National Health Service Act 1977

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Changes over time for: Section 4

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Alternative versions:

01/02/1991- Amendment
01/04/2000- Amendment

Changes to legislation:

There are outstanding changes not yet made by the legislation.gov.uk editorial team to National Health Service Act 1977. Any changes that have already been made by the team appear in the content and are referenced with annotations.

Changes to Legislation

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Changes and effects yet to be applied to Section 4:

Moreeffects to be announced

Act repealed by 2006 c. 43 Sch. 4
s. 3(4)(a) words substituted by 2006 c. 28 Sch. 8 para. 7(4)(a)
s. 3(4)(b) modified by S.I. 2004/865 art. 109(2)(a)
s. 3(4)(b) words substituted by 2006 c. 28 Sch. 8 para. 7(4)(b)
s. 8(9) (10) added by 2006 c. 28 s. 74(1)
s. 11(4A) (4B) inserted by 2006 c. 28 s. 74(2)(a)
s. 16CD 16CE inserted by 2006 c. 28 s. 37
s. 19A(2)(aa) inserted by 2003 c. 43 Sch. 9 para. 9
s. 21(4) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 9
s. 22(1A)(e) inserted by 2003 c. 43 Sch. 4 para. 25
s. 28D(1)(bc)(i) modified by S.I. 2004/865 art. 109(2)(a)
s. 28D(1)(bc)(iii) words substituted by S.I. 2004/957 Sch. para. 3
s. 28E(3)(ca) inserted by 2003 c. 43 s. 177(7)
s. 28E(3A) (3B) inserted by 2003 c. 43 s. 177(8)
s. 28E(3C) inserted by 2003 c. 43 s. 177(9)
s. 28E(3D) inserted by 2003 c. 43 s. 177(10)
s. 28E(3E) (3F) inserted by 2003 c. 43 s. 177(11)
s. 28M(4) words substituted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 16
s. 28W(5) applied by S.I. 2004/478 reg. 100(3)
s. 28W(5) applied by S.I. 2004/478 Sch. 6 para. 100(3)
s. 28X applied (with modifications) by S.I. 2006/552 Sch. 1 para. 4
s. 28X heading words substituted by 2006 c. 28 s. 39(5)
s. 28X(1A) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 17(a)
s. 28X(2A) inserted by 2006 c. 28 s. 39(2)
s. 28X(3)(b) words substituted by 2006 c. 28 s. 39(3)
s. 28X(3)(c) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 17(b)
s. 28X(6A) inserted by 2006 c. 28 s. 39(4)
s. 28Y(1) applied (with modifications) by S.I. 2006/552 Sch. 1 para. 5
s. 28Y(1)(a) substituted by 2006 c. 28 s. 40(2)
s. 28Y(1)(b) words substituted by 2006 c. 28 s. 40(3)
s. 28Y(1)(c) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 18
s. 28WA-28WF and cross-heading inserted by 2006 c. 28 s. 38
s. 35(3)-(3B) substituted for s. 35(3) by S.I. 2005/2011 Sch. 6 para. 1(2)(a) (This amendment comes into force on a day to be specified in the London, Edinburgh and Belfast Gazettes (see, for example, the London Gazette, issue nos. 57734, 57975, 58050 and 58769, dated respectively 19.8.2005, 5.6.2006, 21.7.2006 and 18.7.2008))
s. 42(2A) inserted by 2001 c. 15 s. 40(3)
s. 42(2B) (2C) inserted by 2006 c. 28 s. 35
s. 42A 42B inserted by 2006 c. 28 s. 34(1)
s. 43A 43B substituted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 19
s. 44(3A) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 20(c)
s. 45A(3) modified by S.I. 2004/865 art. 109(2)(a)
s. 45A(3)(a) word repealed by 2006 c. 28 Sch. 8 para. 17(2) Sch. 9
s. 45A(3)(aa) inserted by 2006 c. 28 Sch. 8 para. 17(2)
s. 45A(4) modified by S.I. 2004/865 art. 109(2)(a)
s. 45A(4)(a) substituted by 2006 c. 28 Sch. 8 para. 17(3)
s. 45A(11) modified by S.I. 2004/865 art. 109(2)(a)
s. 45C inserted by 2006 c. 28 s. 41
s. 54(1)(c) modified by S.I. 2004/865 art. 109(2)(a)
s. 72(5)(d) and word(s) inserted by 2003 c. 43 Sch. 11 para. 27(2)
s. 72(5)(d) modified by S.I. 2004/865 art. 109(2)(a)
s. 72(5)(d) words substituted by 2006 c. 28 Sch. 8 para. 21(b)(i)
s. 72(5)(d) words substituted by 2006 c. 28 Sch. 8 para. 21(b)(ii)
s. 77(4) inserted by 2003 c. 43 Sch. 11 para. 28
s. 79(5)(b) modified by 2003 c. 43 s. 183(4)
s. 96(4) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 27
s. 96A(12) inserted by 2003 c. 43 Sch. 4 para. 37
s. 98(1A) substituted by S.I. 2004/1714 Sch. 2 para. 1(2)
s. 98(1A)(e) inserted by S.I. 2006/960 Sch. 2 para. 1(2)
s. 98(1C) words inserted by S.I. 2004/1714 Sch. 2 para. 1(4)
s. 98(1C) words substituted by S.I. 2006/960 Sch. 2 para. 1(4)
s. 98(1D) inserted by 2004 c. 23 Sch. 2 para. 2
s. 98(1BA)(1BB) inserted by S.I. 2004/1714 Sch. 2 para. 1(3)
s. 98(1BC) inserted by S.I. 2006/960 Sch. 2 para. 1(3)
s. 98(7)-(10) inserted by S.I. 2005/1074 art. 2(2)
s. 124A(3)(aa) inserted by 2002 c. 38 Sch. 3 para. 20
s. 126(1A) inserted by 2003 c. 43 s. 183(3)(b)
Sch. 5 para. 12B inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 39(c)
Sch. 5 para. 10(2A)-(2C) substituted for Sch. 5 para. 10(2A) by S.I. 2005/2011 Sch. 6 para. 1(4) (This amendment comes into force on a day to be specified in the London, Edinburgh and Belfast Gazettes (see, for example, the London Gazette, issue nos. 57734, 57975, 58050 and 58769, dated respectively 19.8.2005, 5.6.2006, 21.7.2006 and 18.7.2008))
Sch. 5A para. 20(1A) inserted by 2006 c. 28 s. 74(3)
Sch. 5B para. 19(1A) inserted by 2006 c. 28 s. 74(4)
Sch. 7A para. 3(1)(fa) inserted by 2003 c. 43 Sch. 11 para. 40(2)(a)
Sch. 7A para. 3(1)(g) words repealed by 2003 c. 43 Sch. 11 para. 40(2)(b) Sch. 14 Pt. 4
Sch. 7A para. 3(2) words substituted by 2003 c. 43 Sch. 11 para. 40(3)
Sch. 9A para. 10(a)(aa) substituted for s. Sch. 9A para. 10(a) by 2003 c. 43 Sch. 11 para. 42(4)(b)
Sch. 9A para. 6(d)(i)(ii) substituted for words in para. 6(d) by S.I. 2006/1407 Sch. 1 Pt. 1 para. 40(b)
Sch. 11 para. 5A inserted by S.I. 2004/3363 art. 7
Sch. 12 para. 2A(6) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 42(g)
Sch. 12 para. 2B amendment to earlier affecting provision 2006 c. 28, s. 41(3) by S.I. 2006/1407 Sch. 1 Pt. 2 para. 15 (The earlier affecting provision cited is incorrect. The correct provision should be s. 42(3).)
Sch. 12 para. 2B inserted by 2006 c. 28 s. 42(3)
Sch. 12 para. 2A(1)(b) (ba) substituted for Sch. 12 para. 2A(1)(b) by 2006 c. 28 s. 42(2)(a)
Sch. 12B inserted by 2006 c. 28 s. 56(2) Sch. 3

Changes and effects yet to be applied to the whole Act associated Parts and Chapters:

Moreeffects to be announced

Act repealed by 2006 c. 43 Sch. 4

Whole provisions yet to be inserted into this Act (including any effects on those provisions):

s. 3(4)(a) words substituted by 2006 c. 28 Sch. 8 para. 7(4)(a)
s. 3(4)(b) modified by S.I. 2004/865 art. 109(2)(a)
s. 3(4)(b) words substituted by 2006 c. 28 Sch. 8 para. 7(4)(b)
s. 8(9) (10) added by 2006 c. 28 s. 74(1)
s. 11(4A) (4B) inserted by 2006 c. 28 s. 74(2)(a)
s. 16CD 16CE inserted by 2006 c. 28 s. 37
s. 19A(2)(aa) inserted by 2003 c. 43 Sch. 9 para. 9
s. 21(4) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 9
s. 22(1A)(e) inserted by 2003 c. 43 Sch. 4 para. 25
s. 28D(1)(bc)(i) modified by S.I. 2004/865 art. 109(2)(a)
s. 28D(1)(bc)(iii) words substituted by S.I. 2004/957 Sch. para. 3
s. 28E(3)(ca) inserted by 2003 c. 43 s. 177(7)
s. 28E(3A) (3B) inserted by 2003 c. 43 s. 177(8)
s. 28E(3C) inserted by 2003 c. 43 s. 177(9)
s. 28E(3D) inserted by 2003 c. 43 s. 177(10)
s. 28E(3E) (3F) inserted by 2003 c. 43 s. 177(11)
s. 28M(4) words substituted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 16
s. 28W(5) applied by S.I. 2004/478 reg. 100(3)
s. 28W(5) applied by S.I. 2004/478 Sch. 6 para. 100(3)
s. 28X applied (with modifications) by S.I. 2006/552 Sch. 1 para. 4
s. 28X heading words substituted by 2006 c. 28 s. 39(5)
s. 28X(1A) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 17(a)
s. 28X(2A) inserted by 2006 c. 28 s. 39(2)
s. 28X(3)(b) words substituted by 2006 c. 28 s. 39(3)
s. 28X(3)(c) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 17(b)
s. 28X(6A) inserted by 2006 c. 28 s. 39(4)
s. 28Y(1) applied (with modifications) by S.I. 2006/552 Sch. 1 para. 5
s. 28Y(1)(a) substituted by 2006 c. 28 s. 40(2)
s. 28Y(1)(b) words substituted by 2006 c. 28 s. 40(3)
s. 28Y(1)(c) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 18
s. 28WA-28WF and cross-heading inserted by 2006 c. 28 s. 38
s. 35(3)-(3B) substituted for s. 35(3) by S.I. 2005/2011 Sch. 6 para. 1(2)(a) (This amendment comes into force on a day to be specified in the London, Edinburgh and Belfast Gazettes (see, for example, the London Gazette, issue nos. 57734, 57975, 58050 and 58769, dated respectively 19.8.2005, 5.6.2006, 21.7.2006 and 18.7.2008))
s. 42(2A) inserted by 2001 c. 15 s. 40(3)
s. 42(2B) (2C) inserted by 2006 c. 28 s. 35
s. 42A 42B inserted by 2006 c. 28 s. 34(1)
s. 43A 43B substituted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 19
s. 44(3A) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 20(c)
s. 45A(3) modified by S.I. 2004/865 art. 109(2)(a)
s. 45A(3)(a) word repealed by 2006 c. 28 Sch. 8 para. 17(2) Sch. 9
s. 45A(3)(aa) inserted by 2006 c. 28 Sch. 8 para. 17(2)
s. 45A(4) modified by S.I. 2004/865 art. 109(2)(a)
s. 45A(4)(a) substituted by 2006 c. 28 Sch. 8 para. 17(3)
s. 45A(11) modified by S.I. 2004/865 art. 109(2)(a)
s. 45C inserted by 2006 c. 28 s. 41
s. 54(1)(c) modified by S.I. 2004/865 art. 109(2)(a)
s. 72(5)(d) and word(s) inserted by 2003 c. 43 Sch. 11 para. 27(2)
s. 72(5)(d) modified by S.I. 2004/865 art. 109(2)(a)
s. 72(5)(d) words substituted by 2006 c. 28 Sch. 8 para. 21(b)(i)
s. 72(5)(d) words substituted by 2006 c. 28 Sch. 8 para. 21(b)(ii)
s. 77(4) inserted by 2003 c. 43 Sch. 11 para. 28
s. 79(5)(b) modified by 2003 c. 43 s. 183(4)
s. 96(4) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 27
s. 96A(12) inserted by 2003 c. 43 Sch. 4 para. 37
s. 98(1A) substituted by S.I. 2004/1714 Sch. 2 para. 1(2)
s. 98(1A)(e) inserted by S.I. 2006/960 Sch. 2 para. 1(2)
s. 98(1C) words inserted by S.I. 2004/1714 Sch. 2 para. 1(4)
s. 98(1C) words substituted by S.I. 2006/960 Sch. 2 para. 1(4)
s. 98(1D) inserted by 2004 c. 23 Sch. 2 para. 2
s. 98(1BA)(1BB) inserted by S.I. 2004/1714 Sch. 2 para. 1(3)
s. 98(1BC) inserted by S.I. 2006/960 Sch. 2 para. 1(3)
s. 98(7)-(10) inserted by S.I. 2005/1074 art. 2(2)
s. 124A(3)(aa) inserted by 2002 c. 38 Sch. 3 para. 20
s. 126(1A) inserted by 2003 c. 43 s. 183(3)(b)
Sch. 5 para. 12B inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 39(c)
Sch. 5 para. 10(2A)-(2C) substituted for Sch. 5 para. 10(2A) by S.I. 2005/2011 Sch. 6 para. 1(4) (This amendment comes into force on a day to be specified in the London, Edinburgh and Belfast Gazettes (see, for example, the London Gazette, issue nos. 57734, 57975, 58050 and 58769, dated respectively 19.8.2005, 5.6.2006, 21.7.2006 and 18.7.2008))
Sch. 5A para. 20(1A) inserted by 2006 c. 28 s. 74(3)
Sch. 5B para. 19(1A) inserted by 2006 c. 28 s. 74(4)
Sch. 7A para. 3(1)(fa) inserted by 2003 c. 43 Sch. 11 para. 40(2)(a)
Sch. 7A para. 3(1)(g) words repealed by 2003 c. 43 Sch. 11 para. 40(2)(b) Sch. 14 Pt. 4
Sch. 7A para. 3(2) words substituted by 2003 c. 43 Sch. 11 para. 40(3)
Sch. 9A para. 10(a)(aa) substituted for s. Sch. 9A para. 10(a) by 2003 c. 43 Sch. 11 para. 42(4)(b)
Sch. 9A para. 6(d)(i)(ii) substituted for words in para. 6(d) by S.I. 2006/1407 Sch. 1 Pt. 1 para. 40(b)
Sch. 11 para. 5A inserted by S.I. 2004/3363 art. 7
Sch. 12 para. 2A(6) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 42(g)
Sch. 12 para. 2B amendment to earlier affecting provision 2006 c. 28, s. 41(3) by S.I. 2006/1407 Sch. 1 Pt. 2 para. 15 (The earlier affecting provision cited is incorrect. The correct provision should be s. 42(3).)
Sch. 12 para. 2B inserted by 2006 c. 28 s. 42(3)
Sch. 12 para. 2A(1)(b) (ba) substituted for Sch. 12 para. 2A(1)(b) by 2006 c. 28 s. 42(2)(a)
Sch. 12B inserted by 2006 c. 28 s. 56(2) Sch. 3

Commencement Orders yet to be applied to the National Health Service Act 1977

Morechanges to be applied

Commencement Orders bringing legislation that affects this Act into force:

S.I. 2005/457 art. 2 commences (2003 c. 43)
S.I. 2005/558 art. 2 Sch. 1 commences (2004 c. 23)
S.I. 2005/1432 art. 2 commences (2005 c. 12)
S.I. 2005/2213 art. 2 3 commences (2002 c. 38)
S.I. 2005/2800 art. 3-5 commences (2005 c. 10)
S.I. 2005/2897 art. 2 commences (2002 c. 38)
S.I. 2005/2925 art. 2 4-11 commences (2003 c. 43)
S.I. 2005/2926 art. 2 3 commences (1997 c. 46)
S.I. 2006/345 art. 2-7 commences (2003 c. 43)
S.I. 2006/481 art. 2 3 commences (2001 c. 15)
S.I. 2006/1014 art. 2 Sch. 1 2 commences (2005 c. 4)
S.I. 2006/1407 Sch. 1 Pt. 2 para. 3 6 8 12 13 commences (1997 c. 46)
S.I. 2006/2603 art. 2-5 commences (2006 c. 28)
S.I. 2006/3125 art. 2-4 commences (2006 c. 28)
S.I. 2007/204 art. 2-4 commences (2006 c. 28)
S.I. 2008/1972 art. 2 commences (2006 c. 28)

[F14 High security psychiatric services.E+W+S

(1)The duty imposed on the Secretary of State by section 1 above to provide services for the purposes of the health service includes a duty to provide hospital accommodation and services for persons who are liable to be detained under the M1Mental Health Act 1983 and in his opinion require treatment under conditions of high security on account of their dangerous, violent or criminal propensities.

(2)The hospital accommodation and services mentioned in subsection (1) above are in this Act referred to as ”high security psychiatric services”.

(3)High security psychiatric services shall be provided only at hospital premises at which services are provided only for the persons mentioned in subsection (1) above; and for this purpose ”hospital premises” means—

(a)a hospital; or

(b)any part of a hospital which is treated as a separate unit.]

Textual Amendments

F1S. 4 substituted (1.4.2000 for E.W.) by 1999 c. 8, s. 41(1); S.I. 1999/2793, art. 2(3)(a), Sch. 3

Modifications etc. (not altering text)

C1S. 4: transfer of functions (E.) (1.4.2001) by S.I. 2001/747, regs. 2(1), 3, 4, Sch. 1

Marginal Citations

M11983 c.20.

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