National Health Service and Community Care Act 1990

National Health Service trusts E+W

5 NHS trusts. E+W

(1) Subject to subsection (2) F1 . . . below the Secretary of State may by order establish bodies, to be known as National Health Service trusts (in this Act referred to as NHS trusts), [F2 to provide goods and services for the purposes of the health service].

[F3 (2) No order shall be made under subsection (1) above until after the completion of such consultation as may be prescribed.]

(5) Every NHS trust—

(a) shall be a body corporate having a board of directors consisting of a chairman appointed by the Secretary of State and, subject to paragraph 5(2) of Schedule 2 to this Act, executive and non-executive directors (that is to say, directors who, subject to subsection (7) below, respectively are and are not employees of the trust); and

(b) shall have the functions conferred on it by an order under subsection (1) above and by Schedule 2 to this Act.

[F4 (6) The functions which may be specified in an order under subsection (1) above include a duty to provide goods or services so specified at or from a hospital or other establishment or facility so specified.]

(7) The Secretary of State may by regulations make general provision with respect to—

(a) the qualifications for and the tenure of office of the chairman and directors of an NHS trust (including the circumstances in which they shall cease to hold, or may be removed from, office or may be suspended from performing the functions of the office);

(b) the persons by whom the directors and any of the officers are to be appointed and the manner of their appointment;

(c) the maximum and minimum numbers of the directors;

(d) the circumstances in which a person who is not an employee of the trust is nevertheless, on appointment as a director, to be regarded as an executive rather than a non-executive director;

(e) the proceedings of the trust (including the validation of proceedings in the event of a vacancy or defect in appointment); and

(f) the appointment, constitution and exercise of functions by committees and sub-committees of the trust (whether or not consisting of or including any members of the board)

[F5 and, without prejudice to the generality of the power, any such regulations, may make provision to deal with cases where the post of any officer of an NHS trust is held jointly by two or more persons or where the functions of such an officer are in any other way performed by more than one person.]

(8) Part I of Schedule 2 to this Act shall have effect with respect to orders under subsection (1) above; Part II of that Schedule shall have effect, subject to subsection (9) below, with respect to the general duties and the powers and status of NHS trusts; the supplementary provisions of Part III of that Schedule shall have effect; and Part IV of that Schedule shall have effect with respect to the dissolution of NHS trusts.

[F6 (9) A power conferred by paragraph 14 or 15 of Part II of Schedule 2 to this Act may only be exercised—

(a) to the extent that its exercise does not to any significant extent interfere with the performance by the NHS trust of its functions or of its obligations under NHS contracts, and

(b) in circumstances specified in directions under section 17 of the principal Act, with the consent of the Secretary of State.]

(10) The Secretary of State may by order made by statutory instrument confer on NHS trusts specific powers additional to those contained in paragraphs 10 to 15 of Schedule 2 to this Act.

Textual Amendments

F1 Words in s. 5(1) repealed (1.4.2000) by 1999 c. 8, ss. 65, Sch. 5; S.I. 2000/1041, art. 2, Sch.

F2 Words in s. 5(1) substituted (retrospectively) for s. 5(1)(a)(b) by 1999 c. 8, s. 13(1)(10); S.I. 1999/2540, art. 2(1)(a), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

F3 S. 5(2) substituted (1.4.1996 subject to s. 8 of the amending Act) for s. 5(2)-(4) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 69(b) (with Sch. 2 paras. 6, 16)

F4 S. 5(6) substituted (retrospectively) by 1999 c. 8, s. 13(1)(10); S.I. 1999/2540, art. 2(1)(a), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

F5 S. 5(7): the words from “and, without prejudice” onwards follow (rather than form part of) paragraph (f) (1.4.1996 subject to s. 8 of the amending Act) by virtue of 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 69(d) (with Sch. 2 paras. 6, 16)

F6 S. 5(9) substituted (1.10.1999 for E. and 1.11.1999 for W.) by 1999 c. 8, s. 14; S.I. 1999/2540, art. 2(1)(a), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

Modifications etc. (not altering text)

C1 s. 5(1) extended (11.5.2001 for specified purposes, 19.12.2001 for E. for all purposes and otherwiseprosp.) by 2001 c. 15, ss. 45(5), 70 (with ss. 64(9), 65(4)); S.I. 2001/4149, art. 2(a)

6 Transfer of staff to NHS trusts. E+W

(1) Subject to subsection (5) below, this section applies to any person who, immediately before an NHS trust’s operational date—

(a) is employed by a [F7 Health Authority ,][F8 Special Health Authority or Primary Care Trust] to work solely at, or for the purposes of, a hospital or other establishment or facility which is to become the responsibility of the [F9 NHS] trust; or

(b) is employed by a [F7 Health Authority,][F8 Special Health Authority or Primary Care Trust] to work at, or for the purposes of, such a hospital, establishment or facility and is designated for the purposes of this section by a scheme made by the [F7 Health Authority,][F8 Special Health Authority or Primary Care Trust] specified as mentioned in paragraph 3(1)(f) of Schedule 2 to this Act.

(2) A scheme under this section shall not have effect unless approved by the Secretary of State.

(3) Subject to section 7 below, the contract of employment between a person to whom this section applies and the [F7 Health Authority,][F8 Special Health Authority or Primary Care Trust] by whom he is employed shall have effect from the operational date as if originally made between him and the NHS trust.

(4) Without prejudice to subsection (3) above—

(a) all the [F10 rights, powers, duties and liabilities of the Health Authority,][F8 Special Health Authority or Primary Care Trust] under or in connection with a contract to which that subsection applies shall by virtue of this section be transferred to the NHS trust on its operational date; and

(b) anything done before that date by or in relation to the [F7 Health Authority,][F8 Special Health Authority or Primary Care Trust] in respect of that contract or the employee shall be deemed from that date to have been done by or in relation to the NHS trust.

(5) In any case where—

(a) an order under section 5(1) above provides for the establishment of an NHS trust with effect from a date earlier than the operational date of the trust, and

(b) on or after that earlier date but before its operational date the NHS trust makes an offer of employment by the trust to a person who at that time is employed by a [F7 Health Authority,][F8 Special Health Authority or Primary Care Trust] to work (whether solely or otherwise) at, or for the purposes of, the hospital or other establishment or facility which is to become the responsibility of the trust, and

(c) as a result of the acceptance of the offer, the person to whom it was made becomes an employee of the NHS trust,

subsections (3) and (4) above shall have effect in relation to that person’s contract of employment as if he were a person to whom this section applies and any reference in those subsections to the operational date of the trust were a reference to the date on which he takes up employment with the trust.

(6) Subsections (3) and (4) above are without prejudice to any right of an employee to terminate his contract of employment if a substantial change is made to his detriment in his working conditions; but no such right shall arise by reason only of the change in employer effected by this section.

(7) A scheme under this section may designate a person either individually or as a member of a class or description of employees.

Textual Amendments

F7 Words in s. 6 substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 para. 70(a) (with Sch. 2 paras. 6, 16)

F8 Words in s. 6 substituted (4.1.2000 for E. and otherwise in force immediately before the National Health Service Act 2006 (which Act came into force on 1.3.2007 in accordance with s. 277(1) (subject to s. 277(2)-(5)) of that Act))) by the Health Act 1999 (c. 8), ss. 65, 67(1), Sch. 4 paras. 74, 77(a); S.I. 1999/2342, art. 2(3), Sch. 2; S.I. 2006/1407, arts. 1(1), Sch. 1 Pt. 2 {para. 6(b)}

F9 Words in s. 6(1)(a) inserted (4.1.2000 for E. and otherwise in force immediately before the National Health Service Act 2006 (which Act came into force on 1.3.2007 in accordance with s. 277(1) (subject to s. 277(2)-(5)) of that Act))) by the Health Act 1999 (c. 8), ss. 65, 67(1), Sch. 4 paras. 74, 77(b); S.I. 1999/2342, art. 2(3), Sch. 2; S.I. 2006/1407, arts. 1(1), Sch. 1 Pt. 2 {para. 6(b)}

F10 Words in s. 6(4)(a) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 para. 70(b) (with Sch. 2 paras. 6, 16)

7 Supplementary provisions as to transfer of staff. E+W

(1) In the case of a person who falls within section 6(1)(b) above, a scheme under that section may provide that, with effect from the NHS trust’s operational date, his contract of employment (in this section referred to as “his original contract”) shall be treated in accordance with the scheme as divided so as to constitute—

(a) a contract of employment with the NHS trust; and

(b) a contract of employment with the [F11 Health Authority,][F12 Special Health Authority or Primary Care Trust] by whom he was employed before that date (in this section referred to as “the transferor authority”).

(2) Where a scheme makes provision as mentioned in subsection (1) above,—

(a) the scheme shall secure that the benefits to the employee under the two contracts referred to in that subsection, when taken together, are not less favourable than the benefits under his original contract;

(b) section 6 above shall apply in relation to the contract referred to in subsection (1)(a) above as if it were a contract transferred under that section from the transferor authority to the NHS trust;

(c) so far as necessary to preserve any rights and obligations, the contract referred to in subsection (1)(b) above shall be regarded as a continuation of the employee’s original contract; F13 . . .

F13 (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(3) Where, as a result of the provisions of section 6 above, by virtue of his employment during any period after the operational date of the NHS trust,—

(a) an employee has contractual rights against an NHS trust to benefits in the event of his redundancy, and

(b) he also has statutory rights against the trust under [F14 Part XI of the Employment Rights Act 1996] (redundancy payments),

any benefits provided to him by virtue of the contractual rights referred to in paragraph (a) above shall be taken as satisfying his entitlement to benefits under [F14 that Part of that Act].

Textual Amendments

F11 Words in s. 7(1)(b) 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. 71 (with Sch. 2 paras. 6, 16)

F12 Words in s. 7(1)(b) substituted (4.1.2000 for E. and otherwise in force immediately before the National Health Service Act 2006 (which Act came into force on 1.3.2007 in accordance with s. 277(1) (subject to s. 277(2)-(5)) of that Act))) by the Health Act 1999 (c. 8), ss. 65, 67(1), Sch. 4 paras. 74, 78; S.I. 1999/2342, art. 2(3), Sch. 2; S.I. 2006/1407, arts. 1(1), Sch. 1 Pt. 2 {para. 6(b)}

F13 In s. 7(2), para. (d) and the word "and" immediately preceding it repealed (6.2.1995) by S.I. 1995/31, reg. 6, Sch.

F14 Words in s. 7(3) substituted (22.8.1996) by 1996 c. 18, ss. 240, 243, Sch. 1 para. 45(2)

8 Transfer of property, rights and liabilities to NHS trust. E+W

(1) The Secretary of State may by order transfer or provide for the transfer to an NHS trust, with effect from [F15 any] date as may be specified in the order, of [F15 any] of the property, rights and liabilities of a [F16 Health Authority, Special Health Authority or Primary Care Trust] or of the Secretary of State F17 . . . .

(2) An order under this section may create or impose such new rights or liabilities in respect of what is transferred or what is retained by a [F18 Health Authority, Special Health Authority or Primary Care Trust] or the Secretary of State as appear to him to be necessary or expedient.

(3) Nothing in this section affects the power of the Secretary of State or any power of a [F18 Health Authority, Special Health Authority or Primary Care Trust] to transfer property, rights or liabilities to an NHS trust otherwise than under subsection (1) above.

(4) Stamp duty shall not be chargeable in respect of any transfer to an NHS trust effected by or by virtue of an order under this section.

(5) Where an order under this section provides for the transfer—

(a) of land held on lease from a third party, that is to say, a person other than the Secretary of State or a [F18 Health Authority, Special Health Authority or Primary Care Trust], or

(b) of any other asset leased or hired from a third party or in which a third party has an interest,

the transfer shall be binding on the third party notwithstanding that, apart from this subsection, it would have required his consent or concurrence.

[F19 (6) Any property, rights and liabilities which—

(a) belong to, or are used or managed by, a Health Authority or Special Health Authority or belong to a Primary Care Trust, and

(b) are to be transferred to an NHS trust by or by virtue of an order under this section,

must be identified by agreement between the Health Authority, Special Health Authority or Primary Care Trust and the NHS trust or, in default of agreement, by direction of the Secretary of State.]

(7) Where, for the purpose of a transfer pursuant to an order under this section, it becomes necessary to apportion any property, rights or liabilities, the order may contain such provisions as appear to the Secretary of State to be appropriate for the purpose; and where any such property or rights fall within subsection (5) above, the order shall contain such provisions as appear to the Secretary of State to be appropriate to safeguard the interests of third parties, including, where appropriate, provision for the payment of compensation of an amount to be determined in accordance with the order.

(8) In the case of any transfer made by or pursuant to an order under this section, a certificate issued by the Secretary of State that any property specified in the certificate or any such interest in or right over any such property as may be so specified, or any right or liability so specified, is vested in the NHS trust specified in the order shall be conclusive evidence of that fact for all purposes.

(9) Without prejudice to subsection (4) of section 126 of the principal Act, an order under this section may include provision for matters to be settled by arbitration by a person determined in accordance with the order.

Textual Amendments

F15 Words in s. 8(1) substituted (1.11.1999 for W. and 4.1.2000 for E.) by 1999 c. 8, s. 65, Sch. 4 para. 79(1)(2)(a); S.I. 1999/2342, art. 2(3), Sch. 2; S.I. 1999/3184, art. 2(1), Sch. 1

F16 Words in s. 8(1) substituted (4.1.2000 for E. and otherwise in force immediately before the National Health Service Act 2006 (which Act came into force on 1.3.2007 in accordance with s. 277(1) (subject to s. 277(2)-(5)) of that Act))) by the Health Act 1999 (c. 8), ss. 65(1), 67(1), Sch. 4 paras. 74, 79(1)(2)(b); S.I. 1999/2342, art. 2(3), Sch. 2; S.I. 2006/1407, arts. 1(1)(2), Sch. 1 Pt. 2 {para. 6(b)}

F17 Words in s. 8(1) omitted (4.1.2000 for E.) and repealed (1.4.2000 for E.W.) by 1999 c. 8, ss. 65(1)(2), 67(1), Sch. 4 paras. 74, 79(1)(2)(c); Sch. 5; S.I. 1999/2342, art. 2(3), Sch. 2; S.I. 2000/1041, art. 2(d) Sch.

F18 Words in s. 8(2)(3)(5) substituted (4.1.2000 for E. and otherwise in force immediately before the National Health Service Act 2006 (which Act came into force on 1.3.2007 in accordance with s. 277(1) (subject to s. 277(2)-(5)) of that Act))) by the Health Act 1999 (c. 8), ss. 65(1), 67(1), Sch. 4 paras. 74, 79(1)(3); S.I. 1999/2342, art. 2(3), Sch. 2; S.I. 2006/1407, arts. 1(1)(2), Sch. 1 Pt. 2 {para. 6(b)}

F19 S. 8(6) substituted (4.1.2000 for E. and otherwise in force immediately before the National Health Service Act 2006 (which Act came into force on 1.3.2007 in accordance with s. 277(1) (subject to s. 277(2)-(5)) of that Act))) by the Health Act 1999 (c. 8), ss. 65(1), 67(1), Sch. 4 paras. 74, 79(1)(4); S.I. 1999/2342, art. 2(3), Sch. 2; S.I. 2006/1407, arts. 1(1)(2), Sch. 1 Pt. 2 {para. 6(b)}

9 Originating capital debt of, and other financial provisions relating to NHS trusts. E+W

(1) Each NHS trust shall have an [F20 originating capital] of an amount specified in an order made by the Secretary of State, being an amount representing, subject to subsection (2) below, the excess of the valuation of the assets which, on or in connection with the establishment of the trust, are or are to be transferred to it (whether before, on or after its operational date) over the amounts of the liabilities which are or are to be so transferred.

(2) In determining the [F20 originating capital] of an NHS trust, there shall be left out of account such assets or, as the case may be, liabilities as are, or are of a class, determined for the purposes of this section by the Secretary of State, with the consent of the Treasury.

(3) An NHS trust’s [F20 originating capital] shall be deemed to have been issued out of moneys provided by Parliament and shall constitute an asset of the Consolidated Fund.

[F21 (4) An NHS trust’s originating capital shall be public dividend capital.]

F22 (5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F22 (6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(7) With the consent of the Treasury, the Secretary of State may determine

[F23 (a) the dividend which is to be payable at any time on any public dividend capital issued, or treated as issued, under this Act,

(b) the amount of any such public dividend capital which is to be repaid at any time,

(c) any other terms on which any public dividend capital is so issued, or treated as issued]

(8) An order under subsection (1) above shall be made—

(a) with the consent of the Treasury; and

(b) by statutory instrument.

(9) Schedule 3 to this Act shall have effect with respect to—

(a) borrowing by NHS trusts;

(b) the limits on their indebtedness;

(c) the payment of additional public dividend capital to them;

[F24 (ca) the making of supplementary payments to them;] and

(d) the application of any surplus funds of NHS trusts.

Textual Amendments

F20 Words in s. 9(1)(2)(3) substituted (1.9.1999 for E. and 1.11.1999 for W.) by 1999 c. 8, s. 15(1)(2); S.I. 1999/2342, art. 2(1), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

F21 S. 9(4) substituted (1.9.1999 for E. and 1.11.1999 for W.) by 1999 c. 8, s. 15(1)(3); S.I. 1999/2342, art. 2(1), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

F22 S. 9(5)(6) omitted (1.9.1999 for E. and 1.11.1999 for W.) by virtue of 1999 c. 8, s. 15(1)(4); S.I. 1999/2342, art. 2(1), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1; and those same subsections expressed to be repealed (1.4.2000) by 1999 c. 8, s. 65(2), Sch. 5; S.I. 2000/1041, art. 2(d), Sch.

F23 S. 9(7)(a)-(c) substituted (1.9.1999 for E. and 1.11.1999 for W.) for words in s. 9(7) by 1999 c. 8, s. 15(1)(5); S.I. 1999/2342, art. 2(1), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

F24 S. 9(ca) inserted (1.8.2001 for E. and 1.7.2002 for W.) by 2001 c. 15, s. 3(2), (with ss. 64(9), 65(4)); S.I. 2001/2804, art. 2(1)(a); S.I. 2002/1475, art. 2(1), Sch. Pt. 1

Modifications etc. (not altering text)

C2 S. 9: Treasury consent requirements continued (W.) (1.7.1999) by S.I. 1999/672, arts. 1(2), 2, Sch. 1

10 Financial obligations of NHS trusts. E+W

(1) Every NHS trust shall ensure that its revenue is not less than sufficient, taking one financial year with another, to meet outgoings properly chargeable to revenue account.

(2) It shall be the duty of every NHS trust to achieve such financial objectives as may from time to time be set by the Secretary of State with the consent of the Treasury and as are applicable to it; and any such objectives may be made applicable to NHS trusts generally, or to a particular NHS trust or to NHS trusts of a particular description.

Modifications etc. (not altering text)

C3 S. 10: Treasury consent requirement continued (W.) (1.7.1999) by S.I. 1999/672, arts. 1(2), 2, Sch. 1

11 Trust funds and trustees for NHS trusts. E+W

(1) The Secretary of State may by order made by statutory instrument provide for the appointment of trustees for an NHS trust; and any trustees so appointed shall have power to accept, hold and administer any property on trust for the general or any specific purposes of the NHS trust (including the purposes of any specific hospital or other establishment or facility [F25 at or from which services are provided] by the trust) or for all or any purposes relating to the health service.

(2) An order under subsection (1) above may—

(a) make provision as to the persons by whom trustees are to be appointed and generally as to the method of their appointment;

(b) make any appointment subject to such conditions as may be specified in the order (including conditions requiring the consent of the Secretary of State);

(c) make provision as to the number of trustees to be appointed, including provision under which that number may from time to time be determined by the Secretary of State after consultation with such persons as he considers appropriate; and

(d) make provision with respect to the term of office of any trustee and his removal from office.

(3) Where, under subsection (1) above, trustees have been appointed for an NHS trust, the Secretary of State may by order made by statutory instrument provide for the transfer of any trust property from the NHS trust to the trustees so appointed.

(4) In section 91 of the principal Act (private trusts for hospitals) in subsection (3) (definition of “the appropriate hospital authority”) after paragraph (a) there shall be inserted the following paragraphs—

“(aa) where the hospital is owned and managed by an NHS trust and trustees have been appointed for the NHS trust, those trustees;

(ab) where the hospital is owned and managed by an NHS trust and neither paragraph (a) nor paragraph (aa) above applies, the NHS trust;”.

(5) In section 92 of the principal Act (further transfers of trust property)—

(a) in subsection (1) after the word “hospital” there shall be inserted “or other establishment or facility”F26 . . .;

F26 (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F26 (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(d) at the end of the section there shall be added the following subsection—

“(6) If it appears to the Secretary of State at any time that—

(a) the functions of any special trustees should be discharged by the trustees for an NHS trust, or

(b) the functions of the trustees for an NHS trust should be discharged by special trustees,

then, whether or not there has been any such change as is mentioned in subsection (1) above, he may, after consulting the special trustees and the trustees for the NHS trust, by order provide for the transfer of all trust property from or to the special trustees to or from the trustees for the NHS trust.”

(6) In section 96 of the principal Act (trusts: supplementary provisions)—

(a) any reference to sections 90 to 95 of the principal Act includes a reference to subsections (1) to (3) above; and

(b) after subsection (1) there shall be inserted the following subsection—

“(1A) Where any transfer of property by virtue of those sections is of, or includes,—

(a) land held on lease from a third party, that is to say, a person other than the Secretary of State or a health authority, or

(b) any other asset leased or hired from a third party or in which a third party has an interest,

the transfer shall be binding on the third party notwithstanding that, apart from this subsection, it would have required his consent or concurrence.”

(7) In section 98(1) of the principal Act (accounts and audit) after paragraph (d) there shall be inserted—

“(dd) any trustees for an NHS trust appointed in pursuance of section 11 of the National Health Service and Community Care Act 1990; and”.

Textual Amendments

F25 Words in s. 11(1) substituted (retrospectively) by 1999 c. 8, s. 13(6)(10); S.I. 1999/2540, art. 2(a), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

F26 Words in s. 11(5)(a) and paras. (b) and (c) repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3 (with Sch. 2 paras. 6, 16)