The House of Lords continues with detailed line by line examination of the Health and Social Care Bill today (Tuesday 6 March) in the fifth day of report stage.
Members of the House will begin by considering the duties of Monitor, an independent body that currently regulates NHS foundation trusts.
Amendments to Clause 60 include changes that clarify Monitor's role to 'promote efficient and effective cooperation between providers of health care services' and prevent anti-collaborative behaviour.
They will continue to examine Monitor's duties to govern the health care sector in England and together with the Office of Fair Trading they will ensure anti-competitive conduct and prevent conflicts of interest.
Further amendments will cover the regulation of a national tariff paid for NHS services and possible localised price variations, improvement in the quality of adult social care services and exempting the health service from some aspects of EU competition law.
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.
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.