA’.

 

Mr Simon Burns

 

Agreed to  138

 

Clause  22,  page  36,  line  10,  at end insert ‘, and

 

( )    

section 116B(1) of the Local Government and Public Involvement in

 

Health Act 2007 (duty to have regard to assessments and strategies).’.

 

Mr Simon Burns

 

Agreed to  139

 

Clause  22,  page  36,  line  10,  at end insert—

 

‘( )    

In conducting a performance assessment, the Board must consult each relevant

 

Health and Wellbeing Board as to its views on the consortium’s contribution to

 

the delivery of any joint health and wellbeing strategy to which the consortium

 

was required to have regard under section 116B(1)(b) of that Act of 2007.’.


 
 

Public Bill Committee Proceedings: 5 July 2011            

30

 

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

 
 

Liz Kendall

 

Emily Thornberry

 

Owen Smith

 

Not called  37

 

Clause  22,  page  36,  line  10,  at end insert—

 

‘(c)    

section 14OA’.

 

Mr Simon Burns

 

Agreed to  140

 

Clause  22,  page  40,  line  3,  at end insert—

 

‘“relevant Health and Wellbeing Board”, in relation to a commissioning

 

consortium, has the meaning given by section 14Y(16);’.

 

Clause, as amended, Agreed to.

 


 

Mr Simon Burns

 

Agreed to  141

 

Clause  23,  page  40,  line  41,  leave out ‘general’ and insert ‘expenditure’.

 

Mr Simon Burns

 

Agreed to  142

 

Clause  23,  page  41,  line  24,  leave out from beginning to end of line 10 on page 42

 

and insert—

 

‘(1)    

For the purposes of this section and section 223JA—

 

(a)    

a commissioning consortium’s capital resource use, in relation to a

 

financial year, means the consortium’s use of capital resources in that

 

year, and

 

(b)    

a commissioning consortium’s revenue resource use, in relation to a

 

financial year, means the consortium’s use of revenue resources in that

 

year.

 

(2)    

A commissioning consortium must ensure that its capital resource use in a

 

financial year does not exceed the amount specified by direction of the Board.

 

(3)    

A commissioning consortium must ensure that its revenue resource use in a

 

financial year does not exceed the amount specified by direction of the Board.

 

(4)    

Any directions given in relation to a financial year under subsection (6) of section

 

223DA apply (in relation to that year) for the purposes of this section as they

 

apply for the purposes of that section.

 

(5)    

The Board may by directions make provision for determining to which

 

consortium a use of capital resources or revenue resources is to be attributed for

 

the purposes of this section or section 223JA.

 

(6)    

Where the Board gives a direction under subsection (2) or (3), it must notify the

 

Secretary of State.

 

223JA

 Financial duties of consortia: additional controls on resource use

 

(1)    

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

 

resource use in a financial year which is attributable to matters specified in the

 

direction does not exceed an amount so specified.

 

(2)    

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

 

resource use in a financial year which is attributable to matters specified in the

 

direction does not exceed an amount so specified.


 
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Revised 6 July 2011