Health Bill 2026-27

NC94

To move the following Clause—
“Medical devices regulation: Great Britain
At the beginning of Part 4 of the Medicines and Medical Devices Act 2021 insert—
“Chapter A1
Medical devices regulations (Great Britain)
14A Licensing of medical devices
(1) The Secretary of State may by regulations (“medical devices regulations”)—
(a) prohibit a person from carrying out the following activities in the course of business otherwise than in accordance with a product licence—
(i) supplying medical devices;
(ii) advertising medical devices;
(b) prohibit a person from carrying out the following activities in the course of business otherwise than in accordance with a personal licence—
(i) manufacturing medical devices;
(ii) importing medical devices;
(iii) supplying medical devices by way of wholesale dealing;
(c) prohibit a person from carrying out a clinical investigation in relation to a medical device otherwise than in accordance with a personal licence.
(2) In subsection (1)(b)(ii) the reference to importing medical devices is to—
(a) importing medical devices into the United Kingdom as a result of their entry into Great Britain, or
(b) removing medical devices to Great Britain from Northern Ireland.
(3) The Secretary of State’s overarching objective in making medical devices regulations, and in exercising any functions under them, is to safeguard public health.
(4) In considering whether the exercise of a function would contribute to that objective, the Secretary of State must have regard to—
(a) the safety of medical devices;
(b) the availability of medical devices;
(c) the likelihood of the United Kingdom being seen as a favourable place in which to—
(i) carry out research relating to medical devices,
(ii) develop medical devices, or
(iii) manufacture or supply medical devices.
(5) In this Chapter—
“personal licence” means a licence, issued by the Secretary of State, authorising the licence holder to carry out an activity mentioned in subsection (1)(b) or (c) in relation to a medical device of a description specified in the licence;
“product licence” means a licence, issued by the Secretary of State, authorising the supply or advertising of a medical device of a description specified in the licence (whether by the licence holder or otherwise).
(6) Nothing in the later provisions of this Chapter limits the breadth of the power conferred by subsection (1).
14B Grant of licences
(1) Medical devices regulations may make provision about the grant of licences.
(2) The provision that may be made includes provision—
(a) requiring the Secretary of State not to grant a licence unless satisfied as to matters specified in the regulations;
(b) requiring the Secretary of State to have regard, in deciding whether to grant a licence, to matters specified in the regulations.
14C Licence conditions
(1) Medical devices regulations may make provision about licence conditions.
(2) The provision that may be made includes provision—
(a) enabling the Secretary of State to include conditions in a licence;
(b) requiring the Secretary of State to include in a licence a condition specified in the regulations;
(c) specifying conditions that, by virtue of the regulations, are to be treated as included in every licence.
(3) The provision that may be made includes provision about the variation of conditions included in a licence.
(4) Conditions may, in particular—
(a) impose requirements on the licence holder, or
(b) in the case of a product licence, impose requirements relating to the supply or advertising (by anyone) of the medical device to which the licence relates.
(5) Conditions imposing requirements on a licence holder may, in particular—
(a) require the monitoring, investigation or evaluation of the safety or performance of a medical device;
(b) require the provision of information to the Secretary of State;
(c) require the appointment by the licence holder of an individual who is resident in the United Kingdom and is authorised or required to act on the licence holder’s behalf in relation to matters of a specified description.
14D Duration of licences etc
Medical devices regulations may make provision about the duration, renewal, variation, suspension, revocation or transfer of licences.
14E Exemptions for public health purposes
(1) Medical devices regulations may authorise the Secretary of State to grant a temporary exemption from any provision of the regulations for the purposes of protecting public health.
(2) The regulations may provide for an exemption to be subject to conditions set out in the regulations or published by the Secretary of State.
14F Register of licences
Medical devices regulations may include provision for or in connection with the establishment of a public register containing information about licences.
14G Offences
(1) Medical devices regulations may create offences in relation to—
(a) a failure to comply with specified provisions of the regulations, or
(b) the provision of false or misleading information to a person for the purposes of anything required or authorised by the regulations.
(2) The regulations must provide for any such offence to be punishable—
(a) on summary conviction in England and Wales, by imprisonment for a term not exceeding the maximum term for summary offences or a fine (or both), or
(b) on summary conviction in Scotland, to imprisonment for a term not exceeding 12 months or a fine not exceeding level 5 on the standard scale (or both).
(3) In subsection (2)(a) “the maximum term for summary offences” means—
(a) if the offence is committed before the time when section 281(5) of the Criminal Justice Act 2003 comes into force, six months;
(b) if the offence is committed after that time, 51 weeks.
14H Enforcement
Medical devices regulations may confer functions on the Secretary of State or a local weights and measures authority in relation to the enforcement of the regulations.
14I Fees
(1) Medical devices regulations may make provision for the charging of fees that are payable—
(a) in connection with an application for the grant of a licence, or
(b) by the holder of a licence.
(2) Fees must not exceed an amount specified in, or determined in accordance with, the regulations.
(3) The amount, or method for determining it, may take into account the cost of exercising any functions conferred by virtue of the regulations.
(4) The regulations may confer power on the Secretary of State to waive fees.
14J Interpretation
(1) In this Chapter—
“clinical investigation” means an investigation that involves human subjects, or specimens from the human body, and is undertaken to assess the safety or performance of a medical device;
“grant” , in relation to a licence, includes vary or renew;
“licence” means a product licence or personal licence;
“manufacturing” includes assembling;
“medical devices regulations” has the meaning given by section 14A(1);
“personal licence” has the meaning given by section 14A(5);
“product licence” has the meaning given by section 14A(5);
“supplying” includes—
(a) agreeing to supply, or
(b) offering or exposing for supply.
(2) In this Chapter—
(a) a reference to doing anything in the course of business includes doing it in connection with the provision of services in pursuance of arrangements made under any legislation;
(b) a reference to the supply of a medical device by way of wholesale dealing includes the supply of it to a person who receives it for the purposes of providing services to a patient or for the purposes of supplying it to a patient.
(3) The Secretary of State may by regulations make provision as to the circumstances in which a person is to be treated, or is not to be treated, as carrying on an activity “in the course of business” for the purposes of section 14A(1).””

This introduces a new power to make regulations for the licensing of medical devices, which is intended to replace the current regulatory regime in Great Britain.

NC95

To move the following Clause—
“Disclosure of information relating to medicines
(1) The Medicines and Medical Devices Act 2021 is amended as follows.
(2) In the heading of Chapter 2 of Part 2 omit “International agreements:”.
(3) In section 8 (disclosure of information in accordance with international agreements)—
(a) in the heading omit “in accordance with international agreements”;
(b) for subsections (2) and (3) substitute—
“(2) The relevant authority may disclose such information—
(a) for the purposes of enabling or facilitating the exercise by a public authority of any of its functions,
(b) for the purposes of enabling or facilitating the carrying out by a person of an activity relating to human medicines,
(c) for the purposes of giving effect to an international agreement or arrangement (and the disclosure that may be made for this purpose includes disclosure to a person outside the United Kingdom),
(d) for the purposes of civil proceedings or the prevention, investigation, detection or prosecution of criminal offences, or
(e) for the purposes of warning members of the public about matters in relation to human medicines.
(3) The relevant authority may not disclose patient information in reliance on subsection (2)(c) without the consent of the person to whom the information relates.
(3A) The relevant authority may not disclose commercially sensitive information in reliance on subsection (2) unless the relevant authority considers that the disclosure is appropriate, having taken into account the public interest as well as the interests of any person to whom the commercially sensitive information relates.
(3B) In considering whether the disclosure of commercially sensitive information in reliance on subsection (2) is appropriate the overarching objective of the relevant authority must be to safeguard public health (taking into account the safety and availability of human medicines) where that is relevant to the disclosure in question.
(3C) Where information to which this section applies is disclosed to a person in reliance on subsection (2)(a), (b), (c) or (d), the person may not use or further disclose the information except—
(a) with the agreement of the relevant authority and for a purpose mentioned in subsection (2), or
(b) in accordance with an enactment or order of a court or tribunal.”;
(c) in subsection (4), for “subsections (5) and” substitute “subsection”;
(d) omit subsection (5);
(e) in subsection (6)—
(i) omit the “or” at the end of paragraph (a);
(ii) at the end of paragraph (b) insert
“, or
(c) contravenes any obligation or restriction created or arising by or under the Windsor Framework, whether or not an obligation or restriction to which section 7A(2) of the European Union (Withdrawal) Act 2018 applies.”;
(f) in subsection (8)—
(i) omit the definition of “relevant person”;
(ii) at the appropriate place insert—
““Windsor Framework” has the meaning given by section 20(1) of the European Union (Withdrawal) Act 2018.””

This creates a general information-sharing gateway for the Secretary of State and Department of Health in Northern Ireland in respect of information about human medicines. At the moment the statutory gateway is limited to disclosures made in accordance with international agreements.

NC96

To move the following Clause—
“Integrated care boards: duty as to visiting etc
After section 14Z36 of the National Health Service Act 2006 insert—
“14Z36A Duty as to visiting etc
(1) Each integrated care board must, in the exercise of its functions, promote appropriate opportunities for anyone provided with accommodation in pursuance of arrangements made by the board to receive visitors.
(2) Each integrated care board must, in the exercise of its functions, promote the option for relevant patients attending hospitals or hospices provided in pursuance of arrangements made by the board to have someone accompany them, so far as appropriate.
(3) In subsection (2) “relevant patient” means an outpatient, day patient or other person attending a hospital or hospice for the provision of care or treatment that does not involve an overnight stay.””

This broadly requires an integrated care board to promote appropriate opportunities for those who are provided with accommodation in pursuance of arrangements made by the board to receive visitors and the option for outpatients and day patients etc to have someone accompany them.

NC97

To move the following Clause—
“Care and support: involvement of others and visitors
In section 1 of the Care Act 2014 (promoting individual well-being), in subsection (3)—
(a) after paragraph (e) insert—
“(ea) the importance of the individual being able to involve other people in such decisions and of those people receiving the information and support necessary to facilitate that involvement;”;
(b) after paragraph (f) insert—
“(fa) the importance of the individual having appropriate opportunities to receive visitors;
(fb) in the case of a person who is provided with accommodation in a care home, the importance of them having appropriate opportunities to take trips outside of the care home;”.”

Section 1(3) of the Care Act 2014 lists matters to which local authorities must have regard when exercising functions under Part 1 of that Act. The amendments refer to the importance of an individual being able to involve other people in decisions and to receive visitors etc.

NC98

To move the following Clause—
“Disclosure of information relating to medical devices
(1) Section 39 of the Medicines and Medical Devices Act 2021 (disclosure of information relating to medical devices) is amended as follows.
(2) For subsections (2) to (7) substitute—
“(2) The Secretary of State may disclose such information—
(a) for the purposes of enabling or facilitating the exercise by a public authority of any of its functions,
(b) for the purposes of enabling or facilitating the carrying out by a person of an activity relating to medical devices,
(c) for the purposes of giving effect to an international agreement or arrangement (and the disclosure that may be made for this purpose includes disclosure to a person outside the United Kingdom),
(d) for the purposes of civil proceedings or the prevention, investigation, detection or prosecution of criminal offences, or
(e) for the purposes of warning members of the public about matters in relation to a medical device.
(3) The Secretary of State may not disclose patient information in reliance on subsection (2)(c) without the consent of the person to whom the information relates.
(4) The Secretary of State may not disclose commercially sensitive information in reliance on subsection (2) unless the Secretary of State considers that the disclosure is appropriate, having taken into account the public interest as well as the interests of any person to whom the commercially sensitive information relates.
(5) In considering whether the disclosure of commercially sensitive information in reliance on subsection (2) is appropriate the overarching objective of the Secretary of State must be to safeguard public health (taking into account the safety and availability of medical devices) where that is relevant to the disclosure in question.”
(3) In subsection (8)—
(a) in the words before paragraph (a), for “subsection (3) or (4)” substitute “ subsection (2)(a), (b), (c) or (d)”;
(b) in paragraph (a), for “subsection (3) or (4)” substitute “subsection (2)”.
(4) In subsection (10)(c), for “the Protocol on Ireland/Northern Ireland in the EU withdrawal agreement” substitute “the Windsor Framework (as defined by section 20(1) of the European Union (Withdrawal) Act 2018)”.
(5) In subsection (12)—
(a) omit the definition of “relevant person”;
(b) at the appropriate place insert—
““Windsor Framework” has the meaning given by section 20(1) of the European Union (Withdrawal) Act 2018.””

This expands the purposes for which information about medical devices may be shared by the Secretary of State.

NC99

To move the following Clause—
“Further and consequential amendments relating to medical devices
(1) The Medicines and Medical Devices Act 2021 is amended as follows.
(2) Omit Chapter 1 of Part 4 (medical devices - regulations: general).
(3) The repeal of Chapter 1 of Part 4 of the Medicines and Medical Devices Act 2021 by subsection (2) does not affect any regulations made under section 15(1) of that Act before its repeal in so far as they extend to Northern Ireland.
(4) In section 21 (compliance notices)—
(a) in subsection (1) omit “involved in marketing or supplying a medical device”;
(b) in subsection (1A)(a), for “15” substitute “14A(1)”;
(c) for subsection (5) substitute—
“(5) Where—
(a) there is a failure to comply with a medical devices provision as it extends to Northern Ireland, and
(b) the person mentioned in subsection (1) is a manufacturer for the purposes of any provision in the EU Medical Devices Regulations,
a notice under subsection (2) may be served on the manufacturer or on another person who has been designated by the manufacturer to act as their representative (or both).
(5A) Nothing in subsection (5) limits the circumstances in which a notice can otherwise be given to a person by giving it to someone on their behalf.”
(5) In section 34 (recovery of expenses of enforcement), in subsection (1)(a), before paragraph (i) insert—
“(ai) regulations under section 14A(1),”
(6) In section 42 of the Medicines and Medical Devices Act 2021 (interpretation of Part 4), in subsection (2) omit the definition of “manufacturer”.
(7) For section 43 substitute—
“43 Power to make consequential etc provision
(1) Regulations under this Act may make consequential provision.
(2) The Secretary of State may by regulations—
(a) make provision that—
(i) is consequential on regulations under section 14A(1) (medical devices regulations in Great Britain), and
(ii) extends to Northern Ireland;
(b) make provision that—
(i) is consequential on regulations under section 14K(1) (power to restate medical devices law in Northern Ireland), and
(ii) extends to England and Wales or Scotland.
(3) The provision that may be made by regulations under section 14A(1) by virtue of subsection (1) of this section, or by regulations under subsection (2)(b) of this section, includes provision amending—
(a) an Act (including this Act),
(b) an Act of the Scottish Parliament, or
(c) an Act of Senedd Cymru.
(4) The provision that may be made by regulations under section 14K(1) by virtue of subsection (1) of this section, or by regulations under subsection (2)(a) of this section, includes provision amending—
(a) an Act (including this Act), or
(b) Northern Ireland legislation.
(5) Regulations under this Act may—
(a) make supplementary, incidental, transitional, transitory or saving provision;
(b) make different provision for different purposes;
(c) make different provision for different areas;
(d) make provision for all cases to which the power applies or for those cases subject to specified exceptions or for any specified cases or descriptions of case.
(6) This section does not apply in relation to—
(a) regulations under sections 50 or 51 (commencement and transitional provision);
(b) regulations under paragraph 9 of Schedule 2 (supplementary provision about civil sanctions).”
(8) In section 45 (consultation), in subsection (3)—
(a) for “15(1)” substitute “14A(1)”;
(b) for “15” substitute “14A(4)”.
(9) In section 47 (regulations: procedure), for subsection (3C) (inserted by section 73 of this Act) substitute—
“(3C) Regulations under Part 4—
(a) are subject to the negative procedure if they contain only provision made in reliance on paragraph 9 of Schedule 2 (supplementary 30 provision about civil sanctions);
(b) are subject to the draft affirmative procedure if they are not within paragraph (a).
(3D) Regulations under Part 5—
(a) are subject to the negative procedure if they do not contain provision made in reliance on section 43(3) or (4);
(b) are subject to the draft affirmative procedure if they are not within paragraph (a).”
(10) Omit Part 6 (duty to report on operation of medicines and medical devices legislation within 5 years of passing of Act).
(11) In Schedule 2 (medical devices: civil sanctions)—
(a) in paragraph 1(1), before paragraph (a) insert—
“(za) regulations under section 14A(1),”
(b) in paragraph 4(1)(a), before sub-paragraph (i) insert—
“(ai) regulations under section 14A(1),”
(c) in paragraph 5(1)(a), before sub-paragraph (i) insert—
“(ai) regulations under section 14A(1),”
(d) in paragraph 13(1), in paragraph (a), after “under” insert “regulations under section 14A(1),””

NC100

To move the following Clause—
“Power to amend meaning of “medical device”
In section 42 of the Medicines and Medical Devices Act 2021 (interpretation of Part 4), after subsection (2) insert—
“(3) The Secretary of State may by regulations make provision about the meaning of “medical device” in this Part (including by amending this section).””

NC101

To move the following Clause—
“Power to restate medical devices law in Northern Ireland
After section 14J of the Medicines and Medical Devices Act 2021 (inserted by section (Medical devices regulation: Great Britain) of this Act) insert—
“Chapter A2
Power to restate law in Northern Ireland
14K Power to restate law in Northern Ireland
(1) The Secretary of State may by regulations restate, to any extent, the Northern Ireland medical devices legislation.
(2) In this section, “the Northern Ireland medical devices legislation” means—
(a) regulations under section 15(1) (before its repeal by section (Medical devices regulation: Great Britain) of the Health Act 2026),
(b) the Medical Devices Regulations 2002 (S.I. 2002/618),
(c) the Medical Devices (Northern Ireland Protocol) Regulations 2021, and
(d) the EU Medical Devices Regulations.
(3) A restatement may use words or concepts that are different from those used in the law being restated.
(4) A restatement may make any change which the Secretary of State considers appropriate for one or more of the following purposes—
(a) resolving ambiguities;
(b) removing doubts or anomalies;
(c) facilitating improvement in the clarity or accessibility of the law (including by omitting anything which is legally unnecessary).
(5) The provision that may be made by the regulations may be made by modifying any enactment.””

This confers a regulation-making power to restate the legislation about medical devices in Northern Ireland. For Great Britain, the existing law will be replaced by the new licensing regulations. This power allows the law for Northern Ireland to be restated (with minor changes of the kind often found in consolidation Acts).

NC92

To move the following Clause—
“Duty to report on the regulation of cosmetic surgery
(1) Within three months of the passing of this Act, the Secretary of State must publish a report assessing the effectiveness and safety of current regulation of the cosmetic surgery.
(2) The report under subsection (1) must investigate regulatory measures regarding professional checks on the providers of cosmetic surgery, including whether they—
(a) are registered medical practitioners;
(b) have completed recognised specialist surgical training; and
(c) hold Cosmetic Surgery Board Certification, or an equivalent certification, accreditation or qualification.
(3) The report must also consider the safety of current regulations of the premises where cosmetic surgery procedures are undertaken.”

This new clause would require the Secretary of State to prepare a report assessing the regulation of cosmetic surgery.

NC93

To move the following Clause—
“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.
(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).
(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.
(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.

NC102

To move the following Clause—
“Report on impact on health of social media addiction
(1) The Secretary of State must, within six months of the passage of this Act, commission a report on the impact on health of social media addiction.
(2) The report under subsection (1) must consider and make recommendations concerning—
(a) the mental health effects of social media addiction;
(b) the physical health effects of social media addiction; and
(c) the effects of social media addiction on demand for NHS services.
(3) The Secretary of State must lay a copy of the report with proposed actions to minimise the health harms of social media addiction before both Houses of Parliament.”

This new clause would require the Secretary of State to commission a report considering the impact on health of social media addiction.

NC103

To move the following Clause—
“Communication with parents of critically ill children
(1) The Secretary of State must, within 12 months of the passing of this Act, issue guidance to integrated care boards on communication with parents of critically ill children, with particular reference to major decisions in the child’s treatment and care.
(2) Guidance issued under subsection (1) must—
(a) make provision for ensuring that parents have been fully consulted and are fully informed of decisions concerning the care or treatment of their child and the rationale behind such decisions;
(b) make provision, where potentially life-ending or life-changing decisions are to be made, to facilitate parents in accessing an independent specialist second opinion;
(c) make provision, where there is a disagreement between parents and clinicians on the care or treatment of a child, for the appointment of an independent mediator;
(d) make provision, following the advice of an independent specialist second opinion, for transfer of the child to another hospital, subject to appropriate clinical safeguards;
(e) make provision, prior to the death of a child, for family members to be given access to the child, whether in the hospital, a children’s hospice or the family home.
(3) Guidance issued under subsection (1) must have regard to Article 2 of the European Convention on Human Rights.”

This new clause would require the Secretary of State to issue guidance to integrated care boards concerning their role in communicating with parents of critically ill children, and involving them in decision-making.

NC104

To move the following Clause—
“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.
(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.

NC105

To move the following Clause—
“Lewes constituency: 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 the Lewes constituency.
(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 the Lewes constituency.

NC106

To move the following Clause—
“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.
(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.

NC107

To move the following Clause—
“Fracture liaison services: implementation framework
(1) The Secretary of State must, within six months of the passing of this Act, publish an implementation framework for ensuring universal access to fracture liaison services in England by 2030.
(2) The framework must set out—
(a) the minimum standards expected of fracture liaison services;
(b) the steps to be taken to reduce unwarranted variation in access and quality between integrated care board areas;
(c) the respective responsibilities of integrated care boards and NHS trusts;
(d) the workforce, diagnostic, digital and data requirements necessary to support implementation; and
(e) arrangements for identifying people at risk of further fragility fractures and ensuring that they receive appropriate assessment, treatment and follow-up.
(3) The Secretary of State must make a statement to Parliament each year, until 2030, setting out progress towards universal access to fracture liaison services.”

This new clause would require the Secretary of State to publish an implementation framework for ensuring universal access to fracture liaison services in England by 2030.

NC108

To move the following Clause—
“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.
(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.”

NC109

To move the following Clause—
“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.
(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.
(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.
(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.”

60

Clause 21, page 15, line 34, at end insert “—
(a) at least one member nominated jointly by the local authorities whose areas coincide with, or include the whole or any part of, the integrated care board’s area, and

This amendment restores the requirement for integrated care boards to have at least one member nominated jointly by the local authorities whose areas coincide with, or include the whole or any part of, the integrated care board’s area (as well as any new mayoral nominated member).

61

Clause 21, page 16, line 1, leave out from “for” to “as” in line 3 and insert “nominating the ordinary members mention in sub-paragraph (2).
(2)A person participating in the process for nominating the ordinary members”

This is consequential on amendment 60.

62

Clause 21, page 16, line 9, at end insert—
““local authority” has the meaning given by section 2B(5);”

This is consequential on amendment 60.

63

Clause 27, page 20, line 13, at end insert—
“(4) In section 271 (territorial limit of exercise of functions), in subsection (3), after paragraph (a) insert—
“(aa) Chapter 4 of Part 2 (Special Health Authorities),”.”

Section 271(1) of the NHS Act 2006 provides that ministerial functions under that Act are generally exercisable only in relation to England. This amendment creates an exception for powers to establish Special Health Authorities etc since they may be used to carry out certain functions beyond England (eg operating information systems).

64

Clause 39, page 29, line 5, leave out subsection (8)

This removes an unnecessary amendment to subsections (7B) and (7H) of section 75 of the NHS Act 2006 (those subsections are removed entirely by clause 40(3) of the Bill).

65

Clause 70, page 49, line 1, leave out from “supply),” to end of line 7 and insert— “for subsection (2), substitute—
“(2) The provision that may be made in reliance on subsection (1)(a) includes provision that—
(a) refers to international agreements, including such agreements as they have effect from time to time;
(b) refers to international standards, including such standards as they have effect from time to time;
(c) refers to United Kingdom standards that are specified in a list published by the Secretary of State from time to time.””

This amendment standardises the provisions enabling the Secretary of State to make regulations referring to international standards and agreements (already in section 16(2) of the Medicines and Medical Devices Act 2021), and United Kingdom standards (inserted by this Bill).

66

Clause 72, page 50, line 2, leave out “or 4” and insert “4 or 5”

This is consequential on NC99 and ensures that regulations under new section 43(2) of the Medicines and Medical Devices Act 2021 are subject to the consultation requirements imposed by new section 45(1ZA) (which is inserted by clause 72).

67

Clause 79, page 54, line 19, at end insert—
“(ea) section 61 (sections 56 to 60: interpretation);”

This is a technical amendment which ensures that the interpretation provisions in clause 61 relied on by clauses 56, 58 and 59 will have the same extent as those clauses.

68

Clause 79, page 54, line 23, leave out “Section 71 extends” and insert “Sections 71 and (Medical devices regulation: Great Britain) extend”

This is consequential on NC94.

69

Clause 79, page 54, line 23, at end insert—
“(3A) Section (Power to restate medical devices law in Northern Ireland) extends to Northern Ireland only.”

This is consequential on NC101.

70

Schedule 1, page 73, line 33, leave out from “for” to end of line and insert ““NHS England may recognise a committee formed for an area which it is satisfied” substitute “An integrated care board may recognise a committee formed for an area that includes the whole or part of the integrated care board’s area if it is satisfied that the committee”.”

This amendment makes the geographical extent of a local pharmaceutical committee which can be recognised by an integrated care board consistent with the geographical extent of other, similar committees (for other examples, see paragraphs 12(2), 24(2) and 37(2) of Schedule 1).

71

Schedule 1, page 74, line 6, leave out sub-paragraph (5).

This amendment is consequential on amendment 70.

72

Schedule 12, page 150, line 15, at end insert—
“Mental Capacity Act 2005
91A In Schedule AA1 to the Mental Capacity Act 2005 (deprivation of liberty: authorisation of arrangements enabling care and treatment) (as inserted by section 1 of the Mental Capacity (Amendment) Act 2019), for paragraph 8, substitute—
“8 In paragraph 6(1)(d)
“NHS continuing healthcare” has the meaning given by section 12(10) of the Care Act 2014.””

See the explanatory statement to amendment 73.

73

Schedule 12, page 191, line 36, at end insert—
“328A In section 12 (further provision about assessments), for subsection (10) substitute—
“(10) “NHS continuing healthcare” has the meaning given by regulations.””

This amendment and amendments 74 and 72 are consequential on the repeal by clause 16 of section 6E of the National Health Service Act 2006 and accompanying regulations. Existing regulations contain a definition of “NHS continuing healthcare” which this would replace with a power to define the term in regulations.

74

Schedule 12, page 192, line 7, at end insert—
“329A In section 52 (supplementary provision about provider failure), for subsection (10) substitute—
“(10) “NHS continuing healthcare” has the meaning given by section 12(10).””

See the explanatory statement to amendment 73.

75

Schedule 12, page 197, line 26, at end insert—
“Access to Medical Treatments (Innovation) Act 2016
369A (1)Section 2 of the Access to Medical Treatments (Innovation) Act 2016 (database of innovative treatments) is amended as follows.
(2)I
n subsection (1) for
“Health and Social Care Information Centre (“the HSCIC”)”
substitute
“Secretary of State”
.
(3)In subsection (3)(a) in the words before sub-paragraph (i), for
“HSCIC”
substitute
“Secretary of State”
.
(4)In subsection (4)(a) and (b) for “HSCIC” substitute “Secretary of State”.
(5)Omit subsection (6).”

This is a consequential amendment to section 2 of the Access to Medical Treatments (Innovation) Act 2016, which would replace references to the Health and Social Care Information Centre with references to the Secretary of State, and remove a requirement for the Secretary of State to consult with the Centre before making regulations.

NC24

To move the following Clause—
“Strategy for provision of Minor Injuries Units and Urgent Treatment Centres in rural areas
(1) Within six months of the passage of this Act, the Secretary of State must prepare and publish a strategy for expanding the provision of Minor Injuries Units and Urgent Treatment Centres in rural areas.
(2) The strategy under subsection (1) must be laid before both Houses of Parliament.
(3) The Secretary of State must lay a report before both Houses of Parliament on the implementation of the strategy every 12 months after the strategy has been published.”

This new clause would require the Secretary of State to prepare a strategy for expanding the provision of Minor Injuries Units and Urgent Treatment Centres in rural areas and report on the implementation of the strategy annually.

NC25

To move the following Clause—
“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.
(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.”

NC26

To move the following Clause—
“Patient safety recommendations: national oversight
(1) The Secretary of State must establish a scheme relating to the oversight of patient safety recommendations (“the scheme”).
(2) The scheme must make provision for the monitoring and delivery of patient safety recommendations arising from—
(a) investigations,
(b) inquiries,
(c) reviews, and
(d) other patient safety bodies,
relating to patient safety.
(3) Within one year beginning on the day on which this Act is passed and every subsequent year, the Secretary of State must lay a report before Parliament on the progress of the scheme.”

NC27

To move the following Clause—
“Duty of candour and enforcement of standards of ethical conduct in DHSC
(1) In discharging its expected standards of ethical conduct, the Department of Health and Social Care (DHSC), must, in particular—
(a) set out the steps DHSC will take to ensure that legal services provided to NHS bodies and other relevant health-related organisations are consistent with the statutory duty of candour and the principles of openness, transparency and learning following patient safety incidents,
(b) set out which oversight body is responsible for ensuring the standards set out in DHSC code of ethical conduct are adhered to and enforced,
(c) set out provisions to allow a relevant oversight body to examine, on its own initiative, suspected serious or systemic breaches of DHSC’s code of ethical conduct,
(d) set out a mechanism for ensuring that any breaches of DHSC’s code of ethical conduct are recorded and that proper data is kept and published that records the extent to which complaints have been made regarding its ethical conduct and their outcome.”

NC28

To move the following Clause—
“Review of NHS neurodiversity policy
(1) Within six months of the passage of this Act, the Secretary of State must publish a review on—
(a) standards of NHS care for neurodiverse people,
(b) the effectiveness of current NHS trust policies regarding care for neurodiverse patients,
(c) the quality of training and guidance for frontline NHS staff in supporting neurodiverse patients, and
(d) health outcomes for neurodiverse patients at NHS trusts.
(2) The review under subsection (1) must be laid before both Houses of Parliament.”

NC29

To move the following Clause—
“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.
(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.”

NC30

To move the following Clause—
“Review into acute stroke support services in rural areas
(1) Within six months of the passage of this Act, the Secretary of State must publish a review of acute stroke support services in rural areas.
(2) The review under subsection (1) must include an evaluation of—
(a) decision making processes,
(b) evidence used to justify decisions,
(c) public consultation processes,
(d) health outcomes,
(e) travel times for access to services, and
(f) impact on the NHS workforces.”

NC31

To move the following Clause—
“Somerset: 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 Somerset.
(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.”

NC32

To move the following Clause—
“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) 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.”

NC33

To move the following Clause—
“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) In this section, a data connector means an interface or connection between the NHS Federated Data Platform and any other health system.”

NC34

lan Sollom

To move the following Clause—
“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.”

NC35

To move the following Clause—
“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) 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.
(3) Regulations under this section are to be made by statutory instrument subject to the affirmative procedure.”

NC36

To move the following Clause—
“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 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.
(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.

NC37

To move the following Clause—
“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.
(3) Requirements under subsection (2) include—
(a) standardisation of the maximum number of rounds of IVF available to one individual,
(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.

NC38

To move the following Clause—
“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.
(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.
(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 allocaton.
(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.”

NC39

To move the following Clause—
“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) 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.
(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.

NC40

To move the following Clause—
“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.

NC41

To move the following Clause—
“Remit of the Human Tissue Authority
(1) The Secretary of State must, within six months of the passing of this Act, by order under section 14(4) of the Human Tissue Act 2004, amend the remit of the Human Tissue Authority to include the regulation of funeral directors, private mortuaries, direct cremation services and other organisations which transport or hold the bodies of deceased persons for the purposes of ensuring that the carrying out of their functions is consistent with the protection of public health.
(2) The Authority must establish and maintain a register of the bodies subject to its oversight under subsection (1).
(3) The Secretary of State may by regulations make further provision regarding the establishment and operation of the register under subsection (2).
(4) Regulations made under subsection (3) are subject to the affirmative procedure.”

This new clause would require the Secretary of State to extend the remit of the Human Tissue Authority to include regulation of funeral service providers to ensure their activities are consistent with the protection of public health; and to maintain a register of those bodies subject to its regulation.

NC42

To move the following Clause—
“Oversight of funeral service provider premises and practices connected to the storage, preparation and movement of human remains
(1) The Secretary of State may by regulations establish a body corporate, or confer functions on an existing public authority, ("the Regulator") to provide oversight of the premises and practices connected to the storage, preparation and movement of human remains by funeral service providers in England.
(2) The purpose of the Regulator is to ensure that the activities undertaken under subsection (1) are consistent with the protection of public health.
(3) The Regulator shall be independent in the exercise of its functions and shall not be regarded as a servant or agent of the Crown.
(4) Regulations under this section may, in particular, make provision for—
(a) a scheme for the registration of funeral service providers;
(b) the inspection of premises, vehicles and other facilities used by registered providers for the storage, preparation, care or transportation of deceased persons, or from which funeral services are arranged or conducted;
(c) the publication and enforcement of a code of practice for the funeral services sector; and
(d) the imposition of sanctions, including suspension or removal from the register, for breach of that code.
(5) Before making regulations under this section, the Secretary of State must consult—
(a) providers of funeral services;
(b) such persons representing the interests of bereaved people as the Secretary of State considers appropriate; and
(c) such other persons as the Secretary of State considers appropriate.
(6) Regulations under this section are subject to the affirmative procedure.”

NC43

To move the following Clause—
“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.

NC44

To move the following Clause—
“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 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.
(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.

NC45

To move the following Clause—
“Secretary of State directions relating to early access to medicines
(1) The Secretary of State may give directions to any of the bodies mentioned in subsection (2) about the implementation of a scheme providing early access to medicines to people with life-threatening or seriously debilitating conditions.
(2) The bodies are—
(a) integrated care board,
(b) NHS Trusts,
(c) NHS Foundation Trusts,
(d) NHS Advanced Foundation Trusts, and
(e) other health and social care bodies.”

This new clause would give the Secretary of State power to direct integrated care boards, NHS Trusts, NHS Foundation Trusts, and NHS Advanced Foundation Trusts to implement a scheme to provide early access to medicines to people with lifethreatening or seriously debilitating conditions.

NC46

To move the following Clause—
“Prioritising British citizens for the UK foundation programme
(1) The Medical Training (Prioritisation) Act 2026 is amended as follows.
(2) In section 4, after subsection (4) insert—
“(4A) A person is within this subsection if they—
(a) are a British citizen,
(b) have indefinite leave to remain under the Immigration Act 1971, or
(c) have settled status under the EU Settlement Scheme, and
(d) 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, people with indefinite leave to remain, or settled status who have studied at international branch campuses of UK higher education institutions can be prioritised for foundation programme training places.

NC47

To move the following Clause—
“Review of the Early Access to Medicines Scheme
(1) The Secretary of State must, within six months of the passing of this Act, commission a review of the regime for early and accelerated access to medicines in England and Wales.
(2) The review conducted under subsection (1) must consider—”

NC48

To move the following Clause—
“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 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.
(4) The Secretary 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.

NC49

To move the following Clause—
“National Guardian's Office
(1) Within three months beginning on the day which this Act is passed, the Secretary of State must re-establish the National Guardian's Office.
(2) The Office established under subsection (1) must—
(a) hold any responsibilities held by the National Guardian's Office as of 29 June 2026; and
(b) be operationally independent.”

This new clause will re-establish the National Guardian’s Office.

NC50

To move the following Clause—
“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.

NC51

To move the following Clause—
“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.
(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 bed,
(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.
(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.

NC52

To move the following Clause—
“Cancer treatment: waiting times
(1) Within six months beginning on the day on which this Act is passed, the Secretary of State must make provision for every patient to have access to cancer treatment within 62 days following referral.
(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 have access to cancer treatment within 62 days following referral.
(3) The Secretary of State must establish a scheme to support NHS hospital trusts in meeting the requirement under subsection (1).
(4) As part of the Scheme, the Secretary of State must expand the capacity of the Medicines and Healthcare products Regulatory Agency.
(5) The Secretary of State must make an annual statement to Parliament on progress made in meeting the requirement under subsection (1).
(6) Any statement made under subsection (5) should be made as close as reasonably practicable to 4 February.”

This new clause would give patients a right under the NHS constitution to start cancer treatment within 62 days of referral and requires the Secretary of State to establish a scheme to deliver this. It also requires the Secretary of State to update the House on progress against the target on or around the time of World Cancer Day.

NC53

To move the following Clause—
“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) 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.
“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.

NC54

To move the following Clause—
“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) 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.
(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.

NC55

To move the following Clause—
“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) 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 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) 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.
(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.

NC57

lan Byrne

lan Lavery

To move the following Clause—
“Integrated Care Boards: Scrutiny Committee
(1) Each integrated care board must establish a Scrutiny Committee.
(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) The Committee must comprise of—
(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.
(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.”

NC58

To move the following Clause—
“Torbay Hospital: construction work
(1) The Secretary of State must ensure that construction on Torbay hospital is completed by 2030.
(2) 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 construction work on Torbay Hospital is completed by 2030.

NC59

To move the following Clause—
“Torbay: 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 Torbay constituency.
(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 Torbay.

NC60

To move the following Clause—
“St Mark’s Hospital, Maidenhead: Walk-in urgent care centre
(1) The Secretary of State must ensure that a walk-in urgent care centre at St Mark’s Hospital in Maidenhead is open by 30 August 2027.
(2) 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 a walk-in urgent care centre is opened at St Marks Hospital in Maidenhead by 30/08/2027.

NC61

To move the following Clause—
“Harrogate and Knaresborough: 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 Harrogate & Knaresborough.
(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 Harrogate and Knaresborough.

NC62

To move the following Clause—
“Eastleigh: 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 Eastleigh.
(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 Eastleigh.

NC63

To move the following Clause—
“Social Care
(1) Within 3 months beginning on the day on which this Act is passed, the Secretary of State must lay before Parliament detailed proposals for reform of the social care sector.
(2) Proposals under subsection (1) must include provision for—
(a) a respite care scheme;
(b) reform of carers allowance;
(c) free personal care; and
(d) a cap on care costs.”

This new clause would require the Secretary of State to lay before Parliament plans to reform the social care sector, including free personal care, a cap on care costs and that delivers for family carers.

NC64

To move the following Clause—
“Chichester: 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 Chichester.
(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 Chichester.

NC65

To move the following Clause—
“North Devon District Hospital: maternity services
(1) Within 3 months of the passage of this Act, the Secretary of State must reopen birthing services at North Devon District Hospital.
(2) In meeting the requirement under subsection (1) the Secretary of State must ensure that the workforce at North Devon District Hospital is sufficient to ensure consistent and safe staffing levels.”

This new clause would require the Secretary of State to reopen maternity services at North Devon District Hospital within 3 months of the passage of this Act.

NC66

To move the following Clause—
“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 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.

NC67

To move the following Clause—
“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.
(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.
(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.
(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.
(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. 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.

NC68

To move the following Clause—
“Report on dementia care
(1) Within 12 months of the passage of this Act and every 12 months thereafter, the Secretary of State must publish and lay before both Houses of Parliament a report on—
(a) the provision of NHS care in relation to dementia.
(b) the provision of social care in relation to dementia.
(2) A report under subsection (1) must have regard to—
(a) any targets or standards set out in a national plan, guidance, or framework relating to dementia services, and
(b) any other information the Secretary of State considers appropriate.
(3) A report under subsection (1) must include—
(a) an assessment of variation in dementia services and outcomes between Integrated Care Board areas,
(b) information on workforce capacity, capability and training standards relevant to dementia care,
(c) information on access to ongoing post-diagnostic support services, including support for unpaid carers of dementia patients,
(d) information on continuity and coordination of care for people living with dementia, including access to a named professional responsible for coordinating support across services,
(e) outcomes and experiences for people living with dementia and unpaid carers, including crisis prevention, carer wellbeing, and experiences of joined-up care,
(f) progress on dementia prevention and risk reduction, and
(g) dementia research activity in the NHS.”

This new clause would require the Secretary of State to publish an annual report on the provision of NHS care and social care in relation to dementia.

NC69

To move the following Clause—
“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.

NC70

To move the following Clause—
“Frome and East Somerset constituency: 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 Frome and East Somerset constituency.
(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 Frome and East Somerset constituency.

NC71

To move the following Clause—
“Stratford-on-Avon constituency: 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 Stratford-on-Avon constituency.
(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 Stratford-on-Avon constituency.

NC72

To move the following Clause—
“Provision of Minor Injuries Units in Rural Areas
(1) The Secretary of State must, within 12 months of the passing of this Act, publish and implement a strategy to improve access to minor injuries units in rural communities.
(2) The strategy under subsection (1) must include measures to—
(a) expand, maintain and protect existing minor injuries units serving rural populations;
(b) ensure that integrated care boards assess local demand for urgent treatment services in rural constituencies and make provision accordingly, and
(c) promote the recruitment and retention of healthcare professionals required to staff such facilities.
(3) The Secretary of State must lay before Parliament an annual report on—
(a) the number and geographical distribution of minor injuries units in England;
(b) changes in patient access to urgent care services in rural areas; and
(c) progress made in implementing the strategy required under subsection (1).
(4) In this section, “rural constituency” means a parliamentary constituency designated as predominantly rural by the Office for National Statistics or such successor body as may be prescribed by regulations.”

This new clause would require the Secretary of State to expand and safeguard minor injuries units in rural communities with the aim of improving access to urgent care, reducing pressure on major hospitals, and ensuring equitable healthcare provision regardless of geography.

NC73

To move the following Clause—
“Basingstoke and North Hampshire Hospital: construction work
(1) The Secretary of State must ensure that construction on Basingstoke and North Hampshire hospital is underway by 2030.
(2) 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.”

NC74

To move the following Clause—
“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.
(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).
(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.

NC75

To move the following Clause—
“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, 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.
(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.
(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.

NC76

To move the following Clause—
“West Dorset: 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 West Dorset.
(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 West Dorset.

NC77

To move the following Clause—
“Newbury: 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 Newbury.
(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 Newbury.

NC78

To move the following Clause—
“Royal Hampshire County Hospital: construction work
(1) The Secretary of State must ensure that construction on Royal Hampshire County Hospital is completed by 2030.
(2) 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 construction work on Royal Hampshire County Hospital is completed by 2030.

NC79

To move the following Clause—
“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 cared 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.
(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.

NC80

To move the following Clause—
“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.
(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.
(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.

NC84

To move the following Clause—
“Thornbury and Yate constituency: 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 Thornbury and Yate constituency.
(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 Thornbury and Yate constituency.

NC85

To move the following Clause—
“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.
(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.

NC86

To move the following Clause—
“Compassionate access to innovative treatments
(1) In exercising their functions in relation to the health service, the Secretary of State must by regulations make provision for compassionate access to innovative treatments, involving substances listed in Schedule 1 of the Misuse of Drugs Regulations 2001, for patients with serious or life-threatening conditions in circumstances where conventional treatments have been unsuccessful, unsuitable, or unavailable.
(2) Regulations made under this section must make provision for the authorisation, supply, possession, administration and supervision of such treatments, notwithstanding any restriction imposed by or under the Misuse of Drugs Act 1971 or the Misuse of Drugs Regulations 2001, including provision for—
(a) appropriate clinical and regulatory safeguards;
(b) approval arrangements for participating clinicians, providers and pharmacies; and
(c) case-by-case decision-making having regard to clinical need, patient safety, and available evidence.
(3) For the purposes of this section, a serious or life-threatening condition is defined as a condition involving a substantial risk to life or serious impairment of health or functioning.
(4) Regulations under this section are to be made by statutory instrument subject to the affirmative procedure.”

This new clause would require the Secretary of State to make provision for compassionate access to innovative treatments, involving substances listed in Schedule 1 of the Misuse of Drugs Regulations 2001, for patients with serious or life-threatening conditions in certain circumstances.

NC87

To move the following Clause—
“Research into innovative treatments involving controlled substances
(1) The Secretary of State must by regulations take steps to enable and support the development of research relating to innovative treatments, which use substances listed in Schedule 1 of the Misuse of Drugs Regulations 2001.
(2) Regulations made under this section must make provision, for—
(a) the lawful possession, supply, administration, production and importation of such substances for the purposes of clinical trials or other research activities approved in accordance with regulations made by the Secretary of State, notwithstanding any prohibition or restriction imposed by or under the Misuse of Drugs Act 1971 or the Misuse of Drugs Regulations 2001; and
(b) proportionate and timely arrangements relating to the approval, licensing and oversight of authorised research activities under this section.
(3) Provision under subsection (2) applies to—
(a) approved research bodies,
(b) authorised researchers, and
(c) participating healthcare providers,
and specified substances used for approved research purposes, and does not alter the schedule or classification of a substance.
(4) Regulations under this section are to be made by statutory instrument subject to the affirmative procedure.”

This new clause would require the Secretary of State to take steps to enable and support the development of research relating to innovative treatments, which use substances listed in Schedule 1 of the Misuse of Drugs Regulations 2001.

NC88

To move the following Clause—
“New Hospital Programme: publication of multi-criteria decision analysis (MCDA) reports
(1) Within three months beginning on the date on which this Act is passed, the Secretary of State must publish the MCDA reports used to determine the prioritisation of schemes and their allocation to waves within the New Hospital Programme.
(2) The information published under subsection (1) must include—
(a) the multi-criteria decision support analysis tool used to prioritise schemes;
(b) the input data used in that analysis for each hospital in the New Hospital Programme;
(c) the scoring mechanism used in that analysis;
(d) any assessment of estate condition, including data from the NHS England Estate Return Information Collection;
(e) any assessment of patient safety, service disruption or maintenance backlog;
(f) any assessment of the presence of reinforced autoclaved aerated concrete;
(g) any assessment of the risks associated with delaying individual schemes; and
(h) any review of the appropriateness of the input data or scoring mechanism by NHS England or the Department of Health and Social Care.
(3) The Secretary of State may redact information published under this section where publication would—
(a) prejudice commercial negotiations,
(b) disclose personal data, or
(c) endanger the safety or security of patients, staff or NHS premises.
(4) Where information is redacted under subsection (3), the Secretary of State must publish a statement explaining the reason for the redaction.
(5) The Secretary of State must lay the reports and information published under this section before Parliament.”

This new clause requires the Secretary of State to publish the criteria, input data and scoring mechanism used to determine the prioritisation of schemes and their allocation to waves within the New Hospital Programme. Whilst the input data was obtained from publicly available sources, the MCDA reports are currently not publicly available.

NC89

To move the following Clause—
“New Hospital Programme: estate failure
(1) Within six months beginning on the date on which this Act is passed, the Secretary of State must review whether hospitals experiencing significant estate failure are being appropriately prioritised within the New Hospital Programme.
(2) For the purposes of subsection (1), “significant estate failure” includes the closure, partial closure or restricted use of hospital buildings because of structural, safety or infrastructure failures.
(3) In prioritising schemes within the New Hospital Programme, the Secretary of State must ensure that hospitals experiencing significant estate failure are treated with the same urgency as hospitals affected by reinforced autoclaved aerated concrete.
(4) The Secretary of State must publish the outcome of the review in subsection (1).”

This new clause requires the Secretary of State to review whether hospitals experiencing significant estate failure are being appropriately prioritised within the New Hospital Programme, and to ensure that such hospitals are treated with the same urgency as RAAC-affected hospitals.

NC90

To move the following Clause—
“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.
(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.
(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.
(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.””

NC91

To move the following Clause—
“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.
(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.
(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.”

37

Clause 6, page 4, line 11, at end insert—
“(1A) For the purposes of subsection (1) the Secretary of State must ensure that innovation in the provision of health services is supported and developed equitably across all regions of England, including by reducing inequalities in clinical research funding and clinical research capacity between different regions of England.”

This amendment would ensure that in exercising their duty to promote innovation in the provision of health services, the Secretary of State must ensure that innovation in the provision of health services is supported and developed equitably across all regions of England.

38

Clause 11, page 6, line 28, leave out lines 28 and 29 and insert—
“(1) Where the geographic area covered by an integrated care board sits within a Mayoral Combined Authority, the relevant Mayor may give integrated care boards directions as to the exercise of their functions.
(1A) Where the geographic area covered by an integrated care board does not sit within a Mayoral Combined Authority, the Secretary of State may give integrated care boards directions as to the exercise of their functions.”

This amendment would give direction-making powers over integrated care boards to Combined Authority Mayors where boards sit within their authority. The Secretary of State would retain direction-making power where there is no relevant Combined Authority Mayor.

39

Clause 11, page 7, line 4, after “Secretary of State” insert “or relevant Combined Authority Mayor”

This amendment is consequential on Amendment 38.

40

Clause 11, page 7, line 11, after “Secretary of State” insert “or relevant Combined Authority Mayor”

This amendment is consequential on Amendment 38.

53

Clause 14, page 10, leave out lines 40 to 44 and insert—
“(a) confers functions on integrated care boards in relation to commissioning primary care services, including the provision of alternative general medical services for patients who—
(i) are unable to obtain appropriate care from the general practice responsible for their usual catchment area, or
(ii) no longer reasonably feel able or comfortable to receive care from that general practice,
(b) requires integrated care boards to make arrangements to support access to such alternative provision where it is necessary to meet the reasonable requirements of those patients,
(c) transfers related functions from NHS England to the Secretary of State, and
(d) contains other amendments relating to primary care services.”

This amendment would require integrated care boards to support and arrange alternative general practice provision for patients who cannot access appropriate care from their usual catchment GP practice, or who reasonably no longer feel able or comfortable receiving care from that practice.

32

Clause 16, page 12, line 10, at end insert—
“(3) Regulations under this section must make provision requiring integrated care boards to make arrangements which ensure that community equipment and wheelchair services are provided within 18 weeks of the date on which a person is assessed as requiring such equipment or services.
(4) For the purposes of subsection (3)—
“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 amendment would require the Secretary of State to make regulations which would require integrated care boards to ensure that community equipment and wheelchair services are provided within 18 weeks of the date on which a person is assessed as requiring such equipment or services.

34

Clause 16, page 12, line 16, at end insert—
“(1A) The regulations must impose a duty on integrated care boards to make provision for any person with a terminal illness diagnosis to be offered a conversation with a relevant healthcare professional about their needs for end-of-life care, including their—
(a) mental and physical health support needs, and
(b) financial support needs.
(1B) For the purposes of subsection (1A), if a person with a terminal illness diagnosis is unable to have the conversation, an integrated care board must ensure that the person’s next-of-kin are offered a conversation.
(1C) The regulations must make provision for any relevant authorities to have regard to the needs identified in a conversation under subsection (1A).”

This amendment would require the Secretary of State to make regulations which make provision for the any person with a terminal illness diagnosis to be offered a conversation with a relevant authority about their needs for end-of-life care.

28

Clause 16, page 12, line 22, at end insert—
“14Z45BA Patient choice: community services substituting for consultant-led elective care
(1) The Secretary of State must by regulations make provision to enable patients to make choices in respect of non-consultant-led community services where those services are commissioned as a direct substitute for, or to prevent a referral to, consultant-led elective services.
(2) For the purposes of subsection (1), a service is to be regarded as a direct substitute for, or intended to prevent a referral to, consultant-led elective services if it—
(a) provides assessment, treatment or management for a condition that would otherwise be referred to a secondary care specialist; or
(b) is commissioned by an integrated care board for the purpose of reducing or managing demand on secondary or elective care.
(3) Services to which this section applies include, but are not limited to—
(a) community audiology services;
(b) community glaucoma management and monitoring services; and
(c) minor eye conditions services.
(4) Regulations made by virtue of this section must ensure that—
(a) patients are offered a choice of any clinically appropriate provider commissioned under a qualifying NHS contract for the relevant service;
(b) no limitation on the number of providers from which a patient may choose is imposed solely on grounds of cost or demand management; and
(c) patients are provided with information enabling them to make an informed choice, including information about waiting times and quality.
(5) An integrated care board must not commission a community service of a kind falling within subsection (2) in a manner which has the effect of restricting patient choice below the standard that would apply to an equivalent consultant-led elective service.”

36

Clause 20, page 15, line 25, at end insert—
“(2A) Performance assessments must include details of how each integrated care board is meeting its duty to provide palliative care services or facilities to meet the reasonable requirements of the people for whom it has responsibility.
(2B) For the purposes of subsection (2A) the following guidance are considered reasonable requirements—
(a) NICE guideline [NG31] “Care of dying adults in the last days of life 2015”,
(b) NICE guideline [NG142] “End of life care for adults: service delivery 2019”,
(c) NICE quality standard [QS13] “End of life care for adults 2021”,
(d) NHS England “Palliative and End of Life Care” Statutory Guidance for Integrated Care Boards (September 2022).”

This amendment would require annual performance assessments to incorporate an assessment of whether each integrated care board is providing a reasonable standard of palliative and end of life care.

45

Page 15, line 29, leave out Clause 21

29

Clause 21, page 15, line 38, at end insert—
“(2A) The constitution must provide for the ordinary members appointed as mentioned in sub-paragraph (1)(b) to include at least one member nominated jointly by the local authorities whose areas coincide with, or include the whole or any part of, the integrated care board's area.”

This amendment would require integrated care boards to have a member jointly nominated by local authorities from within the board's area.

30

Clause 21, page 16, line 3, leave out from “mayor” to “must” and insert “or local authority nominating an ordinary member as mentioned in sub-paragraphs (2) and (2A)”

This amendment is consequential on Amendment 29 and would require a local authority involved in nominating a member of an integrated care board to have regard to guidance published by the Secretary of State.

31

Clause 21, page 16, line 9, at end insert—
““local authority” has the meaning given by section 2B;”

This amendment is consequential on Amendments 29 and 30 and defines the term “local authority”.

55

Clause 42, page 30, line 29, at end insert—
“(5) After subsection (6) insert—
“(7) Where the Secretary of State is satisfied that a pharmacy provider has materially failed to comply with contractual, patient-safety or workforce obligations, the Secretary of State may by direction require the relevant integrated care board—
(a) to suspend or terminate arrangements with that provider, where appropriate,
(b) to make arrangements with another provider for the provision of pharmaceutical services,
(c) to secure continuity of the supply of medicines and other pharmaceutical services, and
(d) to take such other emergency measures as may be specified in the direction.
(8) A direction under subsection (7) may be given where the Secretary of State considers that there is a significant risk to patient safety, continuity of medicines supply or the provision of pharmaceutical services.
(9) The Secretary of State must ensure that arrangements made under subsection (7) are implemented as soon as reasonably practicable.
(10) A direction under subsection (7) must specify the period for which it has effect and must be published.””

This amendment would enable intervention where a pharmacy provider seriously fails to meet contractual, safety or workforce obligations, ensuring continuity of services and medicines supply.

58

Clause 42, page 30, line 29, at end insert—
“(7) Where a situation or event has resulted, or is likely to result, in the closure, failure or disruption of a provider of pharmaceutical services, the Secretary of State and the relevant integrated care board must provide such assistance and support as is necessary to enable a new provider to establish or continue the provision of pharmaceutical services.
(8) Assistance or support under subsection (7) may include facilitating and establishing a relationship between a new provider and the manufacturers or suppliers of medicines and other pharmaceutical products.
(9) The assistance and support under subsection (7) must be available, in particular, where a new provider is—
(a) taking over premises previously operated by a provider of pharmaceutical services that has failed or closed,
(b) taking over premises where there has been evidence of serious misconduct, including malpractice or failure to pay staff, or
(c) an independent provider or a provider which is not part of a large company operating multiple pharmacy premises.
(10) The purpose of assistance and support under this section is to enable the new provider to secure supplies of medicines and other pharmaceutical products as quickly as reasonably practicable and to minimise any interruption in the provision of pharmaceutical services.”

This amendment would require the Government and integrated care boards to support new and independent pharmacy owners taking over failing, closed or disrupted pharmacies, including by helping them establish relationships with pharmaceutical manufacturers and suppliers so that they can secure medicines and other supplies quickly and maintain continuity of service.

59

Clause 47, page 32, line 15, after subsection (4) insert—
“(4A) In determining the amount to be allotted to an integrated care board under subsection (1), the Secretary of State must have regard to the additional costs of providing health services in rural and coastal communities.
(4B) The matters to which the Secretary of State must have regard under subsection (4A) include—
(a) rurality,
(b) population age,
(c) transport and travel costs,
(d) seasonal changes in demand,
(e) recruitment and retention difficulties,
(f) the loss of economies of scale arising from sparsely populated communities, and
(g) unmet need for primary medical, dental and pharmaceutical services.
(4C) The Secretary of State must ensure that the methodology used in determining allotments does not rely predominantly on measures of deprivation where those measures fail adequately to reflect the costs or unmet need as set out in subsection (4B).
(4D) The Secretary of State must publish the methodology used in determining allotments under this section and must review that methodology at intervals of not more than five years.”

This amendment would require ICB funding allocations to reflect the additional costs and unmet health needs of rural and coastal communities.

44

Clause 47, page 33, line 20, at end insert—
“(f) require the integrated care board to use a portion of the designated amount for the provision of social care services and support for the health and wellbeing of unpaid carers.”

This amendment would allow the Secretary of State to require that certain funds allocated to an integrated care board be used for the provision of social care services and support for the health and wellbeing of unpaid carers.

26

Clause 51, page 35, line 38, after “available” insert “for the purpose of delivering or improving patient health or social care”

42

Clause 51, page 36, line 1, leave out “health” and insert “direct patient”

This amendment clarifies that the Secretary of State’s regulation-making powers in respect of the single patient record are limited to the provision of direct patient care and social care.

43

Clause 51, page 36, line 11, leave out “including” and insert “solely for the purposes of”

This amendment would ensure that regulations requiring or authorising the making available of patient information through the single patient record system can only make provision in respect of the circumstances set out in the Bill.

27

Clause 51, page 36, line 21, leave out lines 21 to 23

35

Clause 51, page 36, line 21, at end insert—
“The regulations must make provision for patient information to be readily available to providers of palliative and end-of-life care including voluntary sector providers.”

This amendment would ensure the single patient record is available to all palliative and end of life care providers.

52

Schedule 1, page 57, line 15, at end insert—
“83B Primary care estate investment programme
(1) The Secretary of State must establish and maintain a programme for providing capital funding for the improvement and modernisation of premises used for the provision of primary medical services.
(2) The programme must prioritise practices where premises—
(a) are no longer fit for purpose,
(b) require substantial repair, adaptation or modernisation, or
(c) otherwise materially restrict the provision of safe, accessible or effective primary medical services.
(3) The Secretary of State must ensure that the process for applying for and accessing capital funding under this section is proportionate and does not impose unnecessary administrative burdens.
(4) The arrangements must be designed to ensure that a viable provider of primary medical services is not prevented from carrying out essential improvements because of insufficient access to capital funding.
(5) In this section “premises” includes premises owned, leased or otherwise occupied for the provision of primary medical services.”

This amendment would establish a capital funding programme to improve and modernise primary care and General Practice premises.

50

Schedule 1, page 57, line 26, at end insert—
“5A after section 87 insert—
“87A Sustainable funding for general practice
(1) The Secretary of State must ensure that arrangements for payments under general medical services contracts provide for sustained investment in general practice.
(2) In exercising functions under this section, the Secretary of State must have regard to the role of general practice in—
(a) preventing illness,
(b) managing long-term conditions,
(c) providing care in the community, and
(d) reducing avoidable hospital admissions.
(3) Arrangements for funding general practice must have regard to the volume, complexity and value of care delivered through general practice.
(4) The Secretary of State must publish, for each financial year, a statement setting out how the arrangements for payments under general medical services contracts are intended to support the matters in subsections (1) to (3).””

This amendment would require sustained investment in general practice reflecting the volume, complexity and value of care provided.

51

Schedule 1, page 57, line 26, at end insert—
“5A After section 87 insert—
“87A Rural and coastal general practice funding
(1) Arrangements for payments under general medical services contracts must take account of the additional costs of delivering primary medical services in rural and coastal communities.
(2) The factors to which arrangements under subsection (1) must have regard include—
(a) rurality,
(b) the age profile of the population,
(c) transport and travel costs,
(d) seasonal changes in demand,
(e) difficulties in recruiting and retaining staff, and
(f) the loss of economies of scale arising from sparsely populated communities.
(3) The Secretary of State must ensure that the funding arrangements under this section are reviewed periodically and amended where necessary to reflect changes in the costs of providing services in rural and coastal areas.””

This amendment would require GP funding to reflect the additional costs of providing services in rural and coastal areas.

47

Schedule 1, page 60, line 6, at end insert—
“99C Dental training hubs
(1) The Secretary of State must make arrangements for the establishment and support of dental training hubs in areas where there is an unmet need for NHS dental services.
(2) The arrangements under subsection (1) must include provision for dental training hubs in Dorset, including provision in west Dorset.
(3) In exercising the duty under subsection (1), the Secretary of State must work with—
(a) universities and other providers of approved dental education and training,
(b) local authorities, and
(c) integrated care boards and other NHS bodies.
(4) The purpose of dental training hubs is to—
(a) increase the capacity for dental education and training,
(b) increase the availability of NHS dental services in areas of unmet need,
(c) strengthen the recruitment and retention of the dental workforce, and
(d) support the development of the long-term dental workforce.
(5) Arrangements under this section must provide for students in the final year of an approved course of dental education to provide NHS dental treatment under appropriate supervision.
(6) Treatment provided by a student under subsection (5) must—
(a) be NHS treatment carried out on an NHS patient,
(b) be provided under the supervision of a suitably qualified dental professional, and
(c) be free at the point of use to the patient where the supervising provider is receiving, or is entitled to receive, the relevant NHS tariff or other NHS payment in respect of that treatment.
(7) A dental training hub must provide, or participate in, structured pathways into dental apprenticeships and other appropriate employment-based dental training.
(8) Arrangements under this section must include measures to support retention of dental professionals trained through the hubs to meet future workforce commitments.
(9) In this section “dental training hub” means a facility or network of facilities at which dental education, supervised clinical training and NHS dental service provision are integrated.”

This amendment would establish dental training hubs in areas of unmet need, including Dorset and west Dorset, to expand training, improve NHS dental access and strengthen the workforce.

48

Schedule 1, page 60, line 6, at end insert—
“99C Allocation of NHS dental funding according to unmet need
(1) The Secretary of State must make arrangements to ensure that NHS dental funding is allocated according to local unmet need.
(2) Where funding allocated for primary dental services in a financial year is not used for the purpose for which it was allocated, the Secretary of State must ensure that, so far as reasonably practicable, that funding is redirected to measures designed to increase access to NHS dental services.
(3) Measures under subsection (2) may include—
(a) additional NHS dental capacity,
(b) additional NHS dental appointments,
(c) measures to reduce waiting times,
(d) outreach dentistry,
(e) domiciliary dental services, and
(f) dental services provided in or in connection with schools.
(4) The arrangements must include mechanisms to ensure that funding allocated for the purpose of increasing access results, so far as is reasonably practicable, in additional NHS dental capacity, appointments or reduced waiting times.
(5) In making arrangements under this section, the Secretary of State must have particular regard to people who face barriers to travelling to dental services, including older people, people with disabilities, vulnerable people and schoolchildren.”

This amendment would require dental funding to reflect local unmet need and redirect unused funding towards improving access.

49

Schedule 1, page 60, line 22, after paragraph 18 insert—
“18A After section 103 insert—
“103A Rural and local-need factors in NHS dental funding
(1) Directions made under section 103 must provide for NHS dental funding arrangements to take account of local need.
(2) In making provision under subsection (1), the Secretary of State must have proper regard, in particular, to—
(a) the rurality of the area,
(b) the age profile of the population,
(c) the population who have disabilities
(d) local transport and travel costs,
(e) seasonal changes in demand for services,
(f) difficulties in recruiting and retaining dental professionals, and
(g) the loss of economies of scale arising from sparsely populated communities.
(3) Provision made under section 103 must proportionately weight other measures alongside deprivation when determining the level of NHS dental funding required in an area.
(4) The Secretary of State must every three years review and by regulations amend the factors mentioned in subsection (2).””

This amendment would require dental funding to properly take account of rurality, local need, travel costs, workforce challenges and other factors alongside deprivation.

56

Schedule 1, page 64, line 34, at end insert—
“45A After section 133 insert—
“133A Emergency intervention in pharmaceutical services
(1) Where an integrated care board considers that a person providing pharmaceutical services is failing, or is likely to fail, materially to comply with—
(a) a contractual obligation,
(b) a patient-safety requirement, or
(c) a workforce obligation,
the board must consider whether emergency intervention is required to protect patients or continuity of pharmaceutical services.
(2) Where the board considers that emergency intervention is required, it may—
(a) require the provider to take specified remedial action,
(b) suspend specified arrangements,
(c) terminate arrangements with the provider,
(d) make arrangements with another provider for the provision of pharmaceutical services, or
(e) take any combination of the steps in paragraphs (a) to (d).
(3) The powers in subsection (2) must be exercised with regard to the need to maintain continuity of medicines supply and protect patients from avoidable disruption.
(4) An integrated care board must not continue arrangements with a provider where it is satisfied that the provider is demonstrably unfit to provide pharmaceutical services safely and effectively.
(5) Before exercising a power under subsection (2), the board must, except in an emergency, give the provider a reasonable opportunity to make representations.
(6) Nothing in this section prevents an integrated care board from taking immediate action where delay would materially risk patient safety or continuity of medicines supply.””

This amendment would give integrated care boards powers to intervene where a pharmacy provider is failing to provide their required services to protect patients and medicines supply.

57

Schedule 1, page 72, line 40, at end insert—
“(3D) Regulations made under subsection (1) must ensure that the remuneration arrangements for pharmaceutical services take account of the costs of providing those services in rural and sparsely populated areas.
(3E) In making provision under subsection (3D), the determining authority must have regard to—
(a) rurality,
(b) the age profile of the population,
(c) transport and distribution costs,
(d) seasonal changes in demand,
(e) difficulties in recruiting and retaining staff, and
(f) the loss of economies of scale arising from sparsely populated communities.
(3F) The remuneration arrangements must be designed to support the financial sustainability of pharmacies providing essential NHS services in rural and sparsely populated areas.
(3G) The Secretary of State must review the operation of the remuneration arrangements periodically and make such changes as are necessary to ensure that the matters in subsections (3D) to (3F) continue to be reflected.”

This amendment would require pharmacy funding to reflect the additional costs of providing services in rural and sparsely populated areas.

54

Schedule 8, page 106, line 33, at end insert—
“5A After section 254 insert—
“254A Interoperability of health and social care information systems
(1) The Secretary of State must make regulations requiring providers of NHS health services to use interoperable digital information systems.
(2) Regulations under subsection (1) must apply, so far as appropriate, to—
(a) providers of primary medical services,
(b) providers of primary dental services,
(c) providers of pharmaceutical services,
(d) NHS trusts,
(e) NHS foundation trusts, and
(f) providers of community health services.
(3) The regulations must provide for the secure exchange of relevant patient information between providers using interoperable systems.
(4) The regulations must include provision for electronic prescribing across NHS care settings where prescribing is clinically appropriate.
(5) The Secretary of State must ensure that the arrangements under this section are designed to—
(a) reduce duplication,
(b) reduce unnecessary administrative work,
(c) improve continuity of care,
(d) reduce avoidable delays in diagnosis, treatment and referral, and
(e) enable clinicians to access relevant information securely when providing care.
(6) Regulations under this section must include appropriate requirements relating to information governance, cyber security, patient confidentiality and the lawful processing of personal data.
(7) Before making regulations under this section, the Secretary of State must consult such persons as the Secretary of State considers appropriate, including representatives of general practice, hospitals, community services and patients.””

This amendment would require interoperable NHS digital systems to improve information sharing, reduce duplication and support continuity of care.

41

Schedule 8, page 112, leave out lines 1 and 2 and insert—
“23 For section 274A (Secretary of State’s guidance about NHS England data functions) substitute—
“274A Secretary of State’s guidance in respect of their data functions
(1) The Secretary of State must publish guidance about the exercise of—
(a) their relevant data functions, and
(b) their other functions in connection with their relevant data functions.
(2) Before publishing guidance under this section the Secretary of State must consult any other persons that the Secretary of State considers appropriate in relation to the guidance.
(3) The Secretary of State must have regard to the guidance published under this section.””

This amendment would transfer the existing statutory requirement for published guidance about data functions from NHS England to the Secretary of State.

25

Page 112, line 18, leave out Schedule 9

46

Schedule 12, page 151, leave out paragraph 98

This amendment is consequential on NC67.

33

Schedule 12, page 156, line 28, at end insert—
“(c) must publish any evidence the Secretary of State has received in respect of the impact of the proposal.”

NC1

To move the following Clause— “National Maternity Commissioner (1) The Secretary of State must, within six months of the passing of this Act, appoint a National Maternity Commissioner, situated within the Department of Health and Social Care. (2) The functions of the National Maternity Commissioner are to— (a) oversee NHS maternity services; (b) act as an independent voice for women and families; (c) ensure lessons are learned from identified failures and that the recommendations of maternity reviews are acted upon; (d) promote consistency, safety and accountability across NHS maternity services; and (e) advise the Secretary of State on matters relating to the safety, quality and provision of maternity services in England. (3) The person appointed as Commissioner must- (a) be a person with knowledge, expertise and experience relevant to the discharge of functions of the role; (b) have first-hand experience of working in maternity services, so far as reasonably possible; and (c) not be a sitting Member of Parliament.”

NC2

To move the following Clause— “Assessment of risks posed by contracts with non-UK based suppliers (1) Within six months of the passing of this Act, the Secretary of State must conduct and lay before Parliament a risk assessment of all contracts between NHS organisations and suppliers based outside of the UK. (2) In conducting an assessment under this section, the Secretary of State must— (a) pay particular regard to contracts which provide technology companies with access to confidential patient data; (b) consult national security experts on the risks posed to UK sovereignty by such contracts; (c) consider risks associated with the sharing of confidential patient data with organisations based outside of the UK; (d) assess public and NHS staff attitudes to relevant suppliers and any implications such attitudes may have on the use and effectiveness of products or services provided under the contract; and (e) consider the background of relevant suppliers, known contracts with other states and organisations, and any relevant ethical considerations. (3) Where any significant risk is identified, the Secretary of State must set out the Government’s intentions to manage and mitigate such risks, including its intention to use or develop domestic technologies, systems or products in place of those provided under the relevant contract.”

NC3

To move the following Clause— “Duty on the Secretary of State to prioritise domestic suppliers In the National Health Service Act 2006, after section 1CC (inserted by section 6 of this Act) insert— 1CD Duty to prioritise domestic suppliers (1) In exercising functions in relation to the health and care service, the Secretary of State must prioritise the awarding of any contract that will involve the handling of NHS patient data to suppliers based in the United Kingdom. (2) The Secretary of State may only seek to procure technology and information systems which will handle NHS patient data from suppliers based outside of the United Kingdom where a viable domestic alternative does not exist. (3) Before signing any contract for the procurement of technology and information systems which will handle NHS patient data with a supplier based outside of the United Kingdom, the Secretary of State must consult with— (a) patient groups, (b) national security experts, and (c) staff unions, on the proposed contract and lay a report on such a consultation before Parliament. (4) Where it is proposed to sign a contract for the procurement of technology and information systems which will handle NHS patient data with a supplier based outside of the United Kingdom, the Secretary of State must arrange for a motion agreeing to the signing of such a contract to be tabled in each House of Parliament, and no such contract may be signed where a motion for its agreement is negatived by either House of Parliament. (5) If a contract is awarded for the procurement of technology and information systems which will handle NHS patient data with a supplier based outside of the United Kingdom, the Secretary of State must place a statement before both Houses of Parliament setting out whether the Government is taking, or is planning to take, steps to develop or support long-term domestic alternatives to the systems provided by the contract.”

NC4

To move the following Clause— “NHS Digital Sovereignty Strategy (1) The Secretary of State must, within 12 months of the passing of this Act, publish a strategy (“an NHS Digital Sovereignty Strategy”) which sets out the Government’s approach to maintaining the security and resilience of relevant NHS information systems by— (a) assessing, managing and mitigating risks— (i) associated with foreign interference, (ii) arising from reliance on foreign-supplied technologies, and (b) preventing over-reliance on foreign providers by building domestic capacity. (2) For the purposes of this section, a “relevant information system” is an information system with access to NHS patient data. (3) An NHS Digital Sovereignty Strategy published under this section must— (a) include risks associated with— (i) hardware, (ii) software, (iii) supply chains, and (iv) procurement processes; (b) include a specific focus on security and resilience in digital procurement processes, detailing how the Government intends to reduce strategic dependencies on foreign-owned service providers to mitigate the risk of systemic disruption; (c) include a commitment to prioritise the use of technologies developed in the UK by UK organisations in relevant information systems to reduce reliance on foreign technologies; (d) recommend steps to support and develop sufficient domestic capability where it does not currently exist; (e) where risks are identified, state how the Government intends to address these risks by supporting the use or development of domestic technologies or systems.”

NC5

To move the following Clause— “Health Data Charter (1) The Secretary of State must, within 6 months of the passing of this Act, establish an independent body (to be known as the “Sovereign Health Data Trust”) for the purpose of creating a Health Data Charter. (2) The membership of the Trust should include— (a) people with a diverse range of backgrounds; and (b) health data experts, clinicians and patient representatives. (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; (c) ensure patients have control of their data, including providing relevant opt-outs; (d) provide that all health data is held anonymously and accessed through a trusted research environment; (e) set out ways to retain and protect the value of health data in England, including providing measures to invest a share of the income generated from new medicines or treatments developed with that health data to be invested back into the NHS; (f) be designed in such a way as to render it interoperable with the European Health Data Space in technical terms, including through the promotion of Findable, Accessible, Interoperable and Reusable (FAIR) data principles within the NHS. (4) The Sovereign Health Data Trust will— (a) hold continuous oversight of all health data and oversee the trusted research environment; (b) have power to recall or restrict an organisation’s access to data if it has reason to believe that the data is not being used for public or patient benefit; (c) ensure that all data sharing arrangements with a non-NHS organisation are transparent, with all health data contracts entered into by a public body made publicly available; (d) publish detailed minutes of all meetings discussing potential uses of health data; and (e) ensure all health data collection and sharing initiatives are preceded by public consultation, involvement and awareness.”

NC6

To move the following Clause— “Maternity Safety (1) The Secretary of State must ensure that every NHS maternity unit is rated “good” or “outstanding” by the CQC. (2) The Secretary of State must, within 6 months of the passage of this Act, establish a scheme to support NHS trusts to deliver the requirement under subsection (1), which includes— (a) 24/7 consultant obstetrician cover on every labour ward, (b) one-to-one midwifery care, (c) a Director of Midwifery in every maternity service, (d) ringfenced maternity service development funding, and (e) a dedicated neonatal workforce plan. (3) Within 12 months of the commencement of the scheme under subsection (2), and every 12 months thereafter, an annual report should be laid before both Houses of Parliament on the effectiveness of the scheme.”

NC7

To move the following Clause— “Healthy life expectancy target (1) Within six months of the passage of this Act, the Secretary of State must— (a) make regulations to set a statutory target for improving overall healthy life expectancy for the population of Great Britain, and (b) publish a cross-governmental strategy, renewed every 24 months, to set out how the target set by regulations under subsection (1)(a) will be achieved. (2) The strategy under subsection (1)(b) must be laid before both Houses of Parliament. (3) Upon publication of a strategy under subsection (1)(b) the Secretary of State must make a statement before the House of Commons regarding progress made towards the target set by subsection (1)(a).”

NC8

To move the following Clause— “Impact of trade deals on the NHS (1) Any trade negotiation which would require NHS spending or funding to exceed £100 million must be laid before Parliament by the Secretary of State in the form of regulations subject to the affirmative procedure. (2) Before laying regulations under subsection (1) the Secretary of State must publish an impact assessment about how the trade negotiation will affect NHS frontline services and patients.”

NC9

To move the following Clause— “Powers for coroners and medical examiners to report suspected health system failings (1) The Secretary of State must, by regulations, establish a standard mechanism for coroners and medical examiners to refer cases where they suspect failings in the provision of health care. (2) A coroner or a medical examiner has a duty to report (a “duty to whistleblow”) using the mechanism established under subsection (1) if, in the course of their duties, they have reasonable grounds to suspect that a death or incident involved systemic failings in a health care setting. (3) A referral under this section must be directed to any or all of the following bodies, as the coroner or medical examiner considers appropriate, based on the nature of the suspected failing— (a) the chief officer of police for the relevant police area, (b) the Care Quality Commission, (c) the Department of Health and Social Care, and (d) the Health Services Safety Investigations Body. (4) Regulations under subsection (1) must specify— (a) the information to be included in a referral, (b) the timeframe within which a referral must be made following the formation of a suspicion, and (c) guidance on the criteria for determining to which of the bodies listed in subsection (3) the referral must be directed. (5) A disclosure made in fulfilment of the duty under subsection (2) is a protected disclosure for the purposes of Part 4A of the Employment Rights Act 1996 (protection for whistleblowing). (6) The duties imposed by this section are in addition to, and do not affect, a senior coroner’s duty to make a report under paragraph 7 of Schedule 5 to the Coroners and Justice Act 2009 (reports on action to prevent other deaths).”

NC10

To move the following Clause— “Duty of NHS boards to report medical malpractice (1) A member of the board of directors of an NHS trust or an NHS foundation trust in England must report any evidence or reports they have seen of systemic medical malpractice within the trust to— (a) the Care Quality Commission, (b) the Department of Health and Social Care, and (c) the Health Services Safety Investigations Body. (2) The board of directors of an NHS trust or NHS foundation trust in England has a collective duty to— (a) refer the trust to the Care Quality Commission, and (b) alert the Department of Health and Social Care and the Health Services Safety Investigations Body, if staff employed by, or acting on behalf of, the trust raise concerns of systemic medical malpractice. (3) In this section, “systemic medical malpractice” means an action or omission in the provision of health care that falls below the expected standard of care and indicates a widespread, patterned, or recurring failure within the systems, processes, or governance of the trust.”

NC11

To move the following Clause— “Duty as respects waiting times for women’s health In the National Health Service Act 2006, after section 1CC (inserted by section 6 of this Act) insert— “1CD Duty as respects waiting times for women’s health The Secretary of State must exercise functions in relation to the health service with a view to ensuring that average waiting times for the diagnosis and elective treatment of conditions primarily affecting women do not exceed the overall average waiting times for NHS diagnosis and elective treatment.””

NC12

To move the following Clause— “Inquiry into women’s health outcomes (1) The Secretary of State must, within six months of the passing of this Act, commission an independent inquiry into women’s health provision and outcomes in England. (2) Any inquiry established under subsection (1) must consider— (a) the causes of— (i) poorer health outcomes, and (ii) disparities in patient safety, for women; (b) the effectiveness of existing commissioning arrangements in meeting the needs of women, and (c) recommendations to assist the Secretary of State in discharging the duty to reduce inequalities in health outcomes under section 1C of the National Health Service Act 2006. (3) The Secretary of State must lay a report on the findings of the inquiry before Parliament within the period of 12 months beginning with the day on which this Act is passed.”

NC13

To move the following Clause— “Medical Disinformation (1) The Secretary of State must, within 6 months beginning on the day on which this Act is passed, publish a strategy on anti-vaccine and medical disinformation (“the Strategy”). (2) The strategy must consider— (a) support for medical professionals to build trust and engage with persons who are anti-vaccine, (b) support for medical professionals and NHS leaders to engage with anti-vaccine councillors or officials in local authorities, (c) investment in public messaging to combat medical disinformation, including engagement with trusted online influencers, (d) outreach campaigns focused on communities who are sceptical about vaccinations, (e) introducing criminal liability for those, including online influencers and politicians, who profit from medical disinformation, (f) a new verification requirement for any social media account claiming to be a medical professional. (3) The Secretary of State must lay a copy of this strategy before Parliament upon publication.”

NC14

To move the following Clause— “Healthwatch funding (1) The Secretary of State, must within 12 months of the passing of this Act, enact a scheme to fund Healthwatch England and local Healthwatch organisations for the 2027/2028 financial year to the level estimated by the Department for Health and Social Care in 2013/14. (2) The Secretary of State must consider uprating this funding with inflation for 2026/2027.”

NC15

To move the following Clause— “Public Health Committee (1) The Secretary of State must establish a Public Health Committee within six months of the passage of this Act to ensure a cross-governmental focus and consideration of the promotion of public health in government policy and address national health inequalities. (2) The Public Health Committee under subsection (1) must— (a) include at least one minister from each government Department in its membership, (b) include all cabinet ministers in its membership, (c) be chaired by the Prime Minister, (d) meet once in each annual quarter. (3) Under subsection 2(b), cabinet members must attend at least three quarters of the Public Health Committee’s meetings each year. (4) Each government Department must publish an annual report on their department’s consideration of public health in its policy and the extent of joint policy formulation with other government Departments. (5) The Secretary of State must establish a Health Creation Unit to support the Public Health Committee. (6) The Health Creation Unit must submit an annual report on its activities, decision-making and cross-government progress to the Liaison Committee.”

NC16

To move the following Clause— “Duty to promote public health All Ministers of the Crown have a duty to consider health outcomes and the promotion and protection of public health when exercising their duties.”

NC17

To move the following Clause— “Arrangement between the United States of America and the United Kingdom on pharmaceutical pricing (1) The Arrangement between the United States of America and the United Kingdom on pharmaceutical pricing may be ratified only if— (a) a Minister of the Crown has laid before the House of Commons a copy of the Arrangement, and (b) the Arrangement has been approved by a resolution of the House of Commons on a motion moved by a Minister of the Crown. (2) Before tabling a motion under subsection (1)(b) the Secretary of State must publish and lay before the House of Commons an impact assessment on the potential effects on the health service of implementation of the Arrangement.”

NC18

To move the following Clause— “Access to dental provision: Dental deserts (1) Within six months beginning on the day on which this Act is passed, the Secretary of State must establish a scheme to improve access to dental provision (“the Scheme”). (2) The purpose of the Scheme is to end dental deserts. (3) A dental desert is defined as any local authority area with fewer than ten active dental practices per 100,000 people. (4) The Scheme must make provision to support integrated care boards to— (a) guarantee emergency access to an NHS dentist, (b) provide free dental checks up 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.”

NC20

To move the following Clause— “Cancer Survival Research (1) Within 12 months beginning on the day on which this Act is passed, the Secretary of State must by regulations establish a Cancer Survival Research Programme. (2) Regulations under this section must— (a) require government co-ordination and funding for research into cancers with a five-year survival rate below 20%, and (b) establish a fellowship programme for foreign academics in cancer research. (3) Any programme established under paragraph 2(b) must make provision to waive visa fees for entry into the UK for participating academics. (4) Regulations under this section are subject to the affirmative procedure.”

NC21

To move the following Clause— “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. (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.”

NC22

To move the following Clause— “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. (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. (5) The Secretary of State may issue guidance about the application of this section to which integrated care boards must have regard.”

NC23

To move the following Clause— “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.”

NC81

To move the following Clause— "Family support duty following serious childhood diagnosis (1) Where a child is diagnosed with cancer or another life-threatening condition, the responsible NHS provider must, within 14 days of diagnosis, ensure that the child's family is offered appropriate information, support and coordination services. (2) For the purposes of subsection (1), the responsible NHS provider must offer— (a) access to a named family support coordinator; (b) information regarding welfare benefits, financial support and relevant public services; (c) information regarding employment rights and workplace support available to parents and carers; (d) signposting to appropriate mental health and psychological support services; (e) information regarding relevant local and national charities, support organisations and peer-support services; (f) a written family support plan setting out the support available to the family during treatment; and (g) notification and information sharing in accordance with subsection (3). (3) The responsible NHS provider must provide the child's registered general practitioner and where different, the registered general practitioners of the child's parents or primary carers, with a Family Support Summary. (4) A Family Support Summary must include— (a) the child's diagnosis; (b) the proposed treatment plan; (c) the expected duration and intensity of treatment, where known; (d) information regarding the potential impact of the diagnosis and treatment on parents, carers and siblings; and (e) any recommendations regarding wellbeing support, monitoring or referral for the family unit. (5) Following receipt of a Family Support Summary, the relevant general practice shall be encouraged to consider the wellbeing needs of parents, carers and siblings and, where appropriate, provide information, assessment, referral or signposting to suitable support services. (6) The Secretary of State must publish guidance for NHS providers on the discharge of duties under this section. (7) In this section— "child" means a person under the age of 16; "family" includes parents, guardians, primary carers and siblings; and "life-threatening condition” means a condition designated as such by the Secretary of State in guidance.”

NC82

To move the following Clause— "Parent mental health and bereavement support duty (1) Where a child is diagnosed with a life-threatening condition, the responsible NHS provider must ensure that the psychological wellbeing of parents, guardians, primary carers and siblings is considered as part of the child's care pathway. (2) Within 14 days of diagnosis, the responsible NHS provider must offer— (a) a parental psychological wellbeing assessment; (b) access to a designated family support practitioner, psychologist, counsellor or other appropriately qualified professional; (c) information regarding the psychological impact of serious childhood illness, including trauma, anxiety, depression, stress and bereavement; (d) a written Family Mental Health Support Plan; (e) notification to the child's registered general practitioner and, where different, the registered general practitioners of parents or primary carers. (3) During active treatment, the responsible NHS provider must ensure that parents and primary carers are offered periodic psychological wellbeing reviews. (4) The responsible NHS provider must offer an additional psychological wellbeing review following any— (a) significant deterioration in the child's condition, (b) relapse, (c) progression of disease, (d) transition to palliative care, or (e) other material change in prognosis. (5) The responsible NHS provider must ensure that support under this section is offered proactively and must not be dependent upon a parent, guardian, carer or sibling requesting support, identifying their own need, or making a self-referral. (6) Following the death of a child, the responsible NHS provider must— (a) offer a bereavement wellbeing assessment to parents or primary carers; (b) offer access to bereavement counselling, psychological support or equivalent specialist services; (c) make proactive contact with the family within 14 days of the child's death; (d) offer further follow-up support at intervals specified in guidance issued by NHS England; and (e) ensure that referral pathways are available where significant psychological distress, trauma, anxiety, depression or post-traumatic stress symptoms are identified. (7) The responsible NHS provider must ensure that information regarding available support services is provided to siblings and that age-appropriate emotional support pathways are available where required. (8) NHS England must publish guidance regarding— (a) parental psychological wellbeing assessments; (b) family mental health support following serious childhood diagnosis; (c) bereavement support following the death of a child; (d) support for siblings affected by serious childhood illness; (e) referral pathways into specialist mental health services; and (f) minimum standards for proactive family mental health support. (9) NHS England must publish and lay before Parliament an annual report on compliance with this section. (10) In this section— "child" means a person under the age of 16; "family" includes parents, guardians, primary carers and siblings; and "life-threatening condition” means a condition designated by the Secretary of State in regulations. (11) The Secretary of State must, within three years of the commencement of this section, undertake a review of its operation and lay a report before Parliament.”

NC83

To move the following Clause— "Review of uncertain imaging findings in high-risk childhood illness (1) Where imaging undertaken in relation to a child with a high-risk cancer or other life-threatening condition identifies findings that are— (a) inconclusive, (b) indeterminate, or (c) suspicious the responsible NHS provider must ensure that the findings are reviewed by a consultant clinician responsible for the child's care. (2) Following such a review, the responsible NHS provider must ensure that the child's parent, guardian or primary carer is informed— (a) of the nature of the uncertainty identified; (b) whether disease progression, relapse or recurrence can be confidently excluded; (c) what further investigations or surveillance are being considered; and (d) the risks and benefits associated with immediate further imaging, alternative imaging modalities, or continued observation. (3) Where disease progression or relapse cannot be confidently excluded, the responsible NHS provider must consider whether additional imaging or investigation should be undertaken within 14 days or as soon as clinically practicable, whichever is sooner. (4) The outcome of any discussion held under subsection (2), including the views expressed by the child's parent, guardian or primary carer, must be recorded in the child's medical records. (5) NHS England must publish guidance on the operation of this section, including circumstances in which further imaging should be considered following uncertain or indeterminate findings."

19

Clause 4, page 3, line 29, at end insert— "(c) reduce inequalities between the people of England with respect to the access to health services and outcomes achieved for them between coastal and inland areas, and (d) reduce inequalities between the people of England with respect to the access to health services and outcomes achieved for them between rural and urban areas."

10

Clause 47, page 32, line 30, at end insert— "(2A) The Secretary of State must give integrated care boards directions to increase spending on mental health services at least in line with the change in level of their total programme funding.”

11

Clause 47, page 32, line 34, after "subsection (1)” insert "and (2A)”

15

Clause 51, page 36, line 13, after "behalf” insert “, including nominated carers"

23

Clause 51, page 36, line 23, at end insert- "(3A) The regulations must make provision for medical markers for firearms licence holders to be visible to all relevant health workers under the establishment of a single patient record. (3B) The regulations must include a requirement for the Secretary of State to prepare and publish a report on the potential merits of introducing a statutory requirement for mandatory medical markers for firearms licence holders to be used by those relevant in providing patient care.”

24

Clause 51, page 36, line 23, at end insert— "(3A) The regulations must make provision for prior membership in the armed forces to be visible to all relevant healthcare workers under the establishment of a single patient record. (3B) The regulations must include a requirement for the Secretary of State to prepare and publish a report on the potential merits of making prior membership in the armed forces visible on the single patient record. (3C) A report under subsection (3B) must consider— (a) the ability of veterans to access the necessary NHS support, and (b) the ability of medical staff to provide former members of the armed forces with appropriate care.”

22

Clause 51, page 36, line 32, at end insert— "(6A) Before making regulations under this section, the Secretary of State must prepare and publish a risk assessment on the potential for digital exclusion under the establishment of a single patient record. (6B) In preparing a risk assessment under subsection (6A) the Secretary of State must consult all stakeholders the Secretary of State considers relevant, including patient representation groups. (6C) In preparing a risk assessment under subsection (6A) the Secretary of State must have particular regard for— (a) those without access to a suitable electronic device, (b) those without access to suitable broadband connectivity, (c) those with physical and/or mental disabilities, (d) those belonging to groups considered socially excluded, and (e) those considered lacking digital skills, (6D) The Secretary of State must lay a copy of the risk assessment under subsection (6A) before both Houses of Parliament."

1

Page 45, line 39, leave out Clause 63

2

Page 46, line 3, leave out Clause 64

3

Page 46, line 39, leave out Clause 65

4

Page 47, line 36, leave out Clause 66

7

Page 48, line 15, leave out Clause 68

5

Page 48, line 18, leave out Clause 69

6

Page 52, line 34, leave out Clause 75

16

Schedule 3, page 88, line 19, at end insert- "(1A) The function under sub-paragraph (1) must be exercised by a person employed in the civil service of the State, and a Minister of the Crown or a special adviser must not be involved in any decision relating to such an appointment, suspension or removal."

13

Schedule 8, page 106, leave out lines 34 and 35 and insert— "For section 255 (power to request NHS England to establish information systems), substitute— "255 Powers to request the Secretary of State to establish information systems (1) Any person (including a devolved authority) may request the Secretary of State to establish and operate a system for the collection or analysis of information of a description specified in the request. (2) A request may be made under subsection (1) by a person only if the person considers that the information which could be obtained by complying with the request is information which it is necessary or expedient for the person to have in relation to the person's exercise of functions, or carrying out of activities, in connection with the provision of health care or adult social care. (3) The Secretary of State must comply with a mandatory request unless the Secretary of State considers that the request relates to information of a description prescribed in regulations. (4) For the purposes of this Chapter a request under subsection (1) is a mandatory request if— (a) it is made by a principal body, and (b) the body considers that the information which could be obtained by complying with the request is information which it is necessary or expedient for the body to have in relation to its discharge of a duty in connection with the provision of health services or of adult social care in England. (5) Subsection (6) applies where the Secretary of State has discretion under this section as to whether to comply with— (a) a mandatory request, or (b) other request under subsection (1). (6) In deciding whether to comply with the request, the Secretary of State— (a) must, in particular, consider whether doing so would interfere to an unreasonable extent with the exercise by the Secretary of State of any of its functions, and (b) may take into account the extent to which the principal body or other person making the request has had regard to— (i) the code of practice prepared and published by the Secretary of State under section 263, and (ii) advice or guidance given by the Secretary of State under section 265. (7) In this section “principal body" means— (a) the Care Quality Commission, (b) the National Institute for Health and Care Excellence, and (c) such other persons as may be prescribed in regulations. (8) In this Chapter "health care” includes all forms of health care whether relating to physical or mental health and also includes procedures that are similar to forms of medical or surgical care but are not provided in connection with a medical condition.””

14

Schedule 8, page 110, line 37, leave out paragraph 14

12

Schedule 9, page 130, line 16, at end insert- "(2A) After paragraph 6(8) insert— "(9) A committee of the Commission is to be appointed in accordance with regulations. (10) The purpose of the committee is to oversee the health services safety investigation functions formerly conducted by HHSIB, transferred to the Care Quality Commission under the Health Act 2026. (11) The committee is to be operationally independent from the Care Quality Commission. (12) The committee is to consist of a chair appointed by the Secretary of State, and not less than six and not more than twelve other members appointed by the chair. (13) A majority of the members of the committee must not be members of the Care Quality Commission. (14) So far as is reasonably practicable, the persons appointed to the committee must include persons with knowledge or experience relevant to the discharge of functions under this paragraph.””

8

Page 134, line 20, leave out Schedule 10

9

Page 136, line 1, leave out Schedule 11

NC1

To move the following Clause—
“National Maternity Commissioner
(1) The Secretary of State must, within six months of the passing of this Act, appoint a National Maternity Commissioner, situated within the Department of Health and Social Care.
(2) The functions of the National Maternity Commissioner are to—
(a) oversee NHS maternity services;
(b) act as an independent voice for women and families;
(c) ensure lessons are learned from identified failures and that the recommendations of maternity reviews are acted upon;
(d) promote consistency, safety and accountability across NHS maternity services; and
(e) advise the Secretary of State on matters relating to the safety, quality and provision of maternity services in England.
(3) The person appointed as Commissioner must—
(a) be a person with knowledge, expertise and experience relevant to the discharge of functions of the role;
(b) have first-hand experience of working in maternity services, so far as reasonably possible; and
(c) not be a sitting Member of Parliament.”

This new clause would require the Secretary of State to appoint a maternity commissioner within the Department of Health and Social Care to oversee national maternity services.

NC2

To move the following Clause—
“Assessment of risks posed by contracts with non-UK based suppliers
(1) Within six months of the passing of this Act, the Secretary of State must conduct and lay before Parliament a risk assessment of all contracts between NHS organisations and suppliers based outside of the UK.
(2) In conducting an assessment under this section, the Secretary of State must –
(a) pay particular regard to contracts which provide technology companies with access to confidential patient data;
(b) consult national security experts on the risks posed to UK sovereignty by such contracts;
(c) consider risks associated with the sharing of confidential patient data with organisations based outside of the UK;
(d) assess public and NHS staff attitudes to relevant suppliers and any implications such attitudes may have on the use and effectiveness of products or services provided under the contract; and
(e) consider the background of relevant suppliers, known contracts with other states and organisations, and any relevant ethical considerations.
(3) Where any significant risk is identified, the Secretary of State must set out the Government’s intentions to manage and mitigate such risks, including its intention to use or develop domestic technologies, systems or products in place of those provided under the relevant contract.”

This new clause would require the government to publish a risk assessment of contracts between NHS organisations and suppliers based outside of the UK.

NC3

To move the following Clause—
“Duty on the Secretary of State to prioritise domestic suppliers
In the National Health Service Act 2006, after section 1CC (inserted by section 6 of this Act) insert—
1CD Duty to prioritise domestic suppliers
(1) In exercising functions in relation to the health and care service, the Secretary of State must prioritise the awarding of any contract that will involve the handling of NHS patient data to suppliers based in the United Kingdom.
(2) The Secretary of State may only seek to procure technology and information systems which will handle NHS patient data from suppliers based outside of the United Kingdom where a viable domestic alternative does not exist.
(3) Before signing any contract for the procurement of technology and information systems which will handle NHS patient data with a supplier based outside of the United Kingdom, the Secretary of State must consult with –
(a) patient groups,
(b) national security experts, and
(c) staff unions,
on the proposed contract and lay a report on such a consultation before Parliament.
(4) Where it is proposed to sign a contract for the procurement of technology and information systems which will handle NHS patient data with a supplier based outside of the United Kingdom, the Secretary of State must arrange for a motion agreeing to the signing of such a contract to be tabled in each House of Parliament, and no such contract may be signed where a motion for its agreement is negatived by either House of Parliament.
(5) If a contract is awarded for the procurement of technology and information systems which will handle NHS patient data with a supplier based outside of the United Kingdom, the Secretary of State must place a statement before both Houses of Parliament setting out whether the Government is taking, or is planning to take, steps to develop or support long-term domestic alternatives to the systems provided by the contract.”

This new clause would place a duty on the Secretary of State to prioritise domestic, UK-based, suppliers for technology systems and contracts handling NHS patient data, and places restrictions on the signing of contracts for such systems with non-UK based suppliers.

NC4

To move the following Clause—
“NHS Digital Sovereignty Strategy
(1) The Secretary of State must, within 12 months of the passing of this Act, publish a strategy (“an NHS Digital Sovereignty Strategy”) which sets out the Government's approach to maintaining the security and resilience of relevant NHS information systems by–
(a) assessing, managing and mitigating risks –
(i) associated with foreign interference,
(ii) arising from reliance on foreign-supplied technologies, and
(b) preventing over-reliance on foreign providers by building domestic capacity.
(2) For the purposes of this section, a “relevant information system” is an information system with access to NHS patient data.
(3) An NHS Digital Sovereignty Strategy published under this section must—
(a) include risks associated with—
(i) hardware,
(ii) software,
(iii) supply chains, and
(iv) procurement processes;
(b) include a specific focus on security and resilience in digital procurement processes, detailing how the Government intends to reduce strategic dependencies on foreign-owned service providers to mitigate the risk of systemic disruption;
(c) include a commitment to prioritise the use of technologies developed in the UK by UK organisations in relevant information systems to reduce reliance on foreign technologies;
(d) recommend steps to support and develop sufficient domestic capability where it does not currently exist;
(e) where risks are identified, state how the Government intends to address these risks by supporting the use or development of domestic technologies or systems.”

This new clause would require the Government to publish an NHS Digital Sovereignty Strategy setting out how it intends to address risks to relevant information systems posed by foreign interference and reliance on foreign technologies, including by supporting the use of domestic technologies.

NC5

To move the following Clause—
“Health Data Charter
(1) The Secretary of State must, within 6 months of the passing of this Act, establish an independent body (to be known as the "Sovereign Health Data Trust”) for the purpose of creating a Health Data Charter.
(2) The membership of the Trust should include—
(a) people with a diverse range of backgrounds; and
(b) health data experts, clinicians and patient representatives.
(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;
(c) ensure patients have control of their data, including providing relevant opt-outs;
(d) provide that all health data is held anonymously and accessed through a trusted research environment;
(e) set out ways to retain and protect the value of health data in England, including providing measures to invest a share of the income generated from new medicines or treatments developed with that health data to be invested back into the NHS;
(f) be designed in such a way as to render it interoperable with the European Health Data Space in technical terms, including through the promotion of Findable, Accessible, Interoperable and Reusable (FAIR) data principles within the NHS.
(4) The Sovereign Health Data Trust will—
(a) hold continuous oversight of all health data and oversee the trusted research environment;
(b) have power to recall or restrict an organisation’s access to data if it has reason to believe that the data is not being used for public or patient benefit;
(c) ensure that all data sharing arrangements with a non-NHS organisation are transparent, with all health data contracts entered into by a public body made publicly available;
(d) publish detailed minutes of all meetings discussing potential uses of health data; and
(e) ensure all health data collection and sharing initiatives are preceded by public consultation, involvement and awareness.”

NC6

To move the following Clause—
“Maternity Safety
(1) The Secretary of State must ensure that every NHS maternity unit is rated “good” or
“outstanding” by the CQC.
(2) The Secretary of State must, within 6 months of the passage of this Act, establish a scheme to support NHS trusts to deliver the requirement under subsection (1), which includes—
(a) 24/7 consultant obstetrician cover on every labour ward,
(b) one-to-one midwifery care,
(c) a Director of Midwifery in every maternity service,
(d) ringfenced maternity service development funding, and
(e) a dedicated neonatal workforce plan.
(3) Within 12 months of the commencement of the scheme under subsection (2), and every 12 months thereafter, an annual report should be laid before both Houses of Parliament on the effectiveness of the scheme.”

This new clause would place a duty on the Secretary of State to create a scheme to ensure that every maternity unit in the country achieves a “good” or “outstanding” rating by the CQC.

NC7

To move the following Clause—
“Healthy life expectancy target
(1) Within six months of the passage of this Act, the Secretary of State must—
(a) make regulations to set a statutory target for improving overall healthy life expectancy for the population of Great Britain, and
(b) publish a cross-governmental strategy, renewed every 24 months, to set out how the target set by regulations under subsection (1)(a) will be achieved.
(2) The strategy under subsection (1)(b) must be laid before both Houses of Parliament.
(3) Upon publication of a strategy under subsection (1)(b) the Secretary of State must make a statement before the House of Commons regarding progress made towards the target set by subsection (1)(a).”

This new clause would require the Secretary of State to make regulations to establish a statutory target for healthy life expectancy in Great Britain and publish a strategy every two years setting out how this target will be achieved.

NC8

To move the following Clause—
“Impact of trade deals on the NHS
(1) Any trade negotiation which would require NHS spending or funding to exceed £100 million must be laid before Parliament by the Secretary of State in the form of regulations subject to the affirmative procedure.
(2) Before laying regulations under subsection (1) the Secretary of State must publish an impact assessment about how the trade negotiation will affect NHS frontline services and patients.”

This new clause would require any trade negotiation which would require NHS spending or funding to exceed £100 million to be laid before Parliament by the Secretary of State in the form of regulations subject to the affirmative procedure.

NC9

To move the following Clause—
“Powers for coroners and medical examiners to report suspected health system failings
(1) The Secretary of State must, by regulations, establish a standard mechanism for coroners and medical examiners to refer cases where they suspect failings in the provision of health care.
(2) A coroner or a medical examiner has a duty to report (a "duty to whistleblow") using the mechanism established under subsection (1) if, in the course of their duties, they have reasonable grounds to suspect that a death or incident involved systemic failings in a health care setting.
(3) A referral under this section must be directed to any or all of the following bodies, as the coroner or medical examiner considers appropriate, based on the nature of the suspected failing—
(a) the chief officer of police for the relevant police area,
(b) the Care Quality Commission,
(c) the Department of Health and Social Care, and
(d) the Health Services Safety Investigations Body.
(4) Regulations under subsection (1) must specify—
(a) the information to be included in a referral,
(b) the timeframe within which a referral must be made following the formation of a suspicion, and
(c) guidance on the criteria for determining to which of the bodies listed in subsection (3) the referral must be directed.
(5) A disclosure made in fulfilment of the duty under subsection (2) is a protected disclosure for the purposes of Part 4A of the Employment Rights Act 1996 (protection for whistleblowing).
(6) The duties imposed by this section are in addition to, and do not affect, a senior coroner’s duty to make a report under paragraph 7 of Schedule 5 to the Coroners and Justice Act 2009 (reports on action to prevent other deaths).”

This new clause requires the Secretary of State to create a standardised framework for them to formally refer suspected health system failings (including systemic issues) directly to the police, the CQC, the Department of Health and Social Care, and the HSSIB, with a duty on coroners to participate. It provides legal protection for those making such referrals.

NC10

To move the following Clause—
“Duty of NHS boards to report medical malpractice
(1) A member of the board of directors of an NHS trust or an NHS foundation trust in England must report any evidence or reports they have seen of systemic medical malpractice within the trust to—
(a) the Care Quality Commission,
(b) the Department of Health and Social Care, and
(c) the Health Services Safety Investigations Body.
(2) The board of directors of an NHS trust or NHS foundation trust in England has a collective duty to—
(a) refer the trust to the Care Quality Commission, and
(b) alert the Department of Health and Social Care and the Health Services Safety Investigations Body, if staff employed by, or acting on behalf of, the trust raise concerns of systemic medical malpractice.
(3) In this section, “systemic medical malpractice” means an action or omission in the provision of health care that falls below the expected standard of care and indicates a widespread, patterned, or recurring failure within the systems, processes, or governance of the trust.”

This new clause would introduce a mandatory individual duty for members of NHS and Foundation Trust boards to escalate evidence of systemic medical malpractice to the CQC, the Department of Health and Social Care, and the HSSIB. It also imposes a collective duty on the board to formally refer the trust to regulators if staff raise concerns regarding malpractice.

NC11

To move the following Clause—
“Duty as respects waiting times for women’s health
In the National Health Service Act 2006, after section 1CC (inserted by section 6 of this Act) insert—
“1CD Duty as respects waiting times for women's health
The Secretary of State must exercise functions in relation to the health service with a view to ensuring that average waiting times for the diagnosis and elective treatment of conditions primarily affecting women do not exceed the overall average waiting times for NHS diagnosis and elective treatment.””

This new clause would ensure that the average waiting time for diagnosis and treatment for elective conditions for women’s health issues do not exceed the average wait time for wider NHS elective treatment.

NC12

To move the following Clause—
“Inquiry into women’s health outcomes
(1) The Secretary of State must, within six months of the passing of this Act, commission an independent inquiry into women’s health provision and outcomes in England.
(2) Any inquiry established under subsection (1) must consider—
(a) the causes of—
(i) poorer health outcomes, and
(ii) disparities in patient safety,
for women;
(b) the effectiveness of existing commissioning arrangements in meeting the needs of women, and
(c) recommendations to assist the Secretary of State in discharging the duty to reduce inequalities in health outcomes under section 1C of the National Health Service Act 2006.
(3) The Secretary of State must lay a report on the findings of the inquiry before Parliament within the period of 12 months beginning with the day on which this Act is passed.”

This new clause would establish an inquiry into the poorer health outcomes faced by women.

NC13

To move the following Clause—
“Medical Disinformation
(1) The Secretary of State must, within 6 months beginning on the day on which this Act is passed, publish a strategy on anti-vaccine and medical disinformation (“the Strategy”).
(2) The strategy must consider—
(a) support for medical professionals to build trust and engage with persons who are anti-vaccine,
(b) support for medical professionals and NHS leaders to engage with anti-vaccine councillors or officials in local authorities,
(c) investment in public messaging to combat medical disinformation, including engagement with trusted online influencers,
(d) outreach campaigns focused on communities who are sceptical about vaccinations,
(e) introducing criminal liability for those, including online influencers and politicians, who profit from medical disinformation,
(f) a new verification requirement for any social media account claiming to be a medical professional.
(3) The Secretary of State must lay a copy of this strategy before Parliament upon publication.”

This new clause places a duty on the Secretary of State to publish a strategy to combat anti-vaccine and medical disinformation.

NC14

To move the following Clause—
“Healthwatch funding
(1) The Secretary of State, must within 12 months of the passing of this Act, enact a scheme to fund Healthwatch England and local Healthwatch organisations for the 2027/2028 financial year to the level estimated by the Department for Health and Social Care in 2013/14.
(2) The Secretary of State must consider uprating this funding with inflation for 2026/2027.”

This new clause would ensure that Healthwatch England and local Healthwatch organisations are funded to the level estimated by the Department for Health and Social Care in 2013/14.

NC15

To move the following Clause—
“Public Health Committee
(1) The Secretary of State must establish a Public Health Committee within six months of the passage of this Act to ensure a cross-governmental focus and consideration of the promotion of public health in government policy and address national health inequalities.
(2) The Public Health Committee under subsection (1) must—
(a) include at least one minister from each government Department in its membership,
(b) include all cabinet ministers in its membership,
(c) be chaired by the Prime Minister,
(d) meet once in each annual quarter.
(3) Under subsection 2(b), cabinet members must attend at least three quarters of the Public Health Committee's meetings each year.
(4) Each government Department must publish an annual report on their department's consideration of public health in its policy and the extent of joint policy formulation with other government Departments.
(5) The Secretary of State must establish a Health Creation Unit to support the Public Health Committee.
(6) The Health Creation Unit must submit an annual report on its activities, decision-making and cross-government progress to the Liaison Committee.”

This new clause would establish a Public Health Committee and Health Creation Unit to promote public health and cross-government policy making.

NC16

To move the following Clause—
“Duty to promote public health
All Ministers of the Crown have a duty to consider health outcomes and the promotion and protection of public health when exercising their duties.”

This new clause will place a duty on all ministers to consider health outcomes and the promotion of public health when exercising their duties.

NC17

To move the following Clause—
“Arrangement between the United States of America and the United Kingdom on pharmaceutical pricing
(1) The Arrangement between the United States of America and the United Kingdom on pharmaceutical pricing may be ratified only if—
(a) a Minister of the Crown has laid before the House of Commons a copy of the Arrangement, and
(b) the Arrangement has been approved by a resolution of the House of Commons on a motion moved by a Minister of the Crown.
(2) Before tabling a motion under subsection (1)(b) the Secretary of State must publish and lay before the House of Commons an impact assessment on the potential effects on the health service of implementation of the Arrangement.”

This new clause would require the Arrangement between the United States of America and the United Kingdom on pharmaceutical pricing to be brought before the House for a vote.

NC18

To move the following Clause—
“Access to dental provision: Dental deserts
(1) Within six months beginning on the day on which this Act is passed, the Secretary of State must establish a scheme to improve access to dental provision (“the Scheme”).
(2) The purpose of the Scheme is to end dental deserts.
(3) A dental desert is defined as any local authority area with fewer than ten active dental practices per 100,000 people.
(4) The Scheme must make provision to support integrated care boards to—
(a) guarantee emergency access to an NHS dentist,
(b) provide free dental checks up 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.

NC19

To move the following Clause—
“Cancer treatment: waiting times
(1) Within six months beginning on the day on which this Act is passed, the Secretary of State must make provision for every patient to have access to cancer treatment within 62 days following referral.
(2) The Secretary of State must establish a scheme to support NHS hospital trusts in meeting the requirement under subsection (1).
(3) As part of the Scheme, the Secretary of State must expand the capacity of the Medicines and Healthcare products Regulatory Agency.
(4) The Secretary of State must make an annual statement to Parliament on progress on meeting the requirement under subsection (1).
(5) Any statement made under subsection (4) should be made as close as reasonably practicable to 4 February.”

This new clause gives patients a right to start cancer treatment within 62 days of referral and requires the Secretary of State to establish a scheme to deliver this. It also requires the Secretary of State to update the House on progress against the target on/around the time of World Cancer Day.

NC20

To move the following Clause—
“Cancer Survival Research
(1) Within 12 months beginning on the day on which this Act is passed, the Secretary of State must by regulations establish a Cancer Survival Research Programme.
(2) Regulations under this section must—
(a) require government co-ordination and funding for research into cancers with a five-year survival rate below 20%, and
(b) establish a fellowship programme for foreign academics in cancer research.
(3) Any programme established under paragraph 2(b) must make provision to waive visa fees for entry into the UK for participating academics.
(4) Regulations under this section are subject to the affirmative procedure.”

This new clause would require the Secretary of State to introduce regulations requiring the government to coordinate research into cancers with the lowest survival rate.

NC21

To move the following Clause—
“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.
(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.

NC22

To move the following Clause—
“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.
(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.
(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.

NC23

To move the following Clause—
“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.

19

Clause 4, page 3, line 29, at end insert—
“(c) reduce inequalities between the people of England with respect to the access to health services and outcomes achieved for them between coastal and inland areas, and
(d) reduce inequalities between the people of England with respect to the access to health services and outcomes achieved for them between rural and urban areas.”

This amendment would create a duty for the Secretary of State to reduce inequalities between coastal and inland areas and rural and urban areas.

10

Clause 47, page 32, line 30, at end insert—
“(2A) The Secretary of State must give integrated care boards directions to increase spending on mental health services at least in line with the change in level of their total programme funding.”

This amendment would place the original mental health investment standard on a statutory footing, requiring integrated care boards to increase spending on mental health services at least in line with the growth in their total programme (healthcare) funding.

17

Clause 47, page 32, line 30, at end insert—
“(2A) The Secretary of State must give integrated care boards directions to increase spending on Primary Care services.
(2B) The increase in spending set out in subsection (2B) must be in line with the change in level of their total programme funding.”

This amendment would introduce the primary care Investment standard, requiring integrated care boards to increase spending on primary care services at least in line with the growth in their total programme (healthcare) funding.

20

Clause 47, page 32, line 30, at end insert—
“(2A) The Secretary of State must give integrated care boards directions to increase spending on Primary Care services.
(2B) The increase in spending set out in subsection 2B must be in line with the change in level of their total programme funding.”

This amendment would introduce the primary care Investment standard, requiring integrated care boards to increase spending on primacy health services at least in line with the growth in their total programme (healthcare) funding.

11

Clause 47, page 32, line 34, after "subsection (1)” insert “and (2A)”

This amendment is consequential on Amendment 10 and would enable the Secretary of State to implement financial penalties if an integrated care board fails to comply with a direction to increase spending on mental health services in line with the growth in their total programme (healthcare) funding.

18

Clause 47, page 32, line 34, after "subsection (1)” insert “and (2A) and (2B)”

This amendment is consequential on Amendment 17 and would enable the Secretary of State to implement financial penalties if an integrated care board fails to comply with a direction to increase spending on primary care services in line with the growth in their total programme (healthcare) funding.

21

Clause 47, page 32, line 34, after "subsection (1)” insert “and (2A) and (2B)”

This amendment is consequential on Amendment 20 and would enable the Secretary of State to implement financial penalties if an integrated care board fails to comply with a direction to increase spending on primary care services in line with the growth in their total programme (healthcare) funding.

15

Clause 51, page 36, line 13, after “behalf” insert “, including nominated carers”

This amendment makes it explicit that nominated carers can access the single patient record on behalf of those they care for.

23

Clause 51, page 36, line 23, at end insert—
“(3A) The regulations must make provision for medical markers for firearms licence holders to be visible to all relevant health workers under the establishment of a single patient record.
(3B) The regulations must include a requirement for the Secretary of State to prepare and publish a report on the potential merits of introducing a statutory requirement for mandatory medical markers for firearms licence holders to be used by those relevant in providing patient care.”

This amendment would require medical markers for firearms licence holders to be visible to all relevant health workers under the establishment of a single patient record.

24

Clause 51, page 36, line 23, at end insert—
“(3A) The regulations must make provision for prior membership in the armed forces to be visible to all relevant healthcare workers under the establishment of a single patient record.
(3B) The regulations must include a requirement for the Secretary of State to prepare and publish a report on the potential merits of making prior membership in the armed forces visible on the single patient record.
(3C) A report under subsection (3B) must consider—
(a) the ability of veterans to access the necessary NHS support, and
(b) the ability of medical staff to provide former members of the armed forces with appropriate care.”

This amendment would require prior membership in the armed forces to be visible to all relevant healthcare workers under the establishment of a single patient record and require the Secretary of State to publish a report on making prior membership in the armed forces visible on the single patient record.

22

Clause 51, page 36, line 32, at end insert—
“(6A) Before making regulations under this section, the Secretary of State must prepare and publish a risk assessment on the potential for digital exclusion under the establishment of a single patient record.
(6B) In preparing a risk assessment under subsection (6A) the Secretary of State must consult all stakeholders the Secretary of State considers relevant, including patient representation groups.
(6C) In preparing a risk assessment under subsection (6A) the Secretary of State must have particular regard for—
(a) those without access to a suitable electronic device,
(b) those without access to suitable broadband connectivity,
(c) those with physical and/or mental disabilities,
(d) those belonging to groups considered socially excluded, and
(e) those considered lacking digital skills.
(6D) The Secretary of State must lay a copy of the risk assessment under subsection (6A) before both Houses of Parliament.”

This amendment would require the Secretary of State to prepare and publish a risk assessment on the potential for digital exclusion under the establishment of single patient record.

1

Page 45, line 39, leave out Clause 63

2

Page 46, line 3, leave out Clause 64

3

Page 46, line 39, leave out Clause 65

4

Page 47, line 36, leave out Clause 66

7

Page 48, line 15, leave out Clause 68

This amendment removes the clause abolishing Healthwatch England.

5

Page 48, line 18, leave out Clause 69

6

Page 52, line 34, leave out Clause 75

16

Schedule 3, page 88, line 19, at end insert—
“(1A) The function under sub-paragraph (1) must be exercised by a person employed in the civil service of the State, and a Minister of the Crown or a special adviser must not be involved in any decision relating to such an appointment, suspension or removal.”

This amendment would ensure that civil servants are responsible for the decision making and appointment processes for trust and ICB leaders, rather than Ministers or Special Advisers.

13

Schedule 8, page 106, leave out lines 34 and 35 and insert—
“For section 255 (power to request NHS England to establish information systems), substitute—
“255 Powers to request the Secretary of State to establish information systems
(1) Any person (including a devolved authority) may request the Secretary of State to establish and operate a system for the collection or analysis of information of a description specified in the request.
(2) A request may be made under subsection (1) by a person only if the person considers that the information which could be obtained by complying with the request is information which it is necessary or expedient for the person to have in relation to the person's exercise of functions, or carrying out of activities, in connection with the provision of health care or adult social care.
(3) The Secretary of State must comply with a mandatory request unless the Secretary of State considers that the request relates to information of a description prescribed in regulations.
(4) For the purposes of this Chapter a request under subsection (1) is a mandatory request if—
(a) it is made by a principal body, and
(b) the body considers that the information which could be obtained by complying with the request is information which it is necessary or expedient for the body to have in relation to its discharge of a duty in connection with the provision of health services or of adult social care in England.
(5) Subsection (6) applies where the Secretary of State has discretion under this section as to whether to comply with—
(a) a mandatory request, or
(b) other request under subsection (1).
(6) In deciding whether to comply with the request, the Secretary of State —
(a) must, in particular, consider whether doing so would interfere to an unreasonable extent with the exercise by the Secretary of State of any of its functions, and
(b) may take into account the extent to which the principal body or other person making the request has had regard to—
(i) the code of practice prepared and published by the Secretary of State under section 263, and
(ii) advice or guidance given by the Secretary of State under section 265.
(7) In this section “principal body” means—
(a) the Care Quality Commission,
(b) the National Institute for Health and Care Excellence, and
(c) such other persons as may be prescribed in regulations.
(8) In this Chapter “health care” includes all forms of health care whether relating to physical or mental health and also includes procedures that are similar to forms of medical or surgical care but are not provided in connection with a medical condition.””

This amendment would enable the Care Quality Commission and NICE to continue to make mandatory requests to the Secretary of State to establish an information system, following the transfer of NHS England’s functions.

14

Schedule 8, page 110, line 37, leave out paragraph 14

This amendment is consequential on Amendment 13.

12

Schedule 9, page 130, line 16, at end insert—
“(2A) After paragraph 6(8) insert—
“(9) A committee of the Commission is to be appointed in accordance with regulations.
(10) The purpose of the committee is to oversee the health services safety investigation functions formerly conducted by HHSIB, transferred to the Care Quality Commission under the Health Act 2026.
(11) The committee is to be operationally independent from the Care Quality Commission.
(12) The committee is to consist of a chair appointed by the Secretary of State, and not less than six and not more than twelve other members appointed by the chair.
(13) A majority of the members of the committee must not be members of the Care Quality Commission.
(14) So far as is reasonably practicable, the persons appointed to the committee must include persons with knowledge or experience relevant to the discharge of functions under this paragraph.””

This amendment would ensure that oversight of HSSIB’s functions would remain operationally independent of the Care Quality Commission (CQC) following the transfer of its functions to the CQC.

8

Page 134, line 20, leave out Schedule 10

This amendment removes the schedule abolishing Healthwatch England.

9

Page 136, line 1, leave out Schedule 11

This amendment removes the schedule abolishing Local Healthwatch organisations.

NC112

To move the following Clause—
“Armed Forces Covenant Duty Reporting
(1) Within six months of the passage of this Act, and every 12 months thereafter, the Secretary of State must publish a report on the extent to which the duty for due regard for health and social care matters under the Armed Forces Covenant established by the Armed Forces Act 2006 has been met.
(2) The report under subsection (1) must include an assessment of—
(a) the extent to which the health and social care needs of the armed forces community are being embedded in health and social care guidance, workforce training, and professional standards in the NHS,
(b) the impact of national schemes such as—
(i) the Veteran-Aware Trust accreditation,
(ii) the Veteran-Friendly GP Accreditation Scheme, and
(iii) the National Armed Forces Training and Education Programme on the provision of health and social care for the armed forces community,
(c) collaboration between devolved administrations and the Department for Health and Social Care regarding the delivery of health and social care for the armed forces community, and
(d) provision for data collection on the armed forces community's access to and experience of NHS health and social care.
(3) The report under subsection (1) must be laid before both Houses of Parliament.”

This new clause requires the Secretary of State to publish an annual report on the extent to which the duty for due regard for health and social care matters under the Armed Forces Covenant established by the Armed Forces Act 2006 has been met.

NC113

To move the following Clause—
“Prioritising British citizens for the UK foundation programme (No. 2)
(1) The Medical Training (Prioritisation) Act 2026 is amended as follows.
(2) In section 4, after subsection (4) insert—
“(4A) A person is within this subsection if they—
(a) are a British citizen,
(b) have indefinite leave to remain under the Immigration Act 1971, or
(c) have settled status under the EU Settlement Scheme, and
(d) 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, people with indefinite leave to remain, or settled status who have studied at international branch campuses of UK higher education institutions can be prioritised for foundation programme training places.

NC110

To move the following Clause—
“Duty to promote the health and wellbeing of armed forces veterans
After section 14Z44 of the NHS Act 2006 insert—
“Duty to promote the health and wellbeing of armed forces veterans
(1) Each integrated care board must exercise its functions with a view to improving and maintaining the physical health, mental health, and wellbeing of armed forces veterans within its area.
(2) In exercising its duties under this section, an integrated care board must have regard to—
(a) reduction of health inequalities experienced by veterans,
(b) prevention of deterioration in veterans’ physical and/or mental health,
(c) the need to ensure veterans are able to access appropriate preventative and other health services and support.
(3) An integrated care board must take reasonable steps to ensure that NHS bodies and providers of NHS services within its area provide veterans with information about support available to them for their health and wellbeing.
(4) In preparing a neighbourhood health plan under section 24 of the Health Act 2026 an integrated care board must include—
(a) an assessment of the health and wellbeing needs of veterans within its area,
(b) steps the integrated care board proposes to take to improve outcomes for veterans, and
(c) measures for reducing inequalities experienced by veterans.””

This new clause would introduce a duty for integrated care boards to promote the health and wellbeing of armed forces veterans.

NC111

To move the following Clause—
“Duty to provide medical records on discharge from the armed forces
(1) This section applies where a person ceases to be a member of the regular forces or the reserve forces.
(2) The Secretary of State must by regulations make provision for a complete copy of the person’s service medical records to be provided to the person no later than one month after the day on which the person is discharged or otherwise ceases to be a member of those forces.
(3) Those regulations may specify the manner and form in which service medical records are to be provided under this section, including provision for records to be transferred directly to a civilian health body with the person's consent.
(4) In this section—
“health body” means—
(a) in relation to England—
(i) NHS England;
(ii) an integrated care board established under section 14Z25 of the National Health Service Act 2006;
(iii) a National Health Service trust in England;
(iv) an NHS foundation trust;
(v) primary care providers;
(b) in relation to Wales—
(i) a Local Health Board established under section 11 of the National Health Service (Wales) Act 2006;
(ii) a Special Health Authority established under section 22 of the National Health Service (Wales) Act 2006, other than a cross-border Special Health Authority;
(iii) a National Health Service trust in Wales;
(iv) primary care providers;
(c) in relation to Scotland—
(i) a Health Board constituted under section 2 of the National Health Service (Scotland) Act 1978;
(ii) a Special Health Board constituted under section 2 of that Act;
(iii) the Common Services Agency for the Scottish Health Service;
(iv) primary care providers;
(d) in relation to Northern Ireland—
(i) a Local Commissioning Group appointed under section 9 of the Health and Social Care (Reform) Act (Northern Ireland) 2009 (c. 1 (N.I.));
(ii) a Health and Social Care trust established by virtue of Article 10 of the Health and Personal Social Services (Northern Ireland) Order 1991 (S.I. 1991/194 (N.I. 1)), other than the Northern Ireland Ambulance Service Health and Social Care Trust.
(iii) primary care providers;
(5) For the purposes of this section, “service medical records” means any records relating to the person’s physical or mental health care and treatment created or maintained by or on behalf of His Majesty's forces during the person's period of service.”

This new clause places a statutory duty on the Secretary of State to ensure that all service personnel leaving the military receive a complete copy of their medical records within one month of their discharge date.

NC109

To move the following Clause— “Hospices revenue funding The Secretary of State must ensure that any funding for hospices is allocated for three-year periods.”

NC108

To move the following Clause—
“Duty to collect information: Deaths awaiting palliative care
After section 14Z44 of the NHS Act 2006 insert—
“Duty to collect information: Deaths awaiting palliative care
(1) Each integrated care board must collect data on the number of patients who died while waiting for end-of-life care.
(2) Data under subsection (1) must be held anonymised and published by the Department of Health and Social Care.””

This new clause would place a duty on ICBs to collect and publish data on the number of patients who died while waiting for end-of-life care.

NC107

To move the following Clause—
“NICE technology appraisal recommendation: penalty scheme
(1) The Secretary of State must establish by regulations a penalty scheme relating to the implementation of NICE technology appraisal recommendations (the "scheme").
(2) Under the scheme, Health and Social Care bodies must implement a NICE technology appraisal recommendation within three months of receiving such a recommendation.
(3) Any Health and Social Care body that fails to meet the requirement set out in subsection (2) is liable to a penalty as the Secretary of State may specify in regulations.
(4) Regulations under this section are subject to the affirmative procedure.”

NC76

To move the following Clause—
“Arrangement between the United States of America and the United Kingdom on pharmaceutical pricing
(1) The Arrangement between the United States of America and the United Kingdom on pharmaceutical pricing may be ratified only if—
(a) a Minister of the Crown has laid before the House of Commons a copy of the Arrangement, and
(b) the Arrangement has been approved by a resolution of the House of Commons on a motion moved by a Minister of the Crown.
(2) Before tabling a motion under subsection (1)(b) the Secretary of State must publish and lay before the House of Commons an impact assessment on the potential effects on the health service of implementation of the Arrangement.”

This new clause would require the Arrangement between the United States of America and the United Kingdom on pharmaceutical pricing to be brought before the House for a vote.

NC77

To move the following Clause—
“Medical Disinformation
(1) The Secretary of State must, within 6 months beginning on the day on which this Act is passed, publish a strategy on anti-vaccine and medical disinformation (“the Strategy”).
(2) The strategy must consider—
(a) support for medical professionals to build trust and engage with persons who are anti-vaccine,
(b) support for medical professionals and NHS leaders to engage with anti-vaccine councillors or officials in local authorities,
(c) investment in public messaging to combat medical disinformation, including engagement with trusted online influencers,
(d) outreach campaigns focused on communities who are sceptical about vaccinations,
(e) introducing criminal liability for those, including online influencers and politicians, who profit from medical disinformation, and
(f) a new verification requirement for any social media account claiming to be a medical professional.
(3) The Secretary of State must lay a copy of this strategy before Parliament upon publication.”

This new clause places a duty on the Secretary of State to publish a strategy to combat anti-vaccine and medical disinformation.

NC78

To move the following Clause—
“Healthwatch funding
(1) The Secretary of State, must within 12 months of the passing of this act, enact a scheme to fund Healthwatch England and local Healthwatch organisations for the 2027/2028 financial year to the level estimated by the Department for Health and Social Care in 2013/14.
(2) The Secretary of State must consider uprating this funding with inflation for 2026/2027.”

This new clause would ensure that Healthwatch England and local Healthwatch organisations are funded to the level estimated by the Department for Health and Social Care in 2013/14.

NC79

To move the following Clause—
“Public Health Committee
(1) The Secretary of State must establish a Public Health Committee within six months of the passage of this Act to ensure a cross-governmental focus and consideration of the promotion of public health in government policy and address national health inequalities.
(2) The Public Health Committee under subsection (1) must—
(a) include at least one minister from each government Department in its membership,
(b) include all cabinet ministers in its membership,
(c) be chaired by the Prime Minister, and
(d) meet once in each annual quarter.
(3) Under subsection 2(b), cabinet members must attend at least three quarters of the Public Health Committee's meetings each year.
(4) Each government Department must publish an annual report on their department's consideration of public health in its policy and the extent of joint policy formulation with other government Departments.
(5) The Secretary of State must establish a Health Creation Unit to support the Public Health Committee.
(6) The Health Creation Unit must submit an annual report on its activities, decision-making and cross-government progress to the Liaison Committee.”

This new clause would establish a Public Health Committee and Health Creation Unit to promote public health and cross-government policy making.

NC80

To move the following Clause—
“Duty to promote public health
All Ministers of the Crown have a duty to consider health outcomes and the promotion and protection of public health when exercising their duties.”

This new clause will place a duty on all ministers to consider health outcomes and the promotion of public health when exercising their duties.

NC81

To move the following Clause—
“Minimum service levels
(1) Within six months beginning on the day on which this Act is passed, the Secretary of State must, by regulations, make provision for minimum service levels to operate in the NHS during periods of strike action.
(2) Regulations under subsection (1) may repeal or otherwise amend provisions in the Employment Rights Act 2025, insofar as is necessary for the purposes of this section.
(3) Regulations under subsection (1) must include provision for minimum levels of service by categories of NHS workforce staff, including all Agenda for Change staff but not resident doctors.
(4) Regulations under subsection (1) may not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament.
(5) When minimum service levels are in operation under this section, the NHS must set minimum standards of acceptable service to be provided by the NHS during periods of strike action, including mitigating any effect on appointments, medical procedures, acute services, midwifery, surgical procedures, and any other matters that the Secretary of State deems appropriate.
(6) With one year beginning on the day on which regulations are made under subsection (1), and within each period of a year thereafter, the Secretary of State must lay before Parliament a report on compliance with minimum service levels, including reasons for any failure by operators to secure the required thresholds, and actions the NHS is taking to improve performance to meet the minimum service levels.”

This new clause would require the Secretary of State to make regulations which create minimum service levels to operate in the NHS during periods of strike action.

NC82

To move the following Clause—
“Strike action
(1) It is an offence for medical practitioners to undertake strike action.
(2) The Secretary of State may repeal or otherwise amend provisions in the Employment Rights Act 2025, insofar as is necessary for the purposes of this section.”

This new clause would make it illegal for doctors to go on strike.

NC83

To move the following Clause—
“Exemption from the Public Sector Equality Duty
(1) Any organisation in receipt of public funding to provide health or social care services in England is exempt from the Public Sector Equality Duty (Chapter 1 of the Equality Act 2010) in respect of the provision of those services.
(2) The Secretary of State may make any regulations necessary to amend any other enactment as a consequence of subsection (1).”

This new clause would exempt health and social care services in England from the Public Sector Equality Duty.

NC84

To move the following Clause—
“Publication of data on avoidable deaths
(1) The Secretary of State must publish every quarter the number of avoidable deaths attributed to waits of more than 12 hours in accident and emergency departments.
(2) The Secretary of State must make the data under subsection (1) available by integrated care board area.”

This new clause would require the Secretary of State to publish data on avoidable deaths caused by waits over 12 hours in A&E departments.

NC85

To move the following Clause—
“Patient safety recommendations: Government response
(1) This section applies where the Secretary of State commissions a review or a report into a patient safety issue.
(2) The Secretary of State must—
(a) decide within six months whether they are going to implement each recommendation;
(b) publish a response to each recommendation with a clear statement of whether the recommendation is to be implemented; and
(c) publish a timeline for implementation of those recommendations which they have decided to implement.”

This new clause requires the Secretary of State to respond to patient safety recommendations.

NC86

To move the following Clause—
“Referrals by general practitioners
NHS Trusts and NHS Foundation Trusts must ensure that all general practitioners are able to directly refer patients to consultants.”

This new clause would ensure that GPs must be able to refer patients directly to consultants.

NC87

To move the following Clause—
“Prioritising British citizens for the UK foundation programme
(1) The Medical Training (Prioritisation) Act 2026 is amended as follows.
(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.

NC88

To move the following Clause—
“National strategy on sexual health
(1) Within six months of the passage of this Act, the Secretary of State must prepare and publish a national strategy on sexual health.
(2) In preparing a strategy under subsection (1) the Secretary of State must consult all stakeholders the Secretary of State considers relevant, including patient representation groups.
(3) A strategy under subsection (1) must consider—
(a) the adequacy of current funding channels,
(b) equitable access to sexual healthcare services,
(c) sexual health inequalities, and
(d) the adequacy of sexually transmitted diseases test provision.
(4) The Secretary of State must lay a copy of the national strategy under subsection (1) before both Houses of Parliament.”

This new clause would require the Secretary of State to prepare and publish a national strategy on the accessibility of sexual healthcare.

NC89

To move the following Clause—
“Duty of health bodies to provide information and advice to carers
(1) Within six months of the passage of this Act, the Secretary of State must make provision for an information and support service for unpaid carers.
(2) The service under subsection (1) must include—
(a) provision for an unpaid carer to access information regarding recommended care and treatment needs for the person for whom they are caring,
(b) information about services, support and assistance available from the National Health Service to assist unpaid carers in their caring role,
(c) information about the availability of support for unpaid carers provided by local authorities,
(d) information about support available to promote and maintain the health, wellbeing and resilience of unpaid carers,
(e) information about arrangements for obtaining advice, training, advocacy or peer support relevant to unpaid carers’ caring role, and
(f) any other provisions which the Secretary of State considers appropriate for supporting unpaid carers in relation to their delivery of care.
(3) In exercising the duty under subsection (1), the Secretary of State must prioritise proactive identification of unpaid carers and ensuring that information and advice is accessible, proportionate and appropriate to the needs of unpaid carers.
(4) In exercising the duty under subsection (1), the Secretary of State must have regard to an unpaid carer’s willingness and ability to provide care.
(5) The Secretary of State must take reasonable steps to ensure that unpaid carers are made aware of the information and advice available under this section.
(6) For the purposes of this section, “unpaid carer” has the meaning given to “carer” in section 10 of the Care Act 2014.”

This new clause would create a duty for the Secretary of State to provide certain information and advice to unpaid carers.

NC90

To move the following Clause—
“Report on integration of health and social care services
(1) Within six months of the passage of this Act, the Secretary of State must lay a report before both Houses of Parliament about options for strengthening the integration of health and social care in England.
(2) The report under subsection (1) must consider the integration of health and social care in terms of commissioning—
(a) between local authorities and the NHS, and
(b) between healthcare and social care providers.
(3) Within six months of the report under subsection (1) being laid, the Secretary of State must make provision to implement the option for integration in the report which the Secretary of State considers most appropriate.”

This new clause would require the Secretary of State to lay a report before both Houses of Parliament about options for strengthening the integration of health and social care in England.

NC91

To move the following Clause—
“Regulations: reference to agreements and standards
(1) The Medicines and Medical Devices Act 2021 is amended as follows.
(2) In section 2 (power to make regulations about human medicines), after subsection (4) insert—
“(4A) Regulations under subsection (1) making provision in reliance on section 3, 4, 5 or 7 may refer to international agreements or standards relating to human medicines, including agreements or standards as they have effect from time to time.”
(3) In section 16 (manufacture, marketing and supply), after subsection (2) insert—
“(3) Provision made in reliance on subsection (1)(a) may refer to United Kingdom standards that—
(a) relate to the marketing, putting into service or other supply of medical devices, and
(b) are specified in a list published by the Secretary of State from time to time.
(4) Regulations made under section 15(1) that contain provision made in reliance on subsection (1)(a) about relevant requirements (or exceptions from them) may include provision in relation to a medical device where—
(a) the device complies with regulatory requirements applicable somewhere outside the United Kingdom which is specified in regulations, and
(b) a description of the device and the regulatory requirements applicable to it are contained in a list published by the Secretary of State from time to time.
(5) In this section “United Kingdom standard” means a standard that is—
(a) set by the British Standards Institution, or
(b) primarily developed for use in the United Kingdom, or part of the United Kingdom.””

This new clause would amend the Medicines and Medical Devices Act 2021 to (a) enable regulations to refer to both international agreements and standards and standards developed in the United Kingdom and (b) enable the Secretary of State to dispense with requirements placed on devices which meet regulatory requirements applicable outside the United Kingdom.

NC92

To move the following Clause—
“Medical Devices Regulations 2002: mutual recognition agreements
(1) The Medical Devices Regulations 2002 (S.I. 2002/618) are amended as follows.
(2) For regulation 1A (Schedules) substitute—
“1A Schedule
Schedule 2A has effect.”
(3) In regulation 2 (interpretation), in paragraph (1)—
(a) in the definition of “mutual recognition agreement”, in paragraph (a), for “country listed in Schedule 2” substitute “country specified in a list published by the Secretary of State from time to time”;
(b) in the definition of “third country conformity assessment body”, for “established in a country which is listed in Schedule 2 and designated in accordance with a relevant” substitute “designated in accordance with a”.
(4) Omit Schedule 2 (mutual recognition agreements).”

This new clause would amend the definition of “mutual recognition agreement” in the Medical Devices Regulations 2002 (as it has effect in England and Wales, and Scotland) so that agreements are defined by a list published by the Secretary of State, rather than a Schedule to the regulations.

NC93

To move the following Clause—
“Consultation about medicines and medical devices regulations
(1) Section 45 of the Medicines and Medical Devices Act 2021 (consultation) is amended as follows.
(2) In subsection (1), for “a provision of Part 1, 2, 3 or 4” substitute “Part 1 or 3”.
(3) After subsection (1) insert—
“(1ZA) Before making regulations under Part 2 or 4 the relevant authority must—
(a) carry out a public consultation, or
(b) consult such persons as it considers appropriate.”
(4) In subsection (3), at the beginning insert “Where a public consultation is carried out”.
(5) In subsection (4), in the words before paragraph (a), for “subsection (1)” substitute “subsection (1ZA)”.”

This amends the duty to consult in relation to regulations about human medicines and medical devices. It gives the option of consulting such persons as the relevant authority considers appropriate instead of a public consultation.

NC94

To move the following Clause—
“Medicines and medical devices regulations: parliamentary procedure
In section 47 of the Medicines and Medical Devices Act 2021 (regulations: procedure), for subsection (3) substitute—
“(3) Regulations under Part 1 are subject to the draft affirmative procedure.
(3A) Regulations under Part 2—
(a) are subject to the negative procedure if they contain only provision of one or more of the following descriptions—
(i) provision made in reliance on section 6(1)(a) (fees);
(ii) provision amending the meaning of “appropriate practitioner” or “approved country health professional” for the purposes of Part 12 of the Human Medicines Regulations 2012 (see regulation 214 of those regulations);
(iii) provision amending any of the following provisions of the Human Medicines Regulations 2012—
• regulations 217C(3) or 217CA(3) (original pack dispensing for products containing relevant substances: definition of “relevant substance”),
• Schedule 13 (prescription only medicines for which community practitioner nurse prescribers are appropriate practitioners),
• Schedule 15 (requirements for specific products subject to general sale),
• Schedule 16 (patient group directions and vaccine group directions),
• Schedule 17 (exemption for sale, supply or administration by certain persons),
• Schedule 18 (substances that may not be sold or supplied by a pharmacist without a prescription in reliance on emergency provisions),
• Schedule 19 (medicinal products for parenteral administration in an emergency), or
• Schedule 21 (medicinal products at high dilutions);
(iv) provision amending regulation 250 of the Human Medicines Regulations 2012 (restrictions on persons to be supplied with medicinal products: exceptions) for the purpose of changing the products to which any exception from time to time provided for by that regulation applies;
(v) provision that is consequential on provision of a description mentioned in any of sub-paragraphs (ii) to (iv);
(b) are subject to the made affirmative procedure if they—
(i) contain only provision that is made in reliance on section 7 (emergencies),
(ii) contain a declaration that the person making them considers that they need to be made urgently to protect the public from an imminent risk of serious harm to health, and
(iii) are not within paragraph (a);
(c) are subject to the draft affirmative procedure if they are not within sub-paragraphs (a) or (b).
(3B) Regulations under Part 3—
(a) are subject to the negative procedure if they contain only provision made in reliance on section 12(1)(a) (fees), and
(b) are subject to the draft affirmative procedure if they are not within paragraph (a).
(3C) Regulations under Part 4—
(a) are subject to the negative procedure if they contain only provision of one or more of the following descriptions—
(i) provision made in reliance on—
• section 17(1)(a) (fees), or
• paragraph 9 of Schedule 2 (supplementary provision about civil sanctions);
(ii) provision amending or revoking regulation 1ZA of the Medical Devices Regulations 2002 (expiry of certain provisions) or consequential on such provision;
(b) are subject to the made affirmative procedure if they—
(i) contain only provision made in reliance on section 18 (emergencies), and
(ii) contain a declaration that the person making them considers that they need to be made urgently to protect the public from an imminent risk of serious harm to health;
(c) are subject to the draft affirmative procedure if they are not within paragraph (a) or (b).””

This changes the parliamentary procedure for certain regulations from the draft affirmative procedure to the negative procedure. The changes all relate to regulations about medicines and medical devices (although the procedural provisions relating to certain other matters are restated in the amendment).

NC95

To move the following Clause—
“Medical devices etc: parliamentary procedure for certain fees regulations
In Schedule 7 to the European Union (Withdrawal) Act 2018 (regulations), in paragraph 12—
(a) in sub-paragraph (1) for “relate to altering the amount of a fee or charge to reflect changes in the value of money” substitute “fall within sub-paragraph (1A)”.
(b) after sub-paragraph (1) insert—
(1A)Provision falls within this sub-paragraph if it relates to—
(a)altering the amount of a fee or charge to reflect changes in the value of money,
(b)altering the amount of a fee or charge to be charged in connection with the exercise of a function which a public authority has by virtue of provision made under section 8C in connection with the EU medical devices Regulations, or
(c)altering the amount of a fee or charge to be charged under the Blood Safety and Quality Regulations 2005 (S.I. 2005/50).
(1B)In sub-paragraph (1A)(b) “the EU medical devices Regulations” means—
(a)Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices, amending Directive 2001/83/EC, Regulation (EC) No 178/2002 and Regulation (EC) No 1223/2009 and repealing Council Directives 90/385/EEC and 93/42/EEC, or
(b)Regulation (EU) 2017/746 of the European Parliament and of the Council of 5 April 2017 on in vitro diagnostic medical devices and repealing Directive 98/79/EC and Commission Decision 2010/227/EU,
as they have effect from time to time by virtue of Article 5(4) of the Windsor Framework.””

This allows regulations altering certain fees in relation to medical devices etc to be made subject to the negative resolution procedure. At the moment those regulations are subject to the affirmative resolution procedure.

NC96

To move the following Clause—
“Report on dementia care
(1) Within 12 months of the passage of this Act and every 12 months thereafter, the Secretary of State must publish and lay before both Houses of Parliament a report on—
(a) the provision of NHS care in relation to dementia.
(b) the provision of social care in relation to dementia.
(2) A report under subsection (1) must have regard to—
(a) any targets or standards set out in a national plan, guidance, or framework relating to dementia services, and
(b) any other information the Secretary of State considers appropriate.
(3) A report under subsection (1) must include—
(a) an assessment of variation in dementia services and outcomes between Integrated Care Board areas,
(b) information on workforce capacity, capability and training standards relevant to dementia care,
(c) information on access to ongoing post-diagnostic support services, including support for unpaid carers of dementia patients,
(d) information on continuity and coordination of care for people living with dementia, including access to a named professional responsible for coordinating support across services,
(e) outcomes and experiences for people living with dementia and unpaid carers, including crisis prevention, carer wellbeing, and experiences of joined-up care,
(f) progress on dementia prevention and risk reduction, and
(g) dementia research activity in the NHS.”

This new clause would require the Secretary of State to publish an annual report on the provision of NHS care and social care in relation to dementia.

83

Schedule 11, page 191, line 35, at end insert—
“Children’s Wellbeing and Schools Act 2026
400 In Schedule 1 to the Children’s Wellbeing and Schools Act 2026 (relevant authorities)—
(a) omit paragraph 9;
(b) in paragraph 12, omit
“section 25 of”
.”

This is a consequential amendment to Schedule 1 to the Children’s Wellbeing and Schools Act 2026, which would remove a reference to NHS England and update a reference to NHS trusts to take account of the new conversion procedure created by clause 35 of the Bill.

NC97

To move the following Clause—
“Publication of annual dementia care report
(1) The Secretary of State must publish annually and lay before Parliament a report on—
(a) the provision of NHS care in relation to dementia, and
(b) provision of social care in relation to dementia.
(2) In preparation of the report under subsection (1), the Secretary of State must have regard to targets, standards and outcome measures set out in national plans, guidance and frameworks relating to dementia services.
(3) In preparation of the report under subsection (1), the Secretary of State may have regard to any such measures or information that they consider appropriate, including—
(a) an assessment of any variation in dementia services and outcomes between integrated care board areas,
(b) information on workforce capacity, capability and training standards relevant to dementia care,
(c) information on access to ongoing post-diagnostic support services, including support for unpaid carers,
(d) information on continuity and coordination of care for people living with dementia, including access to a named professional responsible for coordinating support across services,
(e) outcomes and experiences for people living with dementia and unpaid carers, including crisis prevention, carer wellbeing, and experiences of joined-up care,
(f) progress on dementia prevention and risk reduction, and
(g) dementia research activity in the NHS.
(4) The Secretary of State must publish the first such report under subsection (1) within 12 months of the passage of this Act.”

This new clause would require the Secretary of State to produce an annual report on the delivery of dementia care by the NHS and social care sectors against relevant national targets, standards and outcome measures.

NC98

To move the following Clause—
“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.

NC99

To move the following Clause—
“Requirement for merit-based job allocations for doctors
(1) The Medical Training (Prioritisation) Act 2026 is amended as follows.
(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.””

This new clause would create a requirement for merit-based job allocations for doctors.

NC100

To move the following Clause—
“Single patient record: review of flagging for early cancer diagnosis
(1) Within 12 months of the day on which this Act is passed, the Secretary of State must lay before both Houses of Parliament a report on the feasibility of using patient records held by the health service to indicate, to a person providing health care to a patient, cases in which a patient has presented symptoms on more than one occasion which may indicate the presence of cancer.
(2) The report under subsection (1) must consider—
(a) the potential for such indication to support early diagnosis of cancer in patients aged under 50 years of age, and
(b) any implications of such an indication requirement for clinical responsibility and patient safety.
(3) In preparing the report the Secretary of State must consult—
(a) NICE, and
(b) any other persons as the Secretary of State considers appropriate.”

This new clause would require the Secretary of State to report on the feasibility of using patient records held by the health service to indicate, to a person providing health care to a patient, cases in which a patient has presented symptoms on more than one occasion which may indicate the presence of cancer.

NC101