Speeches by Johnson.

“Clause 37 removes the special financial assistance provisions for foundation trusts in special administration cases. The provisions are specific to NHS England under section 134 of the Health and Social Care Act 2012, “Duty to establish mechanisms for providing financial assistance”, which sets out that NHS England has…”

“The power also allows the Secretary of State to act if the board were to block action. We heard earlier this week about members of senior leadership teams not engaging in inquiries. I understand that the Government will change the law on that issue, but the clause gives the Government the power to intervene if that wer…”

“NHS England had the power to introduce additional licence conditions and even intervene in the membership of the councils of governors. The direct link to the CQC allows for action when patient safety is at risk. For the health service to be democratically accountable, Governments need the power to act when hospitals f…”

“The clause defines poor governance in the same terms as section 111 of the 2012 Act. It enables the imposition of additional conditions where the CQC has issued a warning notice. It allows that, where the trust breaches conditions, the Secretary of State can require the trust to remove executive directors, appoint inte…”

“The clause replaces that section entirely. The key elements include enabling the Secretary of State to introduce governance-related licence conditions where they are satisfied that the trust’s governance means it will fail to comply with its licence conditions. The Secretary of State has the power to alter the conditio…”

“If they are failing to take steps to reduce the risk of a breach of the licence, NHS England can modify the membership of the council of governors. This section clearly needs amending because of the many references to NHS England.”

““to secure compliance with conditions in the trust’s licence, or…to take steps to reduce the risk of a breach of a condition in the trust’s licence.””

“For NHS England to intervene, the council of governors, the board of directors or both must be failing”

““is satisfied that the governance of an NHS foundation trust is such that the trust will fail to comply with the conditions of its licence”.”

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“Clause 36 gives the Secretary of State powers over failing trust governance. Currently, section 111 in the Health and Social Care Act 2012, “Imposition of licence conditions on NHS foundation trusts”, enables NHS England to impose additional licence conditions on a foundation trust if NHS England”

“I also have a question about how we will manage part of the trust failing. If there is a department within a trust, or if a trust runs several different hospitals—I should declare that I work for a trust that does that—and one hospital or department is thought to be delivering a poor service while the others are delive…”

“In the event of a failing trust, can the Minister describe how services to patients will be maintained and made safe while that process is ongoing? If something is so unsafe that the trust is considered to have failed, meaning that the service needs to be improved, how does the Minister intend to manage that interim pe…”

“My next question is about the continuity of care for patients. The CQC looked into the Cliff Villages medical practice—a practice, rather than a trust, in my constituency—and the surgery was found to be wanting in a number of ways. The CQC removed the licence, which meant that medical services could no longer be provid…”

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“As the Minister said, the clause removes the need for ICBs and their partner trusts to produce a joint forward plan. The existing legislation requires ICBs and their partner trusts to prepare a plan setting out how they propose to exercise their functions over five years, which is reviewed and/or revised each financial…”

“In essence, the clause abolishes integrated care partnerships and strategies, which are where ICBs come together with local authorities to discuss how they can make their services more integrated. We know that many of the challenges facing the NHS are caused by difficulties in social care provision and some of the diff…”

“My hon. Friend is, as ever, correct. The mayors are also not all responsible for health and social care—the local authorities are, in most cases. There could therefore be a mayor directing proceedings with the ICB who is a political opponent of those actually democratically elected to look after social care. ICBs are s…”

“Clause 24 puts neighbourhood health plans on a statutory basis. Currently, section 116A of the Local Government and Public Involvement in Health Act 2007 requires local authorities and partner ICBs to prepare a joint local health and wellbeing strategy once they have received their integrated care strategy. Essentially…”

“New clause 70 talks about a certain range of primary care providers being consulted by the ICB. Can the hon. Member clarify whether it is his intention for all providers of those services in a defined area to be consulted, or would it be a representative selection? If it is the latter, how would they be chosen?”