Part 1: Health Service in England: Integration, Collaboration and Other Changes NHS England Section 2: Power to Require Commissioning of Specialised Services
Section 2 amends section 3B of the NHS Act 2006. This section relates to the power of the Secretary of State to require NHS England to commission certain specialised services that are not appropriate for commissioning by CCGs (or, now, integrated care boards)– for example, patients with rare cancers, genetic disorders or complex medical or surgical conditions.
	Under subsection (2), the test for the Secretary of State to prescribe a service to be commissioned by NHS England is amended to clarify that the Secretary of State can prescribe a service if they deem it appropriate for NHS England to commission it whether or not NHS England commissions the service itself or arranges for another body to commission the service under sections 13YB or 65Z5 of the NHS Act 2006.
	Subsection (3) removes the requirement for Secretary of State to consider the financial implications for CCGs if they were required to arrange for the provision of the service or facility.
	Subsection (4) requires the Secretary of State to explain to NHS England their reasoning, if he refuses a request from NHS England to revoke provisions made in regulations that prescribe services or facilities which NHS England must commission.