But government spokeswoman Lady Northover denied the changes would damage the independence of the local groups.

BBC: Health and Social Care Bill part three

Government spokeswoman Baroness Northover told peers ministers would bring forward technical amendments to that effect at a later stage.

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Wrapping up the debate for the government, Baroness Northover said aid played a crucial role in driving growth and education in developing countries.

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For the government, Baroness Northover said people who receive free treatment include asylum seekers, and the measure would be extended to failed asylum seekers.

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But health spokeswoman Baroness Northover insisted Healthwatch would have "clout" and a "seat at the top table" in representing the interests of patients and the public.

BBC: Peers fail in bid to strengthen NHS patient watchdog

But Baroness Northover, replying for the government, resisted calls to make public campaigning for early diagnosis one of the health secretary's duties outlined in the bill.

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Responding for the government, Baroness Northover agreed on the need to reduce offending rates among young adults, and that "more intensive engagement" may have a role to play.

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Lady Northover said ministers had listened to concerns about a possible conflict of interest between Healthwatch and the CQC and were prepared to accept amendments aimed at tackling this.

BBC: Peers fail in bid to strengthen NHS patient watchdog