division_name: Opposition Day &#8212; [Un-allotted Day] &#8212; Nhs
motion: <p class="" pid="a.281.2/1" pwmotiontext="yes">I beg to move,</p>
  
  <p class="" pid="a.281.2/2" pwmotiontext="yes">That this House is concerned about recent pressure in Accident and Emergency departments and the increase in the number of people attending hospital A&amp;Es since 2009-10; notes a recent report by the Care Quality Commission which found that more than half a million people aged 65 and over were admitted as an emergency to hospital with potentially avoidable conditions in the last year; believes that better integration to improve care in the home or community can relieve pressure on A&amp;E; notes comments made by the Chief Executive of NHS England in oral evidence to the Health Select Committee on <phrase class="date" code="2013-11-05">5 November 2013</phrase>, that the NHS is getting bogged down in a morass of competition law, that this is causing significant cost and that to make integration happen there may need to be legislative change; is further concerned that the competition aspects of the Health and Social Care Act 2012 are causing increased costs in the NHS at a time when there is a shortage of A&amp;E doctors; and calls on the Government to reverse its changes to NHS competition policy that are holding back the integration needed to help solve the A&amp;E crisis and diverting resources which should be better spent on improving patient care.</p>
  
  <p class="" pid="a.294.2/1" pwmotiontext="yes">I beg to move an amendment, to leave out from &#8220;House&#8221; to the end of the Question and add:</p>
  
  <p class="" pid="a.294.2/2" pwmotiontext="yes">&#8220;notes the strong performance of NHS accident and emergency departments this winter; further notes that the average waiting time to be seen in A&amp;E has more than halved since 2010; commends the hard work of NHS staff who are seeing more people and carrying out more operations every year since May 2010; notes that this has been supported by the Government&#8217;s decision to protect the NHS budget and to shift resources to frontline patient care, delivering 12,000 more clinical staff and 23,000 fewer administrators; welcomes changes to the GP contract which restore the personal link between doctors and their most vulnerable patients; welcomes the announcement of the Better Care Fund which designates &#163;3.8 billion to join up health and care provision and the Integration Pioneers to provide better care closer to home; believes that clinicians are in the best position to make judgements about the most appropriate care for their patients; notes that rules on tendering are no different to the rules that applied to primary care trusts; and, a year on from the publication of the Francis Report, notes that the NHS is placing an increased emphasis on compassionate care, integration, transparency, safe staffing and patient safety.&#8221;.</p>
  
  <p pid="a.333.4/1" pwmotiontext="yes">Question put (<phrase class="standing-order" code="31(2)" pwmotiontext="yes">Standing Order No. 31(2)</phrase>), That the original words stand part of the Question.</p>
  
  <p class="italic" pid="a.333.4/2" pwmotiontext="yes">The House divided:</p>
  
  <p pid="a.333.4/3" pwmotiontext="yes">Ayes 232, Noes 299.</p>