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)

http://www.legislation.gov.uk/ukpga/1990/19/section/3/1999-10-31National 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 Database2022-09-291999-10-31Part I The National Health Service: England and Wales Local management
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.

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<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>
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<ukm:Year Value="1990"/>
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<ukm:AffectedTitle>National Health Service and Community Care Act 1990</ukm:AffectedTitle>
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<portionBody eId="body" period="#period2">
<part eId="part-I">
<num>Part I</num>
<heading> The National Health Service: England and Wales</heading>
<hcontainer name="crossheading" eId="part-I-crossheading-local-management" period="#period3">
<heading> Local management</heading>
<section eId="section-3" period="#period4">
<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="F1" 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="F2" 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="F3" 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="F3" 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="F4" 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="F4" 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="F5" 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="F5" 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="F5" 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="F5" 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="F6" 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="F7" 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="F7" 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>
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