Health and Social Care (Community Health and Standards) Act 2003

Chapter 2 E+W NHS health care: introductory

45 Quality in health care E+W

(1) It is the duty of each NHS body to put and keep in place arrangements for the purpose of monitoring and improving the quality of health care provided by and for that body.

(2) In this Part “health care” means—

(a) services provided to individuals for or in connection with the prevention, diagnosis or treatment of illness; and

(b) the promotion and protection of public health.

(3) In subsection (2)(a), “illness” has the meaning given by [F1 section 275 of the 2006 Act].

Textual Amendments

F1 Words in s. 45(3) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 1 para. 241 (with Sch. 3 Pt. 1)

Modifications etc. (not altering text)

C1 S. 45 applied (1.4.2005) by Health Protection Agency Act 2004 (c. 17), ss. 10(2), 12(1); S.I. 2005/121, art. 2(2)

Commencement Information

I1 S. 45 in force at 1.4.2004 by S.I. 2004/759, art. 9

46 Standards set by Secretary of State E+W

(1) The Secretary of State may prepare and publish statements of standards in relation to the provision of health care by and for English NHS bodies and cross-border SHAs.

(2) The Secretary of State must keep the standards under review and may publish amended statements whenever he considers it appropriate.

(3) The Secretary of State must consult such persons as he considers appropriate—

(a) before publishing a statement under this section;

(b) before publishing an amended statement under this section which in the opinion of the Secretary of State effects a substantial change in the standards.

(4) The standards set out in statements under this section are to be taken into account by every English NHS body and cross-border SHA in discharging its duty under section 45.

Commencement Information

I2 S. 46 in force at 1.4.2004 by S.I. 2004/759, art. 9

47 Standards set by Assembly E+W

(1) The Assembly may prepare and publish statements of standards in relation to the provision of health care by and for Welsh NHS bodies.

(2) The Assembly must keep the standards under review and may publish amended statements whenever it considers it appropriate.

(3) The Assembly must consult such persons as it considers appropriate—

(a) before publishing a statement under this section;

(b) before publishing an amended statement under this section which in the opinion of the Assembly effects a substantial change in the standards.

(4) The standards set out in statements under this section are to be taken into account by every Welsh NHS body in discharging its duty under section 45.

Commencement Information

I3 S. 47 in force at 1.4.2004 by S.I. 2004/873, art. 2(a)

[F2 47A Code of practice relating to health care associated infections E+W

(1) The Secretary of State may issue a code of practice—

(a) applying to bodies within subsection (2), and

(b) relating to the prevention and control of health care associated infections in connection with health care provided by or for those bodies.

(2) The bodies within this subsection are—

(a) English NHS bodies other than Strategic Health Authorities; and

(b) cross-border SHAs.

(3) The code may provide for provisions of the code to apply to—

(a) such description or descriptions of bodies within subsection (2) as may be specified in the code;

(b) such body or bodies within that subsection as may be so specified.

(4) The code may in particular—

(a) make such provision as the Secretary of State considers appropriate for the purpose of safeguarding individuals (whether receiving health care or otherwise) from the risk, or any increased risk, of being exposed to health care associated infections or of being made susceptible, or more susceptible, to them;

(b) contain provisions imposing on bodies to which the provisions apply requirements in relation to health care provided for such bodies by other persons as well as in relation to health care provided by such bodies.

(5) The code may—

(a) operate by reference to provisions of other documents specified in it (whether published by the Secretary of State or otherwise);

(b) provide for any reference in it to such a document to take effect as a reference to that document as revised from time to time;

(c) make different provision for different cases or circumstances.

(6) Nothing in subsections (3) to (5) is to be read as prejudicing the generality of subsection (1).

(7) The Secretary of State must keep the code under review and may from time to time—

(a) revise the whole or any part of the code, and

(b) issue a revised code.

(8) In this section “health care associated infection” means any infection to which an individual may be exposed or made susceptible (or more susceptible) in circumstances where—

(a) health care is being, or has been, provided to that or any other individual, and

(b) the risk of exposure to the infection, or of susceptibility (or increased susceptibility) to it, is directly or indirectly attributable to the provision of the health care.

(9) But subsection (8) does not include an infection to which the individual is deliberately exposed as part of any health care.

(10) Any reference in this Part to a code of practice issued under this section includes a revised code issued under it.

Textual Amendments

F2 Ss. 47A-47C inserted (1.10.2006) by Health Act 2006 (c. 28), ss. 14, 83(7); S.I. 2006/2603, art. 2

47B Consultation etc. E+W

(1) Where the Secretary of State proposes to issue a code of practice under section 47A, he must—

(a) prepare a draft of the code, and

(b) consult such persons as he considers appropriate about the draft.

(2) Where the Secretary of State proposes to issue a revised code under section 47A which in his opinion would result in a substantial change in the code, he must—

(a) prepare a draft of the revised code, and

(b) consult such persons as he considers appropriate about the change.

(3) Where, following consultation under subsection (1) or (2), the Secretary of State issues the code or revised code (whether in the form of the draft or with such modifications as he thinks fit), it comes into force at the time when it is issued by the Secretary of State.

(4) Where—

(a) any document by reference to whose provisions the code operates as mentioned in section 47A(5)(a) and (b) is a document published by the Secretary of State in connection with his functions relating to health,

(b) the Secretary of State proposes to revise the document, and

(c) in the opinion of the Secretary of State, the revision would result in a substantial change in the code,

the Secretary of State must, before revising the document, consult such persons as he considers appropriate about the change.

(5) Where—

(a) any document by reference to whose provisions the code operates as mentioned in section 47A(5)(a) and (b) is not one to which subsection (4)(a) above applies,

(b) the document is revised, and

(c) in the opinion of the Secretary of State, the revision results in a substantial change in the code,

the Secretary of State must consult such persons as he considers appropriate about whether the code should be revised in connection with the change.

(6) Consultation undertaken by the Secretary of State before the commencement of this section is as effective for the purposes of this section as consultation undertaken after that time.

Textual Amendments

F2 Ss. 47A-47C inserted (1.10.2006) by Health Act 2006 (c. 28), ss. 14, 83(7); S.I. 2006/2603, art. 2

47C Effect of code under section 47A E+W

(1) Where any provisions of a code of practice issued under section 47A apply to an NHS body, the body must observe those provisions in discharging its duty under section 45.

(2) A failure to observe any provision of a code of practice issued under section 47A does not of itself make a person liable to any criminal or civil proceedings.

(3) A code of practice issued under section 47A is admissible in evidence in any criminal or civil proceedings.]

Textual Amendments

F2 Ss. 47A-47C inserted (1.10.2006) by Health Act 2006 (c. 28), ss. 14, 83(7); S.I. 2006/2603, art. 2