Ms Nusrat Ghani
MP for Sussex Weald · Conservative · United Kingdom
“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.”
“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.”
“(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…”
“(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…”
“(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…”
“(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…”
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“(3) In exercising its functions under this section, an integrated care board must have regard to the need to ensure that patients can move between general practice, primary dental services and pharmaceutical services without unnecessary duplication, delay or loss of relevant clinical information. (4) The Secretary of State may by regulations make provision about— (a) minimum interoperability standards for systems used by providers of primary medical, dental and pharmaceutical services; (b) standards for the secure exchange of patient information; (c) common data standards and clinical terminology; (d) electronic referrals and communications between providers; and (e) such other matters as the Secretary of State considers necessary to support integrated primary care.”
“(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 secure and interoperable digital systems; (c) the use of common or interoperable care records, so that relevant clinical information can be accessed by an authorised professional involved in a patient's care; (d) appropriate mechanisms for referral and communication between general practice, dental practices and community pharmacies; (e) the reduction of duplication in assessments, prescribing, referrals and administrative processes; and (f) improved continuity and coordination of care for patients with multiple or ongoing health needs.”
“(5) Arrangements under this section must be capable of operating at the same time as arrangements made under section 133 of the National Health Service Act 2006 to secure alternative provision of pharmaceutical services. (6) The Secretary of State must publish guidance about the operation of arrangements under this section.” This new clause would protect pharmacy staff's pay and essential employment rights when a provider fails, while supporting continuity of services. New clause 75— Integrated primary care teams — “(1) Each integrated care board must make arrangements to promote the provision of joined-up primary care services across general practice, primary dental services and pharmaceutical services.”
“(2) Arrangements under subsection (1) must provide for— (a) the continuation, so far as reasonably practicable, of payment of wages to affected staff, (b) the preservation of essential employment protections during the period of emergency intervention, (c) the maintenance of staffing necessary for the safe provision of pharmaceutical services, and (d) the transfer, continuation or replacement of employment arrangements where necessary to secure continuity of pharmaceutical services. (3) The Secretary of State may make payments to, or in respect of, affected staff for the purposes of this section. (4) The Secretary of State may recover from the failed provider any sums paid under subsection (3).”
“New clause 74— Protection of pharmacy staff during provider failure — “(1) The Secretary of State must establish arrangements to protect the pay and essential employment protections of staff employed by a provider of pharmaceutical services where the provider— (a) becomes insolvent, (b) ceases to provide pharmaceutical services, (c) has its arrangements for providing pharmaceutical services suspended or terminated, or (d) is otherwise unable to meet its obligations to its employees.”
“It also requires the Secretary of State to publish a strategy setting out projected workforce requirements and supply, and the measures and resources needed to meet those requirements. New clause 69— Self-care — “In the National Health Service Act 2006, after section 1C insert— “1CA Duty as to self-care In exercising functions in relation to the health service, the Secretary of State must have regard to the importance of— (a) promoting self-care and improving health literacy as part of the prevention of illness and the improvement of health and wellbeing; (b) supporting people to manage self-treatable conditions independently where appropriate; and (c) the role of community pharmacy in supporting self-care and prevention and helping people to access appropriate care.”” This new clause would require the Secretary of State, when exercising functions in relation to the health service, to have regard to the importance of promoting self-care and improving health literacy, supporting people to manage self-treatable conditions, and the role of community pharmacy in supporting self-care and prevention.”
“(5) The Secretary of State must— (a) review the strategy before the end of the period of five years beginning with the day on which it was last published, and (b) following each review, publish a revised strategy. (6) The Secretary of State may revise the strategy before the end of that period if the Secretary of State considers it appropriate to do so. (7) The Secretary of State must lay before Parliament a copy of each strategy published under this section. (8) The Secretary of State must have regard to the strategy when exercising functions in relation to the health service.”” This new clause places responsibility for workforce planning and supply for the health service in England on the Secretary of State, including ministerial responsibility to Parliament.”
“(3) In preparing or revising the strategy, the Secretary of State must consult— (a) integrated care boards; (b) NHS trusts and NHS foundation trusts; (c) persons providing services as part of the health service; (d) trade unions representing persons employed or otherwise engaged in the provision of those services; (e) professional bodies and professional regulators; (f) persons concerned with the provision of education and training for the workforce; (g) persons representing patients; and (h) such other persons as the Secretary of State considers appropriate. (4) The first strategy under this section must be published before the end of the period of 12 months beginning with the day on which this section comes into force.”
“(2) The strategy must include— (a) an assessment of the current workforce of the health service; (b) projections of the workforce required to meet the needs of the health service over periods of five, ten and fifteen years beginning with the day on which the strategy is published; (c) an assessment of the expected supply of people available to meet those requirements; (d) an assessment of any difference between the projected workforce requirements and expected workforce supply; (e) the measures that the Secretary of State proposes to take to address any such difference; and (f) an assessment of the financial and other resources required to implement those measures.”
“(2) In meeting the requirement under subsection (1), the Secretary of State must exercise the functions conferred by this Act so as to secure that the workforce needs of the health service are assessed and met. (3) The Secretary of State retains ministerial responsibility to Parliament for workforce planning and supply for the health service in England.” (2) For section 1GA of the National Health Service Act 2006 substitute— “Workforce strategy (1) The Secretary of State must prepare and publish a strategy setting out how the Secretary of State proposes to discharge the duty under section 1ZA.”
“(3) The Secretary of State must lay before Parliament an annual report on the progress made on national maternity staffing levels under this section.” This new clause would ensure that no maternity units are forced to close as a result of staffing issues and that every person in England has access to a maternity unit within 45 minutes of their home. New clause 67— Workforce planning and supply — “(1) After section 1 of the National Health Service Act 2006 insert— “1ZA Secretary of State’s duty as to workforce planning and supply (1) The Secretary of State must promote in England a comprehensive system of workforce planning and supply designed to secure that there are sufficient people with the necessary skills and experience to provide services as part of the health service.”
“(7) The Chair and Chief Executive of each integrated care board and leaders of health providers and services must attend a meeting of a Committee when requested to do so. (8) Each Committee will report to the Secretary of State for Health and Social Care.” New clause 66— Maternity services: safe staffing levels — “(1) The Secretary of State must ensure that maternity staffing levels are sufficient to ensure all residents in England can access a staffed maternity unit within 45 minutes of their home. (2) The Secretary of State must ensure adequate workforce planning, including through delivery of a consultant obstetrician and gynaecologist recruitment and retention plan, to ensure that maternity units are not required to close as a result of staffing issues.”
“(3) The Committee must comprise— (a) Members of Parliament representing constituencies in the area covered by the integrated care board, (b) Chairs of local government health and social care committees in the area covered by the integrated care board, (c) representatives from Healthwatch England or any patient participation network designated by the Secretary of State, and (d) Representatives from trade unions including— (i) two representatives from unions involved in negotiations on Agenda for Change, and (ii) one representative from a trade union representing doctors or dentists. (4) The Committee must meet six times each year. (5) The Chair of the Committee must be elected at an annual general meeting of the Committee. (6) The Committee must report to the Board of the integrated care board.”
“(2) Each Committee established under subsection (1) must— (a) oversee the operation of the integrated care board, (b) ensure accountability of the integrated care board with regards to— (i) allocation of resources; (ii) grievance and complaint management; (iii) innovation and service redesign in line with Government objectives; (iv) delivery of services; (v) integration with social care; (vi) advancing public health objectives; (vii) issues relating to workforce or estate; and (viii) any other issues as designated by the Secretary of State. (c) have the power to undertake inquiries into innovation on services delivery and outcomes.”
“(3) Under subsection (2), “support” may include— (a) replacement care for the cared-for person; (b) respite services; (c) any other steps a local authority considers appropriate as support. (4) The Secretary of State must provide sufficient support to local authorities to ensure the scheme under subsection (1) is delivered in every local authority. (5) For the purposes of this section— “unpaid carer” means a person who provides or intends to provide care for another person otherwise than by virtue of a contract or other voluntary work; “parent carer” has the same meaning as in section 17ZD of the Children Act 1989; “young carer” has the same meaning as in section 96 of the Children and Families Act 2014.” New clause 57— Integrated Care Boards: Scrutiny Committee — “(1) Each integrated care board must establish a Scrutiny Committee.”
“(2) The scheme under subsection (1) must make provision for— (a) where a local authority carries out an assessment of the needs of an unpaid carer, under any enactment for the time being in force in England, it must assess whether the unpaid carer is able to take sufficient breaks from their caring responsibilities, (b) unpaid carers to receive support to take breaks from their caring responsibilities to— (i) maintain their physical and mental health and emotional wellbeing, (ii) participate in work, education, training or recreation, and (iii) participate in family and community life, (c) a carer to receive appropriate support if a local authority carrying out an assessment under subsection (2)(a) determines that a carer is unable to take sufficient breaks from caring.”
“(5) For the purposes of this section, “unpaid carer"” means a person who provides or intends to provide care for another person otherwise than by virtue of a contract or other voluntary work.”” This new clause would introduce a duty for integrated care boards to promote the health and wellbeing of carers. New clause 56— National Respite Care Scheme — “(1) Within six months of the passage of this Act, the Secretary of State must establish a National Respite Care Scheme.”
“(3) An integrated care board must take reasonable steps to ensure that NHS bodies and providers of NHS services within its area— (a) consider the health and wellbeing needs of carers in care planning and discharge processes, (b) involve carers appropriately in decisions relating to care and treatment, and (c) provide carers with information about support available to them for their health and wellbeing. (4) In preparing a Joint Forward Plan, an integrated care board must include— (a) an assessment of the health and wellbeing needs of carers within its area, (b) steps the integrated care board proposes to take to improve outcomes for carers, and (c) measures for reducing inequalities experienced by carers.”
“(2) In exercising its duties under this section, an integrated care board must have regard to— (a) reduction of health inequalities experienced by carers, (b) prevention of deterioration in carers’ physical and/or mental health, (c) involvement of carers in decisions relating to the care of persons for whom they provide care, and (d) the need to ensure carers are able to access appropriate preventative and other health services and support.”
“(3) For the purposes of this section, "unpaid carer" means a person who provides or intends to provide care for another person otherwise than by virtue of a contract or other voluntary work.”” This new clause would introduce a duty for integrated care boards to identify and record unpaid carers when they come into contact with NHS services. New clause 55— Duty to promote the health and wellbeing of carers — “After section 14Z44 of the NHS Act 2006 insert— “Duty to promote the health and wellbeing of carers (1) Each integrated care board must exercise its functions with a view to improving and maintaining the physical health, mental health, and wellbeing of carers within its area.”
“(2) An integrated care board must make arrangements to ensure that NHS bodies and providers of NHS services within its area— (a) maintain appropriate systems for recording whether a person is an unpaid carer, (b) use consistent coding standards for the recording of unpaid carers in health records, (c) review and update records relating to unpaid carers at appropriate intervals, and (d) ensure that the identification and recording of unpaid carers forms part of— (i) primary care registration processes, (ii) hospital discharge procedures, (iii) care planning processes, and (iv) other relevant patient contact pathways.”
““Urgent” means the current definition under GP triaging protocols.” This new clause requires the Secretary of State to give patients a new right in the NHS constitution to receive a GP appointment within 7 days, or 24 hours if urgent, and establishes a scheme to deliver this. New clause 54— Duty to identify and record unpaid carers — “After section 14Z44 of the NHS Act 2006 insert— “Duty to identify and record unpaid carers (1) An integrated care board must take reasonable steps to identify persons within its area who are unpaid carers.”
“(2) The Secretary of State must amend the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 to make the right under subsection (1) a right in the NHS constitution. (3) The Secretary of State may review the scheme every three years from the day on which this Act is passed and amend it through regulations made by statutory instrument. (4) A statutory instrument under this section may not be made unless a draft has been laid before and approved by a resolution of each House of Parliament. (5) For the purposes of this section— “GP appointment” means an appointment with an appropriate clinician within a GP practice.”
“(5) The Secretary of State must have due regard to the final report of the Independent Commission on Adult Social Care in establishing the scheme.” This new clause gives patients a new right in the NHS constitution to be admitted into A&E within 12 hours from decision to admit and requires the Secretary of State to introduce a scheme to achieve this. New clause 53— Right to a GP appointment — “(1) The Secretary of State must by regulations, within six months of the passing of this Act, establish a scheme to provide every patient with the right to a GP appointment within seven days of seeking one, or 24 hours if urgent.”
“(2) Provision under subsection (1) must by regulations amend the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 to place a right in the NHS Constitution for England for every patient to be admitted into an Accident and Emergency Department within 12 hours of approval of their admission being made. (3) The Secretary of State must establish and implement an Accident and Emergency Scheme (“the Scheme”) to support NHS hospital trusts to achieve the requirement set out in subsection (2). (4) The Scheme must consider— (a) creating safety-net social care beds, (b) increasing step-down care, (c) publishing a dedicated accident and emergency care workforce plan, and (d) mandating a qualified clinician is present in every Accident and Emergency waiting room.”
“New clause 50— Independence of appointments — “The Secretary of State must make provision to ensure that operational decisions regarding the appointment, suspension or removal of— (a) chairs and directors of NHS trusts and NHS foundation trusts, and (b) chief executives of integrated care boards, are made exclusively by persons employed in the civil service, upon strictly merit-based criteria.” This new clause would ensure that any decisions over NHS trusts and ICB leadership are made by civil servants, rather than the Secretary of State, to ensure appointments are made on merit. New clause 51— Accident and Emergency: waiting times ” “(1) Within six months beginning on the day on which this Act is passed, the Secretary of State must make provision relating to Accident and Emergency Department admission.”
“(4) The Secretary of State must report to Parliament each year on the progress made in delivering the action plan.” This new clause would require the Secretary of State to produce an action plan in response to the final report and recommendations of the National Maternity and Neonatal Investigation.”
“New clause 48— National Maternity and Neonatal Investigation final report and recommendations — “(1) The Secretary of State must, within six months of the passing of this Act, publish a response to the final report and recommendations of the National Maternity and Neonatal Investigation. (2) The response under subsection (1) must include an action plan covering each of the recommendations of the Investigation. (3) The action plan must have regard for hospitals— (a) where negligent care has been identified in the provision of maternity and neonatal services, or (b) where risk factors have been identified that are associated with potential negligent care in the provision of maternity and neonatal services.”
“New clause 43— Duty to reduce variation in clinical research funding — “In exercising functions in relation to the health service, the Secretary of State must have regard to the need to— (a) reduce inequalities between the people of England with respect to their ability to access clinical research opportunities and participate in clinical trials, and (b) reduce regional variation in the distribution of clinical research funding across England.” This new clause would require the place a duty on the Secretary of State to reduce inequalities across England with respect to access to clinical research opportunities and participate in clinical trials and the distribution of clinical research funding across. Amendment 46, in schedule 12, page 151, leave out paragraph 98. This amendment is consequential on NC67.”
“New clause 40— Regulation of online fertility services — “(1) The Human Fertilisation and Embryology Act 1990 is amended as follows. (2) After section 5 insert— “5A. Regulation of online fertility services (1) The Human Fertilisation and Embryology Authority shall be responsible for the licensing of organisations providing online fertility services in England and Wales. (2) The Secretary of State may by regulations make further provision regarding the arrangements for the licensing of organisations under subsection (1). (3) Regulations made under subsection (2) are subject to the affirmative procedure.”” This new clause would implement a recommendation of the Human Fertilisation and Embryology Authority to extend its regulatory remit to include organisations providing online fertility services.”
“(4) For the purposes of this section— “community equipment and wheelchair services” means equipment, aids, home adaptations or appliances provided to support a person’s independence, safety, care or daily living at home or in the community, including hoists, hospital beds, pressure-relieving mattresses, commodes, shower chairs, walking frames, grab rails, ramps, specialist seating, postural support equipment, associated mobility equipment, and wheelchairs.” This new clause would require each integrated care board must publish standards which apply in its area in relation to the assessment for and supply of community equipment and wheelchair services and publish an annual report on their adherence to these standards.”
“(3) Each integrated care board must publish an annual report including— (a) performance against the standards under subsection (1), (b) waiting times for the assessment for and supply of community equipment and wheelchair services, (c) the number and proportion of people waiting longer than 18 weeks for such equipment or services, (d) outcomes achieved for people by the provision of community equipment and wheelchair services, and (e) steps taken by the integrated care board to improve the assessment for, and supply of, community equipment and wheelchair services.”
“(5) In determining any expenditure limits or resource allocations for integrated care boards under the National Health Service Act 2006, the Secretary of State must calculate and separately identify the GOS component of each board's allocation. (6) The Secretary of State must lay before Parliament a report in each calendar year assessing the extent to which integrated care boards have complied with their obligations under this section.” New clause 39— Community equipment and wheelchair services: standards, performance and outcomes — “(1) Each integrated care board must publish standards which apply in its area in relation to the assessment for and supply of community equipment and wheelchair services. (2) Each integrated care board must monitor its performance against the standards under subsection (1).”
“(3) An integrated care board must commission GOS in accordance with the national service specification and national tariff established under subsections (1) and (2), and may not exercise any discretion to vary, restrict or reduce provision below the standards so specified. (4) The Secretary of State must ensure that funding for GOS is allocated to integrated care boards as a ring-fenced, protected funding stream, which— (a) may not be applied by an integrated care board to purposes other than GOS; and (b) may not be reduced by an integrated care board in order to meet expenditure requirements in respect of other services.”
“New clause 38— General Ophthalmic Services: national framework, tariff and protected funding — “(1) The Secretary of State must by regulations establish and maintain a national service specification for the primary ophthalmic services referred to in section 115 of the National Health Service Act 2006 (in this section referred to as general ophthalmic services, "GOS"), setting out the minimum standards of access and provision that integrated care boards are required to secure. (2) Regulations under subsection (1) must establish and maintain a national tariff for GOS, setting out the prices at which GOS must be commissioned by integrated care boards.”
“(4) A report under subsection (3) must include— (a) progress on workforce retention; (b) arrangements for the transfer of knowledge, expertise and institutional capability; and (c) any identified gaps in capability and the steps being taken to address them.” This new clause would require the Secretary of State to prepare and lay before Parliament a formal transition strategy before the abolition of NHS England, setting out how critical functions and expertise will be identified, retained and transferred. It would also require the Secretary of State to report to Parliament at least annually on the implementation of that strategy.”
“(2) The strategy must— (a) identify and map critical functions and areas of expertise currently exercised by NHS England, including clinical, operational, analytical and patient engagement capabilities; (b) assess the risk of loss of knowledge, skills and organisational capacity arising from the abolition of NHS England; (c) set out the steps the Secretary of State proposes to take to ensure the retention and effective transfer of such functions, expertise, knowledge and skills; and (d) assess the likely impact of the transition on the delivery of key health programmes and services, including cancer services. (3) The Secretary of State must, at intervals of not more than 12 months, lay before Parliament a report on the implementation of the transition strategy.”
“(3) Regulations under this section are to be made by statutory instrument subject to the affirmative procedure.” New clause 36— Transition strategy for the abolition of NHS England — “(1) The Secretary of State must, before the abolition of NHS England takes effect, prepare and lay before Parliament a report setting out a transition strategy for the abolition of NHS England (the "strategy").”
“(2) The framework established under subsection (1) must include the following provisions— (a) a party may not bid for any contract for services where such services have previously been provided by the party on a free trial basis; (b) the automatic extension of contracts should be subject to audit by the National Audit Office; (c) contract terms must include provision for the department or NHS organisation to take ownership of any bespoke system built or developed by the contractor during the delivery of the contract; (d) the department or NHS organisation must, at the end of the contract period (or following any extensions) conduct a competitive retendering process; and (e) where a retendering process takes place under subsection (2)(d), the contractor may not assist in the preparation of the contract specification.”
“(2) In this section, a data connector means an interface or connection between the NHS Federated Data Platform and any other health system.” New clause 34— Retendering of contract for the NHS Federated Data Platform— “The Secretary of State must, before February 2027, commence a competitive retendering for the contract to provide the NHS Federated Data Platform.” New clause 35— NHS contracting for IT or data services — “(1) The Secretary of State must, within six months of the passing of this Act, by regulations establish a governance framework for the contracting of any IT or data services by the Department of Health and Social Care or any NHS organisation.”
“(2) For the purposes of subsection (1), privacy by design includes— (a) patient data anonymisation outside its usage by clinicians and within the National Data Integration Tenant; and (b) patient consent for the processing of personal information by NHS.” New clause 33— NHS ownership of connection software — “(1) The Secretary of State must ensure that there is NHS ownership of any data connector software architecture used as part of the delivery of the NHS Single Patient Record or Federated Data Platform.”
“(2) Within one month of the publication of the review under subsection (1), the Secretary of State must publish guidance based on the review for the Department of Health and Social Care to administer to NHS trusts.” New clause 32— Privacy by design in NHS Single Patient Record and Federated Data Platform architecture — “(1) The Secretary of State must ensure that there is privacy by design as part of the delivery of the NHS Federated Data Platform architecture.”
“(2) Regulations under this section must make provision for pregnant women to have access to a named clinician for the period of their pregnancy. (3) Regulations under this section are subject to the affirmative procedure.” New clause 29— Senior leadership training at NHS trusts — “(1) Within six months of the passage of this Act, the Secretary of State must publish a review on the effectiveness of training for senior leadership in NHS trusts on— (a) workplace culture standards, (b) addressing bullying, and (c) addressing discrimination on the basis of— (i) sex, (ii) race, and (iii) any other protected characteristic which the Secretary of State considers appropriate.”
“New clause 23 —Duty of care for victims of domestic abuse and violence against women and girls— “The Secretary of State and integrated care boards have a duty of care to consider the needs of victims of domestic abuse and violence against women and girls when exercising their functions in relation to the provision of healthcare services.” This new clause would place a duty of care on the Secretary of State and integrated care boards to consider the needs of victims of domestic abuse and violence against women and girls when exercising their functions in relation to the provision of healthcare services. New clause 25— Continuity of care and clinical responsibility — “(1) The Secretary of State must by regulations ensure that every patient has access to a named NHS General Practitioner.”
“(5) The Secretary of State may issue guidance about the application of this section to which integrated care boards must have regard.” This new clause ensures a certain range of primary care providers are consulted by integrated care boards in the development of their healthcare plans.”
“(3) Under subsection (1), “meaningful involvement” includes— (a) involvement at an early stage in the development of ICB proposals, (b) provision of sufficient information to enable informed participation of primary care providers in ICB functions, (c) opportunities for primary care providers to influence ICB decision making, and (d) opportunities for primary care providers to deliver feedback on how their views have been taken into account in the delivery of ICB functions. (4) An integrated care board must publish an annual statement describing— (a) how it has complied with this section, and (b) the impact of primary care providers’ involvement on decisions taken by the ICB.”
“New clause 22— Duty to engage primary care providers in integrated care boards — “(1) An integrated care board must take all reasonable steps to secure the meaningful involvement of primary care providers in the exercise of its functions relating to— (a) service redesign, (b) integration of health services, (c) development of neighbourhood health services, and (d) population health planning. (2) In this section, “primary care providers” includes— (a) providers of primary medical services, (b) community pharmacy contractors, (c) providers of primary dental services, and (d) providers of ophthalmic services.”
“(2) In appointing a member under subsection (1) an integrated care board must have regard to the member’s potential contribution to improving— (a) patient journeys across services, (b) coordination and continuity of care, (c) prevention and population health management, and (d) integration of services at neighbourhood level.” This new clause would ensure that each integrated care board includes at least one member who is a registered medical practitioner, and has current or recent experience of providing primary medical services under Part 4 of the National Health Service Act 2006.”
“New clause 21— GP representation on integrated care boards — “(1) An integrated care board must include as a member at least one individual who— (a) is a registered medical practitioner, and (b) has current or recent experience of providing primary medical services under Part 4 of the National Health Service Act 2006.”
“(4) The Scheme must make provision to support integrated care boards to— (a) guarantee emergency access to an NHS dentist, (b) provide free dental check-ups for— (i) children, (ii) mothers within one year of having given birth, (iii) pregnant women, and (iv) low-income households, (c) guarantee dental appointments for persons commencing— (i) surgery, (ii) chemotherapy, or (iii) transplant procedures. (5) The Secretary of State must, before publishing the Scheme, issue a reformed dental contract. (6) The Secretary of State must, within six months of the establishment of the scheme, publish a dental workforce plan to support delivery of the scheme.” This new clause would establish a scheme to support integrated care boards to end dental deserts.”