S. 1(1)(2)(4)(5) repealed (1.4.1996) by 1995 c. 17, ss. 2(1)(3), 5, Sch. 3 (with Sch. 2 paras. 6, 16)

S. 2 repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3

Words in s. 1(3) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II paras. 65, 66 (with Sch. 2 paras. 6, 16)

1977 c. 49.

S. 3(1) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 67(a) (with Sch. 2 paras. 6, 16)

Words in s. 3(1)(a) substituted (1.9.1999 for E. and 1.12.1999 for W.) by 1999 c. 8, s. 65, Sch. 4 paras. 74, 75; S.I. 1999/2342, art. 2(1), Sch. 1; 1999/3184, art. 2(2), Sch. 2

Words in s. 3(2) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 67(b) (with Sch. 2 paras. 6, 16)

Words in s. 3(5) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 67(c) (with Sch. 2 paras. 6, 16)

Words in s. 3(6) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 67(d) (with Sch. 2 paras. 6, 16)

S. 3(6A) inserted (1.4.1991) by S.I. 1991/195, art. 7 (2).

Words in s. 3(8) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 67(e) (with Sch. 2 paras. 6, 16)

S. 4 extended (11.5.1998) by 1997 c. 46, s. 16(5); S.I. 1998/631, art. 2(2)

S. 4 modified (8.3.2002 for E. and 1.7.2002 for W.) by 2001 c. 15, s. 33(5), (with ss. 64(9), 65(4)); S.I. 2002/1095, art. 2(4); S.I. 2002/1475, art. 2(1), Sch. Pt. 1

S. 4(1)(2)(5)(6)(9) brought into force 6.3.1991 (in so far as they relate to a reference under s. 4(4)) by S.I. 1991/388

S. 4(2)(a) and (aa) substituted (1.4.1996 subject to s. 8 of the amending Act) for s. 4(2)(a) by 1995 c. 17, ss. 2(1)(3), Sch. 1 para. 68(a) (with Sch. 2 paras. 6, 16)

S. 4(2)(bb) inserted (4.1.2000) by 1999 c. 8, s. 65(1), Sch. 4 paras. 74, 76(a)(ii); S.I. 1999/2342, art. 2(3)(b)(i)

S. 4(2)(d) repealed (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, ss. 2(1)(3), 5(1)(2), Sch. 1 para. 68(b), Sch. 3 (with Sch. 2 paras. 6, 16)

S. 4(2)(f) repealed (E.) (1.10.1999) by 1999 c. 8, s. 65(2), Sch. 5; S.I. 1999/2540, art. 2(1)(a), Sch. 1

S. 4(2)(ff) inserted (1.11.1999) by 1999 c. 8, s. 65(1), Sch. 4 paras. 74, 76(a)(ii); S.I. 1999/2793, art. 1(2)(b), Sch. 2

Word at end of s. 4(2)(h) repealed (1.4.1991) by S.I. 1991/195, art. 7(3)

S. 4(2)(j)(k)(l)(m) added (1.4.1991) by S.I. 1991/195, art. 7(3)

S. 4(4) brought into force 6.3.1991 by S.I. 1991/388

Words in s. 4(6)(7) omitted (1.9.1999 (E.) and 1.12.1999 (W.)) by virtue of 1999 c. 8, s. 65(1), Sch. 4 paras. 74, 76(2); S.I. 1999/2342, art. 2(1), Sch. 5; S.I. 1999/3184, art. 2(2), Sch. 2; and those same words expressed to be repealed (1.4.2000) by 1999 c. 8, s. 65(2), Sch. 5; S.I. 2000/1041, art. 2(d), Sch.

1978 c. 29.

S. 4(9)(b) and word in s. 4(9)(a) repealed (1.4.1991) by S.I. 1991/195, art. 7(4)

S. 4(10) added (1.4.1991) by S.I. 1991/195, art. 7(5)

S. 4A inserted (1.9.1997) by 1997 c. 46, s. 31(1); S.I. 1997/1780,

1978 c. 29.

S.I. 1972/1265 (N.I.14).

http://www.legislation.gov.uk/ukpga/1990/19/part/I/crossheading/local-management/2000-01-04National Health Service and Community Care Act 1990An Act to make further provision about health authorities and other bodies constituted in accordance with the National Health Service Act 1977; to provide for the establishment of National Health Service trusts; to make further provision about the financing of the practices of medical practitioners; to amend Part VII of the Local Government (Scotland) Act 1973 and Part III of the Local Government Finance Act 1982; to amend the National Health Service Act 1977 and the National Health Service (Scotland) Act 1978; to amend Part VIII of the Mental Health (Scotland) Act 1984; to make further provision concerning the provision of accommodation and other welfare services by local authorities and the powers of the Secretary of State as respects the social services functions of such authorities; to make provision for and in connection with the establishment of a Clinical Standards Advisory Group; to repeal the Health Services Act 1976; and for connected purposes.1990-06-29texttext/xmlenStatute Law Database2022-09-292000-01-04Part I The National Health Service: England and Wales Local management
1 Regional and District Health Authorities.1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

In the National Health Service Act 1977 (in this Part of this Act referred to as “the principal Act”), Part III of Schedule 5 (supplementary provisions as to authorities) shall be amended in accordance with Part III of Schedule 1 to this Act.

4

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Primary and other functions of health authorities etc. and exercise of functions.1

Any reference in this Act to the primary functions of a Health Authority or Special Health Authority is a reference to those functions for the time being exercisable by the Health Authority or Special Health Authority by virtue of—

a

directions under section 16D of the principal Act;

b

section 15 or Part II of the principal Act; or

c

any provision of this Act (apart from subsection (2) below).

2

In addition to carrying out its primary functions, a Health Authority or Special Health Authority may, as the provider, enter into an NHS contract (as defined in section 4 below) under which the goods or services to be provided are of the same description as goods or services which the Health Authority or Special Health Authority already provides or could provide for the purposes of carrying out its primary functions.

3

In section 16 of the principal Act (exercise of functions), in subsection (1) for the words from “an Area”, in the first place where they occur, to “Health Authority” in the second place where those words occur, there shall be substituted “a Regional or District Health Authority, or exercisable by a Regional or District Health Authority by virtue of any prescribed provision of this or any other Act, or exercisable by a Family Health Services Authority under Part I of the National Health Service and Community Care Act 1990”.

4

In section 17 of the principal Act (directions as to exercise of functions), in subsection (1) after the words “sections 13 to 16 above” there shall be inserted “and may also give directions with respect to the exercise by health authorities or Family Health Services Authorities of functions under the National Health Service and Community Care Act 1990”.

5

Nothing in this section or in the principal Act affects the power of a Health Authority or Special Health Authority at any time to provide goods or services under the principal Act for the benefit of an individual where—

a

the provision of those goods or services is neither within the primary functions of the Health Authority or Special Health Authority nor carried out pursuant to an NHS contract; but

b

the condition of the individual is such that he needs those goods or services and, having regard to his condition, it is not practicable before providing them to enter into an NHS contract for their provision.

6

In any case where—

a

a Health Authority or Special Health Authority provides goods or services for the benefit of an individual as mentioned in subsection (5) above, and

b

the provision of those goods or services is within the primary functions of another authority which is a Health Authority or Special Health Authority or is a function of a health board,

the Health Authority or Special Health Authority providing the goods or services shall be remunerated in respect of that provision by that other authority or health board.

6A

The reference in subsection (6) above to a function of a health board shall, in relation to a Health and Social Services Board constituted under the Health and Personal Social Services (Northern Ireland) Order 1972, be construed as a reference to a primary function of such a Board within the meaning of Article 9 of the Health and Personal Social Services (Northern Ireland) Order 1991.

7

The rate of any remuneration payable by virtue of subsection (6) above shall be calculated in such manner or on such basis as may be determined by the Secretary of State.

8

In any case where—

a

a Health Authority or Special Health Authority provides goods or services for the benefit of an individual, and

b

the provision of those goods or services is not pursuant to an NHS contract, and

c

the individual is resident outside the United Kingdom and is of a description (being a description associating the individual with another country) specified for the purposes of this subsection by a direction made by the Secretary of State,

the Health Authority or Special Health Authority shall be remunerated by the Secretary of State in respect of the provision of the goods or services in question at such rate or rates as he considers appropriate.

4NHS contracts.1

In this Act the expression “NHS contract” means an arrangement under which one health service body (“the acquirer”) arranges for the provision to it by another health service body (“the provider”) of goods or services which it reasonably requires for the purposes of its functions.

2

In this section “health service body” means any of the following, namely,—

a

a Health Authority;

aa

a Special Health Authority;

b

a health board;

bb

a Primary Care Trust

c

the Common Services Agency for the Scottish Health Service;

d

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e

an NHS trust;

f

a recognised fund-holding practice;

ff

the Commission for Health Improvement

g

the Dental Practice Board or the Scottish Dental Practice Board;

h

the Public Health Laboratory Service Board; . . .

i

the Secretary of State

j

the Northern Ireland Central Services Agency for the Health and Social Services established under the Health and Personal Social Services (Northern Ireland Order 1972;

k

a special health and social services agency established under the Health and Personal Social Services (Special Agencies) (Northern Ireland) Order 1990;

l

a Health and Social Services trust established under the Health and Personal Social Services (Northern Ireland) Order 1991; and

m

the Department of Health and Social Services for Northern Ireland.

3

Whether or not an arrangement which constitutes an NHS contract would, apart from this subsection, be a contract in law, it shall not be regarded for any purpose as giving rise to contractual rights or liabilities, but if any dispute arises with respect to such an arrangement, either party may refer the matter to the Secretary of State for determination under the following provisions of this section.

4

If, in the course of negotiations intending to lead to an arrangement which will be an NHS contract, it appears to a health service body—

a

that the terms proposed by another health service body are unfair by reason that the other is seeking to take advantage of its position as the only, or the only practicable, provider of the goods or services concerned or by reason of any other unequal bargaining position as between the prospective parties to the proposed arrangement, or

b

that for any other reason arising out of the relative bargaining position of the prospective parties any of the terms of the proposed arrangement cannot be agreed,

that health service body may refer the terms of the proposed arrangement to the Secretary of State for determination under the following provisions of this section.

5

Where a reference is made to the Secretary of State under subsection (3) or subsection (4) above, the Secretary of State may determine the matter himself or, if he considers it appropriate, appoint a person to consider and determine it in accordance with regulations.

6

By his determination of a reference under subsection (4) above, the Secretary of State or, as the case may be, the person appointed under subsection (5) above may specify terms to be included in the proposed arrangement and may direct that it be proceeded with; . . .

7

a determination of a reference under subsection (3) above may contain such directions (including directions as to a payment) as the Secretary of State or, as the case may be, the person appointed under subsection (5) above considers appropriate to resolve the matter in dispute; . . .

8

Without prejudice to the generality of his powers on a reference under subsection (3) above, the Secretary of State or, as the case may be, the person appointed under subsection (5) above may by his determination in relation to an arrangement constituting an NHS contract vary the terms of the arrangement or bring it to an end; and where an arrangement is so varied or brought to an end—

a

subject to paragraph (b) below, the variation or termination shall be treated as being effected by agreement between the parties; and

b

the directions included in the determination by virtue of subsection (7) above may contain such provisions as the Secretary of State or, as the case may be, the person appointed under subsection (5) above considers appropriate in order satisfactorily to give effect to the variation or to bring the arrangement to an end.

9

In subsection (2) above “NHS trust” includes—

a

such a trust established under the National Health Service (Scotland) Act 1978; . . .

b

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10

Where a Health and Social Services Board constituted under the Health and Personal Social Services (Northern Ireland) Order 1972 or a body mentioned in subsection (2)(j), (k), (1) or (m) above is a party or prospective party to an arrangement or proposed arrangement which—

a

falls within the definition of NHS contract in subsection (1) above; and

b

also falls within the definition of HSS contract in Article 8 of the Health and Personal Social Services (Northern Ireland) Order 1991,

subsections (3) to (8) above shall apply in relation to that arrangement or proposed arrangement with the substitution for references to the Secretary of State of references to the Secretary of State and the Department of Health and Social Services for Northern Ireland acting jointly.

4A Provision of certain services under NHS contracts.1

This section applies to any arrangement under which a Health Authority or such other health service body as may be prescribed arrange for the provision to them—

a

by a person on an ophthalmic list, or

b

by a person on a pharmaceutical list,

of goods or services that they reasonably require for the purposes of functions which they are exercising under Part I of the principal Act.

2

Any such arrangement is to be treated as an NHS contract for the purposes of section 4 (other than subsections (4) and (6)).

3

In this section—

health service body” means a body which is a health service body for the purposes of section 4;

ophthalmic list” means a list published in accordance with regulations made under—

a

section 39(a) of the principal Act;

b

section 26(2)(a) of the National Health Service (Scotland) Act 1978; or

c

Article 62(2)(a) of the Health and Personal Social Services (Northern Ireland) Order 1972; and

pharmaceutical list” means a list published in accordance with regulations made under—

a

section 42(2)(a) of the principal Act;

b

section 27(2) of the National Health Service (Scotland) Act 1978; or

c

Article 63(2A)(a) of the 1972 Order.

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<TLCConcept eId="period-concept5" href="/ontology/time/1997.09.01-2002.07.01" showAs="from 1997-09-01 until 2002-07-01"/>
<TLCConcept eId="period-concept6" href="/ontology/time/1999.09.01-2007.03.01" showAs="from 1999-09-01 until 2007-03-01"/>
<TLCConcept eId="period-concept7" href="/ontology/time/2000.01.04-2002.10.10" showAs="from 2000-01-04 until 2002-10-10"/>
<TLCConcept eId="period-concept8" href="/ontology/time/-2022.07.01" showAs=" before 2022-07-01"/>
</references>
<notes source="#source">
<note class="commentary F" eId="c1357856">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/1/1/2/4/5">S. 1(1)(2)(4)(5)</ref>
repealed (1.4.1996) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">ss. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/5">5</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/3">Sch. 3</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary F" eId="c1357862">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/2">S. 2</ref>
repealed (1.4.1996) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/5/1/2">s. 5(1)(2)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/3">Sch. 3</ref>
</p>
</note>
<note class="commentary F" eId="c1357858">
<p>
Words in
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/1/3">s. 1(3)</ref>
substituted (1.4.1996 subject to
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/8">s. 8</ref>
of the amending Act) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">s. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/part/II/paragraph/65">Sch. 1 Pt. II paras. 65</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/part/II/paragraph/66">66</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary M" eId="c1357859">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1977/49">1977 c. 49</ref>
.
</p>
</note>
<note class="commentary F" eId="c1357876">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/3/1">S. 3(1)</ref>
substituted (1.4.1996 subject to
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/8">s. 8</ref>
of the amending Act) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">s. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/part/II/paragraph/67/a">Sch. 1 Pt. II para. 67(a)</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary F" eId="c1357877">
<p>
Words in
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/3/1/a">s. 3(1)(a)</ref>
substituted (1.9.1999 for E. and 1.12.1999 for W.) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8">1999 c. 8</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/section/65">s. 65</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/4/paragraph/74">Sch. 4 paras. 74</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/4/paragraph/75">75</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2342">S.I. 1999/2342</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2342/article/2/1">art. 2(1)</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2342/schedule/1">Sch. 1</ref>
; 1999/3184, art. 2(2), Sch. 2
</p>
</note>
<note class="commentary F" eId="c1357878">
<p>
Words in
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/3/2">s. 3(2)</ref>
substituted (1.4.1996 subject to
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/8">s. 8</ref>
of the amending Act) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">s. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/part/II/paragraph/67/b">Sch. 1 Pt. II para. 67(b)</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary F" eId="c1357880">
<p>
Words in
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/3/5">s. 3(5)</ref>
substituted (1.4.1996 subject to
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/8">s. 8</ref>
of the amending Act) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">s. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/part/II/paragraph/67/c">Sch. 1 Pt. II para. 67(c)</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary F" eId="c1357882">
<p>
Words in
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/3/6">s. 3(6)</ref>
substituted (1.4.1996 subject to
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/8">s. 8</ref>
of the amending Act) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">s. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/part/II/paragraph/67/d">Sch. 1 Pt. II para. 67(d)</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary F" eId="c1357886">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/3/6A">S. 3(6A)</ref>
inserted (1.4.1991) by
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195">S.I. 1991/195</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195/article/7">art. 7</ref>
(2).
</p>
</note>
<note class="commentary F" eId="c1357887">
<p>
Words in
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/3/8">s. 3(8)</ref>
substituted (1.4.1996 subject to
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/8">s. 8</ref>
of the amending Act) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">s. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/part/II/paragraph/67/e">Sch. 1 Pt. II para. 67(e)</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary C" eId="c1358010">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4">S. 4</ref>
extended (11.5.1998) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1997/46">1997 c. 46</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1997/46/section/16/5">s. 16(5)</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/1998/631">S.I. 1998/631</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1998/631/article/2/2">art. 2(2)</ref>
</p>
</note>
<note class="commentary C" eId="c1358011">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4">S. 4</ref>
modified (8.3.2002 for E. and 1.7.2002 for W.) by
<ref href="http://www.legislation.gov.uk/id/ukpga/2001/15">2001 c. 15</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/2001/15/section/33/5">s. 33(5)</ref>
, (with ss. 64(9), 65(4));
<ref href="http://www.legislation.gov.uk/id/uksi/2002/1095">S.I. 2002/1095</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/2002/1095/article/2/4">art. 2(4)</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/2002/1475">S.I. 2002/1475</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/2002/1475/article/2/1">art. 2(1)</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/2002/1475/schedule/part/1">Sch. Pt. 1</ref>
</p>
</note>
<note class="commentary I" eId="c1358012">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/1/2/5/6/9">S. 4(1)(2)(5)(6)(9)</ref>
brought into force 6.3.1991 (in so far as they relate to a reference under s. 4(4)) by
<ref href="http://www.legislation.gov.uk/id/uksi/1991/388">S.I. 1991/388</ref>
</p>
</note>
<note class="commentary F" eId="c1358014">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/2/a">S. 4(2)(a)</ref>
and (aa) substituted (1.4.1996 subject to
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/8">s. 8</ref>
of the amending Act) for s. 4(2)(a) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">ss. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/paragraph/68/a">Sch. 1 para. 68(a)</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary F" eId="c1358016">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/2/bb">S. 4(2)(bb)</ref>
inserted (4.1.2000) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8">1999 c. 8</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/section/65/1">s. 65(1)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/4/paragraph/74">Sch. 4 paras. 74</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/4/paragraph/76/a/ii">76(a)(ii)</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2342">S.I. 1999/2342</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2342/article/2/3/b/i">art. 2(3)(b)(i)</ref>
</p>
</note>
<note class="commentary F" eId="c1358017">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/2/d">S. 4(2)(d)</ref>
repealed (1.4.1996 subject to
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/8">s. 8</ref>
of the amending Act) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17">1995 c. 17</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/2/1/3">ss. 2(1)(3)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/section/5/1/2">5(1)(2)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/1/paragraph/68/b">Sch. 1 para. 68(b)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/3">Sch. 3</ref>
(with
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/6">Sch. 2 paras. 6</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1995/17/schedule/2/paragraph/16">16</ref>
)
</p>
</note>
<note class="commentary F" eId="c1358018">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/2/f">S. 4(2)(f)</ref>
repealed (E.) (1.10.1999) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8">1999 c. 8</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/section/65/2">s. 65(2)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/5">Sch. 5</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2540">S.I. 1999/2540</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2540/article/2/1/a">art. 2(1)(a)</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2540/schedule/1">Sch. 1</ref>
</p>
</note>
<note class="commentary F" eId="c1358019">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/2/ff">S. 4(2)(ff)</ref>
inserted (1.11.1999) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8">1999 c. 8</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/section/65/1">s. 65(1)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/4/paragraph/74">Sch. 4 paras. 74</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/4/paragraph/76/a/ii">76(a)(ii)</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2793">S.I. 1999/2793</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2793/article/1/2/b">art. 1(2)(b)</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2793/schedule/2">Sch. 2</ref>
</p>
</note>
<note class="commentary F" eId="c1358020">
<p>
Word at end of s. 4(2)(h) repealed (1.4.1991) by
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195">S.I. 1991/195</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195/article/7/3">art. 7(3)</ref>
</p>
</note>
<note class="commentary F" eId="c1358021">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/2/j/k/l/m">S. 4(2)(j)(k)(l)(m)</ref>
added (1.4.1991) by
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195">S.I. 1991/195</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195/article/7/3">art. 7(3)</ref>
</p>
</note>
<note class="commentary I" eId="c1358022">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/4">S. 4(4)</ref>
brought into force 6.3.1991 by
<ref href="http://www.legislation.gov.uk/id/uksi/1991/388">S.I. 1991/388</ref>
</p>
</note>
<note class="commentary F" eId="c1358024">
<p>
Words in
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/6/7">s. 4(6)(7)</ref>
omitted (1.9.1999 (E.) and 1.12.1999 (W.)) by virtue of
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8">1999 c. 8</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/section/65/1">s. 65(1)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/4/paragraph/74">Sch. 4 paras. 74</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/4/paragraph/76/2">76(2)</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2342">S.I. 1999/2342</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2342/article/2/1">art. 2(1)</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/2342/schedule/5">Sch. 5</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/1999/3184">S.I. 1999/3184</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/3184/article/2/2">art. 2(2)</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1999/3184/schedule/2">Sch. 2</ref>
; and those same words expressed to be repealed (1.4.2000) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8">1999 c. 8</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/section/65/2">s. 65(2)</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1999/8/schedule/5">Sch. 5</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/2000/1041">S.I. 2000/1041</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/2000/1041/article/2/d">art. 2(d)</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/2000/1041/schedule">Sch.</ref>
</p>
</note>
<note class="commentary M" eId="c1358027">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1978/29">1978 c. 29</ref>
.
</p>
</note>
<note class="commentary F" eId="c1358028">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/9/b">S. 4(9)(b)</ref>
and word in s. 4(9)(a) repealed (1.4.1991) by
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195">S.I. 1991/195</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195/article/7/4">art. 7(4)</ref>
</p>
</note>
<note class="commentary F" eId="c1358030">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4/10">S. 4(10)</ref>
added (1.4.1991) by
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195">S.I. 1991/195</ref>
,
<ref href="http://www.legislation.gov.uk/id/uksi/1991/195/article/7/5">art. 7(5)</ref>
</p>
</note>
<note class="commentary F" eId="c1358054">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1990/19/section/4A">S. 4A</ref>
inserted (1.9.1997) by
<ref href="http://www.legislation.gov.uk/id/ukpga/1997/46">1997 c. 46</ref>
,
<ref href="http://www.legislation.gov.uk/id/ukpga/1997/46/section/31/1">s. 31(1)</ref>
;
<ref href="http://www.legislation.gov.uk/id/uksi/1997/1780">S.I. 1997/1780</ref>
,
</p>
</note>
<note class="commentary M" eId="c1358055">
<p>
<ref href="http://www.legislation.gov.uk/id/ukpga/1978/29">1978 c. 29</ref>
.
</p>
</note>
<note class="commentary M" eId="c1358056">
<p>
<ref href="http://www.legislation.gov.uk/id/nisi/1972/1265">S.I. 1972/1265 (N.I.14)</ref>
.
</p>
</note>
</notes>
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<dc:title>National Health Service and Community Care Act 1990</dc:title>
<dc:description>An Act to make further provision about health authorities and other bodies constituted in accordance with the National Health Service Act 1977; to provide for the establishment of National Health Service trusts; to make further provision about the financing of the practices of medical practitioners; to amend Part VII of the Local Government (Scotland) Act 1973 and Part III of the Local Government Finance Act 1982; to amend the National Health Service Act 1977 and the National Health Service (Scotland) Act 1978; to amend Part VIII of the Mental Health (Scotland) Act 1984; to make further provision concerning the provision of accommodation and other welfare services by local authorities and the powers of the Secretary of State as respects the social services functions of such authorities; to make provision for and in connection with the establishment of a Clinical Standards Advisory Group; to repeal the Health Services Act 1976; and for connected purposes.</dc:description>
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<num>Part I</num>
<heading> The National Health Service: England and Wales</heading>
<hcontainer name="crossheading" eId="part-I-crossheading-local-management" period="#period5">
<heading> Local management</heading>
<section eId="section-1" period="#period4">
<num>1</num>
<heading> Regional and District Health Authorities.</heading>
<subsection eId="section-1-1">
<num>
<noteRef href="#c1357856" marker="F1" class="commentary F"/>
1
</num>
<content>
<p>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</p>
</content>
</subsection>
<subsection eId="section-1-2">
<num>
<noteRef href="#c1357856" marker="F1" class="commentary F"/>
2
</num>
<content>
<p>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</p>
</content>
</subsection>
<subsection eId="section-1-3">
<num>3</num>
<content>
<p>
<ins class="d30p38437 first">
<noteRef href="#c1357858" marker="F3" class="commentary attribute F"/>
In the
</ins>
<ins class="d30p38437 last">
<noteRef href="#c1357859" marker="M1" class="commentary M"/>
National Health Service Act 1977 (in this Part of this Act referred to as “the principal Act”), Part III of Schedule 5
</ins>
(supplementary provisions as to authorities) shall be amended in accordance with Part III of Schedule 1 to this Act.
</p>
</content>
</subsection>
<subsection eId="section-1-4">
<num>
<noteRef href="#c1357856" marker="F1" class="commentary F"/>
4
</num>
<content>
<p>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</p>
</content>
</subsection>
<subsection eId="section-1-5">
<num>
<noteRef href="#c1357856" marker="F1" class="commentary F"/>
5
</num>
<content>
<p>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</p>
</content>
</subsection>
</section>
<section eId="section-2" period="#period3">
<num>
<noteRef href="#c1357862" marker="F2" class="commentary F"/>
2
</num>
<heading>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</heading>
<content>
<p/>
</content>
</section>
<section eId="section-3" period="#period7">
<num>3</num>
<heading>
Primary and other functions of health authorities
<abbr title="et cetera" xml:lang="la">etc.</abbr>
and exercise of functions.
</heading>
<subsection eId="section-3-1">
<num>
<ins class="d30p38939 first">
<noteRef href="#c1357876" marker="F4" class="commentary attribute F"/>
1
</ins>
</num>
<intro>
<p>
<ins class="d30p38939">Any reference in this Act to the primary functions of a Health Authority or Special Health Authority is a reference to those functions for the time being exercisable by the Health Authority or Special Health Authority by virtue of—</ins>
</p>
</intro>
<paragraph eId="section-3-1-a">
<num>
<ins class="d30p38939">a</ins>
</num>
<content>
<p>
<ins class="d30p38939">directions under section </ins>
<ins class="d30p38939">
<ins class="d30p38952 first last">
<noteRef href="#c1357877" marker="F5" class="commentary attribute F"/>
16D
</ins>
</ins>
<ins class="d30p38939"> of the principal Act;</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-3-1-b">
<num>
<ins class="d30p38939">b</ins>
</num>
<content>
<p>
<ins class="d30p38939">section 15 or Part II of the principal Act; or</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-3-1-c">
<num>
<ins class="d30p38939">c</ins>
</num>
<content>
<p>
<ins class="d30p38939 last">any provision of this Act (apart from subsection (2) below).</ins>
</p>
</content>
</paragraph>
</subsection>
<subsection eId="section-3-2">
<num>2</num>
<content>
<p>
In addition to carrying out its primary functions, a
<ins class="d30p38975 first last">
<noteRef href="#c1357878" marker="F6" class="commentary attribute F"/>
Health Authority or Special Health Authority
</ins>
may, as the provider, enter into an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract (as defined in section 4 below) under which the goods or services to be provided are of the same description as goods or services which the
<ins class="d30p38979 first last">
<noteRef href="#c1357878" marker="F6" class="commentary attribute F"/>
Health Authority or Special Health Authority
</ins>
already provides or could provide for the purposes of carrying out its primary functions.
</p>
</content>
</subsection>
<subsection eId="section-3-3">
<num>3</num>
<content>
<p>In section 16 of the principal Act (exercise of functions), in subsection (1) for the words from “an Area”, in the first place where they occur, to “Health Authority” in the second place where those words occur, there shall be substituted “a Regional or District Health Authority, or exercisable by a Regional or District Health Authority by virtue of any prescribed provision of this or any other Act, or exercisable by a Family Health Services Authority under Part I of the National Health Service and Community Care Act 1990”.</p>
</content>
</subsection>
<subsection eId="section-3-4">
<num>4</num>
<content>
<p>In section 17 of the principal Act (directions as to exercise of functions), in subsection (1) after the words “sections 13 to 16 above” there shall be inserted “and may also give directions with respect to the exercise by health authorities or Family Health Services Authorities of functions under the National Health Service and Community Care Act 1990”.</p>
</content>
</subsection>
<subsection eId="section-3-5">
<num>5</num>
<intro>
<p>
Nothing in this section or in the principal Act affects the power of a
<ins class="d30p39001 first last">
<noteRef href="#c1357880" marker="F7" class="commentary attribute F"/>
Health Authority or Special Health Authority
</ins>
at any time to provide goods or services under the principal Act for the benefit of an individual where—
</p>
</intro>
<paragraph eId="section-3-5-a">
<num>a</num>
<content>
<p>
the provision of those goods or services is neither within the primary functions of the
<ins class="d30p39011 first last">
<noteRef href="#c1357880" marker="F7" class="commentary attribute F"/>
Health Authority or Special Health Authority
</ins>
nor carried out pursuant to an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract; but
</p>
</content>
</paragraph>
<paragraph eId="section-3-5-b">
<num>b</num>
<content>
<p>
the condition of the individual is such that he needs those goods or services and, having regard to his condition, it is not practicable before providing them to enter into an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract for their provision.
</p>
</content>
</paragraph>
</subsection>
<subsection eId="section-3-6">
<num>6</num>
<intro>
<p>In any case where—</p>
</intro>
<paragraph eId="section-3-6-a">
<num>a</num>
<content>
<p>
a
<ins class="d30p39033 first last">
<noteRef href="#c1357882" marker="F8" class="commentary attribute F"/>
Health Authority or Special Health Authority
</ins>
provides goods or services for the benefit of an individual as mentioned in subsection (5) above, and
</p>
</content>
</paragraph>
<paragraph eId="section-3-6-b">
<num>b</num>
<content>
<p>
the provision of those goods or services is within the primary functions of another
<ins class="d30p39043 first last">
<noteRef href="#c1357882" marker="F8" class="commentary attribute F"/>
authority which is a Health Authority or Special Health Authority
</ins>
or is a function of a health board,
</p>
</content>
</paragraph>
<wrapUp>
<p>
<ins class="d30p39048 first last">
<noteRef href="#c1357882" marker="F8" class="commentary attribute F"/>
the Health Authority or Special Health Authority
</ins>
providing the goods or services shall be remunerated in respect of that provision by that
<ins class="d30p39052 first last">
<noteRef href="#c1357882" marker="F8" class="commentary attribute F"/>
other authority
</ins>
or health board.
</p>
</wrapUp>
</subsection>
<subsection eId="section-3-6A">
<num>
<ins class="d30p39056 first">
<noteRef href="#c1357886" marker="F9" class="commentary F"/>
6A
</ins>
</num>
<content>
<p>
<ins class="d30p39056 last">The reference in subsection (6) above to a function of a health board shall, in relation to a Health and Social Services Board constituted under the Health and Personal Social Services (Northern Ireland) Order 1972, be construed as a reference to a primary function of such a Board within the meaning of Article 9 of the Health and Personal Social Services (Northern Ireland) Order 1991.</ins>
</p>
</content>
</subsection>
<subsection eId="section-3-7">
<num>7</num>
<content>
<p>The rate of any remuneration payable by virtue of subsection (6) above shall be calculated in such manner or on such basis as may be determined by the Secretary of State.</p>
</content>
</subsection>
<subsection eId="section-3-8">
<num>8</num>
<intro>
<p>In any case where—</p>
</intro>
<paragraph eId="section-3-8-a">
<num>a</num>
<content>
<p>
a
<ins class="d30p39084 first last">
<noteRef href="#c1357887" marker="F10" class="commentary attribute F"/>
Health Authority or Special Health Authority
</ins>
provides goods or services for the benefit of an individual, and
</p>
</content>
</paragraph>
<paragraph eId="section-3-8-b">
<num>b</num>
<content>
<p>
the provision of those goods or services is not pursuant to an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract, and
</p>
</content>
</paragraph>
<paragraph eId="section-3-8-c">
<num>c</num>
<content>
<p>the individual is resident outside the United Kingdom and is of a description (being a description associating the individual with another country) specified for the purposes of this subsection by a direction made by the Secretary of State,</p>
</content>
</paragraph>
<wrapUp>
<p>
the
<ins class="d30p39102 first last">
<noteRef href="#c1357887" marker="F10" class="commentary attribute F"/>
Health Authority or Special Health Authority
</ins>
shall be remunerated by the Secretary of State in respect of the provision of the goods or services in question at such rate or rates as he considers appropriate.
</p>
</wrapUp>
</subsection>
</section>
<section eId="section-4" period="#period8">
<num>
<noteRef href="#c1358010" marker="C1" class="commentary C"/>
<noteRef href="#c1358011" marker="C2" class="commentary C"/>
4
</num>
<heading>
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contracts.
</heading>
<subsection eId="section-4-1">
<num>
<noteRef href="#c1358012" marker="I1" class="commentary I"/>
1
</num>
<content>
<p>
In this Act the expression “
<term refersTo="#term-nhs-contract">
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract
</term>
” means an arrangement under which one health service body (“the acquirer”) arranges for the provision to it by another health service body (“the provider”) of goods or services which it reasonably requires for the purposes of its functions.
</p>
</content>
</subsection>
<subsection eId="section-4-2">
<num>
<noteRef href="#c1358012" marker="I1" class="commentary I"/>
2
</num>
<intro>
<p>
In this section “
<term refersTo="#term-health-service-body">health service body</term>
” means any of the following, namely,—
</p>
</intro>
<paragraph eId="section-4-2-a">
<num>
<ins class="d30p41217 first">
<noteRef href="#c1358014" marker="F11" class="commentary attribute F"/>
a
</ins>
</num>
<content>
<p>
<ins class="d30p41217">a Health Authority;</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-2-aa">
<num>
<ins class="d30p41217">
<noteRef href="#c1358014" marker="F11" class="commentary F"/>
aa
</ins>
</num>
<content>
<p>
<ins class="d30p41217 last">a Special Health Authority;</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-2-b">
<num>b</num>
<content>
<p>a health board;</p>
</content>
</paragraph>
<paragraph eId="section-4-2-bb">
<num>
<ins class="d30p41238 first">
<noteRef href="#c1358016" marker="F12" class="commentary attribute F"/>
bb
</ins>
</num>
<content>
<p>
<ins class="d30p41238 last">a Primary Care Trust</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-2-c">
<num>c</num>
<content>
<p>the Common Services Agency for the Scottish Health Service;</p>
</content>
</paragraph>
<paragraph eId="section-4-2-d">
<num>
<noteRef href="#c1358017" marker="F13" class="commentary F"/>
d
</num>
<content>
<p>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</p>
</content>
</paragraph>
<paragraph eId="section-4-2-e">
<num>e</num>
<content>
<p>
an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
trust;
</p>
</content>
</paragraph>
<paragraph eId="section-4-2-f">
<num>
<ins class="d30p41266 first">
<noteRef href="#c1358018" marker="F14" class="commentary attribute F"/>
f
</ins>
</num>
<content>
<p>
<ins class="d30p41266 last">a recognised fund-holding practice;</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-2-ff">
<num>
<ins class="d30p41274 first">
<noteRef href="#c1358019" marker="F15" class="commentary attribute F"/>
ff
</ins>
</num>
<content>
<p>
<ins class="d30p41274 last">the Commission for Health Improvement</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-2-g">
<num>g</num>
<content>
<p>the Dental Practice Board or the Scottish Dental Practice Board;</p>
</content>
</paragraph>
<paragraph eId="section-4-2-h">
<num>h</num>
<content>
<p>
the Public Health Laboratory Service Board;
<noteRef href="#c1358020" marker="F16" class="commentary F"/>
. . .
</p>
</content>
</paragraph>
<paragraph eId="section-4-2-i">
<num>i</num>
<content>
<p>the Secretary of State</p>
</content>
</paragraph>
</subsection>
<paragraph eId="section-4-j">
<num>
<ins class="d30p41302 first">
<noteRef href="#c1358021" marker="F17" class="commentary F"/>
j
</ins>
</num>
<content>
<p>
<ins class="d30p41302">the Northern Ireland Central Services Agency for the Health and Social Services established under the Health and Personal Social Services (Northern Ireland Order 1972;</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-k">
<num>
<ins class="d30p41302">k</ins>
</num>
<content>
<p>
<ins class="d30p41302">a special health and social services agency established under the Health and Personal Social Services (Special Agencies) (Northern Ireland) Order 1990;</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-l">
<num>
<ins class="d30p41302">l</ins>
</num>
<content>
<p>
<ins class="d30p41302">a Health and Social Services trust established under the Health and Personal Social Services (Northern Ireland) Order 1991; and</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-m">
<num>
<ins class="d30p41302">m</ins>
</num>
<content>
<p>
<ins class="d30p41302 last">the Department of Health and Social Services for Northern Ireland.</ins>
</p>
</content>
</paragraph>
<subsection eId="section-4-3">
<num>3</num>
<content>
<p>
Whether or not an arrangement which constitutes an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract would, apart from this subsection, be a contract in law, it shall not be regarded for any purpose as giving rise to contractual rights or liabilities, but if any dispute arises with respect to such an arrangement, either party may refer the matter to the Secretary of State for determination under the following provisions of this section.
</p>
</content>
</subsection>
<subsection eId="section-4-4">
<num>
<noteRef href="#c1358022" marker="I2" class="commentary I"/>
4
</num>
<intro>
<p>
If, in the course of negotiations intending to lead to an arrangement which will be an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract, it appears to a health service body—
</p>
</intro>
<paragraph eId="section-4-4-a">
<num>a</num>
<content>
<p>that the terms proposed by another health service body are unfair by reason that the other is seeking to take advantage of its position as the only, or the only practicable, provider of the goods or services concerned or by reason of any other unequal bargaining position as between the prospective parties to the proposed arrangement, or</p>
</content>
</paragraph>
<paragraph eId="section-4-4-b">
<num>b</num>
<content>
<p>that for any other reason arising out of the relative bargaining position of the prospective parties any of the terms of the proposed arrangement cannot be agreed,</p>
</content>
</paragraph>
<wrapUp>
<p>that health service body may refer the terms of the proposed arrangement to the Secretary of State for determination under the following provisions of this section.</p>
</wrapUp>
</subsection>
<subsection eId="section-4-5">
<num>
<noteRef href="#c1358012" marker="I1" class="commentary I"/>
5
</num>
<content>
<p>Where a reference is made to the Secretary of State under subsection (3) or subsection (4) above, the Secretary of State may determine the matter himself or, if he considers it appropriate, appoint a person to consider and determine it in accordance with regulations.</p>
</content>
</subsection>
<subsection eId="section-4-6">
<num>6</num>
<content>
<p>
By his determination of a reference under subsection (4) above, the Secretary of State or, as the case may be, the person appointed under subsection (5) above may specify terms to be included in the proposed arrangement and may direct that it be proceeded with;
<noteRef href="#c1358024" marker="F18" class="commentary F"/>
. . .
</p>
</content>
</subsection>
<subsection eId="section-4-7">
<num>7</num>
<content>
<p>
a determination of a reference under subsection (3) above may contain such directions (including directions as to a payment) as the Secretary of State or, as the case may be, the person appointed under subsection (5) above considers appropriate to resolve the matter in dispute;
<noteRef href="#c1358024" marker="F18" class="commentary F"/>
. . .
</p>
</content>
</subsection>
<subsection eId="section-4-8">
<num>8</num>
<intro>
<p>
Without prejudice to the generality of his powers on a reference under subsection (3) above, the Secretary of State or, as the case may be, the person appointed under subsection (5) above may by his determination in relation to an arrangement constituting an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract vary the terms of the arrangement or bring it to an end; and where an arrangement is so varied or brought to an end—
</p>
</intro>
<paragraph eId="section-4-8-a">
<num>a</num>
<content>
<p>subject to paragraph (b) below, the variation or termination shall be treated as being effected by agreement between the parties; and</p>
</content>
</paragraph>
<paragraph eId="section-4-8-b">
<num>b</num>
<content>
<p>the directions included in the determination by virtue of subsection (7) above may contain such provisions as the Secretary of State or, as the case may be, the person appointed under subsection (5) above considers appropriate in order satisfactorily to give effect to the variation or to bring the arrangement to an end.</p>
</content>
</paragraph>
</subsection>
<subsection eId="section-4-9">
<num>
<noteRef href="#c1358012" marker="I1" class="commentary I"/>
9
</num>
<intro>
<p>
In subsection (2) above “
<term refersTo="#term-nhs-trust">
<abbr class="Acronym" title="National Health Service">NHS</abbr>
trust
</term>
” includes—
</p>
</intro>
<paragraph eId="section-4-9-a">
<num>a</num>
<content>
<p>
such a trust established under the
<noteRef href="#c1358027" marker="M2" class="commentary M"/>
National Health Service (Scotland) Act 1978;
<noteRef href="#c1358028" marker="F19" class="commentary F"/>
. . .
</p>
</content>
</paragraph>
<paragraph eId="section-4-9-b">
<num>
<noteRef href="#c1358028" marker="F19" class="commentary F"/>
b
</num>
<content>
<p>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</p>
</content>
</paragraph>
</subsection>
<subsection eId="section-4-10">
<num>
<ins class="d30p41425 first">
<noteRef href="#c1358030" marker="F20" class="commentary attribute F"/>
10
</ins>
</num>
<intro>
<p>
<ins class="d30p41425">Where a Health and Social Services Board constituted under the Health and Personal Social Services (Northern Ireland) Order 1972 or a body mentioned in subsection (2)(j), (k), (1) or (m) above is a party or prospective party to an arrangement or proposed arrangement which—</ins>
</p>
</intro>
<paragraph eId="section-4-10-a">
<num>
<ins class="d30p41425">a</ins>
</num>
<content>
<p>
<ins class="d30p41425">
falls within the definition of
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract in subsection (1) above; and
</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4-10-b">
<num>
<ins class="d30p41425">b</ins>
</num>
<content>
<p>
<ins class="d30p41425">
also falls within the definition of
<abbr class="Acronym" title="Health and Social Services Trust">HSS</abbr>
contract in Article 8 of the Health and Personal Social Services (Northern Ireland) Order 1991,
</ins>
</p>
</content>
</paragraph>
<wrapUp>
<p>
<ins class="d30p41425 last">subsections (3) to (8) above shall apply in relation to that arrangement or proposed arrangement with the substitution for references to the Secretary of State of references to the Secretary of State and the Department of Health and Social Services for Northern Ireland acting jointly.</ins>
</p>
</wrapUp>
</subsection>
</section>
<section eId="section-4A" period="#period6">
<num>
<ins class="d30p42622">4A</ins>
</num>
<heading>
<ins class="d30p42622 first">
<noteRef href="#c1358054" marker="F21" class="commentary attribute F"/>
Provision of certain services under
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contracts.
</ins>
</heading>
<subsection eId="section-4A-1">
<num>
<ins class="d30p42622">1</ins>
</num>
<intro>
<p>
<ins class="d30p42622">This section applies to any arrangement under which a Health Authority or such other health service body as may be prescribed arrange for the provision to them—</ins>
</p>
</intro>
<paragraph eId="section-4A-1-a">
<num>
<ins class="d30p42622">a</ins>
</num>
<content>
<p>
<ins class="d30p42622">by a person on an ophthalmic list, or</ins>
</p>
</content>
</paragraph>
<paragraph eId="section-4A-1-b">
<num>
<ins class="d30p42622">b</ins>
</num>
<content>
<p>
<ins class="d30p42622">by a person on a pharmaceutical list,</ins>
</p>
</content>
</paragraph>
<wrapUp>
<p>
<ins class="d30p42622">of goods or services that they reasonably require for the purposes of functions which they are exercising under Part I of the principal Act.</ins>
</p>
</wrapUp>
</subsection>
<subsection eId="section-4A-2">
<num>
<ins class="d30p42622">2</ins>
</num>
<content>
<p>
<ins class="d30p42622">
Any such arrangement is to be treated as an
<abbr class="Acronym" title="National Health Service">NHS</abbr>
contract for the purposes of section 4 (other than subsections (4) and (6)).
</ins>
</p>
</content>
</subsection>
<subsection eId="section-4A-3">
<num>
<ins class="d30p42622">3</ins>
</num>
<content>
<p>
<ins class="d30p42622">In this section—</ins>
</p>
<blockList class="unordered">
<item>
<p>
<ins class="d30p42622"></ins>
<term refersTo="#term-health-service-body">
<ins class="d30p42622">health service body</ins>
</term>
<ins class="d30p42622">” means a body which is a health service body for the purposes of section 4;</ins>
</p>
</item>
<item>
<p>
<ins class="d30p42622"></ins>
<term refersTo="#term-ophthalmic-list">
<ins class="d30p42622">ophthalmic list</ins>
</term>
<ins class="d30p42622">” means a list published in accordance with regulations made under—</ins>
</p>
<blockList class="ordered">
<item>
<num>a</num>
<p>
<ins class="d30p42622">section 39(a) of the principal Act;</ins>
</p>
</item>
<item>
<num>b</num>
<p>
<ins class="d30p42622">section 26(2)(a) of the </ins>
<ins class="d30p42622">
<noteRef href="#c1358055" marker="M3" class="commentary M"/>
National Health Service (Scotland) Act 1978; or
</ins>
</p>
</item>
<item>
<num>c</num>
<p>
<ins class="d30p42622">Article 62(2)(a) of the </ins>
<ins class="d30p42622">
<noteRef href="#c1358056" marker="M4" class="commentary M"/>
Health and Personal Social Services (Northern Ireland) Order 1972; and
</ins>
</p>
</item>
</blockList>
</item>
<item>
<p>
<ins class="d30p42622"></ins>
<term refersTo="#term-pharmaceutical-list">
<ins class="d30p42622">pharmaceutical list</ins>
</term>
<ins class="d30p42622">” means a list published in accordance with regulations made under—</ins>
</p>
<blockList class="ordered">
<item>
<num>a</num>
<p>
<ins class="d30p42622">section 42(2)(a) of the principal Act;</ins>
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</item>
<item>
<num>b</num>
<p>
<ins class="d30p42622">section 27(2) of the National Health Service (Scotland) Act 1978; or</ins>
</p>
</item>
<item>
<num>c</num>
<p>
<ins class="d30p42622 last">Article 63(2A)(a) of the 1972 Order.</ins>
</p>
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</item>
</blockList>
</content>
</subsection>
</section>
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</part>
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</portion>
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