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Title page 1

Contents 2

Key points 1

1. Policy background: NHS restructure 3

1.1. NHS England overview 3

1.2. Restructure and commissioning changes so far 4

1.3. Integrated care boards and integrated care partnerships 5

1.4. NHS trusts and foundation trusts 7

1.5. Stakeholder views on restructuring 7

2. Policy background: Patient records 8

2.1. Single patient record overview 8

2.2. Stakeholder views on single patient record 9

3. Policy background: Patient safety 10

3.1. Healthwatch and local Healthwatch organisations 11

3.2. Health Services Safety Investigations Body 12

3.3. Maternity and neonatal commissioner 13

3.4. Stakeholder views on patient safety 14

4. Bill content 16

4.1. Overview 16

4.2. Clauses in detail 17

4.2.1. Abolition of NHS England (NHSE) 17

4.2.2. Secretary of state's functions 18

4.2.3. Commissioning 19

4.2.4. ICBs 20

4.2.5. Integration and planning 21

4.2.6. NHS trusts, foundation trusts and special health authorities 21

4.2.7. Joint working and delegation 23

4.2.8. Pharmaceutical services 24

4.2.9. Finance 24

4.2.10. Regulation of adult social care services 25

4.2.11. Patient information 25

4.2.12. Information sharing and delegation 26

4.2.13. Support and visitors 27

4.2.14. Devolved authorities and crown dependencies 27

4.2.15. National Institute for Health and Care Excellence 28

4.2.16. Care Quality Commission and the Health Services Safety Investigations Body 28

4.2.17. Healthwatch England and Local Healthwatch organisations 28

4.2.18. Medicines and medical devices 29

4.2.19. Civil contingencies 30

4.2.20. Remaining clauses 31

4.3. Delegated powers 31

5. House of Commons 32

5.1. Health and Social Care Committee 32

5.2. Second reading 33

5.3. Committee stage 36

5.3.1. Government amendments made 38

5.3.2. Conservative amendments divided on and not made 39

5.3.3. Liberal Democrat amendments divided on and not made 44

5.4. Report stage 45

5.5. Third reading 49

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