← LEADERSHIP TERMINAL

UK PARLIAMENT · SITTING

Ms Nusrat Ghani

MP for Sussex Weald · Conservative · United Kingdom

IN THEIR OWN WORDS

Before we come to the urgent question, I must say how disappointing it is that the Government were not forthcoming with a proactive ministerial statement on this matter. The disruption to aviation and the impact on many constituents has been considerable.

AIR TRAFFIC CONTROL DISRUPTION · 2026-09-10 · READ IN HANSARD

The point of order and its content are not a matter for the Chair. I have not been notified of any Minister coming forward at this point, but I have only just come into the Chair. If the hon.

POINT OF ORDER · 2026-09-09 · READ IN HANSARD

(3) Regulations under section 14Z45B must provide that, where an out-of-hospital service is to be provided to a patient, the integrated care board must— (a) offer the patient a choice of at least two providers capable of providing the service, which may include NHS bodies and independent sector providers approved to provide that service u…

HEALTH BILL · 2026-09-07 · READ IN HANSARD

(2) For the purposes of subsection (1), the relevant requirements are— (a) that the special educational provision set out in section F of an EHC plan meets the needs identified by an EHC needs assessment; (b) that ICBs can be required to provide such special educational provision; (c) that ICBs must provide such special educational provis…

HEALTH BILL · 2026-09-07 · READ IN HANSARD

(3) The Charter must— (a) set out the fundamental principles and responsibilities for assessing whether a data sharing partnership is in the interest of the public and the NHS; (b) include the primary goal of protecting people’s privacy and their data from exploitation, while promoting trust in data systems and the handling of health data…

HEALTH BILL · 2026-09-07 · READ IN HANSARD

(2) Arrangements under subsection (1) must, so far as reasonably practicable, provide for— (a) general practitioners, dentists, pharmacists and other relevant primary care professionals to work together as part of integrated local primary care teams; (b) the sharing of relevant patient information between those professionals through secur…

HEALTH BILL · 2026-09-07 · READ IN HANSARD

The complete record

Every one of 4,837 lines we hold for Ms Nusrat Ghani, in date order, each linked to its source. Free to read, in full, without an account. Page 3 of 97.

  1. (3) The Secretary of State must, within 12 months of the date on which this Act is passed, publish a self-care strategy for England (the "self-care strategy") which must set out— (a) the national framework within which neighbourhood health plans will be required to embed self-care and self-management, including the management of self-limiting conditions, as a core component of local health and care services; (b) the steps the Secretary of State will take to promote self-care and health literacy as part of the prevention and early intervention agenda across the NHS; (c) the role of community pharmacy in delivering the self-care strategy, including the services and information that community pharmacy is expected to provide in support of self-care; (d) the role of patient-facing digital services, including any system established under section 250E of the National Health Service Act 2006, in supporting self-care, self-management and navigation to appropriate care; (e) the steps the Secretary of State will take to reduce avoidable demand on NHS services through the promotion of self-care; and (f) the measurable outcomes against which progress in implementing the self-care strategy will be assessed, and the arrangements for reporting on progress.

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  2. (2) In preparing guidance under section 14Z58 of the National Health Service Act 2006 as amended by section 24(4) of this Act, the Secretary of State must have regard to— (a) improving health literacy, (b) the role of community pharmacy as an accessible point of contact for self-care support and health advice, and (c) the contribution of digital tools and patient-facing services to enabling self-care, self-management and appropriate care navigation.

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  3. New clause 155— Self-care and health literacy in neighbourhood health plans — “(1) Guidance issued by the Secretary of State under section 14Z58 of the National Health Service Act 2006 as amended by section 24(4) of this Act (neighbourhood health plan) must require that every neighbourhood health plan includes arrangements for— (a) supporting self-care and self-management, including by enabling people to manage minor and long-term conditions, and conditions that are self-limiting, themselves where it is safe and appropriate to do so; (b) improving health literacy and ensuring that people living or working in the area have access to trusted, quality-assured information, advice and digital tools to support them in managing their own health and wellbeing; (c) facilitating access to community pharmacy services, including pharmacy services that support self-care, the management of minor ailments and medicines optimisation; (d) supporting patients to access the most appropriate level of care for their needs, including through patient-facing digital services connected to any system established under section 250E of the National Health Service Act 2006 (single patient record); and (e) reducing avoidable demand on NHS services through the promotion of self-care and prevention.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  4. New clause 154— Medical training places — “The Secretary of State must increase the number of medical school training places to 15,000 by the year 2031-32.” This new clause would put a duty on the Secretary of State to double the number of medical school training places.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  5. (2) In section 1, at end insert— “(2) Applicants eligible under this section shall be prioritised based on merit, determined by reference to the applicant’s— (a) qualifications, (b) professional competence, (c) clinical experience, (d) skills, and (e) ability to perform the duties of the post.” (3) In section 2, after subsection (1) insert— “(1A) Applicants eligible under subsection (1) shall be prioritised based on merit, determined by reference to the applicant’s— (a) qualifications, (b) professional competence, (c) clinical experience, (d) skills, and (e) ability to perform the duties of the post.” (4) In section 3, after subsection (1) insert— “(1A) Applicants eligible under subsection (1) shall be prioritised based on merit, determined by reference to the applicant’s— (a) qualifications, (b) professional competence, (c) clinical experience, (d) skills, and (e) ability to perform the duties of the post.”” New clause 153— Redundancies — “The Secretary of State must publish, within 12, 24, and 48 months of the passage of this Act, the number of persons— (a) employed by the Department for Health and Social Care, and (b) made redundant following the abolishment of NHS England under subsection (1) of this Act.” This new clause would require the Secretary of State to publish the number of staff in the Department for Health and Social Care and the number of people made redundant following the abolishment of NHS England.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  6. New clause 145— Response to the Hughes Report: options for redress for those harmed by valproate and pelvic mesh — “The Secretary of State must, within 30 days of the day on which this Act is passed, publish the Government’s response to the Hughes Report.” This new clause would require the Secretary of State to publish the Government’s response to the Hughes Report within 30 days of this Act being passed. New clause 152— Requirement for merit-based job allocations for doctors — “(1) The Medical Training (Prioritisation) Act 2026 is amended as follows.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  7. (2) In section 4, after subsection (4) insert— “(4A) A person is within this subsection if they— (a) are a British citizen, and (b) hold a primary medical qualification from an international branch campus of a higher education institution in the United Kingdom.”” This new clause amends the Medical Training (Prioritisation) Act 2026 so that British citizens who have studied at international branch campuses of UK higher education institutions can be prioritised for foundation programme training places.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  8. New clause 136— North Cornwall: Dental appointments — “(1) Within one year beginning on the date on which this Act is passed, the Secretary of State must ensure that there is adequate provision of NHS dentistry in North Cornwall. (2) Adequate provision under subsection (1) means— (a) access to urgent dental appointments for any person with an urgent need, and (b) improved access to routine dental appointments. (3) The Secretary of State must explain any failure to meet the requirement set out in subsection (1) at a public event in the local area.” This new clause places a duty on the Secretary of State to ensure there is adequate provision of NHS dental appointments in North Cornwall. New clause 144— Prioritising British citizens for the UK foundation programme — “(1) The Medical Training (Prioritisation) Act 2026 is amended as follows.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  9. (4) Regulations under subsection (3) must make provision for the annual reports to continue for as long as mortality inequalities between people without a learning disability and autistic people and people with any learning disability exist. (5) The Secretary of State must publish an annual report summarising the information in the ICB reports under subsection (3), identifying national trends in— (a) mortality rates, (b) reasons for inequalities in mortality rates, (c) potential actions to reduce inequalities in mortality rates.” This new clause would require the Secretary of State to publish a report on the mortality inequalities experienced by autistic people and people with a learning disability and make provision for ICBs to publish annual reports on such inequalities in their area and proposed actions for remedying such inequalities.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  10. (3) Within 3 months of the publication of the report under subsection (1) the Secretary of State must make regulations which require ICBs to publish an annual report which includes— (a) mortality rates for— (i) autistic people, (ii) people with any learning disability, (iii) people without a learning disability. (b) identification of any areas in which data collection on mortality inequalities experienced by autistic people and people with learning disabilities is inadequate, (c) a review of the reasons for any inequalities in mortality rates, (d) a plan for reducing inequalities in mortality rates between people without a learning disability and autistic people and people with any learning disability.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  11. It would also require the Secretary of State, within two years, to lay the revised Statement, or a report where agreement has not been reached, before Parliament and to bring forward proposals for placing the principles governing England and Wales cross-border healthcare services on a statutory footing. New clause 135— Reporting on mortality inequalities for autistic people and people with learning disabilities — “(1) Within 12 months of the passage of this Act, the Secretary of State must prepare and publish a report on the mortality inequalities experienced by autistic people and people with a learning disability. (2) The report under subsection (1) must specify targets for reducing mortality inequalities between people without a learning disability and autistic people and people with any learning disability.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  12. (3) The Secretary of State must, within two years of the passing of this Act— (a) publish the revised Statement agreed under subsection (1), or, where no revised Statement has been agreed, publish a report setting out the steps taken to seek such agreement and the reasons why agreement has not been reached; (b) lay the revised Statement or report before Parliament; and (c) lay before Parliament proposals for placing the principles governing England and Wales cross-border healthcare services on a statutory footing.” This new clause would require the Secretary of State to seek agreement with the Welsh Ministers on a revised England / Wales Cross-border Healthcare Services: Statement of Values and Principles within 18 months of the passing of the Act.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  13. (2) In preparing the revised Statement under subsection (1), the Secretary of State must consider— (a) the effectiveness of existing arrangements for the provision and commissioning of cross-border health care services; (b) the interests of patients who live in England or Wales and receive, or may receive, health services on the other side of the border; (c) arrangements for the commissioning and funding of cross-border healthcare services; (d) arrangements for resolving disputes between relevant bodies in England and Wales; and (e) the appropriate means of placing the principles governing England and Wales cross-border health care services on a statutory footing.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  14. New clause 134— England and Wales cross-border healthcare arrangements — “(1) The Secretary of State must, within 18 months of the passing of this Act, seek to agree with the Welsh Ministers a revised England / Wales Cross-border Healthcare Services: Statement of Values and Principles.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  15. (6) A statutory instrument containing regulations under subsection (3) may not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament.” This new clause would require the Secretary of State and integrated care boards to have regard to the England / Wales Cross-border Healthcare Services: Statement of Values and Principles when exercising relevant functions in areas close to the England-Wales border. It would also enable the Secretary of State to designate a revised version of the Statement, following consultation with the Welsh Ministers, relevant integrated care boards and Local Health Boards, and organisations representing patients affected by cross-border healthcare arrangements.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  16. (3) The Secretary of State may by regulations designate a revised version of the Statement for the purposes of this section. (4) Before making regulations under subsection (3), the Secretary of State must consult— (a) the Welsh Ministers; (b) each integrated care board whose area is close to the border between England and Wales; (c) each Local Health Board whose area is close to the border between England and Wales; and (d) such organisations representing patients affected by cross-border healthcare arrangements as the Secretary of State considers appropriate. (5) Regulations under subsection (3) are to be made by statutory instrument.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  17. New clause 133— England and Wales cross-border healthcare: statement of values and principles — “(1) The Secretary of State and each integrated care board must, in exercising functions relating to the provision or commissioning of health services to persons residing in an area of England or Wales close to the border between England and Wales, have regard to the 2018 England / Wales Cross-border Healthcare Services: Statement of Values and Principles. (2) For the purposes of this section, “the England / Wales Cross-border Healthcare Services: Statement of Values and Principles” means the statement published by NHS England and the Welsh Ministers on 6 November 2018, or a revised statement designated by regulations under subsection (3).

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  18. (2) A report under subsection (1) must include an assessment of— (a) any change in funding allocated to diabetes prevention, treatment and care programmes; (b) any change to the operation or continuation of national clinical audits relating to diabetes; (c) the impact on patient access to diabetes technology, including glucose monitoring and insulin delivery systems; (d) the impact on workforce capacity in specialist diabetes services.” This new clause would require the Government to monitor and report to Parliament on the impact of NHS England's abolition specifically on diabetes services.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  19. New clause 122— Report on effect of abolition of NHS England on diabetes services — “(1) Before the end of the period of 12 months beginning with the day on which section 1 comes into force, and no less frequently than every 12 months thereafter for the following 3 years, the Secretary of State must publish and lay before Parliament a report assessing the effect of the abolition of NHS England on the planning, funding and delivery of diabetes prevention, treatment and care services in England.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  20. (5) Regulations under subsection (2)(f) are subject to annulment in pursuance of a resolution of either House of Parliament.” This new clause would require the Secretary of State to maintain existing national diabetes prevention, treatment and audit programmes following the abolition of NHS England, to explain how continuity will be secured before transferring related functions, and to report annually to Parliament on their provision.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  21. (3) Before making a scheme under section 2 for the transfer of property, rights or liabilities relating to a programme listed in subsection (2) the Secretary of State must publish a statement explaining how continuity of that programme is to be maintained. (4) Before the end of the period of 12 months beginning with the day on which this section comes into force, and at least once every subsequent period of 12 months, the Secretary of State must lay before Parliament a report on the provision of the programmes listed in subsection (2), including information on patient access, waiting times and outcomes.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  22. (2) The programmes referred to in subsection (1) are— (a) the NHS Diabetes Prevention Programme; (b) the NHS Type 2 Diabetes Path to Remission Programme; (c) national provision for continuous glucose monitoring (CGM) for people with diabetes; (d) the national roll-out of hybrid closed loop (“artificial pancreas”) technology for people with type 1 diabetes; (e) the National Diabetes Audit programme, including the National Diabetes Footcare Audit and the National Diabetes Inpatient Safety Audit; (f) any other programme specified for the purposes of this section in regulations made by the Secretary of State.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  23. (3) The Secretary of State must instruct the CQC to develop clear guidance for the farmer friendly accredited general practice scheme which supports delivery of care in non-clinical community settings with proportionate hygiene protocols that reflect the setting.” This new clause places a duty on the Secretary of State to create a farmer friendly accredited general practice scheme. New clause 121— Continuity of specified national diabetes programmes — “(1) The Secretary of State must secure that the programmes listed in subsection (2) continue to be provided, to at least the same extent as immediately before the abolition of NHS England.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  24. (2) The report under subsection (1) must include an action plan to ensure rural and coastal practices are able to provide remote consultations and electronic prescription services.” This new clause would require the Secretary of State to publish a report on equality of access to and quality of digital health services in rural and coastal areas. New clause 120— Farmer friendly accredited general practice scheme — “(1) The Secretary of State must create a farmer friendly accredited general practice scheme to recognise and resource GP practices that proactively reach farming communities. (2) The scheme under subsection (1) should be modelled on Royal College of GPs’ Veteran Friendly Accreditation scheme.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  25. (5) The Care Quality Commission should assess whether providers have appropriate arrangements in place for the— (a) governance, (b) monitoring, and (c) safe use of artificial intelligence systems, and may require evidence that such arrangements are operating effectively.” New clause 119— Report into digital health services in rural and coastal areas — “(1) The Secretary of State must publish a report on the equality of access to and quality of digital health services in rural and coastal areas within 12 months of the passing of this Act.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  26. (3) Each health and care setting required to implement guidance under this section must designate a senior individual who is responsible for— (a) the monitoring, assurance and audit of AI systems under subsection (1) in their health or care setting; (b) supporting AI providers and vendors to perform their post market surveillance as required; (c) addressing the governance of legacy AI systems; and (d) addressing the governance and impact of decommissioning of AI systems. (4) The Care Quality Commission must have regard to the guidance published under subsection (1) when exercising its functions.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  27. (2) The guidance under subsection (1) must include— (a) requirements for healthcare organisations to maintain an inventory of AI systems used in clinical and operational processes, (b) requirements for proportionate monitoring, by the healthcare organisations, of AI systems throughout their operational lifecycle, including safety, performance and effectiveness, (c) processes for identifying, investigating and responding to material deterioration in AI system performance, (d) arrangements for documenting accountability and decision-making responsibilities relating to AI deployment and use, (e) expectations regarding transparency, reporting, and ability to audit AI enabled services.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  28. (2) Following the review under subsection (1), the Secretary of State must by regulations ensure that contracting authorities can exclude companies from bidding for a tender on the basis of any proven— (a) involvement in violations of international law and/or, (b) breaches of internationally accepted standards of business conduct including— (i) the UN Guiding Principles and, (ii) OECD Guidelines for Multinational Enterprises.” New clause 109— Artificial intelligence governance and auditing — “(1) Within 12 months beginning on the day on which this Act is passed, the Secretary of State must publish guidance on the— (a) governance, (b) monitoring, (c) assurance, and (d) audit of artificial intelligence (AI) systems used in health and care settings.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  29. New clause 108— NHS ethical and sustainable procurement framework — “(1) Within six months beginning on the day on which this Act is passed, the Secretary of State must conduct a review of the NHS’s ethical and sustainable procurement framework.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  30. (3) Within six months of the report under subsection (1) being laid, the Secretary of State must— (a) make provision to update guidance on the duty to co-operate, and (b) implement actions to strengthen integration in the report which the Secretary of State considers most appropriate.” This new clause would place a requirement on the Secretary of State to report to Parliament, within six months of the Act passing, on how well NHS bodies and local authorities are working together to integrate health and social care in England. It would also place a requirement on the Secretary of State to update the related guidance and take action to strengthen this cooperation six months later.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  31. New clause 106— Report on the duty to co-operate — “(1) Within six months beginning on the day on which this Act is passed, the Secretary of State must lay a report before both Houses of Parliament on— (a) the operation of the duty to co-operate under section 72 of the National Health Service Act 2006 (co-operation between NHS bodies) and section 82 of that Act (co-operation between NHS bodies and local authorities), and (b) the impact of those duties on the integration of health and social care in England. (2) The report under subsection (1) must consider co-operation between— (a) relevant NHS bodies, and (b) relevant NHS bodies and local authorities, in the delivery and commissioning of health and social care.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  32. (3) Requirements under subsection (2) include— (a) standardisation of the minimum number of rounds of IVF available to one individual, and (b) standardisation of the maximum and minimum age at which an individual can access IVF.” This new clause would require the Secretary of State to make regulations standardising NHS-funded IVF provision across all integrated care boards in England, in accordance with existing NICE guidelines, including the number of rounds available to an individual and the age limits for access.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  33. New clause 104— NHS-funded In Vitro Fertilisation — “(1) Within six months of the passage of this Act, the Secretary of State must by regulations make arrangements for the standardised provision of NHS-funded In Vitro Fertilisation (IVF). (2) Provision under this section must, in accordance with any existing NICE guidelines, set requirements for all integrated care boards in England relating to NHS-funded IVF.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  34. (6) The Secretary of State must make arrangements for each State of Dentistry Report, and the Government's response to it, to be debated in each House of Parliament. (7) The first State of Dentistry Report must be published within 12 months of the passing of this Act.” This new clause would require the Secretary of State to publish and lay before Parliament a regular report on the state of NHS dentistry in England, assessing access to and unmet need for NHS dental services, workforce capacity and distribution, geographical and wider inequalities, and the pressure that inadequate access to NHS dental services places on other parts of the NHS. It would also require the Government to respond to each report and ensure that both the report and response are debated in Parliament.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  35. (3) The report must include such indicators as the Secretary of State considers appropriate for assessing each of the matters set out in subsection (2), and those indicators must, wherever appropriate, be presented in a manner that enables comparisons to be made between different areas and populations and over time, including by reference to population size, full-time equivalent workforce and other relevant measures. (4) In preparing the report, the Secretary of State must have regard to the need to ensure that NHS dental services are sufficient to meet the current and projected need for dental care in England. (5) The Secretary of State must, within six months of publishing a State of Dentistry Report, set out the measures the Government intends to take in response to the findings of the report.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  36. (2) The State of Dentistry Report must include an assessment of— (a) access to NHS dental services and levels of unmet need; (b) the adequacy, distribution and sustainability of the NHS dental workforce, including general dental services, community dental services, hospital dental services, dental public health consultants and dental academia; (c) geographical inequalities in access to NHS dental services and oral health outcomes; (d) inequalities in access to NHS dental services and oral health outcomes between different socioeconomic groups and populations, including but not limited to people living in care homes and people experiencing homelessness; (e) demand and waiting times for dental treatment in community dental services and secondary care; (f) the extent to which inadequate access to NHS dental services contributes to avoidable pressure on other parts of the NHS, including primary medical care, urgent and emergency care, hospital services and the prescribing of medicines; and (g) the measures required to address any deficiencies or inequalities identified under paragraphs (a) to (f).

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  37. (5) A Minister of the Crown must, in exercising the Minister’s functions, have regard to the strategy. (6) The Secretary of State must prepare and publish a report on the implementation of the strategy— (a) within 12 months of the publication of the strategy; and (b) at intervals of no more than 12 months thereafter. (7) In this section, “health inequalities” means inequalities in respect of life expectancy or general state of health which are wholly or partly a result of differences in respect of general health determinants.” New clause 93— State of NHS Dentistry report — “(1) The Secretary of State must publish and lay before Parliament a report on the state of NHS dentistry in England (“the State of Dentistry Report”) at least once every two years.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  38. (3) The strategy must include— (a) long-term targets relating to health improvement and the reduction of health inequalities in England throughout a person's life; (b) provision for the establishment of a public authority with functions relating to the additional monitoring of, and reporting on, progress towards the targets included in the strategy in accordance with paragraph (a); and (c) such other provision as the Secretary of State considers appropriate. (4) The long-term targets included in the strategy in accordance with subsection (3)(a) must include— (a) at least one target relating to the improvement of the health of persons under the age of 18 in England; and (b) at least one target relating to the improvement of the health of persons aged 18 or over in England.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  39. (9) In subsection (2), the reference to reducing health inequalities includes mitigating any increase in health inequalities which would otherwise be occasioned by the exercise of the Secretary of State’s functions.”” New clause 91— Health improvement and health inequalities strategy — “(1) The Secretary of State must, within six months beginning on the day on which this Act is passed, publish a health improvement and health inequalities strategy. (2) In preparing the strategy, the Secretary of State must consult such persons as the Secretary of State considers appropriate.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  40. (8) In subsection (7), “general health determinants” include— (a) standards of housing, transport services or public safety; (b) environmental factors, including air quality and access to green space and bodies of water; (c) employment prospects, earning capacity and any other matters that affect levels of prosperity; (d) the degree of ease or difficulty with which persons have access to public services; (e) the use, or level of use, of tobacco, alcohol or other substances, and any other matters of personal behaviour or lifestyle, that are or may be harmful to health; and (f) any other matters that are determinants of life expectancy or the state of health of persons generally, other than genetic or biological factors.

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  41. (7) In this section, “health inequalities” means inequalities in respect of life expectancy or general state of health which are wholly or partly a result of differences in respect of general health determinants.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  42. New clause 90— Duty to reduce health inequalities — “(1) Section 2B of the National Health Service Act 2006 (functions of local authorities and Secretary of State as to improvement of public health) is amended as follows. (2) In the heading, after “health” insert “and reduction of health inequalities”. (3) In subsection (2)— (a) for “may” substitute “must”; and (b) after “England” insert “and reducing health inequalities between the people of England”. (4) In subsection (3), after paragraph (g) insert— “(h) collaborating with any government department or local authority.” (5) After subsection (5) insert— “(6) In this section, “health inequalities between the people of England” means health inequalities between persons, or persons of different descriptions, living in England or in different parts of England.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  43. (2) For the purposes of subsection (1), the relevant requirements are— (a) that the special educational provision set out in section F of an EHC plan meets the needs identified by an EHC needs assessment; (b) that ICBs can be required to provide such special educational provision; (c) that ICBs must provide such special educational provision from the date the EHC plan is finalised or issued; (d) that ICBs are subject to appeals to the First-tier Tribunal in accordance with section 51 of the Children and Families Act 2014; and (e) that any duty on ICBs to provide such special educational provision does not impact upon an ICB’s duty to arrange health care provision, where this is required by an EHC plan.” This new clause would require the Secretary of State to make regulations placing a statutory duty on integrated care boards to ensure that where an EHC plan specifies special education provision, they are subject to the same duty as local authorities to ensure that this is arranged for the child or young person.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  44. New clause 85— Duties on integrated care boards regarding education, health and care plans — “(1) The Secretary of State must exercise the powers in Part 3 of the Children and Families Act 2014 (children with special education needs) with a view to securing that integrated care boards (“ICBs”) are subject to the same relevant requirements as local authorities in relation to the duty to secure the specified special educational provision for a child or young person in the preparation of education, health and care plans (“EHC plans”) under that Part.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  45. (4) In exercising functions under this section, integrated care boards must have regard to— (a) the need to reduce health inequalities; (b) the importance of securing equitable access to services across different areas; and (c) the sustainability of voluntary, community and social enterprise provision.” This new clause would require integrated care boards to take reasonable steps to secure the participation of voluntary, community and social enterprise organisations in the provision of services through the ICB commissioning process.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  46. (3) Circumstances in which contracts may be appropriate to be reserved or prioritised under subsection (2) include— (a) services that are, or could be, community-based; (b) services that are intended to reach populations that are underserved, marginalised, or experiencing health inequalities; or (c) where voluntary, community and social enterprise organisations are best placed to deliver person-centred and/or culturally competent care.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  47. New clause 80— Power to enable reservation and prioritisation of contracts for the voluntary, community and social enterprise sector — “(1) In exercising their commissioning functions, integrated care boards must take reasonable steps to secure the participation of voluntary, community and social enterprise organisations in the provision of services. (2) The Secretary of State must through regulations enable integrated care boards to reserve and/or prioritise contracts to be delivered by voluntary, community and social enterprise organisations as part of their commissioning process.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  48. (3) The responsible local authority and integrated care board must demonstrate how they have ensured ongoing and meaningful representation of voluntary, community and social enterprise organisations across the governance, decision-making and commissioning arrangements relating to neighbourhood health plans at all stages of the planning process.” This new clause would require local authorities and integrated care boards to take and demonstrate reasonable steps to ensure neighbourhood health plans are co-produced with meaningful involvement by the local voluntary, community and social enterprise sector in the local area.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  49. New clause 79— Voluntary sector role in neighbourhood health plans — “(1) In preparing a neighbourhood health plan, a responsible local authority and integrated care board must take and demonstrate reasonable steps to ensure the plan is co-produced with meaningful involvement by the local voluntary, community and social enterprise sector in that area, including the development, design, implementation, monitoring and evaluation of the plan. (2) In meeting the requirement under subsection (1) a local authority and integrated care board must in particular have regard to— (a) organisations representing people with lived experience of health conditions; (b) organisations working with underserved or marginalised populations; and (c) the role of voluntary, community and social enterprise organisations in delivering community-based services.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD

  50. (5) Regulations under subsection (4) must include appropriate safeguards for patient confidentiality, information governance and the lawful processing of personal data. (6) In this section— “primary care team” means a group of health professionals and providers working together to provide or coordinate primary care services; “primary dental services” has the meaning given by section 98C of the National Health Service Act 2006; and “pharmaceutical services” includes services provided under Part 7 of that Act.” This new clause would promote joined-up working between GPs, dentists and pharmacists to improve coordination and continuity of care.

    HEALTH BILL · 2026-09-07 · READ IN HANSARD