Health and Social Care Bill: Report day three

27 February 2012

The House of Lords continues detailed line by line examination of the Health and Social Care Bill today (Monday 27 February).

Members of the Lords will look at amendments to Clause 19 which includes setting a 'code of conduct for members of clinical commissioning groups' and monitoring any conflicts of interests when commissioning NHS services.

There are a number of amendments suggested for Clause 22 which will look at the NHS's Commissioning Board duties. Amendment 49 seeks to request the Board or Secretary of State to publish a digest of expenditure and performance. Other amendments look at the provision of training to healthcare professionals which 'pay regard' to the Health Education England reports.

After Clause 51 amendment 142 looks at adding in a new clause which covers the 'scope of patient and public involvement'.

The House of Lords is expected to scrutinise all tabled amendments up to those covering Clause 59.

Health and Social Care Bill: Key areas

  • Establishes an independent NHS Board to allocate resources and provide commissioning guidance.
  • Increases GPs’ powers to commission services on behalf of their patients.
  • Strengthens the role of the Care Quality Commission.
  • Develops Monitor, the body that currently regulates NHS foundation trusts, into an economic regulator to oversee aspects of access and competition in the NHS.
  • Cuts the number of health bodies to help meet the government's commitment to cut NHS administration costs by a third, including abolishing Primary Care Trusts and Strategic Health Authorities.

Catch up on the Health and Social Care Bill so far

The House of Lords Constitution Committee report

The Constitution Committee published a follow-up report calling for changes to the Health and Social Care Bill to ensure that ministerial responsibility to Parliament and legal accountability for the NHS are not diluted.

What is the report stage?

Report stage in the chamber gives all members of the Lords further opportunity to consider all amendments (proposals for change) to a bill. It usually starts at least 14 days after committee stage. It can be spread over several days (but usually fewer days than at committee stage).

Before report stage takes place

  • The day before report stage starts, amendments are published in a Marshalled List – in which all the amendments are placed in order.
  • On the day, amendments on related subjects are grouped together and a list (“groupings of amendments”) is published.

What happens at report stage?

  • Detailed line by line examination of the bill continues.
  • Votes can take place and any member can take part.

After report stage - third reading

  • If the bill is amended it is reprinted to include all the agreed amendments.
  • The bill moves to third reading for the final chance for the Lords to debate and amend the bill.
  • More about third reading.

Further information

Detailed line by line examination of the separate parts (clauses and schedules) of a bill takes place during report stage.

Find out more about watching House of Lords debates.

Image: iStockphoto

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