My Lords, that begs the question of who decides whether there is going to be any difference, and I would have thought that it was for patients’ groups to be afforded that opportunity. But I note what the Minister said. I shall leave it there and reflect carefully on this...

My Lords, that begs the question of who decides whether there is going to be any difference, and I would have thought that it was for patients’ groups to be afforded that opportunity. But I note what the Minister said. I shall leave it there and reflect carefully on this...

moved Amendments Nos. 218 and 219: 218: Clause 236, page 169, line 6, leave out ““consultation”” and insert ““involvement”” 219: Clause 236, page 169, line 8, leave out ““consultation”” and insert ““involvement”” On Question, amendments agreed to.

moved Amendments Nos. 218 and 219: 218: Clause 236, page 169, line 6, leave out ““consultation”” and insert ““involvement”” 219: Clause 236, page 169, line 8, leave out ““consultation”” and insert ““involvement”” On Question, amendments agreed to.

moved Amendment No. 219ZA: 219ZA: Clause 236, page 169, line 14, at end insert— ““( ) After that section insert— ““242A Strategic Health Authorities: further duty to involve users (1) The Secretary of State must by regulations require each Strategic Health Authority to make arrangements which secure that health service...

moved Amendment No. 219ZA: 219ZA: Clause 236, page 169, line 14, at end insert— ““( ) After that section insert— ““242A Strategic Health Authorities: further duty to involve users (1) The Secretary of State must by regulations require each Strategic Health Authority to make arrangements which secure that health service...

My Lords, I have one addition to what the noble Earl has said. He and I are as one in thinking that the intention must be as he stated. On the issue of national representation, the Minister will know about National Voices and that we will have a national user...

My Lords, I have one addition to what the noble Earl has said. He and I are as one in thinking that the intention must be as he stated. On the issue of national representation, the Minister will know about National Voices and that we will have a national user...

My Lords, I hope I can offer some reassurance. I do not accept the noble Earl’s analysis of the question of consultation around a provider. The whole policy remit of the Bill is about providing for consultation around the provision of services. New duties are introduced, for example, for strategic...

My Lords, I hope I can offer some reassurance. I do not accept the noble Earl’s analysis of the question of consultation around a provider. The whole policy remit of the Bill is about providing for consultation around the provision of services. New duties are introduced, for example, for strategic...

My Lords, that was a helpful and largely reassuring reply. I accept that the insertion in the Bill of provisions relating to strategic health authorities makes a difference in so far as wholesale changes to services are concerned, because they would necessarily have to be dealt with at that level....

My Lords, that was a helpful and largely reassuring reply. I accept that the insertion in the Bill of provisions relating to strategic health authorities makes a difference in so far as wholesale changes to services are concerned, because they would necessarily have to be dealt with at that level....

My Lords, the point that I am trying to make is that if the patient notices any difference or is concerned that there might be a difference, the consultation duty kicks in. If there is no difference, surely there is no matter.

My Lords, the point that I am trying to make is that if the patient notices any difference or is concerned that there might be a difference, the consultation duty kicks in. If there is no difference, surely there is no matter.

My Lords, the noble Baroness correctly anticipated the points that I would have made in speaking to Amendment No. 219ZBA. Those were precisely the concerns that she outlined. I am reassured by her reply and there is no need for me to speak to the amendment further. On Question, amendment...

My Lords, the noble Baroness correctly anticipated the points that I would have made in speaking to Amendment No. 219ZBA. Those were precisely the concerns that she outlined. I am reassured by her reply and there is no need for me to speak to the amendment further. On Question, amendment...

moved Amendment No. 219ZB: 219ZB: Clause 237, page 169, line 15, at end insert— ““( ) In Chapter 1 of Part 2 of the National Health Service Act 2006 (c. 41) (Strategic Health Authorities), after section 17 insert— ““17A Reports on consultation (1) Each Strategic Health Authority must, at such...

moved Amendment No. 219ZB: 219ZB: Clause 237, page 169, line 15, at end insert— ““( ) In Chapter 1 of Part 2 of the National Health Service Act 2006 (c. 41) (Strategic Health Authorities), after section 17 insert— ““17A Reports on consultation (1) Each Strategic Health Authority must, at such...

moved Amendment No. 219A: 219A: After Clause 238, insert the following new Clause— ““Amendments to Licensing Act 2003 (1) The Licensing Act 2003 is as follows. (2) In section 9(1) (proceedings of licensing committee) for ““committee”” in the final place it appears, substitute ““authority””. (3) After section 13(3)(d) (authorised persons,...

moved Amendment No. 219A: 219A: After Clause 238, insert the following new Clause— ““Amendments to Licensing Act 2003 (1) The Licensing Act 2003 is as follows. (2) In section 9(1) (proceedings of licensing committee) for ““committee”” in the final place it appears, substitute ““authority””. (3) After section 13(3)(d) (authorised persons,...

moved Amendment No. 219ZC: 219ZC: Clause 237, page 169, line 21, leave out from ““consultation”” to ““commissioning”” in line 22 and insert ““carried out, or proposed to be carried out, before the making by the Primary Care Trust of”” On Question, amendment agreed to.

moved Amendment No. 219ZC: 219ZC: Clause 237, page 169, line 21, leave out from ““consultation”” to ““commissioning”” in line 22 and insert ““carried out, or proposed to be carried out, before the making by the Primary Care Trust of”” On Question, amendment agreed to.

moved Amendment No. 217A: 217A: Clause 236, page 168, line 40, leave out ““received by users”” and insert ““supplied by providers”” The noble Earl said: My Lords, new Section (1E), on page 168, states: "““The reference in each of subsections (1C)(a) and (1D)(a) to the delivery of services is to...

moved Amendment No. 217A: 217A: Clause 236, page 168, line 40, leave out ““received by users”” and insert ““supplied by providers”” The noble Earl said: My Lords, new Section (1E), on page 168, states: "““The reference in each of subsections (1C)(a) and (1D)(a) to the delivery of services is to...

My Lords, I am very grateful to those who have taken part in this short debate—the noble Baroness, Lady Fookes, and my noble friend Lord Imbert. I am also grateful to the Minister for what she said. She has indeed been encouraging and sympathetic, even more so in recent days...

My Lords, I am very grateful to those who have taken part in this short debate—the noble Baroness, Lady Fookes, and my noble friend Lord Imbert. I am also grateful to the Minister for what she said. She has indeed been encouraging and sympathetic, even more so in recent days...

My Lords, I agree with the noble Baroness, Lady Hanham; it has been a delightful short debate. The Cinque Ports could not have a more distinguished or powerful group of champions and advocates. I am impressed by the personal associations, especially that of the noble Lord, Lord Imbert, who gave...

My Lords, I agree with the noble Baroness, Lady Hanham; it has been a delightful short debate. The Cinque Ports could not have a more distinguished or powerful group of champions and advocates. I am impressed by the personal associations, especially that of the noble Lord, Lord Imbert, who gave...

My Lords, we debated the proposal in Committee. I do not have a huge amount to add to what I said then, but we have certainly moved on a little way, not least because of our conversations with the LGA. Amendment No. 222 would abolish the Secretary of State’s power...

My Lords, we debated the proposal in Committee. I do not have a huge amount to add to what I said then, but we have certainly moved on a little way, not least because of our conversations with the LGA. Amendment No. 222 would abolish the Secretary of State’s power...

moved Amendment No. 222: 222: After Clause 242, insert the following new Clause— ““Abolition of statutory codes of recommended practice as regards publicity (1) The Local Government Act 1986 (c. 10) is amended as follows. (2) Omit section 4 (codes of recommended practice as regards publicity.)”” The noble Lord said:...

moved Amendment No. 222: 222: After Clause 242, insert the following new Clause— ““Abolition of statutory codes of recommended practice as regards publicity (1) The Local Government Act 1986 (c. 10) is amended as follows. (2) Omit section 4 (codes of recommended practice as regards publicity.)”” The noble Lord said:...

My Lords, I thank the Minister for that reply. If the local authorities had been asked whether, in place of a statutory code laid down by central government, a code prepared by local government, put forward perhaps with the Local Government Association at the helm, might exist, they would have...

My Lords, I thank the Minister for that reply. If the local authorities had been asked whether, in place of a statutory code laid down by central government, a code prepared by local government, put forward perhaps with the Local Government Association at the helm, might exist, they would have...

My Lords, my noble friend Lord Bruce-Lockhart is not in his place today to move Amendments Nos. 222A to 222C; he is not very well. I shall table them again at Third Reading in the hope that he might be able to be here then. [Amendments Nos. 222A to 222C...

My Lords, my noble friend Lord Bruce-Lockhart is not in his place today to move Amendments Nos. 222A to 222C; he is not very well. I shall table them again at Third Reading in the hope that he might be able to be here then. [Amendments Nos. 222A to 222C...

moved Amendment No. 224: 224: Schedule 1, page 178, line 29, after ““words”” insert ““““and the order of retirement”” and”” On Question, amendment agreed to. Schedule 3 [Supplementary vote system: consequential amendments]: [Amendment No. 225 not moved.] Schedule 4 [Executives: further amendments]:

moved Amendment No. 224: 224: Schedule 1, page 178, line 29, after ““words”” insert ““““and the order of retirement”” and”” On Question, amendment agreed to. Schedule 3 [Supplementary vote system: consequential amendments]: [Amendment No. 225 not moved.] Schedule 4 [Executives: further amendments]: