Key Facts

• The discussion involves clauses 52 to 56.
• Edward Argar is speaking to each clause in turn.
• Clause 51 amends section 88 of the Health and Social Care Act 2012.
• Clause 52 provides NHS England with power to set capital expenditure limits for individual foundation trusts.
• Clause 53 removes certain requirements from forward planning documentation.
• Clause 54 allows FTs to carry out functions jointly with other persons.
• Clause 55 strengthens the Secretary of State's role in approving applications.
• Clause 56 transfers property and liability management powers to NHS England.
• The clauses strip away financial autonomy of foundation trusts as set out in clause 52.
• Clause 55 gives more powers to the Secretary of State.
• Evidence from Dr Chaand Nagpaul highlights lack of clarity on how finances will work at a local level within an ICB.
• Richard Murray's evidence raises uncertainty about capital project selection processes.
• There were four reorganisations of the NHS between 1999 and 2006 under the previous Government.
• No current applications from NHS trusts to become foundation trusts.
• Eight new hospital schemes are being considered based on safety issues, urgent need, transformation, and patient experience criteria.
• Additional capital is provided by central Government for building new hospitals where needed.
• Clause 58 relates to transfer schemes between trusts.
• Government amendments 15 and 16 are being proposed.
• Schedule 8 is to be included in the Bill.
• Clauses 39, 40, 58, and 59 deal with NHS trust transfers and the appointment process for trust special administrators.
• Clause 59 introduces schedule 8 which amends chapter 5A of the National Health Service Act 2006.
• Amendments 15 and 16 ensure consultation of integrated care boards in cases of trust special administration orders.
• Government amendments 15 and 16 aim to ensure ICBs are consulted when a special administrator is appointed.
• Amendments were introduced to address potential ambiguities in the legislation.
• Proposed new section 14Z59 gives power for the Secretary of State to give directions to integrated care boards.
• Clause 60 allows NHS organisations to delegate or jointly exercise functions with local authorities, combined authorities, and other bodies.
• Clause 61 inserts a new section into the NHS Act 2006 making express reference to the assumption that general references include any functions exercised on behalf of another person.
• Schedule 9 contains amendments to reflect the broader approach taken by clause 61 to delegated functions.
• Clause 63 addresses guidance about joint appointments.
• Clause 64 covers delegation agreements between NHS bodies and local authorities.
• Statutory guidance will be developed in concert with local authorities represented by the Local Government Association.
• Clause 63 allows NHS England to issue guidance for joint appointments between NHS bodies and local authorities.
• Clause 64 amends sections 72 and 82 of the National Health Service Act 2006.
• The clause inserts a new power for the Secretary of State to make guidance related to co-operation duties in specific areas.
• Clause is about driving greater integration between health and care organisations.
• Example given from 2008/2009 shows a joint appointment worked well in a local authority-NHS context.
• Minister argues Secretary of State's power is necessary for overseeing joint appointments to ensure effective governance.
• Amendment 84 aims to ensure payments to private providers are at tariff price.
• Amendment 100 would require NHS England to obtain approval from the Secretary of State before publishing the payment scheme.
• The new NHS payment scheme will apply to all providers, including voluntary and independent sectors.
• Integrated care boards can object to proposed changes in the payment scheme.
• Clause 37 grants the Secretary of State powers to direct NHS England on publication and content of the payment scheme.
• MP Sheryll Murray clarifies that there is no hard stop on a Thursday regarding time limits in the Committee discussion.
• The clause governs how billions of pounds will be spent every year.
• The speaker is surprised by the Secretary of State's limited involvement in setting payment levels for treatments.
• Amendment 100 offers a lighter approach compared to using clause 37 powers.
• The debate on the Health and Care Bill was ordered to be adjourned.
• The adjournment was announced by Steve Double.