http://www.legislation.gov.uk/ukpga/2009/21/body/enactedHealth Act 2009National Health Service (NHS)Foundation hospitalsNHS managementMental health trustsMental health promotionenKing's Printer of Acts of Parliament2013-07-23 Part 1 Quality and delivery of <Acronym Expansion="National Health Service">NHS</Acronym> services in England Chapter 1 NHS Constitution NHS Constitution 1 1 In this Chapter the “NHS Constitution” means— a the document entitled “The NHS Constitution” published by the Secretary of State on 21 January 2009, or b any revised version of that document published under section 3 or 4. 2 In this Chapter the “Handbook” means— a the document entitled “The Handbook to the NHS Constitution” published by the Secretary of State on 21 January 2009, or b any revised version of that document published under section 5. Duty to have regard to NHS Constitution 2 1 Each of the bodies listed in subsection (2) must, in performing its NHS functions, have regard to the NHS Constitution. 2 The bodies are— a Strategic Health Authorities; b Primary Care Trusts; c National Health Service trusts; d Special Health Authorities; e NHS foundation trusts; f the Independent Regulator of NHS Foundation Trusts; g the Care Quality Commission. 3 In subsection (1) an “NHS function” means any function under an enactment which is a function concerned with, or connected to, the provision, commissioning or regulation of NHS services. 4 Each person who— a provides NHS services under a contract, agreement or arrangements made under or by virtue of an enactment listed in subsection (6), or b provides or assists in providing NHS services under arrangements under section 12(1) of the National Health Service Act 2006 (c. 41), must, in doing so, have regard to the NHS Constitution. 5 Each person who— a in pursuance of a contract, agreement or arrangements as mentioned in subsection (4)(a) or (b), makes arrangements (“sub-contracting arrangements”) for another person to provide or assist in providing NHS services, or b provides or assists in providing NHS services under sub-contracting arrangements, must, in doing so, have regard to the NHS Constitution. 6 The enactments referred to in subsection (4)(a) are the following provisions of the National Health Service Act 2006 a section 83(2)(b) (arrangements made by PCTs for provision of primary medical services); b section 84(1) (general medical services contracts); c section 92 (other arrangements for the provision of primary medical services); d section 100(1) (general dental services contracts); e section 107(1) (other arrangements for the provision of primary dental services); f section 117(1) (general ophthalmic services contracts); g section 126(1) (pharmaceutical services); h section 127(1) (additional pharmaceutical services); i Schedule 12 (local pharmaceutical services schemes). 7 In this Chapter “NHS services” means health services provided in England for the purposes of the health service continued under section 1(1) of the National Health Service Act 2006. 8 References in this section to the provision of services include references to the provision of services jointly with another person. Availability and review of NHS Constitution 3 1 The Secretary of State must ensure that the NHS Constitution continues to be available to patients, staff and members of the public. 2 At least once in any period of 10 years the Secretary of State must carry out a review of the NHS Constitution (referred to in this Chapter as a “10 year review”). 3 The following must be consulted about the NHS Constitution on a 10 year review— a patients and bodies or other persons representing patients, b staff and bodies or other persons representing staff, c carers, d local authorities, e members of the public, f the bodies and persons listed in section 2(2), (4) and (5), and g such other persons as the Secretary of State considers appropriate. 4 The first 10 year review must be completed not later than 5 July 2018. 5 The guiding principles may not be revised as a result of a 10 year review, except in accordance with regulations made by the Secretary of State setting out the revision to be made. 6 The Secretary of State must publish the NHS Constitution after any revision made as a result of a 10 year review. 7 In this Chapter— “carers” means persons who, as relatives or friends, care for other persons to whom NHS services are being provided; “the guiding principles” means— the 7 principles described in the NHS Constitution published on 21 January 2009 as “the principles that guide the NHS”, or any revised version of those principles set out in the NHS Constitution published under this section or section 4; “patients” means persons to whom NHS services are being provided; “staff” means— persons employed by a body listed in section 2(2) or otherwise working for such a body (whether as or on behalf of a contractor, as a volunteer or otherwise) in, or in connection with, the provision, commissioning or regulation of NHS services; persons employed by a person listed in subsection (4) or (5) of section 2 or otherwise working for such a person (whether as or on behalf of a contractor, as a volunteer or otherwise) in, or in connection with, the provision of NHS services or assistance or the making of arrangements as mentioned in the subsection in question. 8 For the purposes of subsection (3), each of the following is a local authority— a a county council in England; b a district council in England, other than a council for a district in a county for which there is a county council; c a London borough council; d the Common Council of the City of London; e the Council of the Isles of Scilly. Other revisions of NHS Constitution 4 1 This section applies to any revision of the NHS Constitution made other than as a result of a 10 year review (including any such revision which revises the guiding principles). 2 Before any revision the Secretary of State must undertake appropriate consultation about the proposed revision. 3 The persons consulted must include such patients, staff, members of the public and other persons as appear to the Secretary of State to be affected by the proposed revision. 4 The guiding principles may not be revised, except in accordance with regulations made by the Secretary of State setting out the revision to be made. 5 The Secretary of State must publish the NHS Constitution after any revision. Availability, review and revision of Handbook 5 1 The Secretary of State must ensure that the Handbook continues to be available to patients, staff and members of the public. 2 At least once in any period of 3 years the Secretary of State must carry out a review of the Handbook. 3 The first review must be completed not later than 5 July 2012. 4 The Secretary of State must publish the Handbook after any revision (whether made as a result of a review under this section or otherwise). Report on effect of NHS Constitution 6 1 The Secretary of State must publish a report every 3 years on how the NHS Constitution has affected patients, staff, carers and members of the public, since the last report was produced under this subsection. 2 The first report must be published not later than 5 July 2012. 3 The Secretary of State must lay before Parliament a copy of each report under subsection (1). Regulations under section 3 or 4 7 1 The power to make regulations under section 3 or 4 is exercisable by statutory instrument. 2 A statutory instrument containing regulations under either of those sections is subject to annulment in pursuance of a resolution of either House of Parliament. Chapter 2 Quality accounts Duty of providers to publish information 8 1 Each of the bodies listed in subsection (2) must, in accordance with regulations made by the Secretary of State, publish in respect of each reporting period a document containing prescribed information relevant to the quality of— a any NHS services that the body provides; b any NHS services that, under arrangements made by the body, are provided by a person not listed in subsection (2) or (3); c any services that are provided in England and for the provision of which the body provides assistance or support under section 124(1) of the National Health Service Act 2006 (c. 41) (primary ophthalmic services). 2 The bodies are— a Primary Care Trusts; b National Health Service trusts all or most of whose hospitals, establishments and facilities are in England; c Special Health Authorities; d NHS foundation trusts. 3 Each person who— a provides NHS services as mentioned in section 2(4)(a), b provides or assists in providing NHS services as mentioned in section 2(4)(b), or c makes arrangements as mentioned in section 2(5)(a) for another person to provide NHS services, must, in accordance with regulations made by the Secretary of State, publish in respect of each reporting period a document containing prescribed information relevant to the quality of those services. 4 References in this section to the provision of services include references to the provision of services jointly with another person. 5 The Secretary of State may by regulations provide that subsection (1) or (3) does not apply to prescribed bodies, persons or services, or to bodies, persons or services of a prescribed description. 6 In this section “NHS services” has the same meaning as in Chapter 1. Supplementary provision about the duty 9 1 In this section “the provider” means the body or person required to publish a document under section 8. 2 For the purposes of that section a reporting period is— a the period of 12 months beginning with 1 April 2009, and b each subsequent period of 12 months. 3 If the Care Quality Commission or a Strategic Health Authority notifies the provider of an error or omission in a document published under that section, the provider must within 21 days of the notification republish the document correcting the error or omission and including a statement explaining the correction. 4 A copy of any document published under that section must be sent by the provider to the Secretary of State in any form specified by the Secretary of State for the purpose of enabling the Secretary of State to make the document available to the public. 5 Regulations under subsection (1) or (3) of section 8 may in particular make provision— a as to the form of a document published under that section and its contents in addition to the prescribed information; b imposing duties on the provider for the purpose of ensuring the accuracy of information; c as to how and when a document must be published and when a copy must be sent under subsection (4); d requiring the provider to have regard to guidance issued by the Secretary of State. 6 The provider must at the request of any person provide to that person a copy of any document published by the provider under section 8 relating to a reporting period ending not more than 2 years before the request. 7 While subsection (1) or (3) of section 8 applies to the provider, the provider must keep affixed, in a conspicuous place at each of the premises at which the provider provides services to which that subsection applies, a notice stating how the most recent document published by the provider under that section may be obtained. 8 Subsection (7) does not apply if— a the provider does not have control of the premises, or b the services are provided by means such that the persons receiving them do not do so at the premises. 9 In subsection (7) “premises” includes a vehicle or moveable structure. Regulations under section 8 10 1 The power to make regulations under section 8 is exercisable by statutory instrument. 2 A statutory instrument containing regulations under section 8 is subject to annulment in pursuance of a resolution of either House of Parliament. 3 The power to make regulations under section 8— a may be exercised so as to make the full provision to which the power extends or any less provision (whether by way of exception or otherwise); b may be exercised so as to make the same provision for all cases in relation to which the power is exercised, or different provision for different cases; c may be exercised so as to make any such provision unconditionally or subject to any specified condition. Chapter 3 Direct payments Direct payments for health care 11 In Part 1 of the National Health Service Act 2006 (c. 41), after section 12 insert— Direct payments for health care Direct payments for health care 12A 1 The Secretary of State may, for the purpose of securing the provision to a patient of anything to which this subsection applies, make payments, with the patient’s consent, to the patient or to a person nominated by the patient. 2 Subsection (1) applies to— a anything that the Secretary of State may or must provide under section 2(1) or 3(1); b anything for which the Secretary of State must arrange under paragraph 8 of Schedule 1; c vehicles that the Secretary of State may provide under paragraph 9 of that Schedule. 3 Subsection (1) is subject to any provision made by regulations under section 12B. 4 If regulations so provide, a Primary Care Trust may, for the purpose of securing the provision for a patient of services that the trust must provide under section 117 of the Mental Health Act 1983 (after-care), make payments, with the patient’s consent, to the patient or to a person nominated by the patient. 5 A payment under subsection (1) or under regulations under subsection (4) is referred to in this Part as a “direct payment”. 6 A direct payment may be made only in accordance with a pilot scheme under regulations made by virtue of section 12C. Regulations about direct payments 12B 1 The Secretary of State may make regulations about direct payments. 2 The regulations may in particular make provision— a as to circumstances in which, and descriptions of persons and services in respect of which, direct payments may or must be made; b as to circumstances in which direct payments may or must be made to a person nominated by the patient; c as to the making of direct payments (and, in particular, as to persons to whom payments may or must be made) where the patient lacks capacity to consent to the making of the payments; d as to conditions that the Secretary of State or the Primary Care Trust must comply with before, after or at the time of making a direct payment; e as to conditions that the patient or (if different) the payee may or must be required to comply with before, after, or at the time when a direct payment is made; f as to the amount of any direct payment or how it is to be calculated; g as to circumstances in which the Secretary of State or the Primary Care Trust may or must stop making direct payments; h as to circumstances in which the Secretary of State or the Primary Care Trust may or must require all or part of a direct payment to be repaid, by the payee or otherwise; i as to monitoring of the making of direct payments, of their use by the payee, or of services which they are used to secure; j as to arrangements to be made by the Secretary of State or the Primary Care Trust for providing patients, payees or their representatives with information, advice or other support in connection with direct payments; k for such support to be treated to any prescribed extent as a service in respect of which direct payments may be made. 3 If the regulations make provision in the case of a person who lacks capacity to consent to direct payments being made, they may apply that provision, or make corresponding provision, with or without modifications, in the case of a person who has lacked that capacity but no longer does so (whether because of fluctuating capacity, or regaining or gaining capacity). 4 The regulations may provide for a sum which must be repaid to the Secretary of State or the Primary Care Trust by virtue of a condition or other requirement imposed by or under the regulations to be recoverable as a debt due to the Secretary of State or the Primary Care Trust. 5 The regulations may make provision— a for a service in respect of which a direct payment has been made under section 12A(1) to be regarded, only to such extent and subject to such conditions as may be prescribed, as provided or arranged for by the Secretary of State under an enactment mentioned in section 12A(2); b displacing functions or obligations of a Primary Care Trust with respect to the provision of after-care services under section 117 of the Mental Health Act 1983, only to such extent and subject to such conditions as may be prescribed. 6 In this section— a “service” includes anything in respect of which direct payments may be made; b references to a person lacking capacity are references to a person lacking capacity within the meaning of the Mental Capacity Act 2005. Direct payments pilot schemes 12C 1 Regulations under section 12B may provide for the Secretary of State to have power— a to make pilot schemes in accordance with which direct payments may be made; b to include in a pilot scheme, as respects payments to which the scheme applies, any provision within section 12B(2), subject to any provision made by the regulations. 2 The regulations may in particular make provision, or provide for the pilot scheme to make provision, as to— a the geographical area in which a pilot scheme operates; b the revocation or amendment of a pilot scheme. 3 A pilot scheme must, in accordance with the regulations, specify the period for which it has effect, subject to the extension of that period by the Secretary of State in accordance with the regulations. 4 The regulations must make provision as to the review of a pilot scheme, or require the pilot scheme to include such provision. 5 Provision as to the review of a pilot scheme may in particular include provision— a for a review to be carried out by an independent person; b for publication of the findings of a review; c as to matters to be considered on a review. 6 Those matters may in particular include any of the following— a the administration of the scheme; b the effect of direct payments on the cost or quality of care received by patients; c the effect of direct payments on the behaviour of patients, carers or persons providing services in respect of which direct payments are made. 7 After any review of one or more pilot schemes, the Secretary of State may make an order under subsection (8) or (10). 8 An order under this subsection is an order making provision for either or both of the following— a repealing section 12A(6) and subsections (1) to (4) of this section; b amending, repealing, or otherwise modifying any other provision of this Act. 9 An order may make provision within subsection (8)(b) only if it appears to the Secretary of State to be necessary or expedient for the purpose of facilitating the exercise of the powers conferred by section 12A(1) or by regulations under section 12A(4). 10 An order under this subsection is an order repealing sections 12A, 12B, 12D and this section. Arrangements with other bodies relating to direct payments 12D 1 The Secretary of State may arrange with any person or body to give assistance in connection with direct payments. 2 Arrangements may be made under subsection (1) with voluntary organisations. 3 Powers under this section may be exercised on such terms as may be agreed, including terms as to the making of payments by the Secretary of State. Jurisdiction of Health Service Commissioner 12 1 The Health Service Commissioners Act 1993 (c. 46) is amended as follows. 2 In section 2B (independent providers subject to investigation) after subsection (1) insert— 1A Persons are subject to investigation by the Commissioner if— a they are, or were at the time of the action complained of, providing direct payment services, and b they are not, or were not at the time of the action complained of, health service bodies. 3 In subsection (5) of that section after “subsection (1)” insert “or (1A)”. 4 In section 3(1C) (complaints against independent providers) after “(of whatever kind)” insert “, or has undertaken to provide direct payment services,”. 5 In section 7(2) (contractual or commercial transactions) after paragraph (a) insert— aa matters arising from arrangements for the provision of direct payment services, . 6 In section 14 (reports by the Commissioner), in subsection (2C)(e) after “independent provider” insert “(in a case within section 2B(1))”. 7 In section 19 (interpretation) after the definition of “the Court” insert— “direct payment services” means services in respect of which direct payments have been made under section 12A(1), or under regulations under section 12A(4), of the National Health Service Act 2006; . Direct payments: minor and consequential amendments 13 Schedule 1 (which makes minor and consequential amendments relating to direct payments, including in the case of section 117 of the Mental Health Act 1983 (c. 20), social care direct payments) has effect. Chapter 4 Innovation Innovation prizes 14 1 The Secretary of State may make payments as prizes to promote innovation in the provision of health services in England. 2 A prize may relate to— a work at any stage of innovation (including research); b work done at any time (including work before the commencement of this section). 3 The Secretary of State may establish a committee to give advice about the exercise of the power conferred by subsection (1), and may pay remuneration, allowances and expenses to members. Part 2 Powers in relation to health bodies Chapter 1 Powers in relation to failing NHS bodies in England De-authorisation of NHS foundation trusts De-authorisation of NHS foundation trusts 15 1 In the National Health Service Act 2006 (c. 41) after section 52 insert— Application of sections <InternalLink Ref="p00107">52B</InternalLink> to <InternalLink Ref="p00118">52E</InternalLink> 52A 1 Sections 52B to 52E apply to— a an NHS foundation trust authorised under section 35 on an application under section 33; b an NHS foundation trust established under section 56 to which subsection (2) applies. 2 This subsection applies to an NHS foundation trust if— a at least one of the trusts on whose application the NHS foundation trust was established was an NHS foundation trust within subsection (1)(a), or was an NHS trust all or most of whose hospitals, establishments and facilities were in England, or b the NHS foundation trust is the result of a succession of mergers under section 56, any of which involved an NHS foundation trust within subsection (1)(a) or an NHS trust all or most of whose hospitals, establishments and facilities were in England. De-authorisation: regulator’s notice 52B 1 The regulator may give the Secretary of State a notice under this section if it is satisfied that— a an NHS foundation trust to which this section applies is contravening or failing to comply with, or has contravened or failed to comply with, any term of its authorisation or any requirement imposed on it under any enactment, and b the seriousness of the contravention or failure, or, if there has been more than one, of any of them taken together, is such that it would justify the Secretary of State making an order under section 52D. 2 The notice must be in writing. 3 With the notice the regulator must give the Secretary of State a report stating the reasons why it is satisfied as mentioned in subsection (1). 4 Before giving a notice under this section, the regulator must consult first the Secretary of State (unless the notice follows a request by the Secretary of State under section 52E) and then— a the trust, b any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and c any other person to which the trust provides goods or services under this Act and which the regulator considers it appropriate to consult. Grounds for de-authorisation notice 52C 1 In determining under section 52B(1)(b) whether the making of an order would be justified, and in determining whether to give a notice under that section, the regulator must consider these matters (among others)— a the health and safety of patients; b the quality of the provision by the trust of goods and services; c the financial position of the trust; d the way it is being run. 2 The regulator must publish guidance as to the matters (including those mentioned in subsection (1)) that it proposes to consider in making those determinations. 3 Before publishing any guidance under this section, including any revised guidance, the regulator must consult— a the Secretary of State, b each NHS foundation trust to which this section applies, c each NHS trust intending to make an application to become an NHS foundation trust, and d such other persons as the regulator considers appropriate. De-authorisation 52D 1 If the regulator gives notice under section 52B in relation to a trust, the Secretary of State must make an order for it to cease to be an NHS foundation trust. 2 An order made under subsection (1) must specify the date when it is to take effect, which must be within the period of 5 working days beginning with the day on which it is made. 3 On an order under subsection (1) taking effect in relation to a body, it ceases to be an NHS foundation trust and a public benefit corporation and becomes a National Health Service trust. 4 The order must specify, in relation to the trust, the matters mentioned in paragraph 5(1)(a) to (c) of Schedule 4 and, where the trust has a significant teaching commitment, the matters mentioned in paragraph 5(1)(d). 5 The order may provide for any provision under subsection (4) specifying the number of executive directors and non-executive directors to take effect at the end of a period specified in the order. 6 Schedule 8A makes further provision about trusts in respect of which an order is made under subsection (1). 7 If it appears to the Secretary of State to be necessary in order to comply with provision made under subsection (4), or made by regulations under paragraph 4 of Schedule 4, the Secretary of State may by order— a terminate the office of any executive or non-executive director of the trust; b appoint a person to be an executive or non-executive director of the trust. 8 Within seven days after the day on which the Secretary of State makes an order under subsection (1) the regulator must publish its report under section 52B(3). 9 In this section “working day” means any day which is not Saturday, Sunday, Christmas Day, Good Friday or a day which is a bank holiday in England and Wales under the Banking and Financial Dealings Act 1971. Secretary of State’s request 52E 1 If it appears to the Secretary of State that there are grounds for the regulator to be satisfied as mentioned in section 52B(1), the Secretary of State may request the regulator in writing to consider exercising its power to give a notice under that section. 2 A request under this section must— a specify the NHS foundation trust to which it relates, and b state the grounds relied on by the Secretary of State. 3 The Secretary of State must lay before Parliament any request under this section. 4 If within the required period the regulator does not give a notice under section 52B in response to a request under this section, it must, within that period, publish its reasons for not doing so with a statement as to how it has complied with section 52C(1). 5 The required period is— a 14 days beginning with the day after the regulator receives the request, or b any longer period specified in the request. 6 The Secretary of State may by order extend or further extend the required period. 2 Schedule 2 (which inserts Schedule 8A to the National Health Service Act 2006, which makes provision about de-authorised NHS foundation trusts) has effect. Trust special administrators Trust special administrators: NHS trusts and NHS foundation trusts 16 After section 65 of the National Health Service Act 2006 (c. 41) insert— Chapter 5A Trust special administrators: NHS trusts and NHS foundation trusts Application Application 65A 1 This Chapter applies to— a an NHS trust all or most of whose hospitals, establishments and facilities are in England; b an NHS foundation trust authorised under section 35 on an application under section 33; c an NHS foundation trust established under section 56 to which subsection (2) applies. 2 This subsection applies to an NHS foundation trust if— a at least one of the trusts on whose application the NHS foundation trust was established was an NHS trust within subsection (1)(a) or an NHS foundation trust within subsection (1)(b), or b the NHS foundation trust is the result of a succession of mergers under section 56, any of which involved an NHS trust within subsection (1)(a) or an NHS foundation trust within subsection (1)(b). Appointment Appointment of trust special administrator 65B 1 The Secretary of State may make an order authorising the appointment of a trust special administrator to exercise the functions of the chairman and directors of an NHS trust to which this Chapter applies. 2 An order may be made under subsection (1) only if the Secretary of State considers it appropriate in the interests of the health service. 3 The order must specify the date when the appointment is to take effect, which must be within the period of 5 working days beginning with the day on which the order is made. 4 Before making the order the Secretary of State must consult— a the trust, b any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and c any other person to which the trust provides goods or services under this Act and which the Secretary of State considers it appropriate to consult. 5 The Secretary of State must lay before Parliament (with the statutory instrument containing the order) a report stating the reasons for making the order. 6 If an order is made under subsection (1), the Secretary of State must— a appoint a person as the trust special administrator with effect from the day specified in the order, and b publish the name of the person appointed. 7 A person appointed as a trust special administrator holds and vacates office in accordance with the terms of the appointment. 8 The Secretary of State may pay remuneration and expenses to a trust special administrator. Suspension of directors 65C 1 When the appointment of a trust special administrator takes effect, the trust’s chairman and executive and non-executive directors are suspended from office. 2 Subsection (1) does not affect the employment of the executive directors or their membership of any committee or sub-committee of the trust. De-authorisation of NHS foundation trusts NHS foundation trusts: regulator’s notice 65D 1 The regulator may give the Secretary of State a notice under this section if it is satisfied that— a an NHS foundation trust to which this Chapter applies is failing to comply with a notice under section 52, and b further exercise of the powers conferred by section 52 would not be likely to secure the provision of the goods and services which the trust’s authorisation requires it to provide. 2 The notice must be in writing. 3 With the notice the regulator must give the Secretary of State a report stating the reasons why it is satisfied as mentioned in subsection (1). 4 Before giving a notice under this section, the regulator must consult first the Secretary of State and then— a the trust, b any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and c any other person to which the trust provides goods or services under this Act and which the regulator considers it appropriate to consult. NHS foundation trusts: de-authorisation and appointment of trust special administrator 65E 1 If the regulator gives notice under section 65D in relation to a trust, the Secretary of State must make an order for it to cease to be an NHS foundation trust. 2 An order made under subsection (1) must specify the date when it is to take effect, which must be within the period of 5 working days beginning with the day on which it is made. 3 The Secretary of State must lay before Parliament (with the statutory instrument containing the order) the regulator’s report under section 65D(3). 4 On an order under subsection (1) taking effect in relation to a body, it ceases to be an NHS foundation trust and a public benefit corporation and becomes a National Health Service trust. 5 Schedule 8A makes further provision about trusts in respect of which an order is made under subsection (1). 6 Where an order is made under subsection (1) in relation to a trust, the Secretary of State must also make an order under section 65B(1) authorising the appointment of a trust special administrator in relation to the trust. 7 The order under section 65B(1) must provide for the appointment to take effect at the same time as the order under this section. 8 Section 65B(2), (4) and (5) do not apply in relation to the order under section 65B(1). Consultation and report Draft report 65F 1 Within the period of 45 working days beginning with the day on which a trust special administrator’s appointment takes effect, the administrator must provide to the Secretary of State and publish a draft report stating the action which the administrator recommends the Secretary of State should take in relation to the trust. 2 When preparing the draft report, the administrator must consult— a any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and b any other person to which the trust provides goods or services under this Act and which the Secretary of State directs the administrator to consult. 3 After receiving the draft report, the Secretary of State must lay it before Parliament. Consultation plan 65G 1 At the same time as publishing a draft report under section 65F, a trust special administrator must publish a statement setting out the means by which the administrator will seek responses to the draft report. 2 The statement must specify a period of 30 working days within which the administrator seeks responses (the “consultation period”). 3 The first day of the consultation period must be within the period of 5 working days beginning with the day on which the draft report is published. Consultation requirements 65H 1 The following duties apply during the consultation period. 2 The trust special administrator must publish a notice stating that the administrator is seeking responses to the draft report and describing how people can give their responses. 3 A notice under subsection (2) must include details of how responses can be given in writing. 4 The trust special administrator must hold at least one meeting to seek responses from staff of the trust and from such persons as the trust special administrator may recognise as representing staff of the trust. 5 The trust special administrator must hold at least one other meeting to seek responses from any person who wishes to attend, after publishing notice of the date, time and place of the meeting. 6 Notices under subsections (2) and (5) must be published at least once in the first 5 working days of the consultation period. 7 The trust special administrator must request a written response from— a any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities; b any other person to which the trust provides goods or services under this Act, if required by directions given by the Secretary of State; c any person within subsection (8), if required by directions given by the Secretary of State. 8 The persons within this subsection are— a an overview and scrutiny committee of any authority to which section 244 applies; b a committee of a local authority operating alternative arrangements under Part 2 of the Local Government Act 2000 which exercises functions corresponding to those of an overview and scrutiny committee under section 21(2)(f) of that Act; c a joint overview and scrutiny committee; d a committee established under section 247(1); e a person carrying on, in pursuance of arrangements made by any local authority under subsection (1) of section 221 of the Local Government and Public Involvement in Health Act 2007, activities specified in subsection (2) of that section (local involvement networks); f the member of Parliament for any constituency. 9 The trust special administrator must hold at least one meeting to seek responses from representatives of each of the persons from whom the administrator must request a written response under subsection (7)(a) or (b). 10 The Secretary of State may direct an administrator to— a request a written response from any person; b hold a meeting to seek a response from any person. 11 In subsection (4) “staff of the trust” means persons employed by the trust or otherwise working for the trust (whether as or on behalf of a contractor, as a volunteer or otherwise). Final report 65I 1 Within the period of 15 working days beginning with the end of the consultation period, the trust special administrator must provide to the Secretary of State a final report stating the action which the administrator recommends that the Secretary of State should take in relation to the trust. 2 The administrator must attach to the final report a summary of all responses to the draft report which were received by the administrator in the period beginning with the publication of the draft report and ending with the last day of the consultation period. 3 After receiving the administrator’s final report, the Secretary of State must publish it and lay it before Parliament. Power to extend time 65J 1 This section applies to— a the duty of a trust special administrator to provide a draft report within the period specified in section 65F(1); b the duty of a trust special administrator to consult in the consultation period specified under section 65G(2); c the duty of a trust special administrator to provide a final report within the period specified in section 65I(1). 2 If the Secretary of State thinks it is not reasonable in the circumstances for the administrator to be required to carry out the duty within the specified period, the Secretary of State may by order extend the period. 3 If an order is made extending the period mentioned in subsection (1)(a) or (c) the trust special administrator must publish a notice stating the new date on which the period will expire. 4 If an order is made extending the period mentioned in subsection (1)(b) the trust special administrator must— a publish a notice stating the new date on which the period will expire, and b publish a statement setting out the means by which the administrator will seek responses to the draft report during the extended consultation period. Action by the Secretary of State Secretary of State’s decision 65K 1 Within the period of 20 working days beginning with the day on which the Secretary of State receives a final report under section 65I, the Secretary of State must decide what action to take in relation to the trust. 2 The Secretary of State must as soon as reasonably practicable— a publish a notice of the decision and of the reasons for it; b lay a copy of the notice before Parliament. Trusts coming out of administration 65L 1 This section applies if the Secretary of State decides under section 65K not to dissolve the trust. 2 The Secretary of State must make an order specifying a date when the appointment of the trust special administrator and the suspension of the chairman and directors of the trust come to an end. 3 Subsections (4) and (5) apply in the case of a trust which is an NHS trust by virtue of an order made under section 65E(1). 4 The Secretary of State must make an order specifying, in relation to the trust, the matters mentioned in paragraph 5(1)(a) to (c) of Schedule 4 and, where the trust has a significant teaching commitment, the matters mentioned in paragraph 5(1)(d). 5 If it appears to the Secretary of State to be necessary in order to comply with provision made under subsection (4), or made by regulations under paragraph 4 of Schedule 4, the Secretary of State may by order— a terminate the office of any executive or non-executive director of the trust; b appoint a person to be an executive or non-executive director of the trust. Supplementary Replacement of trust special administrator 65M 1 If a trust special administrator ceases to hold office for any reason before the Secretary of State has made either an order under section 65L(2) or an order dissolving the trust, the Secretary of State must— a appoint another person as the trust special administrator, and b publish the name of the person appointed. 2 Where a person is appointed under subsection (1) in relation to a trust, anything done by or in relation to a previous trust special administrator has effect as if done by or in relation to that person, unless the Secretary of State directs otherwise. Guidance 65N 1 The Secretary of State must publish guidance for trust special administrators. 2 It must include guidance about the publication of notices under sections 65H and 65J. 3 It must include guidance about the preparation of draft reports, as to— a persons to be consulted; b factors to be taken into account; c relevant publications. Interpretation of this Chapter 65O In this Chapter— “trust special administrator” means a person appointed under section 65B(6)(a) or section 65M(1)(a); “working day” means any day which is not Saturday, Sunday, Christmas Day, Good Friday or a day which is a bank holiday in England and Wales under the Banking and Financial Dealings Act 1971. Trust special administrators: Primary Care Trusts 17 After section 65O of the National Health Service Act 2006 (c. 41) (inserted by section 16) insert— Chapter 5B Trust special administrators: Primary Care Trusts Appointment Appointment of trust special administrator 65P 1 The Secretary of State may give directions to a Primary Care Trust requiring the Primary Care Trust to appoint a trust special administrator to exercise on its behalf, to the extent, and subject to any conditions, specified in the directions, such provider functions of the Primary Care Trust as are specified in the directions. 2 Directions may be given under subsection (1) only if the Secretary of State considers it appropriate in the interests of the health service. 3 The directions must specify— a the date when the appointment is to take effect, which must be within the period of 5 working days beginning with the day on which the directions are given, and b the name of the person to be appointed. 4 Before giving directions under subsection (1) the Secretary of State must consult— a the Primary Care Trust, b any Strategic Health Authority whose area includes any part of the Primary Care Trust’s area, and c any other person to which the Primary Care Trust provides goods or services under this Act and which the Secretary of State considers it appropriate to consult. 5 The Secretary of State must lay before Parliament (with the instrument containing the directions) a report stating the reasons for giving the directions. 6 Where a person is appointed pursuant to directions under subsection (1), the Secretary of State must publish the name of the person appointed. 7 A person appointed as a trust special administrator holds and vacates office in accordance with the terms of the appointment. 8 Directions under subsection (1) may require the appointment to be on terms specified in the directions. 9 The Primary Care Trust may pay the trust special administrator remuneration and expenses in accordance with the terms of the appointment. 10 In this section “provider function” means— a any function of providing goods or services except to the extent that at the time of the appointment there are arrangements between the Primary Care Trust and another person or body under which the goods or services are, or are to be, provided by that person or body, and b any function that is not a function of providing goods or services but that may be exercised for the purposes of a function within paragraph (a). Displacement of functions 65Q 1 When the appointment of a trust special administrator takes effect, the relevant functions cease to be exercisable by any committee, sub-committee or officer of the Primary Care Trust by whom they were previously exercisable. 2 Subsection (1) does not affect the employment of any officer of the Primary Care Trust. 3 In this Chapter “relevant functions” means the functions of the Primary Care Trust exercisable by the trust special administrator. Consultation and report Draft report 65R 1 Within the period of 45 working days beginning with the day on which a trust special administrator’s appointment takes effect, the administrator must provide to the Secretary of State and publish a draft report stating the action which the administrator recommends the Secretary of State should take in relation to the performance of the relevant functions. 2 When preparing the draft report, the administrator must consult— a any Strategic Health Authority whose area includes any part of the Primary Care Trust’s area, and b any other person to which the Primary Care Trust provides goods or services under this Act, if required by directions given by the Secretary of State. 3 After receiving the draft report, the Secretary of State must lay it before Parliament. Consultation plan 65S 1 At the same time as publishing a draft report under section 65R, a trust special administrator must publish a statement setting out the means by which the administrator will seek responses to the draft report. 2 The statement must specify a period of 30 working days within which the administrator seeks responses (the “consultation period”). 3 The first day of the consultation period must be within the period of 5 working days beginning with the day on which the draft report is published. Consultation requirements 65T 1 The following duties apply during the consultation period. 2 The trust special administrator must publish a notice stating that the administrator is seeking responses to the draft report and describing how people can give their responses. 3 A notice under subsection (2) must include details of how responses can be given in writing. 4 The trust special administrator must hold at least one meeting to seek responses from relevant staff and from such persons as the trust special administrator may recognise as representing relevant staff. 5 The trust special administrator must hold at least one other meeting to seek responses from any person who wishes to attend, after publishing notice of the date, time and place of the meeting. 6 Notices under subsections (2) and (5) must be published at least once in the first 5 working days of the consultation period. 7 The trust special administrator must request a written response from— a any Strategic Health Authority in whose area any part of the Primary Care Trust’s area falls; b any other person to which the Primary Care Trust provides goods or services under this Act, if required by directions given by the Secretary of State; c any person within section 65H(8), if required by directions given by the Secretary of State. 8 The trust special administrator must hold at least one meeting to seek responses from representatives of each of the persons from whom the administrator must request a written response under subsection (7)(a) and (b). 9 The Secretary of State may direct a trust special administrator to— a request a written response from any person; b hold a meeting to seek a response from any person. 10 In subsection (4) “relevant staff” means persons employed by the trust or otherwise working for the trust (whether as or on behalf of a contractor, as a volunteer or otherwise), wholly or partly in connection with the relevant functions. Final report 65U 1 Within the period of 15 working days beginning with the end of the consultation period, the trust special administrator must provide to the Secretary of State a final report stating the action which the administrator recommends that the Secretary of State should take in relation to the performance of the relevant functions. 2 The administrator must attach to the final report a summary of all responses to the draft report which were received by the administrator in the period beginning with the publication of the draft report and ending with the last day of the consultation period. 3 After receiving the administrator’s final report, the Secretary of State must publish it and lay it before Parliament. Power to extend time 65V 1 This section applies to— a the duty of a trust special administrator to provide a draft report within the period specified in section 65R(1); b the duty of a trust special administrator to consult in the consultation period specified under section 65S(2); c the duty of a trust special administrator to provide a final report within the period specified in section 65U(1). 2 If the Secretary of State thinks it is not reasonable in the circumstances for the administrator to be required to carry out the duty within the specified period, the Secretary of State may by order extend the period. 3 If an order is made extending the period mentioned in subsection (1)(a) or (c) the trust special administrator must publish a notice stating the new date on which the period will expire. 4 If an order is made extending the period mentioned in subsection (1)(b) the trust special administrator must— a publish a notice stating the new date on which the period will expire, and b publish a statement setting out the means by which the administrator will seek responses to the draft report during the extended consultation period. Action by the Secretary of State Secretary of State’s decision 65W 1 Within the period of 20 working days beginning with the day on which the Secretary of State receives a final report under section 65U, the Secretary of State must decide what action to take in relation to the performance of the relevant functions. 2 The Secretary of State must as soon as reasonably practicable— a publish a notice of the decision and of the reasons for it; b lay a copy of the notice before Parliament. Removal of a trust special administrator 65X The Secretary of State may at any time give directions to a Primary Care Trust and a trust special administrator who exercises functions on behalf of the Primary Care Trust, requiring that the appointment of the administrator should come to an end with effect from a specified day. Supplementary Replacement of trust special administrator 65Y 1 Where the Secretary of State has given directions under section 65P and, before the Secretary of State has published a decision under section 65W, the trust special administrator appointed under the directions (or whose appointment has effect as if made under the directions) ceases to hold office for any reason, the Secretary of State must— a appoint another person as the trust special administrator, and b publish the name of the person appointed. 2 An appointment under subsection (1) has effect as if made by the Primary Care Trust under the directions. 3 Where a person is appointed under subsection (1) in relation to a Primary Care Trust, anything done by or in relation to a previous trust special administrator has effect as if done by or in relation to that person, unless the Secretary of State directs otherwise. Secretary of State’s directions to trust special administrator 65Z The Secretary of State may give directions to a trust special administrator about the exercise of functions under or by virtue of this Chapter. Guidance 65Z1 1 The Secretary of State must publish guidance for trust special administrators. 2 It must include guidance about the publication of notices under sections 65T and 65V. 3 It must include guidance in relation to the preparation of draft reports, as to— a persons to be consulted; b factors to be taken into account; c relevant publications. Directions 65Z2 Directions under the following provisions of this Chapter must be laid before Parliament after they are given— a section 65P(1); b section 65X; c section 65Z. Interpretation of this Chapter 65Z3 In this Chapter— “relevant functions” has the meaning given in section 65Q(3); “trust special administrator” means a person appointed under directions under section 65P(1) or under section 65Y(1)(a); “working day” means any day which is not Saturday, Sunday, Christmas Day, Good Friday or a day which is a bank holiday in England and Wales under the Banking and Financial Dealings Act 1971. Consequential amendments Trust special administrators: consequential amendments 18 1 The National Health Service Act 2006 (c. 41) is amended as follows. 2 Section 53 (voluntary arrangements for NHS foundation trusts) is amended as follows. 3 In subsection (1), after “NHS foundation trust” insert “to which this section applies”. 4 In subsection (2), after “NHS foundation trusts” insert “to which this section applies”. 5 After subsection (4) insert— 4A This section applies to an NHS foundation trust to which sections 52B to 52E and Chapter 5A do not apply. 6 In section 54 (dissolution etc. of NHS foundation trusts), in subsection (1), after “NHS foundation trust” insert “to which section 53 applies”. 7 In section 242 (public involvement and consultation), at the end insert— 6 This section does not require a body to make arrangements in relation to matters to which a trust special administrator’s report or draft report under section 65F, 65I, 65R or 65U relates before the decision of the Secretary of State under section 65K or 65W has been published. 8 In section 272 (orders, regulations, rules and directions)— a in subsection (4), for “and (6)” substitute “, (6) and (6A)”; b in subsection (5), after paragraph (a) insert— aa section 52D(1) or (7) or 52E(6), ab section 65B(1), 65E(1), 65J(2), 65L(2), (4) or (5), or 65V(2), ; c after subsection (6) insert— 6A A statutory instrument containing an order under section 52D(1), 52E(6), 65B(1), 65E(1), 65J(2), 65L(2) or (4) or 65V(2) must be laid before Parliament after it is made. 9 In section 275(1) (interpretation), in the definition of “NHS trust”, at the end insert “and, subject to Schedule 8A, a body that becomes a National Health Service trust by virtue of an order made under section 52D(1) or 65E(1),”. 10 In paragraph 28(3) of Schedule 4 (NHS trusts established under section 25), after “as a matter of urgency” insert “or where the order is made following the publication of a final report under section 65I(3)”. 11 In Schedule 9 (NHS foundation trusts: transfer of staff), in paragraph 1 after “NHS foundation trust” insert “to which section 53 applies”. 12 In section 206(1) of the National Health Service (Wales) Act 2006 (c. 42) (interpretation), in the definition of “NHS trust”, at the end insert “(including a body that becomes a National Health Service trust by virtue of an order made under section 52D(1) or 65E(1) of that Act)”. Chapter 2 Suspension NHS and other health appointments: suspension 19 Schedule 3 (which amends enactments to provide for powers of suspension in relation to chairs, vice-chairs and other members of NHS bodies and other bodies concerned with health) has effect. Part 3 Miscellaneous Tobacco Prohibition of advertising: exclusion for specialist tobacconists 20 In section 6 of the Tobacco Advertising and Promotion Act 2002 (c. 36) (specialist tobacconists), before subsection (1) insert— A1 The appropriate Minister may provide in regulations that no offence is committed under section 2 if the tobacco advertisement— a is in, or fixed to the outside of premises of, a specialist tobacconist in England and Wales or Northern Ireland, b is not for cigarettes or hand-rolling tobacco, and c complies with any requirements specified in the regulations. Prohibition of tobacco displays <Abbreviation Expansion="Et cetera" xml:lang="la">etc</Abbreviation> 21 After section 7 of the Tobacco Advertising and Promotion Act 2002 (developments in technology) insert— Prohibition of tobacco displays 7A 1 A person who in the course of a business displays tobacco products, or causes tobacco products to be displayed, in a place in England and Wales or Northern Ireland is guilty of an offence. 2 The appropriate Minister may by regulations provide for the meaning of “place” in this section. 3 The appropriate Minister may by regulations make provision for a display in a place which also amounts to an advertisement to be treated for the purposes of offences in England and Wales or Northern Ireland under this Act— a as an advertisement and not as a display, or b as a display and not as an advertisement. Tobacco displays: exclusions and defence 7B 1 No offence is committed under section 7A if— a the tobacco products are displayed in the course of a business which is part of the tobacco trade, b they are displayed for the purposes of that trade, and c the display is accessible only to persons who are engaged in, or employed by, a business which is also part of that trade. 2 No offence is committed under section 7A if the display is a requested display to an individual aged 18 or over. 3 The appropriate Minister may provide in regulations that no offence is committed under section 7A if the display complies with requirements specified in the regulations. 4 Subsections (5) and (7) apply where a person (“D”) is charged with an offence under section 7A in a case where the display is a requested display to an individual aged under 18. 5 Where D is charged by reason of D having displayed the tobacco product it is a defence that— a D believed that the individual was aged 18 or over, and b either— i D had taken all reasonable steps to establish the individual’s age, or ii from the individual’s appearance nobody could reasonably have suspected that the individual was aged under 18. 6 For the purposes of subsection (5), a person is treated as having taken all reasonable steps to establish an individual’s age if— a the person asked the individual for evidence of the individual’s age, and b the evidence would have convinced a reasonable person. 7 Where D is charged by reason of D having caused the display of the tobacco product it is a defence that D exercised all due diligence to avoid committing the offence. 8 In this section “a requested display” means a display to an individual following a particular request by the individual to purchase a tobacco product, or for information about a tobacco product. Displays: prices of tobacco products 7C 1 The appropriate Minister may by regulations make provision imposing requirements in relation to the display in a place in England and Wales or Northern Ireland in the course of a business of prices of tobacco products. 2 A person who displays or causes to be displayed prices of tobacco products in breach of a requirement contained in the regulations is guilty of an offence. 3 The regulations may, in particular, provide for the meaning of “place” in this section. 4 The regulations may make provision for a display of prices in a place which also amounts to an advertisement to be treated for the purposes of offences in England and Wales or Northern Ireland under this Act— a as an advertisement and not as a display of prices, or b as a display of prices and not as an advertisement. Displays on a website 7D 1 The Secretary of State may by regulations make provision imposing requirements in relation to the display in England and Wales or Northern Ireland in the course of a business of tobacco products or their prices on a website where tobacco products are offered for sale. 2 A person who displays or causes to be displayed tobacco products or their prices in breach of a requirement contained in the regulations is guilty of an offence. 3 A service provider established in England and Wales or Northern Ireland is guilty of an offence if, in the course of providing information society services, the provider does anything in an EEA State other than the United Kingdom which, if done in England and Wales or Northern Ireland, would constitute an offence under subsection (2). 4 Nothing in subsection (2) makes it an offence for a service provider established outside the United Kingdom to do anything in the course of providing information society services. 5 The regulations may make provision for a relevant display of tobacco products or their prices which also amounts to an advertisement to be treated for the purposes of offences in England and Wales or Northern Ireland under this Act— a as an advertisement and not as a display, or b as a display and not as an advertisement. 6 In subsection (5) a “relevant display” means a display on a website where tobacco products are offered for sale. Power to prohibit sales from vending machines 22 1 After section 3 of the Children and Young Persons (Protection from Tobacco) Act 1991 (c. 23) (sale of unpackaged cigarettes) insert— Sales from vending machines in England and Wales 3A 1 The appropriate national authority may by regulations make provision prohibiting the sale of tobacco from an automatic machine in England and Wales. 2 The regulations must make provision as to the persons who are liable in the case of any breach of a prohibition. 3 Where a prohibition contained in the regulations is breached, any person liable in accordance with the regulations is guilty of an offence. 4 A person guilty of an offence under this section is liable on summary conviction to a fine not exceeding level 4 on the standard scale. 5 Sections 13, 14 and 15 of the Tobacco Advertising and Promotion Act 2002 (enforcement etc.) apply for the purposes of this section and regulations made under it as they apply for the purposes of provisions of that Act. 6 The power of the appropriate national authority to make regulations under this section— a is exercisable by statutory instrument, b may be exercised to make different provision for different cases or circumstances, and c includes power to make supplementary, incidental, consequential or transitional provision. 7 A statutory instrument containing regulations made under this section may not be made— a by the Secretary of State unless a draft of the instrument has been laid before, and approved by a resolution of, each House of Parliament, and b by the Welsh Ministers unless a draft of the instrument has been laid before, and approved by a resolution of, the National Assembly for Wales. 8 In this section— “the appropriate national authority”— in relation to England, means the Secretary of State; and in relation to Wales, means the Welsh Ministers; “tobacco” has the same meaning as in section 7 of the Children and Young Persons Act 1933. 2 In section 12D(1) of the Children and Young Persons Act 1933 (c. 12) (restricted premises orders and restricted sales orders: interpretation)— a omit “or” at the end of paragraph (a); b after paragraph (b) insert , or c an offence committed under section 3A of the Children and Young Persons (Protection from Tobacco) Act 1991 in respect of any machine kept on any premises (which are accordingly “the premises in relation to which the offence is committed”). Power to prohibit sales from vending machines: Northern Ireland 23 After article 4 of the Children and Young Persons (Protection from Tobacco) (Northern Ireland) Order 1991 (S.I. 1991/2872 (N.I. 25)) (sale of unpackaged cigarettes) insert— Sales from vending machines 4A 1 The Department may by regulations make provision prohibiting the sale of tobacco from an automatic machine. 2 The regulations must make provision as to the persons who are liable in the case of any breach of a prohibition. 3 Where a prohibition contained in the regulations is breached, any person liable in accordance with the regulations is guilty of an offence. 4 A person guilty of an offence under this Article is liable on summary conviction to a fine not exceeding level 4 on the standard scale. 5 Sections 13, 14 and 15 of the Tobacco Advertising and Promotion Act 2002 (enforcement etc.) apply for the purposes of this Article and regulations made under it as they apply for the purposes of provisions of that Act. 6 The power to make regulations under this Article includes power to make supplementary, incidental, consequential or transitional provision. 7 Regulations may not be made under this Article unless a draft of the regulations has been laid before, and approved by a resolution of, the Assembly. 8 In this Article “tobacco” has the same meaning as in Part 2 of the Health and Personal Social Services (Northern Ireland) Order 1978. Tobacco: minor and consequential amendments 24 Schedule 4 (which makes minor and consequential amendments relating to the advertising and promotion of tobacco products) has effect. Pharmaceutical services in England Pharmaceutical needs assessments 25 After section 128 of the National Health Service Act 2006 (c. 41) insert— Pharmaceutical needs assessments 128A 1 Each Primary Care Trust must in accordance with regulations— a assess needs for pharmaceutical services in its area, and b publish a statement of its first assessment and of any revised assessment. 2 The regulations must make provision— a as to information which must be contained in a statement; b as to the extent to which an assessment must take account of likely future needs; c specifying the date by which a Primary Care Trust must publish the statement of its first assessment; d as to the circumstances in which a Primary Care Trust must make a new assessment. 3 The regulations may in particular make provision— a as to the pharmaceutical services to which an assessment must relate; b requiring a Primary Care Trust to consult specified persons about specified matters when making an assessment; c as to the manner in which an assessment is to be made; d as to matters to which a Primary Care Trust must have regard when making an assessment. New arrangements for entry to pharmaceutical list 26 1 Section 129 of the National Health Service Act 2006 (regulations as to pharmaceutical services) is amended as follows. 2 In subsection (2)(c), for the words from “may be granted” to “specified in the application,” substitute “must be granted if the Primary Care Trust is satisfied as mentioned in subsection (2A), and may otherwise be granted only if the Primary Care Trust is satisfied as mentioned in subsection (2B),”. 3 After subsection (2) insert— 2A The Primary Care Trust is satisfied as mentioned in this subsection if, having regard to its needs statement and to any matters prescribed by the Secretary of State in the regulations, it is satisfied that it is necessary to grant the application in order to meet a need in its area for the services or some of the services specified in the application. 2B The Primary Care Trust is satisfied as mentioned in this subsection if, having regard to its needs statement and to any matters prescribed by the Secretary of State in the regulations, it is satisfied that to grant the application would secure improvements, or better access, to pharmaceutical services in its area. 2C In relation to cases where the Primary Care Trust is satisfied as mentioned in subsection (2B), the regulations may make provision as to— a the manner in which the Primary Care Trust is to determine whether to grant the application, b matters which the Primary Care Trust must or must not take into account for the purpose of determining whether to grant the application. 4 After subsection (3) insert— 3A The regulations may prescribe circumstances in which two or more applications referred to in subsection (2)(c)(i) or (ii) may be considered together by the Primary Care Trust. 5 In subsection (4)— a for the words from “include” to “subsection (5) for” substitute “make provision for the Primary Care Trust to take into account prescribed matters in”; b omit paragraph (a); c in paragraph (b), for “they” substitute “two or more applications referred to in subsection (2)(c)(i) or (ii)”; d in paragraph (c), for “subsection (2)(c)” substitute “subsection (2A) or (2B)”. 6 After subsection (4) insert— 4A Regulations under subsection (4) may in particular make the provision mentioned in subsection (5), with or without modifications. 7 In subsection (6), before paragraph (a) insert— za for the circumstances and manner in which a Primary Care Trust may invite applications for inclusion in a pharmaceutical list, . 8 After subsection (10) insert— 10A Primary Care Trusts must give reasons for decisions made by virtue of this section. 10B In this section a “needs statement” means the statement required by section 128A(1)(b) as most recently published by the relevant Primary Care Trust. Pharmaceutical lists: minor amendment 27 In section 129(6) of the National Health Service Act 2006 (c. 41) (regulations as to pharmaceutical services), in paragraph (d), for “such an application” substitute “an application to a Primary Care Trust”. Breach of terms of arrangements: notices and penalties 28 In Part 7 of the National Health Service Act 2006, before Chapter 6 (disqualification) insert— Chapter 5A Notices and penalties Notices and penalties 150A 1 The Secretary of State may by regulations provide that where a practitioner who provides pharmaceutical services under arrangements with a Primary Care Trust breaches a term of those arrangements, the Primary Care Trust may— a by a notice require the practitioner to do, or not do, specified things or things of a specified description within a specified period, or b in prescribed circumstances or for a prescribed period, withhold all or part of a payment due to the practitioner under the arrangements. 2 Regulations under this section must include provision conferring on such persons as may be prescribed rights of appeal from decisions of Primary Care Trusts made by virtue of this section. 3 In this section— “practitioner” means a person included in a pharmaceutical list, and “specified” means specified in a notice under paragraph (a) of subsection (1). <Acronym Expansion="Local Pharmaceutical Services">LPS</Acronym> schemes: powers of Primary Care Trusts and Strategic Health Authorities 29 1 The National Health Service Act 2006 is amended as follows. 2 In section 15 (Strategic Health Authorities’ directions), in subsection (2), after “section 107 arrangements” insert “or LPS schemes”. 3 In section 16 (section 92 arrangements and section 107 arrangements)— a in subsection (1), after “section 107 arrangements” insert “and LPS schemes”; b in the heading, after “section 107 arrangements” insert “and LPS schemes”. 4 In section 144 (local pharmaceutical services schemes), after “Primary Care Trusts” insert “or Strategic Health Authorities”. 5 Schedule 12 (LPS schemes) is amended as follows. 6 Paragraph 1 is amended as follows. 7 In sub-paragraph (1), after “Primary Care Trusts” insert “or Strategic Health Authorities”. 8 In sub-paragraph (2)— a in paragraph (a), after “Primary Care Trust” insert “or Strategic Health Authority (the “commissioning body”)”; b in paragraph (b), for “Primary Care Trust),” substitute “commissioning body).”; c omit paragraph (c) and the word “and” immediately before it. 9 After sub-paragraph (2) insert— 2A A Strategic Health Authority may establish an LPS scheme only where the only other parties are Primary Care Trusts. 2B A Primary Care Trust may provide local pharmaceutical services under an LPS scheme (where it is not the commissioning body), but only in prescribed circumstances. 10 In sub-paragraph (5), for “made by it” substitute “in its area”. 11 In sub-paragraph (6), for “and an NHS foundation trust” substitute “, an NHS foundation trust and a Primary Care Trust”. 12 In paragraph 2, in sub-paragraph (1), after “Primary Care Trust” insert “or Strategic Health Authority”. 13 Paragraph 3 is amended as follows. 14 In sub-paragraph (2), for “Primary Care Trusts” substitute “the commissioning body”. 15 In sub-paragraph (3)(k), after “Primary Care Trusts” insert “or Strategic Health Authorities”. Pharmaceutical services in Wales Pharmaceutical lists: minor amendment 30 In section 83(6) of the National Health Service (Wales) Act 2006 (c. 42) (regulations as to pharmaceutical services), in paragraph (d), for “such an application” substitute “an application to a Local Health Board”. Breach of terms of arrangements: notices and penalties 31 1 In Part 8 of the National Health Service (Wales) Act 2006, before Chapter 2 (disqualification) insert— Chapter 1A Notices and penalties Notices and penalties 106A 1 The Welsh Ministers may by regulations provide that where a practitioner who provides pharmaceutical services or general ophthalmic services under arrangements with a Local Health Board breaches a term of those arrangements, the Local Health Board may— a by a notice require the practitioner to do, or not do, specified things or things of a specified description within a specified period, or b in prescribed circumstances or for a prescribed period, withhold all or part of a payment due to the practitioner under the arrangements. 2 Regulations under this section must include provision conferring on such persons as may be prescribed rights of appeal from decisions of Local Health Boards made by virtue of this section. 3 In this section— “practitioner” means a person included in an ophthalmic list or a pharmaceutical list, and “specified” means specified in a notice under paragraph (a) of subsection (1). 2 In section 107(9) of that Act, after “included in” insert “an ophthalmic list or”. LPS schemes: powers of Local Health Boards 32 1 Schedule 7 to the National Health Service (Wales) Act 2006 (c. 42) (LPS schemes) is amended as follows. 2 In paragraph 1, in sub-paragraph (2)— a in paragraph (a), after “Local Health Board” insert “(the “commissioning body”)”; b in paragraph (b), for “Local Health Board),” substitute “commissioning body).”; c omit paragraph (c) and the word “and” immediately before it. 3 After sub-paragraph (2) insert— 2A A Local Health Board may provide local pharmaceutical services under an LPS scheme (where it is not the commissioning body), but only in prescribed circumstances. 4 In sub-paragraph (6), for “and an NHS foundation trust” substitute “, an NHS foundation trust and a Local Health Board”. 5 In paragraph 3(2), for “Local Health Boards” substitute “the commissioning body”. Private patient income Private patient income of mental health foundation trusts 33 1 Section 44 of the National Health Service Act 2006 (c. 41) (private health care) is amended as follows. 2 In subsection (2)— a after “not greater than” insert “— (a)”; b at the end insert , or b in the case of a mental health foundation trust designated under subsection (2A), that proportion or 1.5% if greater. 3 After subsection (2) insert— 2A An authorisation of an NHS foundation trust which was an NHS trust must designate it as a mental health foundation trust for the purposes of this section if it appears to the regulator that it provides goods or services only or mainly for the prevention, diagnosis or treatment of any disorder or disability of the mind or for the benefit in any other way of people suffering from a disorder or disability of the mind. Optical appliances Payments in respect of costs of optical appliances 34 Section 180(2)(c) of the National Health Service Act 2006 (payments in respect of costs of optical appliances for persons aged 60 or over) is omitted. Adult social care Investigation of complaints about privately arranged or funded adult social care 35 Schedule 5 (which inserts a new Part 3A into the Local Government Act 1974 (c. 7) to give the Commission for Local Administration in England powers to investigate complaints about privately arranged or funded adult social care and which makes consequential amendments) has effect. Disclosure of information Disclosure of information by Her Majesty’s Revenue and Customs 36 1 This section applies to information held by Her Majesty’s Revenue and Customs for the purposes of functions relating to income tax. 2 Information to which this section applies may be disclosed by Her Majesty’s Revenue and Customs to the persons listed in subsection (3) for use for the purposes of functions in connection with the analysis or dissemination of information relating to the income or expenses of dental practitioners or general medical practitioners. 3 The persons are— a the Secretary of State; b the Welsh Ministers; c the Scottish Ministers; d the Department of Health, Social Services and Public Safety in Northern Ireland; e persons providing services to or exercising functions on behalf of any of those persons. 4 Information may be disclosed under this section only in the form of a summary or collection of information so framed as not to enable information relating to a particular person to be ascertained from it. 5 In this section— “dental practitioner” means a person registered in the dentists register under the Dentists Act 1984 (c. 24); “general medical practitioner” means a person registered in the General Practitioner Register kept by the General Medical Council. Part 4 General Power to make transitional and consequential provision etc 37 1 The Secretary of State may by order make— a such transitional or transitory provisions or savings as the Secretary of State considers appropriate in connection with the coming into force of any provision of this Act; b such supplementary, incidental or consequential provision as the Secretary of State considers appropriate for the purposes of, in consequence of, or for giving full effect to, any provision of this Act. 2 Subsection (1)(a) does not apply to— a section 19 and Schedule 3, so far as they relate to amendments of the National Health Service (Wales) Act 2006 (c. 42); b sections 20 to 24 and Schedule 4, so far as they relate to Wales or Northern Ireland; c sections 30 to 32. 3 The Welsh Ministers may by order make such transitional or transitory provisions or savings as the Welsh Ministers consider appropriate in connection with the coming into force of— a section 19 and Schedule 3, so far as they relate to amendments of the National Health Service (Wales) Act 2006; b sections 20 to 24 and Schedule 4, so far as they relate to Wales; c sections 30 to 32. 4 The Department of Health, Social Services and Public Safety in Northern Ireland may by order make such transitional or transitory provisions or savings as the Department considers appropriate in connection with the coming into force of sections 20 to 24 and Schedule 4, so far as they relate to Northern Ireland. 5 An order under this section may amend, repeal, revoke or otherwise modify any enactment. 6 An order under this section may, in particular, provide for any provision of this Act which comes into force before another such provision has come into force to have effect, until that other provision has come into force, with such modifications as are specified in the order. 7 The power to make an order under subsection (1) or (3) is exercisable by statutory instrument. 8 The power to make an order under subsection (4) is exercisable by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979 (S.I. 1979/1573 (N.I. 12)). 9 A statutory instrument containing an order under subsection (1) a if it amends or repeals an enactment contained in an Act of Parliament, may not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament; b in any other case, is subject to annulment in pursuance of a resolution of either House of Parliament. 10 A statutory instrument containing an order under subsection (3) is subject to annulment in pursuance of a resolution of the National Assembly for Wales. 11 A statutory rule containing an order under subsection (4) is subject to negative resolution within the meaning of section 41(6) of the Interpretation Act (Northern Ireland) 1954 (c. 33 (N.I.)). 12 In this section “enactment” means an enactment contained in, or in an instrument made under— a an Act of Parliament, b a Measure or Act of the National Assembly for Wales, or c Northern Ireland legislation. Repeals and revocations 38 Schedule 6 (repeals and revocations) has effect. Extent 39 1 Subject to the following provisions, this Act extends to England and Wales only. 2 Any amendment, repeal or revocation made by this Act has the same extent as the enactment amended, repealed or revoked. 3 The following extend to England and Wales, Scotland and Northern Ireland— a section 36; b this section and sections 37, 40 and 41; c paragraph 19 of Schedule 3 (and section 19 so far as it relates to that paragraph); d paragraphs 4(6) and 9(4) of Schedule 4 (and section 24 so far as it relates to those provisions). Commencement 40 1 Subject to the following provisions, this Act comes into force on such day as the Secretary of State may by order made by statutory instrument appoint. 2 Subject to subsections (5) to (7), the following come into force on such day as the Welsh Ministers may by order made by statutory instrument appoint— a section 19 and Schedule 3, so far as they relate to amendments of the National Health Service (Wales) Act 2006 (c. 42); b sections 20 to 24 and Schedule 4, so far as they relate to Wales; c sections 30 to 32. 3 Subject to subsections (5) to (7), sections 20 to 24 and Schedule 4, so far as they relate to Northern Ireland, come into force on such day as the Department of Health, Social Services and Public Safety in Northern Ireland may appoint by order made by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979 (S.I. 1979/1573 (N.I. 12)). 4 Different days may be appointed under subsections (1) to (3) for different purposes or different areas. 5 The following come into force on the day on which this Act is passed— a paragraph 9(2) and (4) of Schedule 4; b a repeal or revocation made by Schedule 6 connected to the repeal made by paragraph 9(2) of Schedule 4; c this section and sections 37, 39 and 41. 6 The following come into force, for the purposes of making regulations, on the day on which this Act is passed— a sections 8, 9(5) and 10; b sections 20 to 23; c paragraphs 11 and 12 of Schedule 4. 7 The following come into force at the end of the period of 2 months beginning with the day on which this Act is passed— a section 34; b paragraphs 1, 4(3), (4) and (6), 5, 6(3), 7(2) and 9(3) of Schedule 4; c paragraph 13 of that Schedule for the purposes of sections 8, 9 and 11 of the Tobacco Advertising and Promotion Act 2002 (c. 36). 8 Where any particular provision or provisions of a Schedule come into force in accordance with subsection (5), (6) or (7), the section introducing the Schedule also comes into force in accordance with that subsection so far as relating to the particular provision or provisions. 9 The Secretary of State must not make an order under subsection (1) which relates to amendments to the Medicines Act 1968 (c. 67) made by Schedule 3 unless the Secretary of State first consults the Department of Health, Social Services and Public Safety in Northern Ireland. 10 The Secretary of State must not make an order under subsection (1) which relates to amendments to the Health Protection Agency Act 2004 (c. 17) made by Schedule 3 unless the Secretary of State first consults— a the Welsh Ministers, b the Scottish Ministers, and c the Department of Health, Social Services and Public Safety in Northern Ireland. 11 The Secretary of State must not make an order under subsection (1) which relates to amendments made to Human Tissue Act 2004 (c. 30) by Schedule 3 unless the Secretary of State first consults— a the Welsh Ministers, and b the Department of Health, Social Services and Public Safety in Northern Ireland. 12 The Secretary of State must not make an order under subsection (1) which relates to amendments made by Schedule 3 to Schedule 6 or 19 to the National Health Service Act 2006 (c. 41) unless the Secretary of State first consults the Welsh Ministers. 13 The Welsh Ministers must not make an order under subsection (2)(a) unless they first consult the Secretary of State. Short title 41 This Act may be cited as the Health Act 2009.
This XML file does not appear to have any style information associated with it. The document tree is shown below.
<Legislation xmlns="http://www.legislation.gov.uk/namespaces/legislation" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21" NumberOfProvisions="198" xml:lang="en" xsi:schemaLocation="http://www.legislation.gov.uk/namespaces/legislation http://www.legislation.gov.uk/schema/legislation.xsd" SchemaVersion="1.0">
<ukm:Metadata xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dct="http://purl.org/dc/terms/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:ukm="http://www.legislation.gov.uk/namespaces/metadata">
<dc:identifier>http://www.legislation.gov.uk/ukpga/2009/21/body/enacted</dc:identifier>
<dc:title>Health Act 2009</dc:title>
<dc:subject>National Health Service (NHS)</dc:subject>
<dc:subject>Foundation hospitals</dc:subject>
<dc:subject>NHS management</dc:subject>
<dc:subject>Mental health trusts</dc:subject>
<dc:subject>Mental health promotion</dc:subject>
<dc:language>en</dc:language>
<dc:publisher>King's Printer of Acts of Parliament</dc:publisher>
<dc:modified>2013-07-23</dc:modified>
<atom:link rel="self" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted/data.xml" type="application/xml"/>
<atom:link rel="http://www.legislation.gov.uk/def/navigation/resources" href="http://www.legislation.gov.uk/ukpga/2009/21/resources" title="More Resources"/>
<atom:link rel="http://www.legislation.gov.uk/def/navigation/notes" href="http://www.legislation.gov.uk/id/ukpga/2009/21/notes" title="Explanatory Notes"/>
<atom:link rel="http://www.legislation.gov.uk/def/navigation/notes/toc" href="http://www.legislation.gov.uk/ukpga/2009/21/notes/contents" title="Explanatory Notes Table of Contents"/>
<atom:link rel="http://www.legislation.gov.uk/def/navigation/act" href="http://www.legislation.gov.uk/ukpga/2009/21/enacted" title="whole act"/>
<atom:link rel="http://www.legislation.gov.uk/def/navigation/introduction" href="http://www.legislation.gov.uk/ukpga/2009/21/introduction/enacted" title="introduction"/>
<atom:link rel="http://www.legislation.gov.uk/def/navigation/body" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted" title="body"/>
<atom:link rel="http://www.legislation.gov.uk/def/navigation/schedules" href="http://www.legislation.gov.uk/ukpga/2009/21/schedules/enacted" title="schedules"/>
<atom:link rel="alternate" type="application/rdf+xml" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted/data.rdf" title="RDF/XML"/>
<atom:link rel="alternate" type="application/akn+xml" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted/data.akn" title="AKN"/>
<atom:link rel="alternate" type="application/xhtml+xml" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted/data.xht" title="HTML snippet"/>
<atom:link rel="alternate" type="text/html" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted/data.htm" title="Website (XHTML) Default View"/>
<atom:link rel="alternate" type="text/csv" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted/data.csv" title="CSV"/>
<atom:link rel="alternate" type="application/pdf" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted/data.pdf" title="PDF"/>
<atom:link rel="alternate" type="application/akn+xhtml" href="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted/data.html" title="HTML5 snippet"/>
<atom:link rel="http://purl.org/dc/terms/tableOfContents" hreflang="en" href="http://www.legislation.gov.uk/ukpga/2009/21/contents/enacted" title="Table of Contents"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2009-11-12" title="2009-11-12"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2010-01-12" title="2010-01-12"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2010-01-19" title="2010-01-19"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2010-02-15" title="2010-02-15"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2010-03-18" title="2010-03-18"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2010-04-01" title="2010-04-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2010-05-24" title="2010-05-24"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2010-10-01" title="2010-10-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2011-10-01" title="2011-10-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-02-01" title="2012-02-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-03-01" title="2012-03-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-04-06" title="2012-04-06"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-07-01" title="2012-07-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-09-01" title="2012-09-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-10-01" title="2012-10-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-10-31" title="2012-10-31"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-11-01" title="2012-11-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2012-12-03" title="2012-12-03"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2013-04-01" title="2013-04-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2015-04-01" title="2015-04-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2015-04-06" title="2015-04-06"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2017-11-30" title="2017-11-30"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2022-07-01" title="2022-07-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2023-02-01" title="2023-02-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2023-04-01" title="2023-04-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2023-09-26" title="2023-09-26"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2023-10-01" title="2023-10-01"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body/2024-02-28" title="2024-02-28"/>
<atom:link rel="http://purl.org/dc/terms/hasVersion" href="http://www.legislation.gov.uk/ukpga/2009/21/body" title="current"/>
<atom:link rel="up" href="http://www.legislation.gov.uk/ukpga/2009/21/enacted" title="Entire legislation"/>
<atom:link rel="prev" href="http://www.legislation.gov.uk/ukpga/2009/21/introduction/enacted" title="Introduction; Introduction"/>
<atom:link rel="prevInForce" href="http://www.legislation.gov.uk/ukpga/2009/21/introduction/enacted" title="Introduction; Introduction"/>
<atom:link rel="next" href="http://www.legislation.gov.uk/ukpga/2009/21/schedule/1/enacted" title="Schedule; Schedule 1"/>
<atom:link rel="nextInForce" href="http://www.legislation.gov.uk/ukpga/2009/21/schedule/1/enacted" title="Schedule; Schedule 1"/>
<ukm:PrimaryMetadata>
<ukm:DocumentClassification>
<ukm:DocumentCategory Value="primary"/>
<ukm:DocumentMainType Value="UnitedKingdomPublicGeneralAct"/>
<ukm:DocumentStatus Value="final"/>
</ukm:DocumentClassification>
<ukm:Year Value="2009"/>
<ukm:Number Value="21"/>
<ukm:EnactmentDate Date="2009-11-12"/>
<ukm:UnappliedEffects>
<ukm:UnappliedEffect Type="omitted" EffectId="key-8ea49f41896e8bb0548e7a361b5089e7" AffectedNumber="21" AffectedURI="http://www.legislation.gov.uk/id/ukpga/2009/21" AffectedProvisions="s. 2(2)(c)" Modified="2018-06-29T10:23:43Z" AffectingNumber="7" URI="http://www.legislation.gov.uk/id/effect/key-8ea49f41896e8bb0548e7a361b5089e7" AffectedClass="UnitedKingdomPublicGeneralAct" AffectingYear="2012" RequiresApplied="true" AffectingEffectsExtent="S+A+M+E+A+S+A+F+F+E+C+T+E+D" AffectedYear="2009" AffectingProvisions="Sch. 14 para. 113" AffectingURI="http://www.legislation.gov.uk/id/ukpga/2012/7" AffectingClass="UnitedKingdomPublicGeneralAct" Row="2314">
<ukm:AffectedTitle>Health Act 2009</ukm:AffectedTitle>
<ukm:AffectedProvisions>
<ukm:Section Ref="section-2-2-c" URI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2/c">s. 2(2)(c)</ukm:Section>
</ukm:AffectedProvisions>
<ukm:AffectingTitle>Health and Social Care Act 2012</ukm:AffectingTitle>
<ukm:AffectingProvisions>
<ukm:Section Ref="schedule-14" URI="http://www.legislation.gov.uk/id/ukpga/2012/7/schedule/14">Sch. 14 </ukm:Section>
<ukm:Section Ref="schedule-14-paragraph-113" URI="http://www.legislation.gov.uk/id/ukpga/2012/7/schedule/14/paragraph/113">para. 113</ukm:Section>
</ukm:AffectingProvisions>
<ukm:Savings>
<ukm:Section Ref="section-179-5-b" URI="http://www.legislation.gov.uk/id/ukpga/2012/7/section/179/5/b">s. 179(5)(b)</ukm:Section>
</ukm:Savings>
<ukm:CommencementAuthority>
<ukm:Section Ref="section-306-4" URI="http://www.legislation.gov.uk/id/ukpga/2012/7/section/306/4">s. 306(4)</ukm:Section>
</ukm:CommencementAuthority>
<ukm:InForceDates>
<ukm:InForce Applied="false" Prospective="true" Qualification=""/>
</ukm:InForceDates>
</ukm:UnappliedEffect>
<ukm:UnappliedEffect AffectedYear="2009" Modified="2018-06-29T10:23:43Z" AffectingClass="UnitedKingdomPublicGeneralAct" EffectId="key-3c3f0a543721b764f8ebc59406586900" RequiresApplied="true" AffectingNumber="7" AffectingProvisions="Sch. 14 para. 114" AffectedNumber="21" URI="http://www.legislation.gov.uk/id/effect/key-3c3f0a543721b764f8ebc59406586900" AffectedClass="UnitedKingdomPublicGeneralAct" Type="omitted" AffectingYear="2012" Row="2315" AffectedProvisions="s. 8(2)(b)" AffectingURI="http://www.legislation.gov.uk/id/ukpga/2012/7" AffectedURI="http://www.legislation.gov.uk/id/ukpga/2009/21" AffectingEffectsExtent="S+A+M+E+A+S+A+F+F+E+C+T+E+D">
<ukm:AffectedTitle>Health Act 2009</ukm:AffectedTitle>
<ukm:AffectedProvisions>
<ukm:Section Ref="section-8-2-b" URI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/2/b">s. 8(2)(b)</ukm:Section>
</ukm:AffectedProvisions>
<ukm:AffectingTitle>Health and Social Care Act 2012</ukm:AffectingTitle>
<ukm:AffectingProvisions>
<ukm:Section Ref="schedule-14" URI="http://www.legislation.gov.uk/id/ukpga/2012/7/schedule/14">Sch. 14 </ukm:Section>
<ukm:Section Ref="schedule-14-paragraph-114" URI="http://www.legislation.gov.uk/id/ukpga/2012/7/schedule/14/paragraph/114">para. 114</ukm:Section>
</ukm:AffectingProvisions>
<ukm:Savings>
<ukm:Section Ref="section-179-5-b" URI="http://www.legislation.gov.uk/id/ukpga/2012/7/section/179/5/b">s. 179(5)(b)</ukm:Section>
</ukm:Savings>
<ukm:CommencementAuthority>
<ukm:Section Ref="section-306-4" URI="http://www.legislation.gov.uk/id/ukpga/2012/7/section/306/4">s. 306(4)</ukm:Section>
</ukm:CommencementAuthority>
<ukm:InForceDates>
<ukm:InForce Applied="false" Prospective="true" Qualification=""/>
</ukm:InForceDates>
</ukm:UnappliedEffect>
<ukm:UnappliedEffect RequiresApplied="true" AffectedNumber="21" URI="http://www.legislation.gov.uk/id/effect/key-43b4ff84ae1d25734fc79e24b3efce78" AffectingYear="2022" Modified="2024-04-16T15:01:14Z" AffectedProvisions="s. 2(6)(a)" AffectingEffectsExtent="S+A+M+E+A+S+A+F+F+E+C+T+E+D" Type="substituted" AffectingURI="http://www.legislation.gov.uk/id/ukpga/2022/31" Row="767" AffectedClass="UnitedKingdomPublicGeneralAct" AffectedYear="2009" AffectingNumber="31" EffectId="key-43b4ff84ae1d25734fc79e24b3efce78" AffectedURI="http://www.legislation.gov.uk/id/ukpga/2009/21" AffectingProvisions="Sch. 3 para. 57(a)" AffectingClass="UnitedKingdomPublicGeneralAct">
<ukm:AffectedTitle>Health Act 2009</ukm:AffectedTitle>
<ukm:AffectedProvisions>
<ukm:Section Ref="section-2-6-a" URI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/a">s. 2(6)(a)</ukm:Section>
</ukm:AffectedProvisions>
<ukm:AffectingTitle>Health and Care Act 2022</ukm:AffectingTitle>
<ukm:AffectingProvisions>
<ukm:Section Ref="schedule-3" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/schedule/3">Sch. 3 </ukm:Section>
<ukm:Section Ref="schedule-3-paragraph-57-a" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/schedule/3/paragraph/57/a">para. 57(a)</ukm:Section>
</ukm:AffectingProvisions>
<ukm:CommencementAuthority>
<ukm:Section Ref="section-186-6" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/section/186/6">s. 186(6)</ukm:Section>
</ukm:CommencementAuthority>
<ukm:InForceDates>
<ukm:InForce Applied="false" Prospective="true" Qualification=""/>
</ukm:InForceDates>
</ukm:UnappliedEffect>
<ukm:UnappliedEffect AffectingClass="UnitedKingdomPublicGeneralAct" AffectingYear="2022" URI="http://www.legislation.gov.uk/id/effect/key-183cf67d1094ec2e01b85029b9b07aa6" AffectedProvisions="s. 2(6)(ca)" EffectId="key-183cf67d1094ec2e01b85029b9b07aa6" AffectedURI="http://www.legislation.gov.uk/id/ukpga/2009/21" AffectingProvisions="Sch. 3 para. 57(b)" AffectedNumber="21" Type="inserted" RequiresApplied="true" AffectingEffectsExtent="S+A+M+E+A+S+A+F+F+E+C+T+E+D" Modified="2024-04-16T15:01:14Z" Row="768" AffectingURI="http://www.legislation.gov.uk/id/ukpga/2022/31" AffectedYear="2009" AffectingNumber="31" AffectedClass="UnitedKingdomPublicGeneralAct">
<ukm:AffectedTitle>Health Act 2009</ukm:AffectedTitle>
<ukm:AffectedProvisions>
<ukm:Section Ref="section-2-6-ca" URI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/ca" FoundRef="section-2">s. 2(6)(ca)</ukm:Section>
</ukm:AffectedProvisions>
<ukm:AffectingTitle>Health and Care Act 2022</ukm:AffectingTitle>
<ukm:AffectingProvisions>
<ukm:Section Ref="schedule-3" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/schedule/3">Sch. 3 </ukm:Section>
<ukm:Section Ref="schedule-3-paragraph-57-b" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/schedule/3/paragraph/57/b">para. 57(b)</ukm:Section>
</ukm:AffectingProvisions>
<ukm:CommencementAuthority>
<ukm:Section Ref="section-186-6" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/section/186/6">s. 186(6)</ukm:Section>
</ukm:CommencementAuthority>
<ukm:InForceDates>
<ukm:InForce Applied="false" Prospective="true" Qualification=""/>
</ukm:InForceDates>
</ukm:UnappliedEffect>
<ukm:UnappliedEffect RequiresApplied="true" AffectingProvisions="Sch. 3 para. 57(c)" AffectedYear="2009" Type="inserted" AffectedClass="UnitedKingdomPublicGeneralAct" AffectedURI="http://www.legislation.gov.uk/id/ukpga/2009/21" AffectingURI="http://www.legislation.gov.uk/id/ukpga/2022/31" Row="769" AffectedProvisions="s. 2(6)(ea)" AffectingEffectsExtent="S+A+M+E+A+S+A+F+F+E+C+T+E+D" AffectingClass="UnitedKingdomPublicGeneralAct" EffectId="key-e0739cba9c96a2c89903a5c7088f0402" AffectedNumber="21" AffectingYear="2022" AffectingNumber="31" Modified="2024-04-16T15:01:14Z" URI="http://www.legislation.gov.uk/id/effect/key-e0739cba9c96a2c89903a5c7088f0402">
<ukm:AffectedTitle>Health Act 2009</ukm:AffectedTitle>
<ukm:AffectedProvisions>
<ukm:Section Ref="section-2-6-ea" URI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/ea" FoundRef="section-2">s. 2(6)(ea)</ukm:Section>
</ukm:AffectedProvisions>
<ukm:AffectingTitle>Health and Care Act 2022</ukm:AffectingTitle>
<ukm:AffectingProvisions>
<ukm:Section Ref="schedule-3" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/schedule/3">Sch. 3 </ukm:Section>
<ukm:Section Ref="schedule-3-paragraph-57-c" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/schedule/3/paragraph/57/c">para. 57(c)</ukm:Section>
</ukm:AffectingProvisions>
<ukm:CommencementAuthority>
<ukm:Section Ref="section-186-6" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/section/186/6">s. 186(6)</ukm:Section>
</ukm:CommencementAuthority>
<ukm:InForceDates>
<ukm:InForce Applied="false" Prospective="true" Qualification=""/>
</ukm:InForceDates>
</ukm:UnappliedEffect>
<ukm:UnappliedEffect AffectingYear="2011" RequiresApplied="false" Row="9" EffectId="key-69024502aa60986e639c7ca1a62ee754" AffectedEffectsExtent="S+A+M+E+A+S+A+F+F+E+C+T+E+D" Comments="Amendment reflected in Appended Commentary in EXTOES for 2010 SI1068. No further action required?" AffectedYear="2009" AffectingClass="UnitedKingdomStatutoryInstrument" TypeNotes="amendment to earlier commencing SI 2010/1068 art. 2" AffectedClass="UnitedKingdomPublicGeneralAct" AffectingNumber="1255" Modified="2018-02-02T16:30:26Z" AffectedProvisions="specified provision(s)" AffectingURI="http://www.legislation.gov.uk/id/uksi/2011/1255" AffectedNumber="21" AffectingProvisions="art. 2" AffectedURI="http://www.legislation.gov.uk/id/ukpga/2009/21" URI="http://www.legislation.gov.uk/id/effect/key-69024502aa60986e639c7ca1a62ee754" Type="amendment to earlier commencing SI 2010/1068 art. 2" Notes="commencement order for 2009 c. 21">
<ukm:AffectedTitle>Health Act 2009</ukm:AffectedTitle>
<ukm:AffectedProvisions>specified provision(s)</ukm:AffectedProvisions>
<ukm:AffectingTitle>The Health Act 2009 (Commencement No.3) (Amendment) Order 2011</ukm:AffectingTitle>
<ukm:AffectingProvisions>
<ukm:Section Ref="article-2" URI="http://www.legislation.gov.uk/id/uksi/2011/1255/article/2">art. 2</ukm:Section>
</ukm:AffectingProvisions>
<ukm:Commenced>
commencement order for
<ukm:Citation Class="UnitedKingdomPublicGeneralAct" URI="http://www.legislation.gov.uk/id/ukpga/2009/21" Year="2009" Number="21" Title="Health Act 2009">2009 c. 21</ukm:Citation>
</ukm:Commenced>
<ukm:InForceDates>
<ukm:InForce Prospective="true" Qualification=""/>
</ukm:InForceDates>
</ukm:UnappliedEffect>
</ukm:UnappliedEffects>
</ukm:PrimaryMetadata>
<ukm:Notes>
<ukm:Note IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/notes" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/notes"/>
<ukm:Alternatives>
<ukm:Alternative Date="2009-12-16" URI="http://www.legislation.gov.uk/ukpga/2009/21/pdfs/ukpgaen_20090021_en.pdf" Title="Explanatory Note"/>
</ukm:Alternatives>
</ukm:Notes>
<ukm:Alternatives>
<ukm:Alternative Date="2009-11-24" URI="http://www.legislation.gov.uk/ukpga/2009/21/pdfs/ukpga_20090021_en.pdf" Title="Print Version"/>
</ukm:Alternatives>
<ukm:Statistics>
<ukm:TotalParagraphs Value="199"/>
<ukm:BodyParagraphs Value="88"/>
<ukm:ScheduleParagraphs Value="111"/>
<ukm:AttachmentParagraphs Value="0"/>
<ukm:TotalImages Value="0"/>
</ukm:Statistics>
</ukm:Metadata>
<Primary>
<Body DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/body/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/body" NumberOfProvisions="88" NumberFormat="default">
<Part DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/1" NumberOfProvisions="18" id="part-1">
<Number>Part 1</Number>
<Title>
Quality and delivery of
<Acronym Expansion="National Health Service">NHS</Acronym>
services in England
</Title>
<Chapter DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/1/chapter/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/1/chapter/1" NumberOfProvisions="7" id="part-1-chapter-1">
<Number>Chapter 1</Number>
<Title>NHS Constitution</Title>
<P1group id="p00048">
<Title>NHS Constitution</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/1" id="section-1">
<Pnumber>1</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/1/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/1/1" id="section-1-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>In this Chapter the “NHS Constitution” means—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/1/1/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/1/1/a" id="section-1-1-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>the document entitled “The NHS Constitution” published by the Secretary of State on 21 January 2009, or</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/1/1/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/1/1/b" id="section-1-1-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>any revised version of that document published under section 3 or 4.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/1/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/1/2" id="section-1-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>In this Chapter the “Handbook” means—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/1/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/1/2/a" id="section-1-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>the document entitled “The Handbook to the NHS Constitution” published by the Secretary of State on 21 January 2009, or</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/1/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/1/2/b" id="section-1-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>any revised version of that document published under section 5.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00049">
<Title>Duty to have regard to NHS Constitution</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2" id="section-2">
<Pnumber>2</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/1" id="section-2-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Each of the bodies listed in subsection
<InternalLink id="i00001" Ref="section-2-2" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/enacted">(2)</InternalLink>
must, in performing its NHS functions, have regard to the NHS Constitution.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2" id="section-2-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>The bodies are—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2/a" id="section-2-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>Strategic Health Authorities;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2/b" id="section-2-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>Primary Care Trusts;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2/c" id="section-2-2-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>National Health Service trusts;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2/d" id="section-2-2-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>Special Health Authorities;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/e/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2/e" id="section-2-2-e">
<Pnumber>e</Pnumber>
<P3para>
<Text>NHS foundation trusts;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/f/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2/f" id="section-2-2-f">
<Pnumber>f</Pnumber>
<P3para>
<Text>the Independent Regulator of NHS Foundation Trusts;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/2/g/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/2/g" id="section-2-2-g">
<Pnumber>g</Pnumber>
<P3para>
<Text>the Care Quality Commission.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/3" id="section-2-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>
In subsection
<InternalLink id="i00002" Ref="section-2-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/1/enacted">(1)</InternalLink>
an “NHS function” means any function under an enactment which is a function concerned with, or connected to, the provision, commissioning or regulation of NHS services.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/4" id="section-2-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>Each person who—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/4/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/4/a" id="section-2-4-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>
provides NHS services under a contract, agreement or arrangements made under or by virtue of an enactment listed in subsection
<InternalLink id="i00003" Ref="section-2-6" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/enacted">(6)</InternalLink>
, or
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/4/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/4/b" id="section-2-4-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>
provides or assists in providing NHS services under arrangements under section 12(1) of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00001" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
,
</Text>
</P3para>
</P3>
<Text>must, in doing so, have regard to the NHS Constitution.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/5" id="section-2-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>Each person who—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/5/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/5/a" id="section-2-5-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>in pursuance of a contract, agreement or arrangements as mentioned in subsection (4)(a) or (b), makes arrangements (“sub-contracting arrangements”) for another person to provide or assist in providing NHS services, or</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/5/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/5/b" id="section-2-5-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>provides or assists in providing NHS services under sub-contracting arrangements,</Text>
</P3para>
</P3>
<Text>must, in doing so, have regard to the NHS Constitution.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6" id="section-2-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>
The enactments referred to in subsection
<InternalLink id="i00004" Ref="section-2-4-a" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/4/a" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/4/a/enacted">(4)(a)</InternalLink>
are the following provisions of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00002" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006</Citation>
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/a" id="section-2-6-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>section 83(2)(b) (arrangements made by PCTs for provision of primary medical services);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/b" id="section-2-6-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>section 84(1) (general medical services contracts);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/c" id="section-2-6-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>section 92 (other arrangements for the provision of primary medical services);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/d" id="section-2-6-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>section 100(1) (general dental services contracts);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/e/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/e" id="section-2-6-e">
<Pnumber>e</Pnumber>
<P3para>
<Text>section 107(1) (other arrangements for the provision of primary dental services);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/f/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/f" id="section-2-6-f">
<Pnumber>f</Pnumber>
<P3para>
<Text>section 117(1) (general ophthalmic services contracts);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/g/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/g" id="section-2-6-g">
<Pnumber>g</Pnumber>
<P3para>
<Text>section 126(1) (pharmaceutical services);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/h/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/h" id="section-2-6-h">
<Pnumber>h</Pnumber>
<P3para>
<Text>section 127(1) (additional pharmaceutical services);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/6/i/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/6/i" id="section-2-6-i">
<Pnumber>i</Pnumber>
<P3para>
<Text>Schedule 12 (local pharmaceutical services schemes).</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/7" id="section-2-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>
In this Chapter “NHS services” means health services provided in England for the purposes of the health service continued under section 1(1) of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00003" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006</Citation>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/8" id="section-2-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>References in this section to the provision of services include references to the provision of services jointly with another person.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00057">
<Title>Availability and review of NHS Constitution</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3" id="section-3">
<Pnumber>3</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/1" id="section-3-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State must ensure that the NHS Constitution continues to be available to patients, staff and members of the public.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/2" id="section-3-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>At least once in any period of 10 years the Secretary of State must carry out a review of the NHS Constitution (referred to in this Chapter as a “10 year review”).</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/3" id="section-3-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>The following must be consulted about the NHS Constitution on a 10 year review—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/3/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/3/a" id="section-3-3-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>patients and bodies or other persons representing patients,</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/3/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/3/b" id="section-3-3-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>staff and bodies or other persons representing staff,</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/3/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/3/c" id="section-3-3-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>carers,</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/3/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/3/d" id="section-3-3-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>local authorities,</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/3/e/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/3/e" id="section-3-3-e">
<Pnumber>e</Pnumber>
<P3para>
<Text>members of the public,</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/3/f/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/3/f" id="section-3-3-f">
<Pnumber>f</Pnumber>
<P3para>
<Text>
the bodies and persons listed in section 2(2),
<InternalLink id="i00005" Ref="section-2-4" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/4" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/4/enacted">(4)</InternalLink>
and
<InternalLink id="i00006" Ref="section-2-5" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/5" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/5/enacted">(5)</InternalLink>
, and
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/3/g/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/3/g" id="section-3-3-g">
<Pnumber>g</Pnumber>
<P3para>
<Text>such other persons as the Secretary of State considers appropriate.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/4" id="section-3-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>The first 10 year review must be completed not later than 5 July 2018.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/5" id="section-3-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>The guiding principles may not be revised as a result of a 10 year review, except in accordance with regulations made by the Secretary of State setting out the revision to be made.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/6" id="section-3-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>The Secretary of State must publish the NHS Constitution after any revision made as a result of a 10 year review.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/7" id="section-3-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>In this Chapter—</Text>
<UnorderedList Decoration="none" Class="Definition">
<ListItem>
<Para>
<Text>“carers” means persons who, as relatives or friends, care for other persons to whom NHS services are being provided;</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“the guiding principles” means—</Text>
<OrderedList Decoration="parens" Type="alpha">
<ListItem>
<Para>
<Text>the 7 principles described in the NHS Constitution published on 21 January 2009 as “the principles that guide the NHS”, or</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>any revised version of those principles set out in the NHS Constitution published under this section or section 4;</Text>
</Para>
</ListItem>
</OrderedList>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“patients” means persons to whom NHS services are being provided;</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“staff” means—</Text>
<OrderedList Decoration="parens" Type="alpha">
<ListItem>
<Para>
<Text>persons employed by a body listed in section 2(2) or otherwise working for such a body (whether as or on behalf of a contractor, as a volunteer or otherwise) in, or in connection with, the provision, commissioning or regulation of NHS services;</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>
persons employed by a person listed in subsection
<InternalLink id="i00007" Ref="section-2-4" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/4" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/4/enacted">(4)</InternalLink>
or
<InternalLink id="i00008" Ref="section-2-5" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/2/5" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/2/5/enacted">(5)</InternalLink>
of section 2 or otherwise working for such a person (whether as or on behalf of a contractor, as a volunteer or otherwise) in, or in connection with, the provision of NHS services or assistance or the making of arrangements as mentioned in the subsection in question.
</Text>
</Para>
</ListItem>
</OrderedList>
</Para>
</ListItem>
</UnorderedList>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/8" id="section-3-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>For the purposes of subsection (3), each of the following is a local authority—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/8/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/8/a" id="section-3-8-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>a county council in England;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/8/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/8/b" id="section-3-8-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>a district council in England, other than a council for a district in a county for which there is a county council;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/8/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/8/c" id="section-3-8-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>a London borough council;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/8/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/8/d" id="section-3-8-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>the Common Council of the City of London;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/3/8/e/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/3/8/e" id="section-3-8-e">
<Pnumber>e</Pnumber>
<P3para>
<Text>the Council of the Isles of Scilly.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00061">
<Title>Other revisions of NHS Constitution</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/4" id="section-4">
<Pnumber>4</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/4/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/4/1" id="section-4-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>This section applies to any revision of the NHS Constitution made other than as a result of a 10 year review (including any such revision which revises the guiding principles).</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/4/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/4/2" id="section-4-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>Before any revision the Secretary of State must undertake appropriate consultation about the proposed revision.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/4/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/4/3" id="section-4-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>The persons consulted must include such patients, staff, members of the public and other persons as appear to the Secretary of State to be affected by the proposed revision.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/4/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/4/4" id="section-4-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>The guiding principles may not be revised, except in accordance with regulations made by the Secretary of State setting out the revision to be made.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/4/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/4/5" id="section-4-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>The Secretary of State must publish the NHS Constitution after any revision.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00063">
<Title>Availability, review and revision of Handbook</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/5" id="section-5">
<Pnumber>5</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/5/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/5/1" id="section-5-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State must ensure that the Handbook continues to be available to patients, staff and members of the public.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/5/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/5/2" id="section-5-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>At least once in any period of 3 years the Secretary of State must carry out a review of the Handbook.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/5/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/5/3" id="section-5-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>The first review must be completed not later than 5 July 2012.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/5/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/5/4" id="section-5-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>The Secretary of State must publish the Handbook after any revision (whether made as a result of a review under this section or otherwise).</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00065">
<Title>Report on effect of NHS Constitution</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/6" id="section-6">
<Pnumber>6</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/6/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/6/1" id="section-6-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State must publish a report every 3 years on how the NHS Constitution has affected patients, staff, carers and members of the public, since the last report was produced under this subsection.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/6/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/6/2" id="section-6-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>The first report must be published not later than 5 July 2012.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/6/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/6/3" id="section-6-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>
The Secretary of State must lay before Parliament a copy of each report under subsection
<InternalLink id="i00009" Ref="section-6-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/6/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/6/1/enacted">(1)</InternalLink>
.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00067">
<Title>Regulations under section 3 or 4</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/7" id="section-7">
<Pnumber>7</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/7/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/7/1" id="section-7-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>The power to make regulations under section 3 or 4 is exercisable by statutory instrument.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/7/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/7/2" id="section-7-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>A statutory instrument containing regulations under either of those sections is subject to annulment in pursuance of a resolution of either House of Parliament.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Chapter>
<Chapter DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/1/chapter/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/1/chapter/2" NumberOfProvisions="3" id="part-1-chapter-2">
<Number>Chapter 2</Number>
<Title>Quality accounts</Title>
<P1group id="p00068">
<Title>Duty of providers to publish information</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8" id="section-8">
<Pnumber>8</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/1" id="section-8-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Each of the bodies listed in subsection
<InternalLink id="i00010" Ref="section-8-2" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/2" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/2/enacted">(2)</InternalLink>
must, in accordance with regulations made by the Secretary of State, publish in respect of each reporting period a document containing prescribed information relevant to the quality of—
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/1/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/1/a" id="section-8-1-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>any NHS services that the body provides;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/1/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/1/b" id="section-8-1-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>
any NHS services that, under arrangements made by the body, are provided by a person not listed in subsection
<InternalLink id="i00011" Ref="section-8-2" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/2" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/2/enacted">(2)</InternalLink>
or
<InternalLink id="i00012" Ref="section-8-3" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/3" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/3/enacted">(3)</InternalLink>
;
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/1/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/1/c" id="section-8-1-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>
any services that are provided in England and for the provision of which the body provides assistance or support under section 124(1) of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00004" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
(primary ophthalmic services).
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/2" id="section-8-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>The bodies are—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/2/a" id="section-8-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>Primary Care Trusts;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/2/b" id="section-8-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>National Health Service trusts all or most of whose hospitals, establishments and facilities are in England;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/2/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/2/c" id="section-8-2-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>Special Health Authorities;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/2/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/2/d" id="section-8-2-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>NHS foundation trusts.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/3" id="section-8-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>Each person who—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/3/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/3/a" id="section-8-3-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>provides NHS services as mentioned in section 2(4)(a),</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/3/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/3/b" id="section-8-3-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>provides or assists in providing NHS services as mentioned in section 2(4)(b), or</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/3/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/3/c" id="section-8-3-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>makes arrangements as mentioned in section 2(5)(a) for another person to provide NHS services,</Text>
</P3para>
</P3>
<Text>must, in accordance with regulations made by the Secretary of State, publish in respect of each reporting period a document containing prescribed information relevant to the quality of those services.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/4" id="section-8-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>References in this section to the provision of services include references to the provision of services jointly with another person.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/5" id="section-8-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>
The Secretary of State may by regulations provide that subsection
<InternalLink id="i00013" Ref="section-8-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/1/enacted">(1)</InternalLink>
or
<InternalLink id="i00014" Ref="section-8-3" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/3" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/3/enacted">(3)</InternalLink>
does not apply to prescribed bodies, persons or services, or to bodies, persons or services of a prescribed description.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/6" id="section-8-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>In this section “NHS services” has the same meaning as in Chapter 1.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00073">
<Title>Supplementary provision about the duty</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9" id="section-9">
<Pnumber>9</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/1" id="section-9-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>In this section “the provider” means the body or person required to publish a document under section 8.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/2" id="section-9-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>For the purposes of that section a reporting period is—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/2/a" id="section-9-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>the period of 12 months beginning with 1 April 2009, and</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/2/b" id="section-9-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>each subsequent period of 12 months.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/3" id="section-9-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>If the Care Quality Commission or a Strategic Health Authority notifies the provider of an error or omission in a document published under that section, the provider must within 21 days of the notification republish the document correcting the error or omission and including a statement explaining the correction.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/4" id="section-9-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>A copy of any document published under that section must be sent by the provider to the Secretary of State in any form specified by the Secretary of State for the purpose of enabling the Secretary of State to make the document available to the public.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/5" id="section-9-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>
Regulations under subsection
<InternalLink id="i00015" Ref="section-8-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/1/enacted">(1)</InternalLink>
or
<InternalLink id="i00016" Ref="section-8-3" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/3" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/3/enacted">(3)</InternalLink>
of section 8 may in particular make provision—
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/5/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/5/a" id="section-9-5-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>as to the form of a document published under that section and its contents in addition to the prescribed information;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/5/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/5/b" id="section-9-5-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>imposing duties on the provider for the purpose of ensuring the accuracy of information;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/5/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/5/c" id="section-9-5-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>
as to how and when a document must be published and when a copy must be sent under subsection
<InternalLink id="i00017" Ref="section-9-4" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/4" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/4/enacted">(4)</InternalLink>
;
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/5/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/5/d" id="section-9-5-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>requiring the provider to have regard to guidance issued by the Secretary of State.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/6" id="section-9-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>The provider must at the request of any person provide to that person a copy of any document published by the provider under section 8 relating to a reporting period ending not more than 2 years before the request.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/7" id="section-9-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>
While subsection
<InternalLink id="i00018" Ref="section-8-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/1/enacted">(1)</InternalLink>
or
<InternalLink id="i00019" Ref="section-8-3" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/8/3" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/8/3/enacted">(3)</InternalLink>
of section 8 applies to the provider, the provider must keep affixed, in a conspicuous place at each of the premises at which the provider provides services to which that subsection applies, a notice stating how the most recent document published by the provider under that section may be obtained.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/8" id="section-9-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>Subsection (7) does not apply if—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/8/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/8/a" id="section-9-8-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>the provider does not have control of the premises, or</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/8/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/8/b" id="section-9-8-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>the services are provided by means such that the persons receiving them do not do so at the premises.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/9/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/9" id="section-9-9">
<Pnumber>9</Pnumber>
<P2para>
<Text>
In subsection
<InternalLink id="i00020" Ref="section-9-7" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/7" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/7/enacted">(7)</InternalLink>
“premises” includes a vehicle or moveable structure.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00079">
<Title>Regulations under section 8</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/10/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/10" id="section-10">
<Pnumber>10</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/10/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/10/1" id="section-10-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>The power to make regulations under section 8 is exercisable by statutory instrument.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/10/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/10/2" id="section-10-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>A statutory instrument containing regulations under section 8 is subject to annulment in pursuance of a resolution of either House of Parliament.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/10/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/10/3" id="section-10-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>The power to make regulations under section 8—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/10/3/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/10/3/a" id="section-10-3-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>may be exercised so as to make the full provision to which the power extends or any less provision (whether by way of exception or otherwise);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/10/3/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/10/3/b" id="section-10-3-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>may be exercised so as to make the same provision for all cases in relation to which the power is exercised, or different provision for different cases;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/10/3/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/10/3/c" id="section-10-3-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>may be exercised so as to make any such provision unconditionally or subject to any specified condition.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Chapter>
<Chapter DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/1/chapter/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/1/chapter/3" NumberOfProvisions="7" id="part-1-chapter-3">
<Number>Chapter 3</Number>
<Title>Direct payments</Title>
<P1group id="p00081">
<Title>Direct payments for health care</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/11/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/11" id="section-11">
<Pnumber>11</Pnumber>
<P1para>
<Text>
In Part 1 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00005" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
, after section 12 insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<Pblock id="p10194">
<Title>Direct payments for health care</Title>
<P1group id="p00082">
<Title>Direct payments for health care</Title>
<P1 id="p10196">
<Pnumber>12A</Pnumber>
<P1para>
<P2 id="p00083">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may, for the purpose of securing the provision to a patient of anything to which this subsection applies, make payments, with the patient’s consent, to the patient or to a person nominated by the patient.</Text>
</P2para>
</P2>
<P2 id="p10198">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Subsection
<InternalLink Ref="p00083">(1)</InternalLink>
applies to—
</Text>
<P3 id="p10199">
<Pnumber>a</Pnumber>
<P3para>
<Text>anything that the Secretary of State may or must provide under section 2(1) or 3(1);</Text>
</P3para>
</P3>
<P3 id="p10200">
<Pnumber>b</Pnumber>
<P3para>
<Text>anything for which the Secretary of State must arrange under paragraph 8 of Schedule 1;</Text>
</P3para>
</P3>
<P3 id="p10201">
<Pnumber>c</Pnumber>
<P3para>
<Text>vehicles that the Secretary of State may provide under paragraph 9 of that Schedule.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10202">
<Pnumber>3</Pnumber>
<P2para>
<Text>
Subsection
<InternalLink Ref="p00083">(1)</InternalLink>
is subject to any provision made by regulations under section
<InternalLink Ref="p00086">12B</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p00084">
<Pnumber>4</Pnumber>
<P2para>
<Text>If regulations so provide, a Primary Care Trust may, for the purpose of securing the provision for a patient of services that the trust must provide under section 117 of the Mental Health Act 1983 (after-care), make payments, with the patient’s consent, to the patient or to a person nominated by the patient.</Text>
</P2para>
</P2>
<P2 id="p10204">
<Pnumber>5</Pnumber>
<P2para>
<Text>
A payment under subsection
<InternalLink Ref="p00083">(1)</InternalLink>
or under regulations under subsection
<InternalLink Ref="p00084">(4)</InternalLink>
is referred to in this Part as a “direct payment”.
</Text>
</P2para>
</P2>
<P2 id="p00085">
<Pnumber>6</Pnumber>
<P2para>
<Text>
A direct payment may be made only in accordance with a pilot scheme under regulations made by virtue of section
<InternalLink Ref="p00089">12C</InternalLink>
.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00086">
<Title>Regulations about direct payments</Title>
<P1 id="p10207">
<Pnumber>12B</Pnumber>
<P1para>
<P2 id="p00087">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may make regulations about direct payments.</Text>
</P2para>
</P2>
<P2 id="p00088">
<Pnumber>2</Pnumber>
<P2para>
<Text>The regulations may in particular make provision—</Text>
<P3 id="p10210">
<Pnumber>a</Pnumber>
<P3para>
<Text>as to circumstances in which, and descriptions of persons and services in respect of which, direct payments may or must be made;</Text>
</P3para>
</P3>
<P3 id="p10211">
<Pnumber>b</Pnumber>
<P3para>
<Text>as to circumstances in which direct payments may or must be made to a person nominated by the patient;</Text>
</P3para>
</P3>
<P3 id="p10212">
<Pnumber>c</Pnumber>
<P3para>
<Text>as to the making of direct payments (and, in particular, as to persons to whom payments may or must be made) where the patient lacks capacity to consent to the making of the payments;</Text>
</P3para>
</P3>
<P3 id="p10213">
<Pnumber>d</Pnumber>
<P3para>
<Text>as to conditions that the Secretary of State or the Primary Care Trust must comply with before, after or at the time of making a direct payment;</Text>
</P3para>
</P3>
<P3 id="p10214">
<Pnumber>e</Pnumber>
<P3para>
<Text>as to conditions that the patient or (if different) the payee may or must be required to comply with before, after, or at the time when a direct payment is made;</Text>
</P3para>
</P3>
<P3 id="p10215">
<Pnumber>f</Pnumber>
<P3para>
<Text>as to the amount of any direct payment or how it is to be calculated;</Text>
</P3para>
</P3>
<P3 id="p10216">
<Pnumber>g</Pnumber>
<P3para>
<Text>as to circumstances in which the Secretary of State or the Primary Care Trust may or must stop making direct payments;</Text>
</P3para>
</P3>
<P3 id="p10217">
<Pnumber>h</Pnumber>
<P3para>
<Text>as to circumstances in which the Secretary of State or the Primary Care Trust may or must require all or part of a direct payment to be repaid, by the payee or otherwise;</Text>
</P3para>
</P3>
<P3 id="p10218">
<Pnumber>i</Pnumber>
<P3para>
<Text>as to monitoring of the making of direct payments, of their use by the payee, or of services which they are used to secure;</Text>
</P3para>
</P3>
<P3 id="p10219">
<Pnumber>j</Pnumber>
<P3para>
<Text>as to arrangements to be made by the Secretary of State or the Primary Care Trust for providing patients, payees or their representatives with information, advice or other support in connection with direct payments;</Text>
</P3para>
</P3>
<P3 id="p10220">
<Pnumber>k</Pnumber>
<P3para>
<Text>for such support to be treated to any prescribed extent as a service in respect of which direct payments may be made.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10221">
<Pnumber>3</Pnumber>
<P2para>
<Text>If the regulations make provision in the case of a person who lacks capacity to consent to direct payments being made, they may apply that provision, or make corresponding provision, with or without modifications, in the case of a person who has lacked that capacity but no longer does so (whether because of fluctuating capacity, or regaining or gaining capacity).</Text>
</P2para>
</P2>
<P2 id="p10222">
<Pnumber>4</Pnumber>
<P2para>
<Text>The regulations may provide for a sum which must be repaid to the Secretary of State or the Primary Care Trust by virtue of a condition or other requirement imposed by or under the regulations to be recoverable as a debt due to the Secretary of State or the Primary Care Trust.</Text>
</P2para>
</P2>
<P2 id="p10223">
<Pnumber>5</Pnumber>
<P2para>
<Text>The regulations may make provision—</Text>
<P3 id="p10224">
<Pnumber>a</Pnumber>
<P3para>
<Text>for a service in respect of which a direct payment has been made under section 12A(1) to be regarded, only to such extent and subject to such conditions as may be prescribed, as provided or arranged for by the Secretary of State under an enactment mentioned in section 12A(2);</Text>
</P3para>
</P3>
<P3 id="p10225">
<Pnumber>b</Pnumber>
<P3para>
<Text>displacing functions or obligations of a Primary Care Trust with respect to the provision of after-care services under section 117 of the Mental Health Act 1983, only to such extent and subject to such conditions as may be prescribed.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10226">
<Pnumber>6</Pnumber>
<P2para>
<Text>In this section—</Text>
<P3 id="p10227">
<Pnumber>a</Pnumber>
<P3para>
<Text>“service” includes anything in respect of which direct payments may be made;</Text>
</P3para>
</P3>
<P3 id="p10228">
<Pnumber>b</Pnumber>
<P3para>
<Text>references to a person lacking capacity are references to a person lacking capacity within the meaning of the Mental Capacity Act 2005.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00089">
<Title>Direct payments pilot schemes</Title>
<P1 id="p10230">
<Pnumber>12C</Pnumber>
<P1para>
<P2 id="p00090">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Regulations under section
<InternalLink Ref="p00086">12B</InternalLink>
may provide for the Secretary of State to have power—
</Text>
<P3 id="p10232">
<Pnumber>a</Pnumber>
<P3para>
<Text>to make pilot schemes in accordance with which direct payments may be made;</Text>
</P3para>
</P3>
<P3 id="p10233">
<Pnumber>b</Pnumber>
<P3para>
<Text>
to include in a pilot scheme, as respects payments to which the scheme applies, any provision within section
<InternalLink Ref="p00086">12B</InternalLink>
<InternalLink Ref="p00088">(2)</InternalLink>
, subject to any provision made by the regulations.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10234">
<Pnumber>2</Pnumber>
<P2para>
<Text>The regulations may in particular make provision, or provide for the pilot scheme to make provision, as to—</Text>
<P3 id="p10235">
<Pnumber>a</Pnumber>
<P3para>
<Text>the geographical area in which a pilot scheme operates;</Text>
</P3para>
</P3>
<P3 id="p10236">
<Pnumber>b</Pnumber>
<P3para>
<Text>the revocation or amendment of a pilot scheme.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10237">
<Pnumber>3</Pnumber>
<P2para>
<Text>A pilot scheme must, in accordance with the regulations, specify the period for which it has effect, subject to the extension of that period by the Secretary of State in accordance with the regulations.</Text>
</P2para>
</P2>
<P2 id="p00091">
<Pnumber>4</Pnumber>
<P2para>
<Text>The regulations must make provision as to the review of a pilot scheme, or require the pilot scheme to include such provision.</Text>
</P2para>
</P2>
<P2 id="p10239">
<Pnumber>5</Pnumber>
<P2para>
<Text>Provision as to the review of a pilot scheme may in particular include provision—</Text>
<P3 id="p10240">
<Pnumber>a</Pnumber>
<P3para>
<Text>for a review to be carried out by an independent person;</Text>
</P3para>
</P3>
<P3 id="p10241">
<Pnumber>b</Pnumber>
<P3para>
<Text>for publication of the findings of a review;</Text>
</P3para>
</P3>
<P3 id="p10242">
<Pnumber>c</Pnumber>
<P3para>
<Text>as to matters to be considered on a review.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10243">
<Pnumber>6</Pnumber>
<P2para>
<Text>Those matters may in particular include any of the following—</Text>
<P3 id="p10244">
<Pnumber>a</Pnumber>
<P3para>
<Text>the administration of the scheme;</Text>
</P3para>
</P3>
<P3 id="p10245">
<Pnumber>b</Pnumber>
<P3para>
<Text>the effect of direct payments on the cost or quality of care received by patients;</Text>
</P3para>
</P3>
<P3 id="p10246">
<Pnumber>c</Pnumber>
<P3para>
<Text>the effect of direct payments on the behaviour of patients, carers or persons providing services in respect of which direct payments are made.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00092">
<Pnumber>7</Pnumber>
<P2para>
<Text>
After any review of one or more pilot schemes, the Secretary of State may make an order under subsection
<InternalLink Ref="p00093">(8)</InternalLink>
or
<InternalLink Ref="p00096">(10)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p00093">
<Pnumber>8</Pnumber>
<P2para>
<Text>An order under this subsection is an order making provision for either or both of the following—</Text>
<P3 id="p00094">
<Pnumber>a</Pnumber>
<P3para>
<Text>
repealing section
<InternalLink Ref="p00082">12A</InternalLink>
<InternalLink Ref="p00085">(6)</InternalLink>
and subsections
<InternalLink Ref="p00090">(1)</InternalLink>
to
<InternalLink Ref="p00091">(4)</InternalLink>
of this section;
</Text>
</P3para>
</P3>
<P3 id="p00095">
<Pnumber>b</Pnumber>
<P3para>
<Text>amending, repealing, or otherwise modifying any other provision of this Act.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10251">
<Pnumber>9</Pnumber>
<P2para>
<Text>
An order may make provision within subsection
<InternalLink Ref="p00095">(8)(b)</InternalLink>
only if it appears to the Secretary of State to be necessary or expedient for the purpose of facilitating the exercise of the powers conferred by section
<InternalLink Ref="p00082">12A</InternalLink>
<InternalLink Ref="p00083">(1)</InternalLink>
or by regulations under section
<InternalLink Ref="p00082">12A</InternalLink>
<InternalLink Ref="p00084">(4)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p00096">
<Pnumber>10</Pnumber>
<P2para>
<Text>
An order under this subsection is an order repealing sections
<InternalLink Ref="p00082">12A</InternalLink>
,
<InternalLink Ref="p00086">12B</InternalLink>
,
<InternalLink Ref="p00097">12D</InternalLink>
and this section.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00097">
<Title>Arrangements with other bodies relating to direct payments</Title>
<P1 id="p10254">
<Pnumber>12D</Pnumber>
<P1para>
<P2 id="p00098">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may arrange with any person or body to give assistance in connection with direct payments.</Text>
</P2para>
</P2>
<P2 id="p10256">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Arrangements may be made under subsection
<InternalLink Ref="p00098">(1)</InternalLink>
with voluntary organisations.
</Text>
</P2para>
</P2>
<P2 id="p10257">
<Pnumber>3</Pnumber>
<P2para>
<Text>Powers under this section may be exercised on such terms as may be agreed, including terms as to the making of payments by the Secretary of State.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
</BlockAmendment>
</P1para>
</P1>
</P1group>
<P1group id="p00099">
<Title>Jurisdiction of Health Service Commissioner</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/12/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/12" id="section-12">
<Pnumber>12</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/12/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/12/1" id="section-12-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
The
<Citation URI="http://www.legislation.gov.uk/id/ukpga/1993/46" id="c00006" Year="1993" Class="UnitedKingdomPublicGeneralAct" Number="0046">Health Service Commissioners Act 1993 (c. 46)</Citation>
is amended as follows.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/12/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/12/2" id="section-12-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>In section 2B (independent providers subject to investigation) after subsection (1) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10262">
<Pnumber>1A</Pnumber>
<P2para>
<Text>Persons are subject to investigation by the Commissioner if—</Text>
<P3 id="p10263">
<Pnumber>a</Pnumber>
<P3para>
<Text>they are, or were at the time of the action complained of, providing direct payment services, and</Text>
</P3para>
</P3>
<P3 id="p10264">
<Pnumber>b</Pnumber>
<P3para>
<Text>they are not, or were not at the time of the action complained of, health service bodies.</Text>
</P3para>
</P3>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/12/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/12/3" id="section-12-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>In subsection (5) of that section after “subsection (1)” insert “or (1A)”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/12/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/12/4" id="section-12-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>In section 3(1C) (complaints against independent providers) after “(of whatever kind)” insert “, or has undertaken to provide direct payment services,”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/12/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/12/5" id="section-12-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>In section 7(2) (contractual or commercial transactions) after paragraph (a) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P3 id="p10268">
<Pnumber>aa</Pnumber>
<P3para>
<Text>matters arising from arrangements for the provision of direct payment services,</Text>
</P3para>
</P3>
</BlockAmendment>
<AppendText>.</AppendText>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/12/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/12/6" id="section-12-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>In section 14 (reports by the Commissioner), in subsection (2C)(e) after “independent provider” insert “(in a case within section 2B(1))”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/12/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/12/7" id="section-12-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>In section 19 (interpretation) after the definition of “the Court” insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<UnorderedList Decoration="none" Class="Definition">
<ListItem>
<Para>
<Text>
“direct payment services” means services in respect of which direct payments have been made under section
<InternalLink Ref="p00082">12A</InternalLink>
<InternalLink Ref="p00083">(1)</InternalLink>
, or under regulations under section
<InternalLink Ref="p00082">12A</InternalLink>
<InternalLink Ref="p00084">(4)</InternalLink>
, of the National Health Service Act 2006;
</Text>
</Para>
</ListItem>
</UnorderedList>
</BlockAmendment>
<AppendText>.</AppendText>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00100">
<Title>Direct payments: minor and consequential amendments</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/13/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/13" id="section-13">
<Pnumber>13</Pnumber>
<P1para>
<Text>
Schedule 1 (which makes minor and consequential amendments relating to direct payments, including in the case of section 117 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/1983/20" id="c00007" Year="1983" Class="UnitedKingdomPublicGeneralAct" Number="0020">Mental Health Act 1983 (c. 20)</Citation>
, social care direct payments) has effect.
</Text>
</P1para>
</P1>
</P1group>
</Chapter>
<Chapter DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/1/chapter/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/1/chapter/4" NumberOfProvisions="1" id="part-1-chapter-4">
<Number>Chapter 4</Number>
<Title>Innovation</Title>
<P1group id="p00101">
<Title>Innovation prizes</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/14/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/14" id="section-14">
<Pnumber>14</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/14/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/14/1" id="section-14-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may make payments as prizes to promote innovation in the provision of health services in England.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/14/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/14/2" id="section-14-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>A prize may relate to—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/14/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/14/2/a" id="section-14-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>work at any stage of innovation (including research);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/14/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/14/2/b" id="section-14-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>work done at any time (including work before the commencement of this section).</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/14/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/14/3" id="section-14-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>The Secretary of State may establish a committee to give advice about the exercise of the power conferred by subsection (1), and may pay remuneration, allowances and expenses to members.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Chapter>
</Part>
<Part DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/2" NumberOfProvisions="39" id="part-2">
<Number>Part 2</Number>
<Title>Powers in relation to health bodies</Title>
<Chapter DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/2/chapter/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/2/chapter/1" NumberOfProvisions="37" id="part-2-chapter-1">
<Number>Chapter 1</Number>
<Title>Powers in relation to failing NHS bodies in England</Title>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/2/chapter/1/crossheading/deauthorisation-of-nhs-foundation-trusts/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/2/chapter/1/crossheading/deauthorisation-of-nhs-foundation-trusts" NumberOfProvisions="6" id="part-2-chapter-1-crossheading-deauthorisation-of-nhs-foundation-trusts">
<Title>De-authorisation of NHS foundation trusts</Title>
<P1group id="p00102">
<Title>De-authorisation of NHS foundation trusts</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/15/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/15" id="section-15">
<Pnumber>15</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/15/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/15/1" id="section-15-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
In the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00008" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
after section 52 insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P1group id="p00103">
<Title>
Application of sections
<InternalLink Ref="p00107">52B</InternalLink>
to
<InternalLink Ref="p00118">52E</InternalLink>
</Title>
<P1 id="p10288">
<Pnumber>52A</Pnumber>
<P1para>
<P2 id="p10289">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Sections
<InternalLink Ref="p00107">52B</InternalLink>
to
<InternalLink Ref="p00118">52E</InternalLink>
apply to—
</Text>
<P3 id="p00104">
<Pnumber>a</Pnumber>
<P3para>
<Text>an NHS foundation trust authorised under section 35 on an application under section 33;</Text>
</P3para>
</P3>
<P3 id="p00105">
<Pnumber>b</Pnumber>
<P3para>
<Text>
an NHS foundation trust established under section 56 to which subsection
<InternalLink Ref="p00106">(2)</InternalLink>
applies.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00106">
<Pnumber>2</Pnumber>
<P2para>
<Text>This subsection applies to an NHS foundation trust if—</Text>
<P3 id="p10293">
<Pnumber>a</Pnumber>
<P3para>
<Text>
at least one of the trusts on whose application the NHS foundation trust was established was an NHS foundation trust within subsection
<InternalLink Ref="p00104">(1)(a)</InternalLink>
, or was an NHS trust all or most of whose hospitals, establishments and facilities were in England, or
</Text>
</P3para>
</P3>
<P3 id="p10294">
<Pnumber>b</Pnumber>
<P3para>
<Text>
the NHS foundation trust is the result of a succession of mergers under section 56, any of which involved an NHS foundation trust within subsection
<InternalLink Ref="p00104">(1)(a)</InternalLink>
or an NHS trust all or most of whose hospitals, establishments and facilities were in England.
</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00107">
<Title>De-authorisation: regulator’s notice</Title>
<P1 id="p10296">
<Pnumber>52B</Pnumber>
<P1para>
<P2 id="p00108">
<Pnumber>1</Pnumber>
<P2para>
<Text>The regulator may give the Secretary of State a notice under this section if it is satisfied that—</Text>
<P3 id="p00109">
<Pnumber>a</Pnumber>
<P3para>
<Text>an NHS foundation trust to which this section applies is contravening or failing to comply with, or has contravened or failed to comply with, any term of its authorisation or any requirement imposed on it under any enactment, and</Text>
</P3para>
</P3>
<P3 id="p10299">
<Pnumber>b</Pnumber>
<P3para>
<Text>
the seriousness of the contravention or failure, or, if there has been more than one, of any of them taken together, is such that it would justify the Secretary of State making an order under section
<InternalLink Ref="p00113">52D</InternalLink>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10300">
<Pnumber>2</Pnumber>
<P2para>
<Text>The notice must be in writing.</Text>
</P2para>
</P2>
<P2 id="p00110">
<Pnumber>3</Pnumber>
<P2para>
<Text>
With the notice the regulator must give the Secretary of State a report stating the reasons why it is satisfied as mentioned in subsection
<InternalLink Ref="p00108">(1)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10302">
<Pnumber>4</Pnumber>
<P2para>
<Text>
Before giving a notice under this section, the regulator must consult first the Secretary of State (unless the notice follows a request by the Secretary of State under section
<InternalLink Ref="p00118">52E</InternalLink>
) and then—
</Text>
<P3 id="p10303">
<Pnumber>a</Pnumber>
<P3para>
<Text>the trust,</Text>
</P3para>
</P3>
<P3 id="p10304">
<Pnumber>b</Pnumber>
<P3para>
<Text>any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and</Text>
</P3para>
</P3>
<P3 id="p10305">
<Pnumber>c</Pnumber>
<P3para>
<Text>any other person to which the trust provides goods or services under this Act and which the regulator considers it appropriate to consult.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00111">
<Title>Grounds for de-authorisation notice</Title>
<P1 id="p10307">
<Pnumber>52C</Pnumber>
<P1para>
<P2 id="p00112">
<Pnumber>1</Pnumber>
<P2para>
<Text>
In determining under section
<InternalLink Ref="p00107">52B</InternalLink>
<InternalLink Ref="p00105">(1)(b)</InternalLink>
whether the making of an order would be justified, and in determining whether to give a notice under that section, the regulator must consider these matters (among others)—
</Text>
<P3 id="p10309">
<Pnumber>a</Pnumber>
<P3para>
<Text>the health and safety of patients;</Text>
</P3para>
</P3>
<P3 id="p10310">
<Pnumber>b</Pnumber>
<P3para>
<Text>the quality of the provision by the trust of goods and services;</Text>
</P3para>
</P3>
<P3 id="p10311">
<Pnumber>c</Pnumber>
<P3para>
<Text>the financial position of the trust;</Text>
</P3para>
</P3>
<P3 id="p10312">
<Pnumber>d</Pnumber>
<P3para>
<Text>the way it is being run.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10313">
<Pnumber>2</Pnumber>
<P2para>
<Text>
The regulator must publish guidance as to the matters (including those mentioned in subsection
<InternalLink Ref="p00112">(1)</InternalLink>
) that it proposes to consider in making those determinations.
</Text>
</P2para>
</P2>
<P2 id="p10314">
<Pnumber>3</Pnumber>
<P2para>
<Text>Before publishing any guidance under this section, including any revised guidance, the regulator must consult—</Text>
<P3 id="p10315">
<Pnumber>a</Pnumber>
<P3para>
<Text>the Secretary of State,</Text>
</P3para>
</P3>
<P3 id="p10316">
<Pnumber>b</Pnumber>
<P3para>
<Text>each NHS foundation trust to which this section applies,</Text>
</P3para>
</P3>
<P3 id="p10317">
<Pnumber>c</Pnumber>
<P3para>
<Text>each NHS trust intending to make an application to become an NHS foundation trust, and</Text>
</P3para>
</P3>
<P3 id="p10318">
<Pnumber>d</Pnumber>
<P3para>
<Text>such other persons as the regulator considers appropriate.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00113">
<Title>De-authorisation</Title>
<P1 id="p10320">
<Pnumber>52D</Pnumber>
<P1para>
<P2 id="p00114">
<Pnumber>1</Pnumber>
<P2para>
<Text>
If the regulator gives notice under section
<InternalLink Ref="p00107">52B</InternalLink>
in relation to a trust, the Secretary of State must make an order for it to cease to be an NHS foundation trust.
</Text>
</P2para>
</P2>
<P2 id="p10322">
<Pnumber>2</Pnumber>
<P2para>
<Text>
An order made under subsection
<InternalLink Ref="p00114">(1)</InternalLink>
must specify the date when it is to take effect, which must be within the period of 5 working days beginning with the day on which it is made.
</Text>
</P2para>
</P2>
<P2 id="p00115">
<Pnumber>3</Pnumber>
<P2para>
<Text>
On an order under subsection
<InternalLink Ref="p00114">(1)</InternalLink>
taking effect in relation to a body, it ceases to be an NHS foundation trust and a public benefit corporation and becomes a National Health Service trust.
</Text>
</P2para>
</P2>
<P2 id="p00116">
<Pnumber>4</Pnumber>
<P2para>
<Text>The order must specify, in relation to the trust, the matters mentioned in paragraph 5(1)(a) to (c) of Schedule 4 and, where the trust has a significant teaching commitment, the matters mentioned in paragraph 5(1)(d).</Text>
</P2para>
</P2>
<P2 id="p10325">
<Pnumber>5</Pnumber>
<P2para>
<Text>
The order may provide for any provision under subsection
<InternalLink Ref="p00116">(4)</InternalLink>
specifying the number of executive directors and non-executive directors to take effect at the end of a period specified in the order.
</Text>
</P2para>
</P2>
<P2 id="p10326">
<Pnumber>6</Pnumber>
<P2para>
<Text>
Schedule 8A makes further provision about trusts in respect of which an order is made under subsection
<InternalLink Ref="p00114">(1)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10327">
<Pnumber>7</Pnumber>
<P2para>
<Text>
If it appears to the Secretary of State to be necessary in order to comply with provision made under subsection
<InternalLink Ref="p00116">(4)</InternalLink>
, or made by regulations under paragraph 4 of Schedule 4, the Secretary of State may by order—
</Text>
<P3 id="p10328">
<Pnumber>a</Pnumber>
<P3para>
<Text>terminate the office of any executive or non-executive director of the trust;</Text>
</P3para>
</P3>
<P3 id="p10329">
<Pnumber>b</Pnumber>
<P3para>
<Text>appoint a person to be an executive or non-executive director of the trust.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00117">
<Pnumber>8</Pnumber>
<P2para>
<Text>
Within seven days after the day on which the Secretary of State makes an order under subsection
<InternalLink Ref="p00114">(1)</InternalLink>
the regulator must publish its report under section
<InternalLink Ref="p00107">52B</InternalLink>
<InternalLink Ref="p00110">(3)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10331">
<Pnumber>9</Pnumber>
<P2para>
<Text>In this section “working day” means any day which is not Saturday, Sunday, Christmas Day, Good Friday or a day which is a bank holiday in England and Wales under the Banking and Financial Dealings Act 1971.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00118">
<Title>Secretary of State’s request</Title>
<P1 id="p10333">
<Pnumber>52E</Pnumber>
<P1para>
<P2 id="p00119">
<Pnumber>1</Pnumber>
<P2para>
<Text>
If it appears to the Secretary of State that there are grounds for the regulator to be satisfied as mentioned in section
<InternalLink Ref="p00107">52B</InternalLink>
<InternalLink Ref="p00108">(1)</InternalLink>
, the Secretary of State may request the regulator in writing to consider exercising its power to give a notice under that section.
</Text>
</P2para>
</P2>
<P2 id="p10335">
<Pnumber>2</Pnumber>
<P2para>
<Text>A request under this section must—</Text>
<P3 id="p10336">
<Pnumber>a</Pnumber>
<P3para>
<Text>specify the NHS foundation trust to which it relates, and</Text>
</P3para>
</P3>
<P3 id="p10337">
<Pnumber>b</Pnumber>
<P3para>
<Text>state the grounds relied on by the Secretary of State.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10338">
<Pnumber>3</Pnumber>
<P2para>
<Text>The Secretary of State must lay before Parliament any request under this section.</Text>
</P2para>
</P2>
<P2 id="p10339">
<Pnumber>4</Pnumber>
<P2para>
<Text>
If within the required period the regulator does not give a notice under section
<InternalLink Ref="p00107">52B</InternalLink>
in response to a request under this section, it must, within that period, publish its reasons for not doing so with a statement as to how it has complied with section
<InternalLink Ref="p00111">52C</InternalLink>
<InternalLink Ref="p00112">(1)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10340">
<Pnumber>5</Pnumber>
<P2para>
<Text>The required period is—</Text>
<P3 id="p10341">
<Pnumber>a</Pnumber>
<P3para>
<Text>14 days beginning with the day after the regulator receives the request, or</Text>
</P3para>
</P3>
<P3 id="p10342">
<Pnumber>b</Pnumber>
<P3para>
<Text>any longer period specified in the request.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00120">
<Pnumber>6</Pnumber>
<P2para>
<Text>The Secretary of State may by order extend or further extend the required period.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/15/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/15/2" id="section-15-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>Schedule 2 (which inserts Schedule 8A to the National Health Service Act 2006, which makes provision about de-authorised NHS foundation trusts) has effect.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/2/chapter/1/crossheading/trust-special-administrators/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/2/chapter/1/crossheading/trust-special-administrators" NumberOfProvisions="31" id="part-2-chapter-1-crossheading-trust-special-administrators">
<Title>Trust special administrators</Title>
<P1group id="p00121">
<Title>Trust special administrators: NHS trusts and NHS foundation trusts</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/16/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/16" id="section-16">
<Pnumber>16</Pnumber>
<P1para>
<Text>
After section 65 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00009" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<Chapter id="p10348">
<Number>Chapter 5A</Number>
<Title>Trust special administrators: NHS trusts and NHS foundation trusts</Title>
<Pblock id="p10349">
<Title>Application</Title>
<P1group id="p00122">
<Title>Application</Title>
<P1 id="p10351">
<Pnumber>65A</Pnumber>
<P1para>
<P2 id="p10352">
<Pnumber>1</Pnumber>
<P2para>
<Text>This Chapter applies to—</Text>
<P3 id="p00123">
<Pnumber>a</Pnumber>
<P3para>
<Text>an NHS trust all or most of whose hospitals, establishments and facilities are in England;</Text>
</P3para>
</P3>
<P3 id="p00124">
<Pnumber>b</Pnumber>
<P3para>
<Text>an NHS foundation trust authorised under section 35 on an application under section 33;</Text>
</P3para>
</P3>
<P3 id="p00125">
<Pnumber>c</Pnumber>
<P3para>
<Text>
an NHS foundation trust established under section 56 to which subsection
<InternalLink Ref="p00126">(2)</InternalLink>
applies.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00126">
<Pnumber>2</Pnumber>
<P2para>
<Text>This subsection applies to an NHS foundation trust if—</Text>
<P3 id="p10357">
<Pnumber>a</Pnumber>
<P3para>
<Text>
at least one of the trusts on whose application the NHS foundation trust was established was an NHS trust within subsection
<InternalLink Ref="p00123">(1)(a)</InternalLink>
or an NHS foundation trust within subsection
<InternalLink Ref="p00124">(1)(b)</InternalLink>
, or
</Text>
</P3para>
</P3>
<P3 id="p10358">
<Pnumber>b</Pnumber>
<P3para>
<Text>
the NHS foundation trust is the result of a succession of mergers under section 56, any of which involved an NHS trust within subsection
<InternalLink Ref="p00123">(1)(a)</InternalLink>
or an NHS foundation trust within subsection
<InternalLink Ref="p00124">(1)(b)</InternalLink>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock id="p10359">
<Title>Appointment</Title>
<P1group id="p00127">
<Title>Appointment of trust special administrator</Title>
<P1 id="p10361">
<Pnumber>65B</Pnumber>
<P1para>
<P2 id="p00128">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may make an order authorising the appointment of a trust special administrator to exercise the functions of the chairman and directors of an NHS trust to which this Chapter applies.</Text>
</P2para>
</P2>
<P2 id="p00129">
<Pnumber>2</Pnumber>
<P2para>
<Text>
An order may be made under subsection
<InternalLink Ref="p00128">(1)</InternalLink>
only if the Secretary of State considers it appropriate in the interests of the health service.
</Text>
</P2para>
</P2>
<P2 id="p10364">
<Pnumber>3</Pnumber>
<P2para>
<Text>The order must specify the date when the appointment is to take effect, which must be within the period of 5 working days beginning with the day on which the order is made.</Text>
</P2para>
</P2>
<P2 id="p00130">
<Pnumber>4</Pnumber>
<P2para>
<Text>Before making the order the Secretary of State must consult—</Text>
<P3 id="p10366">
<Pnumber>a</Pnumber>
<P3para>
<Text>the trust,</Text>
</P3para>
</P3>
<P3 id="p10367">
<Pnumber>b</Pnumber>
<P3para>
<Text>any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and</Text>
</P3para>
</P3>
<P3 id="p10368">
<Pnumber>c</Pnumber>
<P3para>
<Text>any other person to which the trust provides goods or services under this Act and which the Secretary of State considers it appropriate to consult.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00131">
<Pnumber>5</Pnumber>
<P2para>
<Text>The Secretary of State must lay before Parliament (with the statutory instrument containing the order) a report stating the reasons for making the order.</Text>
</P2para>
</P2>
<P2 id="p00132">
<Pnumber>6</Pnumber>
<P2para>
<Text>
If an order is made under subsection
<InternalLink Ref="p00128">(1)</InternalLink>
, the Secretary of State must—
</Text>
<P3 id="p00133">
<Pnumber>a</Pnumber>
<P3para>
<Text>appoint a person as the trust special administrator with effect from the day specified in the order, and</Text>
</P3para>
</P3>
<P3 id="p10372">
<Pnumber>b</Pnumber>
<P3para>
<Text>publish the name of the person appointed.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10373">
<Pnumber>7</Pnumber>
<P2para>
<Text>A person appointed as a trust special administrator holds and vacates office in accordance with the terms of the appointment.</Text>
</P2para>
</P2>
<P2 id="p00134">
<Pnumber>8</Pnumber>
<P2para>
<Text>The Secretary of State may pay remuneration and expenses to a trust special administrator.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p10375">
<Title>Suspension of directors</Title>
<P1 id="p10376">
<Pnumber>65C</Pnumber>
<P1para>
<P2 id="p00135">
<Pnumber>1</Pnumber>
<P2para>
<Text>When the appointment of a trust special administrator takes effect, the trust’s chairman and executive and non-executive directors are suspended from office.</Text>
</P2para>
</P2>
<P2 id="p10378">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Subsection
<InternalLink Ref="p00135">(1)</InternalLink>
does not affect the employment of the executive directors or their membership of any committee or sub-committee of the trust.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock id="p10379">
<Title>De-authorisation of NHS foundation trusts</Title>
<P1group id="p00136">
<Title>NHS foundation trusts: regulator’s notice</Title>
<P1 id="p10381">
<Pnumber>65D</Pnumber>
<P1para>
<P2 id="p00137">
<Pnumber>1</Pnumber>
<P2para>
<Text>The regulator may give the Secretary of State a notice under this section if it is satisfied that—</Text>
<P3 id="p10383">
<Pnumber>a</Pnumber>
<P3para>
<Text>an NHS foundation trust to which this Chapter applies is failing to comply with a notice under section 52, and</Text>
</P3para>
</P3>
<P3 id="p10384">
<Pnumber>b</Pnumber>
<P3para>
<Text>further exercise of the powers conferred by section 52 would not be likely to secure the provision of the goods and services which the trust’s authorisation requires it to provide.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10385">
<Pnumber>2</Pnumber>
<P2para>
<Text>The notice must be in writing.</Text>
</P2para>
</P2>
<P2 id="p00138">
<Pnumber>3</Pnumber>
<P2para>
<Text>
With the notice the regulator must give the Secretary of State a report stating the reasons why it is satisfied as mentioned in subsection
<InternalLink Ref="p00137">(1)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10387">
<Pnumber>4</Pnumber>
<P2para>
<Text>Before giving a notice under this section, the regulator must consult first the Secretary of State and then—</Text>
<P3 id="p10388">
<Pnumber>a</Pnumber>
<P3para>
<Text>the trust,</Text>
</P3para>
</P3>
<P3 id="p10389">
<Pnumber>b</Pnumber>
<P3para>
<Text>any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and</Text>
</P3para>
</P3>
<P3 id="p10390">
<Pnumber>c</Pnumber>
<P3para>
<Text>any other person to which the trust provides goods or services under this Act and which the regulator considers it appropriate to consult.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00139">
<Title>NHS foundation trusts: de-authorisation and appointment of trust special administrator</Title>
<P1 id="p10392">
<Pnumber>65E</Pnumber>
<P1para>
<P2 id="p00140">
<Pnumber>1</Pnumber>
<P2para>
<Text>
If the regulator gives notice under section
<InternalLink Ref="p00136">65D</InternalLink>
in relation to a trust, the Secretary of State must make an order for it to cease to be an NHS foundation trust.
</Text>
</P2para>
</P2>
<P2 id="p10394">
<Pnumber>2</Pnumber>
<P2para>
<Text>
An order made under subsection
<InternalLink Ref="p00140">(1)</InternalLink>
must specify the date when it is to take effect, which must be within the period of 5 working days beginning with the day on which it is made.
</Text>
</P2para>
</P2>
<P2 id="p10395">
<Pnumber>3</Pnumber>
<P2para>
<Text>
The Secretary of State must lay before Parliament (with the statutory instrument containing the order) the regulator’s report under section
<InternalLink Ref="p00136">65D</InternalLink>
<InternalLink Ref="p00138">(3)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p00141">
<Pnumber>4</Pnumber>
<P2para>
<Text>
On an order under subsection
<InternalLink Ref="p00140">(1)</InternalLink>
taking effect in relation to a body, it ceases to be an NHS foundation trust and a public benefit corporation and becomes a National Health Service trust.
</Text>
</P2para>
</P2>
<P2 id="p10397">
<Pnumber>5</Pnumber>
<P2para>
<Text>Schedule 8A makes further provision about trusts in respect of which an order is made under subsection (1).</Text>
</P2para>
</P2>
<P2 id="p10398">
<Pnumber>6</Pnumber>
<P2para>
<Text>
Where an order is made under subsection
<InternalLink Ref="p00140">(1)</InternalLink>
in relation to a trust, the Secretary of State must also make an order under section
<InternalLink Ref="p00127">65B</InternalLink>
<InternalLink Ref="p00128">(1)</InternalLink>
authorising the appointment of a trust special administrator in relation to the trust.
</Text>
</P2para>
</P2>
<P2 id="p10399">
<Pnumber>7</Pnumber>
<P2para>
<Text>
The order under section
<InternalLink Ref="p00127">65B</InternalLink>
<InternalLink Ref="p00128">(1)</InternalLink>
must provide for the appointment to take effect at the same time as the order under this section.
</Text>
</P2para>
</P2>
<P2 id="p10400">
<Pnumber>8</Pnumber>
<P2para>
<Text>
Section
<InternalLink Ref="p00127">65B</InternalLink>
<InternalLink Ref="p00129">(2)</InternalLink>
,
<InternalLink Ref="p00130">(4)</InternalLink>
and
<InternalLink Ref="p00131">(5)</InternalLink>
do not apply in relation to the order under section
<InternalLink Ref="p00127">65B</InternalLink>
<InternalLink Ref="p00128">(1)</InternalLink>
.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock id="p10401">
<Title>Consultation and report</Title>
<P1group id="p00142">
<Title>Draft report</Title>
<P1 id="p10403">
<Pnumber>65F</Pnumber>
<P1para>
<P2 id="p00143">
<Pnumber>1</Pnumber>
<P2para>
<Text>Within the period of 45 working days beginning with the day on which a trust special administrator’s appointment takes effect, the administrator must provide to the Secretary of State and publish a draft report stating the action which the administrator recommends the Secretary of State should take in relation to the trust.</Text>
</P2para>
</P2>
<P2 id="p10405">
<Pnumber>2</Pnumber>
<P2para>
<Text>When preparing the draft report, the administrator must consult—</Text>
<P3 id="p10406">
<Pnumber>a</Pnumber>
<P3para>
<Text>any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and</Text>
</P3para>
</P3>
<P3 id="p10407">
<Pnumber>b</Pnumber>
<P3para>
<Text>any other person to which the trust provides goods or services under this Act and which the Secretary of State directs the administrator to consult.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10408">
<Pnumber>3</Pnumber>
<P2para>
<Text>After receiving the draft report, the Secretary of State must lay it before Parliament.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00144">
<Title>Consultation plan</Title>
<P1 id="p10410">
<Pnumber>65G</Pnumber>
<P1para>
<P2 id="p10411">
<Pnumber>1</Pnumber>
<P2para>
<Text>
At the same time as publishing a draft report under section
<InternalLink Ref="p00142">65F</InternalLink>
, a trust special administrator must publish a statement setting out the means by which the administrator will seek responses to the draft report.
</Text>
</P2para>
</P2>
<P2 id="p00145">
<Pnumber>2</Pnumber>
<P2para>
<Text>The statement must specify a period of 30 working days within which the administrator seeks responses (the “consultation period”).</Text>
</P2para>
</P2>
<P2 id="p10413">
<Pnumber>3</Pnumber>
<P2para>
<Text>The first day of the consultation period must be within the period of 5 working days beginning with the day on which the draft report is published.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00146">
<Title>Consultation requirements</Title>
<P1 id="p10415">
<Pnumber>65H</Pnumber>
<P1para>
<P2 id="p10416">
<Pnumber>1</Pnumber>
<P2para>
<Text>The following duties apply during the consultation period.</Text>
</P2para>
</P2>
<P2 id="p00147">
<Pnumber>2</Pnumber>
<P2para>
<Text>The trust special administrator must publish a notice stating that the administrator is seeking responses to the draft report and describing how people can give their responses.</Text>
</P2para>
</P2>
<P2 id="p10418">
<Pnumber>3</Pnumber>
<P2para>
<Text>
A notice under subsection
<InternalLink Ref="p00147">(2)</InternalLink>
must include details of how responses can be given in writing.
</Text>
</P2para>
</P2>
<P2 id="p00148">
<Pnumber>4</Pnumber>
<P2para>
<Text>The trust special administrator must hold at least one meeting to seek responses from staff of the trust and from such persons as the trust special administrator may recognise as representing staff of the trust.</Text>
</P2para>
</P2>
<P2 id="p00149">
<Pnumber>5</Pnumber>
<P2para>
<Text>The trust special administrator must hold at least one other meeting to seek responses from any person who wishes to attend, after publishing notice of the date, time and place of the meeting.</Text>
</P2para>
</P2>
<P2 id="p10421">
<Pnumber>6</Pnumber>
<P2para>
<Text>
Notices under subsections
<InternalLink Ref="p00147">(2)</InternalLink>
and
<InternalLink Ref="p00149">(5)</InternalLink>
must be published at least once in the first 5 working days of the consultation period.
</Text>
</P2para>
</P2>
<P2 id="p00150">
<Pnumber>7</Pnumber>
<P2para>
<Text>The trust special administrator must request a written response from—</Text>
<P3 id="p00151">
<Pnumber>a</Pnumber>
<P3para>
<Text>any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities;</Text>
</P3para>
</P3>
<P3 id="p00152">
<Pnumber>b</Pnumber>
<P3para>
<Text>any other person to which the trust provides goods or services under this Act, if required by directions given by the Secretary of State;</Text>
</P3para>
</P3>
<P3 id="p10425">
<Pnumber>c</Pnumber>
<P3para>
<Text>
any person within subsection
<InternalLink Ref="p00153">(8)</InternalLink>
, if required by directions given by the Secretary of State.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00153">
<Pnumber>8</Pnumber>
<P2para>
<Text>The persons within this subsection are—</Text>
<P3 id="p10427">
<Pnumber>a</Pnumber>
<P3para>
<Text>an overview and scrutiny committee of any authority to which section 244 applies;</Text>
</P3para>
</P3>
<P3 id="p10428">
<Pnumber>b</Pnumber>
<P3para>
<Text>a committee of a local authority operating alternative arrangements under Part 2 of the Local Government Act 2000 which exercises functions corresponding to those of an overview and scrutiny committee under section 21(2)(f) of that Act;</Text>
</P3para>
</P3>
<P3 id="p10429">
<Pnumber>c</Pnumber>
<P3para>
<Text>a joint overview and scrutiny committee;</Text>
</P3para>
</P3>
<P3 id="p10430">
<Pnumber>d</Pnumber>
<P3para>
<Text>a committee established under section 247(1);</Text>
</P3para>
</P3>
<P3 id="p10431">
<Pnumber>e</Pnumber>
<P3para>
<Text>a person carrying on, in pursuance of arrangements made by any local authority under subsection (1) of section 221 of the Local Government and Public Involvement in Health Act 2007, activities specified in subsection (2) of that section (local involvement networks);</Text>
</P3para>
</P3>
<P3 id="p10432">
<Pnumber>f</Pnumber>
<P3para>
<Text>the member of Parliament for any constituency.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00154">
<Pnumber>9</Pnumber>
<P2para>
<Text>
The trust special administrator must hold at least one meeting to seek responses from representatives of each of the persons from whom the administrator must request a written response under subsection
<InternalLink Ref="p00151">(7)(a)</InternalLink>
or
<InternalLink Ref="p00152">(b)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10434">
<Pnumber>10</Pnumber>
<P2para>
<Text>The Secretary of State may direct an administrator to—</Text>
<P3 id="p10435">
<Pnumber>a</Pnumber>
<P3para>
<Text>request a written response from any person;</Text>
</P3para>
</P3>
<P3 id="p10436">
<Pnumber>b</Pnumber>
<P3para>
<Text>hold a meeting to seek a response from any person.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00155">
<Pnumber>11</Pnumber>
<P2para>
<Text>
In subsection
<InternalLink Ref="p00148">(4)</InternalLink>
“staff of the trust” means persons employed by the trust or otherwise working for the trust (whether as or on behalf of a contractor, as a volunteer or otherwise).
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00156">
<Title>Final report</Title>
<P1 id="p10439">
<Pnumber>65I</Pnumber>
<P1para>
<P2 id="p00157">
<Pnumber>1</Pnumber>
<P2para>
<Text>Within the period of 15 working days beginning with the end of the consultation period, the trust special administrator must provide to the Secretary of State a final report stating the action which the administrator recommends that the Secretary of State should take in relation to the trust.</Text>
</P2para>
</P2>
<P2 id="p10441">
<Pnumber>2</Pnumber>
<P2para>
<Text>The administrator must attach to the final report a summary of all responses to the draft report which were received by the administrator in the period beginning with the publication of the draft report and ending with the last day of the consultation period.</Text>
</P2para>
</P2>
<P2 id="p00158">
<Pnumber>3</Pnumber>
<P2para>
<Text>After receiving the administrator’s final report, the Secretary of State must publish it and lay it before Parliament.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00159">
<Title>Power to extend time</Title>
<P1 id="p10444">
<Pnumber>65J</Pnumber>
<P1para>
<P2 id="p10445">
<Pnumber>1</Pnumber>
<P2para>
<Text>This section applies to—</Text>
<P3 id="p00160">
<Pnumber>a</Pnumber>
<P3para>
<Text>
the duty of a trust special administrator to provide a draft report within the period specified in section
<InternalLink Ref="p00142">65F</InternalLink>
<InternalLink Ref="p00143">(1)</InternalLink>
;
</Text>
</P3para>
</P3>
<P3 id="p00161">
<Pnumber>b</Pnumber>
<P3para>
<Text>
the duty of a trust special administrator to consult in the consultation period specified under section
<InternalLink Ref="p00144">65G</InternalLink>
<InternalLink Ref="p00145">(2)</InternalLink>
;
</Text>
</P3para>
</P3>
<P3 id="p00162">
<Pnumber>c</Pnumber>
<P3para>
<Text>
the duty of a trust special administrator to provide a final report within the period specified in section
<InternalLink Ref="p00156">65I</InternalLink>
<InternalLink Ref="p00157">(1)</InternalLink>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00163">
<Pnumber>2</Pnumber>
<P2para>
<Text>If the Secretary of State thinks it is not reasonable in the circumstances for the administrator to be required to carry out the duty within the specified period, the Secretary of State may by order extend the period.</Text>
</P2para>
</P2>
<P2 id="p00164">
<Pnumber>3</Pnumber>
<P2para>
<Text>
If an order is made extending the period mentioned in subsection
<InternalLink Ref="p00160">(1)(a)</InternalLink>
or
<InternalLink Ref="p00162">(c)</InternalLink>
the trust special administrator must publish a notice stating the new date on which the period will expire.
</Text>
</P2para>
</P2>
<P2 id="p10451">
<Pnumber>4</Pnumber>
<P2para>
<Text>
If an order is made extending the period mentioned in subsection
<InternalLink Ref="p00161">(1)(b)</InternalLink>
the trust special administrator must—
</Text>
<P3 id="p10452">
<Pnumber>a</Pnumber>
<P3para>
<Text>publish a notice stating the new date on which the period will expire, and</Text>
</P3para>
</P3>
<P3 id="p10453">
<Pnumber>b</Pnumber>
<P3para>
<Text>publish a statement setting out the means by which the administrator will seek responses to the draft report during the extended consultation period.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock id="p10454">
<Title>Action by the Secretary of State</Title>
<P1group id="p00165">
<Title>Secretary of State’s decision</Title>
<P1 id="p10456">
<Pnumber>65K</Pnumber>
<P1para>
<P2 id="p10457">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Within the period of 20 working days beginning with the day on which the Secretary of State receives a final report under section
<InternalLink Ref="p00156">65I</InternalLink>
, the Secretary of State must decide what action to take in relation to the trust.
</Text>
</P2para>
</P2>
<P2 id="p10458">
<Pnumber>2</Pnumber>
<P2para>
<Text>The Secretary of State must as soon as reasonably practicable—</Text>
<P3 id="p10459">
<Pnumber>a</Pnumber>
<P3para>
<Text>publish a notice of the decision and of the reasons for it;</Text>
</P3para>
</P3>
<P3 id="p10460">
<Pnumber>b</Pnumber>
<P3para>
<Text>lay a copy of the notice before Parliament.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00166">
<Title>Trusts coming out of administration</Title>
<P1 id="p10462">
<Pnumber>65L</Pnumber>
<P1para>
<P2 id="p10463">
<Pnumber>1</Pnumber>
<P2para>
<Text>
This section applies if the Secretary of State decides under section
<InternalLink Ref="p00165">65K</InternalLink>
not to dissolve the trust.
</Text>
</P2para>
</P2>
<P2 id="p00167">
<Pnumber>2</Pnumber>
<P2para>
<Text>The Secretary of State must make an order specifying a date when the appointment of the trust special administrator and the suspension of the chairman and directors of the trust come to an end.</Text>
</P2para>
</P2>
<P2 id="p00168">
<Pnumber>3</Pnumber>
<P2para>
<Text>
Subsections
<InternalLink Ref="p00169">(4)</InternalLink>
and
<InternalLink Ref="p00170">(5)</InternalLink>
apply in the case of a trust which is an NHS trust by virtue of an order made under section
<InternalLink Ref="p00139">65E</InternalLink>
<InternalLink Ref="p00140">(1)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p00169">
<Pnumber>4</Pnumber>
<P2para>
<Text>The Secretary of State must make an order specifying, in relation to the trust, the matters mentioned in paragraph 5(1)(a) to (c) of Schedule 4 and, where the trust has a significant teaching commitment, the matters mentioned in paragraph 5(1)(d).</Text>
</P2para>
</P2>
<P2 id="p00170">
<Pnumber>5</Pnumber>
<P2para>
<Text>
If it appears to the Secretary of State to be necessary in order to comply with provision made under subsection
<InternalLink Ref="p00169">(4)</InternalLink>
, or made by regulations under paragraph 4 of Schedule 4, the Secretary of State may by order—
</Text>
<P3 id="p10468">
<Pnumber>a</Pnumber>
<P3para>
<Text>terminate the office of any executive or non-executive director of the trust;</Text>
</P3para>
</P3>
<P3 id="p10469">
<Pnumber>b</Pnumber>
<P3para>
<Text>appoint a person to be an executive or non-executive director of the trust.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock id="p10470">
<Title>Supplementary</Title>
<P1group id="p00171">
<Title>Replacement of trust special administrator</Title>
<P1 id="p10472">
<Pnumber>65M</Pnumber>
<P1para>
<P2 id="p00172">
<Pnumber>1</Pnumber>
<P2para>
<Text>
If a trust special administrator ceases to hold office for any reason before the Secretary of State has made either an order under section
<InternalLink Ref="p00166">65L</InternalLink>
<InternalLink Ref="p00167">(2)</InternalLink>
or an order dissolving the trust, the Secretary of State must—
</Text>
<P3 id="p00173">
<Pnumber>a</Pnumber>
<P3para>
<Text>appoint another person as the trust special administrator, and</Text>
</P3para>
</P3>
<P3 id="p10475">
<Pnumber>b</Pnumber>
<P3para>
<Text>publish the name of the person appointed.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00174">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Where a person is appointed under subsection
<InternalLink Ref="p00172">(1)</InternalLink>
in relation to a trust, anything done by or in relation to a previous trust special administrator has effect as if done by or in relation to that person, unless the Secretary of State directs otherwise.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p10477">
<Title>Guidance</Title>
<P1 id="p10478">
<Pnumber>65N</Pnumber>
<P1para>
<P2 id="p10479">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State must publish guidance for trust special administrators.</Text>
</P2para>
</P2>
<P2 id="p10480">
<Pnumber>2</Pnumber>
<P2para>
<Text>
It must include guidance about the publication of notices under sections
<InternalLink Ref="p00146">65H</InternalLink>
and
<InternalLink Ref="p00159">65J</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10481">
<Pnumber>3</Pnumber>
<P2para>
<Text>It must include guidance about the preparation of draft reports, as to—</Text>
<P3 id="p10482">
<Pnumber>a</Pnumber>
<P3para>
<Text>persons to be consulted;</Text>
</P3para>
</P3>
<P3 id="p10483">
<Pnumber>b</Pnumber>
<P3para>
<Text>factors to be taken into account;</Text>
</P3para>
</P3>
<P3 id="p10484">
<Pnumber>c</Pnumber>
<P3para>
<Text>relevant publications.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00175">
<Title>Interpretation of this Chapter</Title>
<P1 id="p10486">
<Pnumber>65O</Pnumber>
<P1para>
<Text>In this Chapter—</Text>
<UnorderedList Decoration="none" Class="Definition">
<ListItem>
<Para>
<Text>
“trust special administrator” means a person appointed under section
<InternalLink Ref="p00127">65B</InternalLink>
<InternalLink Ref="p00133">(6)(a)</InternalLink>
or section
<InternalLink Ref="p00171">65M</InternalLink>
<InternalLink Ref="p00173">(1)(a)</InternalLink>
;
</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“working day” means any day which is not Saturday, Sunday, Christmas Day, Good Friday or a day which is a bank holiday in England and Wales under the Banking and Financial Dealings Act 1971.</Text>
</Para>
</ListItem>
</UnorderedList>
</P1para>
</P1>
</P1group>
</Pblock>
</Chapter>
</BlockAmendment>
</P1para>
</P1>
</P1group>
<P1group id="p00176">
<Title>Trust special administrators: Primary Care Trusts</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/17/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/17" id="section-17">
<Pnumber>17</Pnumber>
<P1para>
<Text>
After section
<InternalLink id="i00134" Ref="p00175">65O</InternalLink>
of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00010" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
(inserted by section 16) insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<Chapter id="p10489">
<Number>Chapter 5B</Number>
<Title>Trust special administrators: Primary Care Trusts</Title>
<Pblock id="p10490">
<Title>Appointment</Title>
<P1group id="p00177">
<Title>Appointment of trust special administrator</Title>
<P1 id="p10492">
<Pnumber>65P</Pnumber>
<P1para>
<P2 id="p00178">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may give directions to a Primary Care Trust requiring the Primary Care Trust to appoint a trust special administrator to exercise on its behalf, to the extent, and subject to any conditions, specified in the directions, such provider functions of the Primary Care Trust as are specified in the directions.</Text>
</P2para>
</P2>
<P2 id="p10494">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Directions may be given under subsection
<InternalLink Ref="p00178">(1)</InternalLink>
only if the Secretary of State considers it appropriate in the interests of the health service.
</Text>
</P2para>
</P2>
<P2 id="p10495">
<Pnumber>3</Pnumber>
<P2para>
<Text>The directions must specify—</Text>
<P3 id="p10496">
<Pnumber>a</Pnumber>
<P3para>
<Text>the date when the appointment is to take effect, which must be within the period of 5 working days beginning with the day on which the directions are given, and</Text>
</P3para>
</P3>
<P3 id="p10497">
<Pnumber>b</Pnumber>
<P3para>
<Text>the name of the person to be appointed.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10498">
<Pnumber>4</Pnumber>
<P2para>
<Text>
Before giving directions under subsection
<InternalLink Ref="p00178">(1)</InternalLink>
the Secretary of State must consult—
</Text>
<P3 id="p10499">
<Pnumber>a</Pnumber>
<P3para>
<Text>the Primary Care Trust,</Text>
</P3para>
</P3>
<P3 id="p10500">
<Pnumber>b</Pnumber>
<P3para>
<Text>any Strategic Health Authority whose area includes any part of the Primary Care Trust’s area, and</Text>
</P3para>
</P3>
<P3 id="p10501">
<Pnumber>c</Pnumber>
<P3para>
<Text>any other person to which the Primary Care Trust provides goods or services under this Act and which the Secretary of State considers it appropriate to consult.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10502">
<Pnumber>5</Pnumber>
<P2para>
<Text>The Secretary of State must lay before Parliament (with the instrument containing the directions) a report stating the reasons for giving the directions.</Text>
</P2para>
</P2>
<P2 id="p10503">
<Pnumber>6</Pnumber>
<P2para>
<Text>
Where a person is appointed pursuant to directions under subsection
<InternalLink Ref="p00178">(1)</InternalLink>
, the Secretary of State must publish the name of the person appointed.
</Text>
</P2para>
</P2>
<P2 id="p10504">
<Pnumber>7</Pnumber>
<P2para>
<Text>A person appointed as a trust special administrator holds and vacates office in accordance with the terms of the appointment.</Text>
</P2para>
</P2>
<P2 id="p10505">
<Pnumber>8</Pnumber>
<P2para>
<Text>
Directions under subsection
<InternalLink Ref="p00178">(1)</InternalLink>
may require the appointment to be on terms specified in the directions.
</Text>
</P2para>
</P2>
<P2 id="p10506">
<Pnumber>9</Pnumber>
<P2para>
<Text>The Primary Care Trust may pay the trust special administrator remuneration and expenses in accordance with the terms of the appointment.</Text>
</P2para>
</P2>
<P2 id="p10507">
<Pnumber>10</Pnumber>
<P2para>
<Text>In this section “provider function” means—</Text>
<P3 id="p00179">
<Pnumber>a</Pnumber>
<P3para>
<Text>any function of providing goods or services except to the extent that at the time of the appointment there are arrangements between the Primary Care Trust and another person or body under which the goods or services are, or are to be, provided by that person or body, and</Text>
</P3para>
</P3>
<P3 id="p10509">
<Pnumber>b</Pnumber>
<P3para>
<Text>
any function that is not a function of providing goods or services but that may be exercised for the purposes of a function within paragraph
<InternalLink Ref="p00179">(a)</InternalLink>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00180">
<Title>Displacement of functions</Title>
<P1 id="p10511">
<Pnumber>65Q</Pnumber>
<P1para>
<P2 id="p00181">
<Pnumber>1</Pnumber>
<P2para>
<Text>When the appointment of a trust special administrator takes effect, the relevant functions cease to be exercisable by any committee, sub-committee or officer of the Primary Care Trust by whom they were previously exercisable.</Text>
</P2para>
</P2>
<P2 id="p10513">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Subsection
<InternalLink Ref="p00181">(1)</InternalLink>
does not affect the employment of any officer of the Primary Care Trust.
</Text>
</P2para>
</P2>
<P2 id="p00182">
<Pnumber>3</Pnumber>
<P2para>
<Text>In this Chapter “relevant functions” means the functions of the Primary Care Trust exercisable by the trust special administrator.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
</Chapter>
<Pblock id="p10515">
<Title>Consultation and report</Title>
<P1group id="p00183">
<Title>Draft report</Title>
<P1 id="p10517">
<Pnumber>65R</Pnumber>
<P1para>
<P2 id="p00184">
<Pnumber>1</Pnumber>
<P2para>
<Text>Within the period of 45 working days beginning with the day on which a trust special administrator’s appointment takes effect, the administrator must provide to the Secretary of State and publish a draft report stating the action which the administrator recommends the Secretary of State should take in relation to the performance of the relevant functions.</Text>
</P2para>
</P2>
<P2 id="p00185">
<Pnumber>2</Pnumber>
<P2para>
<Text>When preparing the draft report, the administrator must consult—</Text>
<P3 id="p10520">
<Pnumber>a</Pnumber>
<P3para>
<Text>any Strategic Health Authority whose area includes any part of the Primary Care Trust’s area, and</Text>
</P3para>
</P3>
<P3 id="p10521">
<Pnumber>b</Pnumber>
<P3para>
<Text>any other person to which the Primary Care Trust provides goods or services under this Act, if required by directions given by the Secretary of State.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10522">
<Pnumber>3</Pnumber>
<P2para>
<Text>After receiving the draft report, the Secretary of State must lay it before Parliament.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00186">
<Title>Consultation plan</Title>
<P1 id="p10524">
<Pnumber>65S</Pnumber>
<P1para>
<P2 id="p10525">
<Pnumber>1</Pnumber>
<P2para>
<Text>
At the same time as publishing a draft report under section
<InternalLink Ref="p00183">65R</InternalLink>
, a trust special administrator must publish a statement setting out the means by which the administrator will seek responses to the draft report.
</Text>
</P2para>
</P2>
<P2 id="p00187">
<Pnumber>2</Pnumber>
<P2para>
<Text>The statement must specify a period of 30 working days within which the administrator seeks responses (the “consultation period”).</Text>
</P2para>
</P2>
<P2 id="p10527">
<Pnumber>3</Pnumber>
<P2para>
<Text>The first day of the consultation period must be within the period of 5 working days beginning with the day on which the draft report is published.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00188">
<Title>Consultation requirements</Title>
<P1 id="p10529">
<Pnumber>65T</Pnumber>
<P1para>
<P2 id="p10530">
<Pnumber>1</Pnumber>
<P2para>
<Text>The following duties apply during the consultation period.</Text>
</P2para>
</P2>
<P2 id="p00189">
<Pnumber>2</Pnumber>
<P2para>
<Text>The trust special administrator must publish a notice stating that the administrator is seeking responses to the draft report and describing how people can give their responses.</Text>
</P2para>
</P2>
<P2 id="p10532">
<Pnumber>3</Pnumber>
<P2para>
<Text>
A notice under subsection
<InternalLink Ref="p00189">(2)</InternalLink>
must include details of how responses can be given in writing.
</Text>
</P2para>
</P2>
<P2 id="p00190">
<Pnumber>4</Pnumber>
<P2para>
<Text>The trust special administrator must hold at least one meeting to seek responses from relevant staff and from such persons as the trust special administrator may recognise as representing relevant staff.</Text>
</P2para>
</P2>
<P2 id="p00191">
<Pnumber>5</Pnumber>
<P2para>
<Text>The trust special administrator must hold at least one other meeting to seek responses from any person who wishes to attend, after publishing notice of the date, time and place of the meeting.</Text>
</P2para>
</P2>
<P2 id="p10535">
<Pnumber>6</Pnumber>
<P2para>
<Text>
Notices under subsections
<InternalLink Ref="p00189">(2)</InternalLink>
and
<InternalLink Ref="p00191">(5)</InternalLink>
must be published at least once in the first 5 working days of the consultation period.
</Text>
</P2para>
</P2>
<P2 id="p00192">
<Pnumber>7</Pnumber>
<P2para>
<Text>The trust special administrator must request a written response from—</Text>
<P3 id="p00193">
<Pnumber>a</Pnumber>
<P3para>
<Text>any Strategic Health Authority in whose area any part of the Primary Care Trust’s area falls;</Text>
</P3para>
</P3>
<P3 id="p00194">
<Pnumber>b</Pnumber>
<P3para>
<Text>any other person to which the Primary Care Trust provides goods or services under this Act, if required by directions given by the Secretary of State;</Text>
</P3para>
</P3>
<P3 id="p10539">
<Pnumber>c</Pnumber>
<P3para>
<Text>
any person within section
<InternalLink Ref="p00146">65H</InternalLink>
<InternalLink Ref="p00153">(8)</InternalLink>
, if required by directions given by the Secretary of State.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00195">
<Pnumber>8</Pnumber>
<P2para>
<Text>
The trust special administrator must hold at least one meeting to seek responses from representatives of each of the persons from whom the administrator must request a written response under subsection
<InternalLink Ref="p00192">(7)</InternalLink>
<InternalLink Ref="p00193">(a)</InternalLink>
and
<InternalLink Ref="p00152">(b)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10541">
<Pnumber>9</Pnumber>
<P2para>
<Text>The Secretary of State may direct a trust special administrator to—</Text>
<P3 id="p10542">
<Pnumber>a</Pnumber>
<P3para>
<Text>request a written response from any person;</Text>
</P3para>
</P3>
<P3 id="p10543">
<Pnumber>b</Pnumber>
<P3para>
<Text>hold a meeting to seek a response from any person.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00196">
<Pnumber>10</Pnumber>
<P2para>
<Text>
In subsection
<InternalLink Ref="p00190">(4)</InternalLink>
“relevant staff” means persons employed by the trust or otherwise working for the trust (whether as or on behalf of a contractor, as a volunteer or otherwise), wholly or partly in connection with the relevant functions.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00197">
<Title>Final report</Title>
<P1 id="p10546">
<Pnumber>65U</Pnumber>
<P1para>
<P2 id="p00198">
<Pnumber>1</Pnumber>
<P2para>
<Text>Within the period of 15 working days beginning with the end of the consultation period, the trust special administrator must provide to the Secretary of State a final report stating the action which the administrator recommends that the Secretary of State should take in relation to the performance of the relevant functions.</Text>
</P2para>
</P2>
<P2 id="p10548">
<Pnumber>2</Pnumber>
<P2para>
<Text>The administrator must attach to the final report a summary of all responses to the draft report which were received by the administrator in the period beginning with the publication of the draft report and ending with the last day of the consultation period.</Text>
</P2para>
</P2>
<P2 id="p00199">
<Pnumber>3</Pnumber>
<P2para>
<Text>After receiving the administrator’s final report, the Secretary of State must publish it and lay it before Parliament.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00200">
<Title>Power to extend time</Title>
<P1 id="p10551">
<Pnumber>65V</Pnumber>
<P1para>
<P2 id="p10552">
<Pnumber>1</Pnumber>
<P2para>
<Text>This section applies to—</Text>
<P3 id="p00201">
<Pnumber>a</Pnumber>
<P3para>
<Text>
the duty of a trust special administrator to provide a draft report within the period specified in section
<InternalLink Ref="p00183">65R</InternalLink>
<InternalLink Ref="p00184">(1)</InternalLink>
;
</Text>
</P3para>
</P3>
<P3 id="p00202">
<Pnumber>b</Pnumber>
<P3para>
<Text>
the duty of a trust special administrator to consult in the consultation period specified under section
<InternalLink Ref="p00186">65S</InternalLink>
<InternalLink Ref="p00187">(2)</InternalLink>
;
</Text>
</P3para>
</P3>
<P3 id="p00203">
<Pnumber>c</Pnumber>
<P3para>
<Text>
the duty of a trust special administrator to provide a final report within the period specified in section
<InternalLink Ref="p00197">65U</InternalLink>
<InternalLink Ref="p00198">(1)</InternalLink>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00204">
<Pnumber>2</Pnumber>
<P2para>
<Text>If the Secretary of State thinks it is not reasonable in the circumstances for the administrator to be required to carry out the duty within the specified period, the Secretary of State may by order extend the period.</Text>
</P2para>
</P2>
<P2 id="p00205">
<Pnumber>3</Pnumber>
<P2para>
<Text>
If an order is made extending the period mentioned in subsection
<InternalLink Ref="p00201">(1)(a)</InternalLink>
or
<InternalLink Ref="p00203">(c)</InternalLink>
the trust special administrator must publish a notice stating the new date on which the period will expire.
</Text>
</P2para>
</P2>
<P2 id="p10558">
<Pnumber>4</Pnumber>
<P2para>
<Text>
If an order is made extending the period mentioned in subsection
<InternalLink Ref="p00202">(1)(b)</InternalLink>
the trust special administrator must—
</Text>
<P3 id="p10559">
<Pnumber>a</Pnumber>
<P3para>
<Text>publish a notice stating the new date on which the period will expire, and</Text>
</P3para>
</P3>
<P3 id="p10560">
<Pnumber>b</Pnumber>
<P3para>
<Text>publish a statement setting out the means by which the administrator will seek responses to the draft report during the extended consultation period.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock id="p10561">
<Title>Action by the Secretary of State</Title>
<P1group id="p00206">
<Title>Secretary of State’s decision</Title>
<P1 id="p10563">
<Pnumber>65W</Pnumber>
<P1para>
<P2 id="p10564">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Within the period of 20 working days beginning with the day on which the Secretary of State receives a final report under section
<InternalLink Ref="p00197">65U</InternalLink>
, the Secretary of State must decide what action to take in relation to the performance of the relevant functions.
</Text>
</P2para>
</P2>
<P2 id="p10565">
<Pnumber>2</Pnumber>
<P2para>
<Text>The Secretary of State must as soon as reasonably practicable—</Text>
<P3 id="p10566">
<Pnumber>a</Pnumber>
<P3para>
<Text>publish a notice of the decision and of the reasons for it;</Text>
</P3para>
</P3>
<P3 id="p10567">
<Pnumber>b</Pnumber>
<P3para>
<Text>lay a copy of the notice before Parliament.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00207">
<Title>Removal of a trust special administrator</Title>
<P1 id="p10569">
<Pnumber>65X</Pnumber>
<P1para>
<Text>The Secretary of State may at any time give directions to a Primary Care Trust and a trust special administrator who exercises functions on behalf of the Primary Care Trust, requiring that the appointment of the administrator should come to an end with effect from a specified day.</Text>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock id="p10570">
<Title>Supplementary</Title>
<P1group id="p00208">
<Title>Replacement of trust special administrator</Title>
<P1 id="p10572">
<Pnumber>65Y</Pnumber>
<P1para>
<P2 id="p00209">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Where the Secretary of State has given directions under section
<InternalLink Ref="p00177">65P</InternalLink>
and, before the Secretary of State has published a decision under section
<InternalLink Ref="p00206">65W</InternalLink>
, the trust special administrator appointed under the directions (or whose appointment has effect as if made under the directions) ceases to hold office for any reason, the Secretary of State must—
</Text>
<P3 id="p00210">
<Pnumber>a</Pnumber>
<P3para>
<Text>appoint another person as the trust special administrator, and</Text>
</P3para>
</P3>
<P3 id="p10575">
<Pnumber>b</Pnumber>
<P3para>
<Text>publish the name of the person appointed.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10576">
<Pnumber>2</Pnumber>
<P2para>
<Text>
An appointment under subsection
<InternalLink Ref="p00209">(1)</InternalLink>
has effect as if made by the Primary Care Trust under the directions.
</Text>
</P2para>
</P2>
<P2 id="p10577">
<Pnumber>3</Pnumber>
<P2para>
<Text>
Where a person is appointed under subsection
<InternalLink Ref="p00209">(1)</InternalLink>
in relation to a Primary Care Trust, anything done by or in relation to a previous trust special administrator has effect as if done by or in relation to that person, unless the Secretary of State directs otherwise.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00211">
<Title>Secretary of State’s directions to trust special administrator</Title>
<P1 id="p10579">
<Pnumber>65Z</Pnumber>
<P1para>
<Text>The Secretary of State may give directions to a trust special administrator about the exercise of functions under or by virtue of this Chapter.</Text>
</P1para>
</P1>
</P1group>
<P1group id="p00212">
<Title>Guidance</Title>
<P1 id="p10581">
<Pnumber>65Z1</Pnumber>
<P1para>
<P2 id="p00213">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State must publish guidance for trust special administrators.</Text>
</P2para>
</P2>
<P2 id="p10583">
<Pnumber>2</Pnumber>
<P2para>
<Text>
It must include guidance about the publication of notices under sections
<InternalLink Ref="p00188">65T</InternalLink>
and
<InternalLink Ref="p00200">65V</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10584">
<Pnumber>3</Pnumber>
<P2para>
<Text>It must include guidance in relation to the preparation of draft reports, as to—</Text>
<P3 id="p10585">
<Pnumber>a</Pnumber>
<P3para>
<Text>persons to be consulted;</Text>
</P3para>
</P3>
<P3 id="p10586">
<Pnumber>b</Pnumber>
<P3para>
<Text>factors to be taken into account;</Text>
</P3para>
</P3>
<P3 id="p10587">
<Pnumber>c</Pnumber>
<P3para>
<Text>relevant publications.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p10588">
<Title>Directions</Title>
<P1 id="p10589">
<Pnumber>65Z2</Pnumber>
<P1para>
<Text>Directions under the following provisions of this Chapter must be laid before Parliament after they are given—</Text>
<P3 id="p10590">
<Pnumber>a</Pnumber>
<P3para>
<Text>
section
<InternalLink Ref="p00177">65P</InternalLink>
<InternalLink Ref="p00178">(1)</InternalLink>
;
</Text>
</P3para>
</P3>
<P3 id="p10591">
<Pnumber>b</Pnumber>
<P3para>
<Text>
section
<InternalLink Ref="p00207">65X</InternalLink>
;
</Text>
</P3para>
</P3>
<P3 id="p10592">
<Pnumber>c</Pnumber>
<P3para>
<Text>
section
<InternalLink Ref="p00211">65Z</InternalLink>
.
</Text>
</P3para>
</P3>
</P1para>
</P1>
</P1group>
<P1group id="p10593">
<Title>Interpretation of this Chapter</Title>
<P1 id="p10594">
<Pnumber>65Z3</Pnumber>
<P1para>
<Text>In this Chapter—</Text>
<UnorderedList Decoration="none" Class="Definition">
<ListItem>
<Para>
<Text>
“relevant functions” has the meaning given in section
<InternalLink Ref="p00180">65Q</InternalLink>
<InternalLink Ref="p00182">(3)</InternalLink>
;
</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>
“trust special administrator” means a person appointed under directions under section
<InternalLink Ref="p00177">65P</InternalLink>
<InternalLink Ref="p00178">(1)</InternalLink>
or under section
<InternalLink Ref="p00208">65Y</InternalLink>
<InternalLink Ref="p00210">(1)(a)</InternalLink>
;
</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“working day” means any day which is not Saturday, Sunday, Christmas Day, Good Friday or a day which is a bank holiday in England and Wales under the Banking and Financial Dealings Act 1971.</Text>
</Para>
</ListItem>
</UnorderedList>
</P1para>
</P1>
</P1group>
</Pblock>
</BlockAmendment>
</P1para>
</P1>
</P1group>
</Pblock>
</Chapter>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/2/crossheading/consequential-amendments/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/2/crossheading/consequential-amendments" NumberOfProvisions="1" id="part-2-crossheading-consequential-amendments">
<Title>Consequential amendments</Title>
<P1group id="p00214">
<Title>Trust special administrators: consequential amendments</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18" id="section-18">
<Pnumber>18</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/1" id="section-18-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
The
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00011" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
is amended as follows.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/2" id="section-18-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>Section 53 (voluntary arrangements for NHS foundation trusts) is amended as follows.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/3" id="section-18-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>In subsection (1), after “NHS foundation trust” insert “to which this section applies”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/4" id="section-18-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>In subsection (2), after “NHS foundation trusts” insert “to which this section applies”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/5" id="section-18-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>After subsection (4) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10603">
<Pnumber>4A</Pnumber>
<P2para>
<Text>This section applies to an NHS foundation trust to which sections 52B to 52E and Chapter 5A do not apply.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/6" id="section-18-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>
In section 54 (dissolution
<Abbreviation Expansion="et cetera" xml:lang="la">etc.</Abbreviation>
of NHS foundation trusts), in subsection (1), after “NHS foundation trust” insert “to which section 53 applies”.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/7" id="section-18-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>In section 242 (public involvement and consultation), at the end insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10606">
<Pnumber>6</Pnumber>
<P2para>
<Text>
This section does not require a body to make arrangements in relation to matters to which a trust special administrator’s report or draft report under section
<InternalLink Ref="p00142">65F</InternalLink>
,
<InternalLink Ref="p00156">65I</InternalLink>
,
<InternalLink Ref="p00183">65R</InternalLink>
or
<InternalLink Ref="p00197">65U</InternalLink>
relates before the decision of the Secretary of State under section
<InternalLink Ref="p00165">65K</InternalLink>
or
<InternalLink Ref="p00206">65W</InternalLink>
has been published.
</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/8" id="section-18-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>In section 272 (orders, regulations, rules and directions)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/8/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/8/a" id="section-18-8-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>in subsection (4), for “and (6)” substitute “, (6) and (6A)”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/8/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/8/b" id="section-18-8-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>in subsection (5), after paragraph (a) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P3 id="p10610">
<Pnumber>aa</Pnumber>
<P3para>
<Text>section 52D(1) or (7) or 52E(6),</Text>
</P3para>
</P3>
<P3 id="p10611">
<Pnumber>ab</Pnumber>
<P3para>
<Text>
section
<InternalLink Ref="p00127">65B</InternalLink>
<InternalLink Ref="p00128">(1)</InternalLink>
,
<InternalLink Ref="p00139">65E</InternalLink>
<InternalLink Ref="p00140">(1)</InternalLink>
,
<InternalLink Ref="p00159">65J</InternalLink>
<InternalLink Ref="p00163">(2)</InternalLink>
,
<InternalLink Ref="p00166">65L</InternalLink>
<InternalLink Ref="p00167">(2)</InternalLink>
,
<InternalLink Ref="p00169">(4)</InternalLink>
or (5), or
<InternalLink Ref="p00200">65V</InternalLink>
<InternalLink Ref="p00204">(2)</InternalLink>
,
</Text>
</P3para>
</P3>
</BlockAmendment>
<AppendText>;</AppendText>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/8/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/8/c" id="section-18-8-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>after subsection (6) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10613">
<Pnumber>6A</Pnumber>
<P2para>
<Text>
A statutory instrument containing an order under section 52D(1), 52E(6),
<InternalLink Ref="p00127">65B</InternalLink>
<InternalLink Ref="p00128">(1)</InternalLink>
,
<InternalLink Ref="p00139">65E</InternalLink>
<InternalLink Ref="p00140">(1)</InternalLink>
,
<InternalLink Ref="p00159">65J</InternalLink>
<InternalLink Ref="p00163">(2)</InternalLink>
,
<InternalLink Ref="p00166">65L</InternalLink>
<InternalLink Ref="p00167">(2)</InternalLink>
or
<InternalLink Ref="p00169">(4)</InternalLink>
or
<InternalLink Ref="p00200">65V</InternalLink>
<InternalLink Ref="p00204">(2)</InternalLink>
must be laid before Parliament after it is made.
</Text>
</P2para>
</P2>
</BlockAmendment>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/9/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/9" id="section-18-9">
<Pnumber>9</Pnumber>
<P2para>
<Text>
In section 275(1) (interpretation), in the definition of “NHS trust”, at the end insert “and, subject to Schedule 8A, a body that becomes a National Health Service trust by virtue of an order made under section 52D(1) or
<InternalLink id="i00205" Ref="p00139">65E</InternalLink>
<InternalLink id="i00206" Ref="p00140">(1)</InternalLink>
,”.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/10/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/10" id="section-18-10">
<Pnumber>10</Pnumber>
<P2para>
<Text>
In paragraph 28(3) of Schedule 4 (NHS trusts established under section 25), after “as a matter of urgency” insert “or where the order is made following the publication of a final report under section
<InternalLink id="i00207" Ref="p00156">65I</InternalLink>
<InternalLink id="i00208" Ref="p00158">(3)</InternalLink>
”.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/11/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/11" id="section-18-11">
<Pnumber>11</Pnumber>
<P2para>
<Text>In Schedule 9 (NHS foundation trusts: transfer of staff), in paragraph 1 after “NHS foundation trust” insert “to which section 53 applies”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/18/12/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/18/12" id="section-18-12">
<Pnumber>12</Pnumber>
<P2para>
<Text>
In section 206(1) of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/42" id="c00012" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0042">National Health Service (Wales) Act 2006 (c. 42)</Citation>
(interpretation), in the definition of “NHS trust”, at the end insert “(including a body that becomes a National Health Service trust by virtue of an order made under section 52D(1) or
<InternalLink id="i00209" Ref="p00139">65E</InternalLink>
<InternalLink id="i00210" Ref="p00140">(1)</InternalLink>
of that Act)”.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Chapter DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/2/chapter/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/2/chapter/2" NumberOfProvisions="1" id="part-2-chapter-2">
<Number>Chapter 2</Number>
<Title>Suspension</Title>
<P1group id="p00215">
<Title>NHS and other health appointments: suspension</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/19/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/19" id="section-19">
<Pnumber>19</Pnumber>
<P1para>
<Text>Schedule 3 (which amends enactments to provide for powers of suspension in relation to chairs, vice-chairs and other members of NHS bodies and other bodies concerned with health) has effect.</Text>
</P1para>
</P1>
</P1group>
</Chapter>
</Part>
<Part DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/3" NumberOfProvisions="26" id="part-3">
<Number>Part 3</Number>
<Title>Miscellaneous</Title>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/3/crossheading/tobacco/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/3/crossheading/tobacco" NumberOfProvisions="11" id="part-3-crossheading-tobacco">
<Title>Tobacco</Title>
<P1group id="p00216">
<Title>Prohibition of advertising: exclusion for specialist tobacconists</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/20/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/20" id="section-20">
<Pnumber>20</Pnumber>
<P1para>
<Text>
In section 6 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2002/36" id="c00013" Year="2002" Class="UnitedKingdomPublicGeneralAct" Number="0036">Tobacco Advertising and Promotion Act 2002 (c. 36)</Citation>
(specialist tobacconists), before subsection (1) insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10625">
<Pnumber>A1</Pnumber>
<P2para>
<Text>The appropriate Minister may provide in regulations that no offence is committed under section 2 if the tobacco advertisement—</Text>
<P3 id="p10626">
<Pnumber>a</Pnumber>
<P3para>
<Text>is in, or fixed to the outside of premises of, a specialist tobacconist in England and Wales or Northern Ireland,</Text>
</P3para>
</P3>
<P3 id="p10627">
<Pnumber>b</Pnumber>
<P3para>
<Text>is not for cigarettes or hand-rolling tobacco, and</Text>
</P3para>
</P3>
<P3 id="p10628">
<Pnumber>c</Pnumber>
<P3para>
<Text>complies with any requirements specified in the regulations.</Text>
</P3para>
</P3>
</P2para>
</P2>
</BlockAmendment>
</P1para>
</P1>
</P1group>
<P1group id="p00217">
<Title>
Prohibition of tobacco displays
<Abbreviation Expansion="Et cetera" xml:lang="la">etc</Abbreviation>
</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/21/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/21" id="section-21">
<Pnumber>21</Pnumber>
<P1para>
<Text>
After section 7 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2002/36" id="c00014" Year="2002" Class="UnitedKingdomPublicGeneralAct" Number="0036">Tobacco Advertising and Promotion Act 2002</Citation>
(developments in technology) insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P1group id="p10631">
<Title>Prohibition of tobacco displays</Title>
<P1 id="p10632">
<Pnumber>7A</Pnumber>
<P1para>
<P2 id="p10633">
<Pnumber>1</Pnumber>
<P2para>
<Text>A person who in the course of a business displays tobacco products, or causes tobacco products to be displayed, in a place in England and Wales or Northern Ireland is guilty of an offence.</Text>
</P2para>
</P2>
<P2 id="p10634">
<Pnumber>2</Pnumber>
<P2para>
<Text>The appropriate Minister may by regulations provide for the meaning of “place” in this section.</Text>
</P2para>
</P2>
<P2 id="p00218">
<Pnumber>3</Pnumber>
<P2para>
<Text>The appropriate Minister may by regulations make provision for a display in a place which also amounts to an advertisement to be treated for the purposes of offences in England and Wales or Northern Ireland under this Act—</Text>
<P3 id="p10636">
<Pnumber>a</Pnumber>
<P3para>
<Text>as an advertisement and not as a display, or</Text>
</P3para>
</P3>
<P3 id="p10637">
<Pnumber>b</Pnumber>
<P3para>
<Text>as a display and not as an advertisement.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p10638">
<Title>Tobacco displays: exclusions and defence</Title>
<P1 id="p10639">
<Pnumber>7B</Pnumber>
<P1para>
<P2 id="p10640">
<Pnumber>1</Pnumber>
<P2para>
<Text>No offence is committed under section 7A if—</Text>
<P3 id="p10641">
<Pnumber>a</Pnumber>
<P3para>
<Text>the tobacco products are displayed in the course of a business which is part of the tobacco trade,</Text>
</P3para>
</P3>
<P3 id="p10642">
<Pnumber>b</Pnumber>
<P3para>
<Text>they are displayed for the purposes of that trade, and</Text>
</P3para>
</P3>
<P3 id="p10643">
<Pnumber>c</Pnumber>
<P3para>
<Text>the display is accessible only to persons who are engaged in, or employed by, a business which is also part of that trade.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00219">
<Pnumber>2</Pnumber>
<P2para>
<Text>No offence is committed under section 7A if the display is a requested display to an individual aged 18 or over.</Text>
</P2para>
</P2>
<P2 id="p10645">
<Pnumber>3</Pnumber>
<P2para>
<Text>The appropriate Minister may provide in regulations that no offence is committed under section 7A if the display complies with requirements specified in the regulations.</Text>
</P2para>
</P2>
<P2 id="p10646">
<Pnumber>4</Pnumber>
<P2para>
<Text>
Subsections
<InternalLink Ref="p00220">(5)</InternalLink>
and
<InternalLink Ref="p00221">(7)</InternalLink>
apply where a person (“D”) is charged with an offence under section 7A in a case where the display is a requested display to an individual aged under 18.
</Text>
</P2para>
</P2>
<P2 id="p00220">
<Pnumber>5</Pnumber>
<P2para>
<Text>Where D is charged by reason of D having displayed the tobacco product it is a defence that—</Text>
<P3 id="p10648">
<Pnumber>a</Pnumber>
<P3para>
<Text>D believed that the individual was aged 18 or over, and</Text>
</P3para>
</P3>
<P3 id="p10649">
<Pnumber>b</Pnumber>
<P3para>
<Text>either—</Text>
<P4 id="p10650">
<Pnumber>i</Pnumber>
<P4para>
<Text>D had taken all reasonable steps to establish the individual’s age, or</Text>
</P4para>
</P4>
<P4 id="p10651">
<Pnumber>ii</Pnumber>
<P4para>
<Text>from the individual’s appearance nobody could reasonably have suspected that the individual was aged under 18.</Text>
</P4para>
</P4>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10652">
<Pnumber>6</Pnumber>
<P2para>
<Text>
For the purposes of subsection
<InternalLink Ref="p00220">(5)</InternalLink>
, a person is treated as having taken all reasonable steps to establish an individual’s age if—
</Text>
<P3 id="p10653">
<Pnumber>a</Pnumber>
<P3para>
<Text>the person asked the individual for evidence of the individual’s age, and</Text>
</P3para>
</P3>
<P3 id="p10654">
<Pnumber>b</Pnumber>
<P3para>
<Text>the evidence would have convinced a reasonable person.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00221">
<Pnumber>7</Pnumber>
<P2para>
<Text>Where D is charged by reason of D having caused the display of the tobacco product it is a defence that D exercised all due diligence to avoid committing the offence.</Text>
</P2para>
</P2>
<P2 id="p10656">
<Pnumber>8</Pnumber>
<P2para>
<Text>In this section “a requested display” means a display to an individual following a particular request by the individual to purchase a tobacco product, or for information about a tobacco product.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p10657">
<Title>Displays: prices of tobacco products</Title>
<P1 id="p10658">
<Pnumber>7C</Pnumber>
<P1para>
<P2 id="p00222">
<Pnumber>1</Pnumber>
<P2para>
<Text>The appropriate Minister may by regulations make provision imposing requirements in relation to the display in a place in England and Wales or Northern Ireland in the course of a business of prices of tobacco products.</Text>
</P2para>
</P2>
<P2 id="p10660">
<Pnumber>2</Pnumber>
<P2para>
<Text>A person who displays or causes to be displayed prices of tobacco products in breach of a requirement contained in the regulations is guilty of an offence.</Text>
</P2para>
</P2>
<P2 id="p10661">
<Pnumber>3</Pnumber>
<P2para>
<Text>The regulations may, in particular, provide for the meaning of “place” in this section.</Text>
</P2para>
</P2>
<P2 id="p00223">
<Pnumber>4</Pnumber>
<P2para>
<Text>The regulations may make provision for a display of prices in a place which also amounts to an advertisement to be treated for the purposes of offences in England and Wales or Northern Ireland under this Act—</Text>
<P3 id="p10663">
<Pnumber>a</Pnumber>
<P3para>
<Text>as an advertisement and not as a display of prices, or</Text>
</P3para>
</P3>
<P3 id="p10664">
<Pnumber>b</Pnumber>
<P3para>
<Text>as a display of prices and not as an advertisement.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p10665">
<Title>Displays on a website</Title>
<P1 id="p10666">
<Pnumber>7D</Pnumber>
<P1para>
<P2 id="p10667">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may by regulations make provision imposing requirements in relation to the display in England and Wales or Northern Ireland in the course of a business of tobacco products or their prices on a website where tobacco products are offered for sale.</Text>
</P2para>
</P2>
<P2 id="p00224">
<Pnumber>2</Pnumber>
<P2para>
<Text>A person who displays or causes to be displayed tobacco products or their prices in breach of a requirement contained in the regulations is guilty of an offence.</Text>
</P2para>
</P2>
<P2 id="p10669">
<Pnumber>3</Pnumber>
<P2para>
<Text>
A service provider established in England and Wales or Northern Ireland is guilty of an offence if, in the course of providing information society services, the provider does anything in an
<Acronym Expansion="European Economic Area">EEA</Acronym>
State other than the United Kingdom which, if done in England and Wales or Northern Ireland, would constitute an offence under subsection
<InternalLink Ref="p00224">(2)</InternalLink>
.
</Text>
</P2para>
</P2>
<P2 id="p10670">
<Pnumber>4</Pnumber>
<P2para>
<Text>
Nothing in subsection
<InternalLink Ref="p00224">(2)</InternalLink>
makes it an offence for a service provider established outside the United Kingdom to do anything in the course of providing information society services.
</Text>
</P2para>
</P2>
<P2 id="p00225">
<Pnumber>5</Pnumber>
<P2para>
<Text>The regulations may make provision for a relevant display of tobacco products or their prices which also amounts to an advertisement to be treated for the purposes of offences in England and Wales or Northern Ireland under this Act—</Text>
<P3 id="p10672">
<Pnumber>a</Pnumber>
<P3para>
<Text>as an advertisement and not as a display, or</Text>
</P3para>
</P3>
<P3 id="p10673">
<Pnumber>b</Pnumber>
<P3para>
<Text>as a display and not as an advertisement.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10674">
<Pnumber>6</Pnumber>
<P2para>
<Text>
In subsection
<InternalLink Ref="p00225">(5)</InternalLink>
a “relevant display” means a display on a website where tobacco products are offered for sale.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</BlockAmendment>
</P1para>
</P1>
</P1group>
<P1group id="p00226">
<Title>Power to prohibit sales from vending machines</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/22/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/22" id="section-22">
<Pnumber>22</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/22/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/22/1" id="section-22-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
After section 3 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/1991/23" id="c00015" Year="1991" Class="UnitedKingdomPublicGeneralAct" Number="0023">Children and Young Persons (Protection from Tobacco) Act 1991 (c. 23)</Citation>
(sale of unpackaged cigarettes) insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P1group id="p10678">
<Title>Sales from vending machines in England and Wales</Title>
<P1 id="p10679">
<Pnumber>3A</Pnumber>
<P1para>
<P2 id="p00227">
<Pnumber>1</Pnumber>
<P2para>
<Text>The appropriate national authority may by regulations make provision prohibiting the sale of tobacco from an automatic machine in England and Wales.</Text>
</P2para>
</P2>
<P2 id="p00228">
<Pnumber>2</Pnumber>
<P2para>
<Text>The regulations must make provision as to the persons who are liable in the case of any breach of a prohibition.</Text>
</P2para>
</P2>
<P2 id="p10682">
<Pnumber>3</Pnumber>
<P2para>
<Text>Where a prohibition contained in the regulations is breached, any person liable in accordance with the regulations is guilty of an offence.</Text>
</P2para>
</P2>
<P2 id="p10683">
<Pnumber>4</Pnumber>
<P2para>
<Text>A person guilty of an offence under this section is liable on summary conviction to a fine not exceeding level 4 on the standard scale.</Text>
</P2para>
</P2>
<P2 id="p10684">
<Pnumber>5</Pnumber>
<P2para>
<Text>Sections 13, 14 and 15 of the Tobacco Advertising and Promotion Act 2002 (enforcement etc.) apply for the purposes of this section and regulations made under it as they apply for the purposes of provisions of that Act.</Text>
</P2para>
</P2>
<P2 id="p10685">
<Pnumber>6</Pnumber>
<P2para>
<Text>The power of the appropriate national authority to make regulations under this section—</Text>
<P3 id="p10686">
<Pnumber>a</Pnumber>
<P3para>
<Text>is exercisable by statutory instrument,</Text>
</P3para>
</P3>
<P3 id="p10687">
<Pnumber>b</Pnumber>
<P3para>
<Text>may be exercised to make different provision for different cases or circumstances, and</Text>
</P3para>
</P3>
<P3 id="p10688">
<Pnumber>c</Pnumber>
<P3para>
<Text>includes power to make supplementary, incidental, consequential or transitional provision.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10689">
<Pnumber>7</Pnumber>
<P2para>
<Text>A statutory instrument containing regulations made under this section may not be made—</Text>
<P3 id="p10690">
<Pnumber>a</Pnumber>
<P3para>
<Text>by the Secretary of State unless a draft of the instrument has been laid before, and approved by a resolution of, each House of Parliament, and</Text>
</P3para>
</P3>
<P3 id="p10691">
<Pnumber>b</Pnumber>
<P3para>
<Text>by the Welsh Ministers unless a draft of the instrument has been laid before, and approved by a resolution of, the National Assembly for Wales.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10692">
<Pnumber>8</Pnumber>
<P2para>
<Text>In this section—</Text>
<UnorderedList Decoration="none" Class="Definition">
<ListItem>
<Para>
<Text>“the appropriate national authority”—</Text>
<OrderedList Decoration="parens" Type="alpha">
<ListItem>
<Para>
<Text>in relation to England, means the Secretary of State; and</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>in relation to Wales, means the Welsh Ministers;</Text>
</Para>
</ListItem>
</OrderedList>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“tobacco” has the same meaning as in section 7 of the Children and Young Persons Act 1933.</Text>
</Para>
</ListItem>
</UnorderedList>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/22/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/22/2" id="section-22-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>
In section 12D(1) of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/1933/12" id="c00016" Year="1933" Class="UnitedKingdomPublicGeneralAct" Number="0012">Children and Young Persons Act 1933 (c. 12)</Citation>
(restricted premises orders and restricted sales orders: interpretation)—
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/22/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/22/2/a" id="section-22-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>omit “or” at the end of paragraph (a);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/22/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/22/2/b" id="section-22-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>after paragraph (b) insert</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double" PartialRefs="p10014">
<Text id="p10014">, or</Text>
<P3 id="p10696">
<Pnumber>c</Pnumber>
<P3para>
<Text>an offence committed under section 3A of the Children and Young Persons (Protection from Tobacco) Act 1991 in respect of any machine kept on any premises (which are accordingly “the premises in relation to which the offence is committed”).</Text>
</P3para>
</P3>
</BlockAmendment>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00229">
<Title>Power to prohibit sales from vending machines: Northern Ireland</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/23/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/23" id="section-23">
<Pnumber>23</Pnumber>
<P1para>
<Text>
After article 4 of the Children and Young Persons (Protection from Tobacco) (Northern Ireland) Order 1991 (
<Citation URI="http://www.legislation.gov.uk/id/nisi/1991/2872" id="c00017" Class="NorthernIrelandOrderInCouncil" Year="1991" Number="2872" AlternativeNumber="N.I 25">
<Acronym Expansion="Statutory Instrument">S.I.</Acronym>
1991/2872 (N.I. 25)
</Citation>
) (sale of unpackaged cigarettes) insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P1group id="p10699">
<Title>Sales from vending machines</Title>
<P1 id="p10700">
<Pnumber>4A</Pnumber>
<P1para>
<P2 id="p00230">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Department may by regulations make provision prohibiting the sale of tobacco from an automatic machine.</Text>
</P2para>
</P2>
<P2 id="p00231">
<Pnumber>2</Pnumber>
<P2para>
<Text>The regulations must make provision as to the persons who are liable in the case of any breach of a prohibition.</Text>
</P2para>
</P2>
<P2 id="p10703">
<Pnumber>3</Pnumber>
<P2para>
<Text>Where a prohibition contained in the regulations is breached, any person liable in accordance with the regulations is guilty of an offence.</Text>
</P2para>
</P2>
<P2 id="p10704">
<Pnumber>4</Pnumber>
<P2para>
<Text>A person guilty of an offence under this Article is liable on summary conviction to a fine not exceeding level 4 on the standard scale.</Text>
</P2para>
</P2>
<P2 id="p10705">
<Pnumber>5</Pnumber>
<P2para>
<Text>Sections 13, 14 and 15 of the Tobacco Advertising and Promotion Act 2002 (enforcement etc.) apply for the purposes of this Article and regulations made under it as they apply for the purposes of provisions of that Act.</Text>
</P2para>
</P2>
<P2 id="p10706">
<Pnumber>6</Pnumber>
<P2para>
<Text>The power to make regulations under this Article includes power to make supplementary, incidental, consequential or transitional provision.</Text>
</P2para>
</P2>
<P2 id="p10707">
<Pnumber>7</Pnumber>
<P2para>
<Text>Regulations may not be made under this Article unless a draft of the regulations has been laid before, and approved by a resolution of, the Assembly.</Text>
</P2para>
</P2>
<P2 id="p10708">
<Pnumber>8</Pnumber>
<P2para>
<Text>In this Article “tobacco” has the same meaning as in Part 2 of the Health and Personal Social Services (Northern Ireland) Order 1978.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</BlockAmendment>
</P1para>
</P1>
</P1group>
<P1group id="p00232">
<Title>Tobacco: minor and consequential amendments</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/24/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/24" id="section-24">
<Pnumber>24</Pnumber>
<P1para>
<Text>Schedule 4 (which makes minor and consequential amendments relating to the advertising and promotion of tobacco products) has effect.</Text>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/3/crossheading/pharmaceutical-services-in-england/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/3/crossheading/pharmaceutical-services-in-england" NumberOfProvisions="7" id="part-3-crossheading-pharmaceutical-services-in-england">
<Title>Pharmaceutical services in England</Title>
<P1group id="p00233">
<Title>Pharmaceutical needs assessments</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/25/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/25" id="section-25">
<Pnumber>25</Pnumber>
<P1para>
<Text>
After section 128 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00018" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P1group id="p10714">
<Title>Pharmaceutical needs assessments</Title>
<P1 id="p10715">
<Pnumber>128A</Pnumber>
<P1para>
<P2 id="p00234">
<Pnumber>1</Pnumber>
<P2para>
<Text>Each Primary Care Trust must in accordance with regulations—</Text>
<P3 id="p10717">
<Pnumber>a</Pnumber>
<P3para>
<Text>assess needs for pharmaceutical services in its area, and</Text>
</P3para>
</P3>
<P3 id="p10718">
<Pnumber>b</Pnumber>
<P3para>
<Text>publish a statement of its first assessment and of any revised assessment.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p00235">
<Pnumber>2</Pnumber>
<P2para>
<Text>The regulations must make provision—</Text>
<P3 id="p10720">
<Pnumber>a</Pnumber>
<P3para>
<Text>as to information which must be contained in a statement;</Text>
</P3para>
</P3>
<P3 id="p10721">
<Pnumber>b</Pnumber>
<P3para>
<Text>as to the extent to which an assessment must take account of likely future needs;</Text>
</P3para>
</P3>
<P3 id="p10722">
<Pnumber>c</Pnumber>
<P3para>
<Text>specifying the date by which a Primary Care Trust must publish the statement of its first assessment;</Text>
</P3para>
</P3>
<P3 id="p00236">
<Pnumber>d</Pnumber>
<P3para>
<Text>as to the circumstances in which a Primary Care Trust must make a new assessment.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10724">
<Pnumber>3</Pnumber>
<P2para>
<Text>The regulations may in particular make provision—</Text>
<P3 id="p10725">
<Pnumber>a</Pnumber>
<P3para>
<Text>as to the pharmaceutical services to which an assessment must relate;</Text>
</P3para>
</P3>
<P3 id="p10726">
<Pnumber>b</Pnumber>
<P3para>
<Text>requiring a Primary Care Trust to consult specified persons about specified matters when making an assessment;</Text>
</P3para>
</P3>
<P3 id="p10727">
<Pnumber>c</Pnumber>
<P3para>
<Text>as to the manner in which an assessment is to be made;</Text>
</P3para>
</P3>
<P3 id="p10728">
<Pnumber>d</Pnumber>
<P3para>
<Text>as to matters to which a Primary Care Trust must have regard when making an assessment.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</BlockAmendment>
</P1para>
</P1>
</P1group>
<P1group id="p00237">
<Title>New arrangements for entry to pharmaceutical list</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26" id="section-26">
<Pnumber>26</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/1" id="section-26-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Section 129 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00019" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006</Citation>
(regulations as to pharmaceutical services) is amended as follows.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/2" id="section-26-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>In subsection (2)(c), for the words from “may be granted” to “specified in the application,” substitute “must be granted if the Primary Care Trust is satisfied as mentioned in subsection (2A), and may otherwise be granted only if the Primary Care Trust is satisfied as mentioned in subsection (2B),”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/3" id="section-26-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>After subsection (2) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10734">
<Pnumber>2A</Pnumber>
<P2para>
<Text>The Primary Care Trust is satisfied as mentioned in this subsection if, having regard to its needs statement and to any matters prescribed by the Secretary of State in the regulations, it is satisfied that it is necessary to grant the application in order to meet a need in its area for the services or some of the services specified in the application.</Text>
</P2para>
</P2>
<P2 id="p10735">
<Pnumber>2B</Pnumber>
<P2para>
<Text>The Primary Care Trust is satisfied as mentioned in this subsection if, having regard to its needs statement and to any matters prescribed by the Secretary of State in the regulations, it is satisfied that to grant the application would secure improvements, or better access, to pharmaceutical services in its area.</Text>
</P2para>
</P2>
<P2 id="p10736">
<Pnumber>2C</Pnumber>
<P2para>
<Text>In relation to cases where the Primary Care Trust is satisfied as mentioned in subsection (2B), the regulations may make provision as to—</Text>
<P3 id="p10737">
<Pnumber>a</Pnumber>
<P3para>
<Text>the manner in which the Primary Care Trust is to determine whether to grant the application,</Text>
</P3para>
</P3>
<P3 id="p10738">
<Pnumber>b</Pnumber>
<P3para>
<Text>matters which the Primary Care Trust must or must not take into account for the purpose of determining whether to grant the application.</Text>
</P3para>
</P3>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/4" id="section-26-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>After subsection (3) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10740">
<Pnumber>3A</Pnumber>
<P2para>
<Text>The regulations may prescribe circumstances in which two or more applications referred to in subsection (2)(c)(i) or (ii) may be considered together by the Primary Care Trust.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/5" id="section-26-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>In subsection (4)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/5/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/5/a" id="section-26-5-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>for the words from “include” to “subsection (5) for” substitute “make provision for the Primary Care Trust to take into account prescribed matters in”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/5/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/5/b" id="section-26-5-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>omit paragraph (a);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/5/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/5/c" id="section-26-5-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>in paragraph (b), for “they” substitute “two or more applications referred to in subsection (2)(c)(i) or (ii)”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/5/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/5/d" id="section-26-5-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>in paragraph (c), for “subsection (2)(c)” substitute “subsection (2A) or (2B)”.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/6" id="section-26-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>After subsection (4) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10747">
<Pnumber>4A</Pnumber>
<P2para>
<Text>Regulations under subsection (4) may in particular make the provision mentioned in subsection (5), with or without modifications.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/7" id="section-26-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>In subsection (6), before paragraph (a) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P3 id="p10749">
<Pnumber>za</Pnumber>
<P3para>
<Text>for the circumstances and manner in which a Primary Care Trust may invite applications for inclusion in a pharmaceutical list,</Text>
</P3para>
</P3>
</BlockAmendment>
<AppendText>.</AppendText>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/26/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/26/8" id="section-26-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>After subsection (10) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10751">
<Pnumber>10A</Pnumber>
<P2para>
<Text>Primary Care Trusts must give reasons for decisions made by virtue of this section.</Text>
</P2para>
</P2>
<P2 id="p10752">
<Pnumber>10B</Pnumber>
<P2para>
<Text>In this section a “needs statement” means the statement required by section 128A(1)(b) as most recently published by the relevant Primary Care Trust.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00240">
<Title>Pharmaceutical lists: minor amendment</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/27/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/27" id="section-27">
<Pnumber>27</Pnumber>
<P1para>
<Text>
In section 129(6) of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00020" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
(regulations as to pharmaceutical services), in paragraph (d), for “such an application” substitute “an application to a Primary Care Trust”.
</Text>
</P1para>
</P1>
</P1group>
<P1group id="p00241">
<Title>Breach of terms of arrangements: notices and penalties</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/28/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/28" id="section-28">
<Pnumber>28</Pnumber>
<P1para>
<Text>
In Part 7 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00021" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006</Citation>
, before Chapter 6 (disqualification) insert—
</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<Chapter id="p10757">
<Number>Chapter 5A</Number>
<Title>Notices and penalties</Title>
<P1group id="p00242">
<Title>Notices and penalties</Title>
<P1 id="p10759">
<Pnumber>150A</Pnumber>
<P1para>
<P2 id="p00243">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may by regulations provide that where a practitioner who provides pharmaceutical services under arrangements with a Primary Care Trust breaches a term of those arrangements, the Primary Care Trust may—</Text>
<P3 id="p00244">
<Pnumber>a</Pnumber>
<P3para>
<Text>by a notice require the practitioner to do, or not do, specified things or things of a specified description within a specified period, or</Text>
</P3para>
</P3>
<P3 id="p10762">
<Pnumber>b</Pnumber>
<P3para>
<Text>in prescribed circumstances or for a prescribed period, withhold all or part of a payment due to the practitioner under the arrangements.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10763">
<Pnumber>2</Pnumber>
<P2para>
<Text>Regulations under this section must include provision conferring on such persons as may be prescribed rights of appeal from decisions of Primary Care Trusts made by virtue of this section.</Text>
</P2para>
</P2>
<P2 id="p10764">
<Pnumber>3</Pnumber>
<P2para>
<Text>In this section—</Text>
<UnorderedList Decoration="none" Class="Definition">
<ListItem>
<Para>
<Text>“practitioner” means a person included in a pharmaceutical list, and</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>
“specified” means specified in a notice under paragraph
<InternalLink Ref="p00244">(a)</InternalLink>
of subsection
<InternalLink Ref="p00243">(1)</InternalLink>
.
</Text>
</Para>
</ListItem>
</UnorderedList>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Chapter>
</BlockAmendment>
</P1para>
</P1>
</P1group>
<P1group id="p00245">
<Title>
<Acronym Expansion="Local Pharmaceutical Services">LPS</Acronym>
schemes: powers of Primary Care Trusts and Strategic Health Authorities
</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29" id="section-29">
<Pnumber>29</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/1" id="section-29-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
The
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00022" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006</Citation>
is amended as follows.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/2" id="section-29-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>In section 15 (Strategic Health Authorities’ directions), in subsection (2), after “section 107 arrangements” insert “or LPS schemes”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/3" id="section-29-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>In section 16 (section 92 arrangements and section 107 arrangements)—</Text>
</P2para>
</P2>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/a" id="section-29-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>in subsection (1), after “section 107 arrangements” insert “and LPS schemes”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/b" id="section-29-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>in the heading, after “section 107 arrangements” insert “and LPS schemes”.</Text>
</P3para>
</P3>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/4" id="section-29-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>In section 144 (local pharmaceutical services schemes), after “Primary Care Trusts” insert “or Strategic Health Authorities”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/5" id="section-29-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>Schedule 12 (LPS schemes) is amended as follows.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/6" id="section-29-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>Paragraph 1 is amended as follows.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/7" id="section-29-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>In sub-paragraph (1), after “Primary Care Trusts” insert “or Strategic Health Authorities”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/8" id="section-29-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>In sub-paragraph (2)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/8/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/8/a" id="section-29-8-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>in paragraph (a), after “Primary Care Trust” insert “or Strategic Health Authority (the “commissioning body”)”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/8/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/8/b" id="section-29-8-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>in paragraph (b), for “Primary Care Trust),” substitute “commissioning body).”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/8/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/8/c" id="section-29-8-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>omit paragraph (c) and the word “and” immediately before it.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/9/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/9" id="section-29-9">
<Pnumber>9</Pnumber>
<P2para>
<Text>After sub-paragraph (2) insert—</Text>
<BlockAmendment TargetClass="primary" Context="schedule" TargetSubClass="unknown" Format="double">
<P2 id="p10781">
<Pnumber>2A</Pnumber>
<P2para>
<Text>A Strategic Health Authority may establish an LPS scheme only where the only other parties are Primary Care Trusts.</Text>
</P2para>
</P2>
<P2 id="p10782">
<Pnumber>2B</Pnumber>
<P2para>
<Text>A Primary Care Trust may provide local pharmaceutical services under an LPS scheme (where it is not the commissioning body), but only in prescribed circumstances.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/10/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/10" id="section-29-10">
<Pnumber>10</Pnumber>
<P2para>
<Text>In sub-paragraph (5), for “made by it” substitute “in its area”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/11/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/11" id="section-29-11">
<Pnumber>11</Pnumber>
<P2para>
<Text>In sub-paragraph (6), for “and an NHS foundation trust” substitute “, an NHS foundation trust and a Primary Care Trust”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/12/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/12" id="section-29-12">
<Pnumber>12</Pnumber>
<P2para>
<Text>In paragraph 2, in sub-paragraph (1), after “Primary Care Trust” insert “or Strategic Health Authority”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/13/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/13" id="section-29-13">
<Pnumber>13</Pnumber>
<P2para>
<Text>Paragraph 3 is amended as follows.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/14/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/14" id="section-29-14">
<Pnumber>14</Pnumber>
<P2para>
<Text>In sub-paragraph (2), for “Primary Care Trusts” substitute “the commissioning body”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/29/15/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/29/15" id="section-29-15">
<Pnumber>15</Pnumber>
<P2para>
<Text>In sub-paragraph (3)(k), after “Primary Care Trusts” insert “or Strategic Health Authorities”.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/3/crossheading/pharmaceutical-services-in-wales/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/3/crossheading/pharmaceutical-services-in-wales" NumberOfProvisions="4" id="part-3-crossheading-pharmaceutical-services-in-wales">
<Title>Pharmaceutical services in Wales</Title>
<P1group id="p00246">
<Title>Pharmaceutical lists: minor amendment</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/30/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/30" id="section-30">
<Pnumber>30</Pnumber>
<P1para>
<Text>
In section 83(6) of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/42" id="c00023" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0042">National Health Service (Wales) Act 2006 (c. 42)</Citation>
(regulations as to pharmaceutical services), in paragraph (d), for “such an application” substitute “an application to a Local Health Board”.
</Text>
</P1para>
</P1>
</P1group>
<P1group id="p00247">
<Title>Breach of terms of arrangements: notices and penalties</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/31/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/31" id="section-31">
<Pnumber>31</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/31/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/31/1" id="section-31-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>In Part 8 of the National Health Service (Wales) Act 2006, before Chapter 2 (disqualification) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<Chapter id="p10795">
<Number>Chapter 1A</Number>
<Title>Notices and penalties</Title>
<P1group id="p00248">
<Title>Notices and penalties</Title>
<P1 id="p10797">
<Pnumber>106A</Pnumber>
<P1para>
<P2 id="p00249">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Welsh Ministers may by regulations provide that where a practitioner who provides pharmaceutical services or general ophthalmic services under arrangements with a Local Health Board breaches a term of those arrangements, the Local Health Board may—</Text>
<P3 id="p00250">
<Pnumber>a</Pnumber>
<P3para>
<Text>by a notice require the practitioner to do, or not do, specified things or things of a specified description within a specified period, or</Text>
</P3para>
</P3>
<P3 id="p10800">
<Pnumber>b</Pnumber>
<P3para>
<Text>in prescribed circumstances or for a prescribed period, withhold all or part of a payment due to the practitioner under the arrangements.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 id="p10801">
<Pnumber>2</Pnumber>
<P2para>
<Text>Regulations under this section must include provision conferring on such persons as may be prescribed rights of appeal from decisions of Local Health Boards made by virtue of this section.</Text>
</P2para>
</P2>
<P2 id="p10802">
<Pnumber>3</Pnumber>
<P2para>
<Text>In this section—</Text>
<UnorderedList Decoration="none" Class="Definition">
<ListItem>
<Para>
<Text>“practitioner” means a person included in an ophthalmic list or a pharmaceutical list, and</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>
“specified” means specified in a notice under paragraph
<InternalLink Ref="p00250">(a)</InternalLink>
of subsection
<InternalLink Ref="p00249">(1)</InternalLink>
.
</Text>
</Para>
</ListItem>
</UnorderedList>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Chapter>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/31/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/31/2" id="section-31-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>In section 107(9) of that Act, after “included in” insert “an ophthalmic list or”.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00251">
<Title>LPS schemes: powers of Local Health Boards</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32" id="section-32">
<Pnumber>32</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32/1" id="section-32-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Schedule 7 to the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/42" id="c00024" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0042">National Health Service (Wales) Act 2006 (c. 42)</Citation>
(LPS schemes) is amended as follows.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32/2" id="section-32-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>In paragraph 1, in sub-paragraph (2)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32/2/a" id="section-32-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>in paragraph (a), after “Local Health Board” insert “(the “commissioning body”)”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32/2/b" id="section-32-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>in paragraph (b), for “Local Health Board),” substitute “commissioning body).”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/2/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32/2/c" id="section-32-2-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>omit paragraph (c) and the word “and” immediately before it.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32/3" id="section-32-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>After sub-paragraph (2) insert—</Text>
<BlockAmendment TargetClass="primary" Context="schedule" TargetSubClass="unknown" Format="double">
<P2 id="p10812">
<Pnumber>2A</Pnumber>
<P2para>
<Text>A Local Health Board may provide local pharmaceutical services under an LPS scheme (where it is not the commissioning body), but only in prescribed circumstances.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32/4" id="section-32-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>In sub-paragraph (6), for “and an NHS foundation trust” substitute “, an NHS foundation trust and a Local Health Board”.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/32/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/32/5" id="section-32-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>In paragraph 3(2), for “Local Health Boards” substitute “the commissioning body”.</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/3/crossheading/private-patient-income/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/3/crossheading/private-patient-income" NumberOfProvisions="1" id="part-3-crossheading-private-patient-income">
<Title>Private patient income</Title>
<P1group id="p00252">
<Title>Private patient income of mental health foundation trusts</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/33/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/33" id="section-33">
<Pnumber>33</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/33/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/33/1" id="section-33-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>
Section 44 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00025" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
(private health care) is amended as follows.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/33/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/33/2" id="section-33-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>In subsection (2)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/33/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/33/2/a" id="section-33-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>after “not greater than” insert “— (a)”;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/33/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/33/2/b" id="section-33-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>at the end insert</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double" PartialRefs="p10026">
<Text id="p10026">, or</Text>
<P3 id="p10822">
<Pnumber>b</Pnumber>
<P3para>
<Text>in the case of a mental health foundation trust designated under subsection (2A), that proportion or 1.5% if greater.</Text>
</P3para>
</P3>
</BlockAmendment>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/33/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/33/3" id="section-33-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>After subsection (2) insert—</Text>
<BlockAmendment TargetClass="primary" Context="main" TargetSubClass="unknown" Format="double">
<P2 id="p10824">
<Pnumber>2A</Pnumber>
<P2para>
<Text>An authorisation of an NHS foundation trust which was an NHS trust must designate it as a mental health foundation trust for the purposes of this section if it appears to the regulator that it provides goods or services only or mainly for the prevention, diagnosis or treatment of any disorder or disability of the mind or for the benefit in any other way of people suffering from a disorder or disability of the mind.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/3/crossheading/optical-appliances/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/3/crossheading/optical-appliances" NumberOfProvisions="1" id="part-3-crossheading-optical-appliances">
<Title>Optical appliances</Title>
<P1group id="p00253">
<Title>Payments in respect of costs of optical appliances</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/34/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/34" id="section-34">
<Pnumber>34</Pnumber>
<P1para>
<Text>
Section 180(2)(c) of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00026" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006</Citation>
(payments in respect of costs of optical appliances for persons aged 60 or over) is omitted.
</Text>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/3/crossheading/adult-social-care/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/3/crossheading/adult-social-care" NumberOfProvisions="1" id="part-3-crossheading-adult-social-care">
<Title>Adult social care</Title>
<P1group id="p00254">
<Title>Investigation of complaints about privately arranged or funded adult social care</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/35/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/35" id="section-35">
<Pnumber>35</Pnumber>
<P1para>
<Text>
Schedule 5 (which inserts a new Part 3A into the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/1974/7" id="c00027" Year="1974" Class="UnitedKingdomPublicGeneralAct" Number="0007">Local Government Act 1974 (c. 7)</Citation>
to give the Commission for Local Administration in England powers to investigate complaints about privately arranged or funded adult social care and which makes consequential amendments) has effect.
</Text>
</P1para>
</P1>
</P1group>
</Pblock>
<Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/3/crossheading/disclosure-of-information/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/3/crossheading/disclosure-of-information" NumberOfProvisions="1" id="part-3-crossheading-disclosure-of-information">
<Title>Disclosure of information</Title>
<P1group id="p00255">
<Title>Disclosure of information by Her Majesty’s Revenue and Customs</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36" id="section-36">
<Pnumber>36</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/1" id="section-36-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>This section applies to information held by Her Majesty’s Revenue and Customs for the purposes of functions relating to income tax.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/2" id="section-36-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Information to which this section applies may be disclosed by Her Majesty’s Revenue and Customs to the persons listed in subsection
<InternalLink id="i00221" Ref="section-36-3" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/3" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/3/enacted">(3)</InternalLink>
for use for the purposes of functions in connection with the analysis or dissemination of information relating to the income or expenses of dental practitioners or general medical practitioners.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/3" id="section-36-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>The persons are—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/3/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/3/a" id="section-36-3-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>the Secretary of State;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/3/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/3/b" id="section-36-3-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>the Welsh Ministers;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/3/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/3/c" id="section-36-3-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>the Scottish Ministers;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/3/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/3/d" id="section-36-3-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>the Department of Health, Social Services and Public Safety in Northern Ireland;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/3/e/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/3/e" id="section-36-3-e">
<Pnumber>e</Pnumber>
<P3para>
<Text>persons providing services to or exercising functions on behalf of any of those persons.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/4" id="section-36-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>Information may be disclosed under this section only in the form of a summary or collection of information so framed as not to enable information relating to a particular person to be ascertained from it.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/36/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/36/5" id="section-36-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>In this section—</Text>
<UnorderedList Decoration="none" Class="Definition">
<ListItem>
<Para>
<Text>
“dental practitioner” means a person registered in the dentists register under the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/1984/24" id="c00028" Year="1984" Class="UnitedKingdomPublicGeneralAct" Number="0024">Dentists Act 1984 (c. 24)</Citation>
;
</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“general medical practitioner” means a person registered in the General Practitioner Register kept by the General Medical Council.</Text>
</Para>
</ListItem>
</UnorderedList>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
</Part>
<Part DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/part/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/part/4" NumberOfProvisions="5" id="part-4">
<Number>Part 4</Number>
<Title>General</Title>
<P1group id="p00259">
<Title>Power to make transitional and consequential provision etc</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37" id="section-37">
<Pnumber>37</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/1" id="section-37-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>The Secretary of State may by order make—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/1/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/1/a" id="section-37-1-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>such transitional or transitory provisions or savings as the Secretary of State considers appropriate in connection with the coming into force of any provision of this Act;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/1/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/1/b" id="section-37-1-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>such supplementary, incidental or consequential provision as the Secretary of State considers appropriate for the purposes of, in consequence of, or for giving full effect to, any provision of this Act.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/2" id="section-37-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Subsection
<InternalLink id="i00222" Ref="section-37-1-a" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/1/a" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/1/a/enacted">(1)(a)</InternalLink>
does not apply to—
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/2/a" id="section-37-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>
section 19 and Schedule 3, so far as they relate to amendments of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/42" id="c00029" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0042">National Health Service (Wales) Act 2006 (c. 42)</Citation>
;
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/2/b" id="section-37-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>sections 20 to 24 and Schedule 4, so far as they relate to Wales or Northern Ireland;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/2/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/2/c" id="section-37-2-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>sections 30 to 32.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/3" id="section-37-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>The Welsh Ministers may by order make such transitional or transitory provisions or savings as the Welsh Ministers consider appropriate in connection with the coming into force of—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/3/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/3/a" id="section-37-3-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>
section 19 and Schedule 3, so far as they relate to amendments of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/42" id="c00030" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0042">National Health Service (Wales) Act 2006</Citation>
;
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/3/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/3/b" id="section-37-3-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>sections 20 to 24 and Schedule 4, so far as they relate to Wales;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/3/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/3/c" id="section-37-3-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>sections 30 to 32.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/4" id="section-37-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>The Department of Health, Social Services and Public Safety in Northern Ireland may by order make such transitional or transitory provisions or savings as the Department considers appropriate in connection with the coming into force of sections 20 to 24 and Schedule 4, so far as they relate to Northern Ireland.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/5" id="section-37-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>An order under this section may amend, repeal, revoke or otherwise modify any enactment.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/6" id="section-37-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>An order under this section may, in particular, provide for any provision of this Act which comes into force before another such provision has come into force to have effect, until that other provision has come into force, with such modifications as are specified in the order.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/7" id="section-37-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>
The power to make an order under subsection
<InternalLink id="i00223" Ref="section-37-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/1/enacted">(1)</InternalLink>
or
<InternalLink id="i00224" Ref="section-37-3" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/3" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/3/enacted">(3)</InternalLink>
is exercisable by statutory instrument.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/8" id="section-37-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>
The power to make an order under subsection
<InternalLink id="i00225" Ref="section-37-4" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/4" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/4/enacted">(4)</InternalLink>
is exercisable by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979 (
<Citation URI="http://www.legislation.gov.uk/id/nisi/1979/1573" id="c00031" Class="NorthernIrelandOrderInCouncil" Year="1979" Number="1573" AlternativeNumber="N.I 12">S.I. 1979/1573 (N.I. 12)</Citation>
).
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/9/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/9" id="section-37-9">
<Pnumber>9</Pnumber>
<P2para>
<Text>
A statutory instrument containing an order under subsection
<InternalLink id="i00226" Ref="section-37-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/1/enacted">(1)</InternalLink>
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/9/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/9/a" id="section-37-9-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>if it amends or repeals an enactment contained in an Act of Parliament, may not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/9/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/9/b" id="section-37-9-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>in any other case, is subject to annulment in pursuance of a resolution of either House of Parliament.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/10/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/10" id="section-37-10">
<Pnumber>10</Pnumber>
<P2para>
<Text>
A statutory instrument containing an order under subsection
<InternalLink id="i00227" Ref="section-37-3" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/3" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/3/enacted">(3)</InternalLink>
is subject to annulment in pursuance of a resolution of the National Assembly for Wales.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/11/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/11" id="section-37-11">
<Pnumber>11</Pnumber>
<P2para>
<Text>
A statutory rule containing an order under subsection
<InternalLink id="i00228" Ref="section-37-4" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/4" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/4/enacted">(4)</InternalLink>
is subject to negative resolution within the meaning of section 41(6) of the
<Citation URI="http://www.legislation.gov.uk/id/apni/1954/33" id="c00032" Class="NorthernIrelandParliamentAct" Year="1954" Number="0033">Interpretation Act (Northern Ireland) 1954 (c. 33 (N.I.))</Citation>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/12/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/12" id="section-37-12">
<Pnumber>12</Pnumber>
<P2para>
<Text>In this section “enactment” means an enactment contained in, or in an instrument made under—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/12/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/12/a" id="section-37-12-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>an Act of Parliament,</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/12/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/12/b" id="section-37-12-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>a Measure or Act of the National Assembly for Wales, or</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/37/12/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/37/12/c" id="section-37-12-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>Northern Ireland legislation.</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00268">
<Title>Repeals and revocations</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/38/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/38" id="section-38">
<Pnumber>38</Pnumber>
<P1para>
<Text>Schedule 6 (repeals and revocations) has effect.</Text>
</P1para>
</P1>
</P1group>
<P1group id="p00269">
<Title>Extent</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/39/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/39" id="section-39">
<Pnumber>39</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/39/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/39/1" id="section-39-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>Subject to the following provisions, this Act extends to England and Wales only.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/39/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/39/2" id="section-39-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>Any amendment, repeal or revocation made by this Act has the same extent as the enactment amended, repealed or revoked.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/39/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/39/3" id="section-39-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>The following extend to England and Wales, Scotland and Northern Ireland—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/39/3/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/39/3/a" id="section-39-3-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>section 36;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/39/3/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/39/3/b" id="section-39-3-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>this section and sections 37, 40 and 41;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/39/3/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/39/3/c" id="section-39-3-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>paragraph 19 of Schedule 3 (and section 19 so far as it relates to that paragraph);</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/39/3/d/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/39/3/d" id="section-39-3-d">
<Pnumber>d</Pnumber>
<P3para>
<Text>paragraphs 4(6) and 9(4) of Schedule 4 (and section 24 so far as it relates to those provisions).</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00271">
<Title>Commencement</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40" id="section-40">
<Pnumber>40</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/1/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/1" id="section-40-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>Subject to the following provisions, this Act comes into force on such day as the Secretary of State may by order made by statutory instrument appoint.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/2/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/2" id="section-40-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>
Subject to subsections
<InternalLink id="i00229" Ref="section-40-5" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/5" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/5/enacted">(5)</InternalLink>
to
<InternalLink id="i00230" Ref="section-40-7" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/7" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/7/enacted">(7)</InternalLink>
, the following come into force on such day as the Welsh Ministers may by order made by statutory instrument appoint—
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/2/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/2/a" id="section-40-2-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>
section 19 and Schedule 3, so far as they relate to amendments of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/42" id="c00033" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0042">National Health Service (Wales) Act 2006 (c. 42)</Citation>
;
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/2/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/2/b" id="section-40-2-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>sections 20 to 24 and Schedule 4, so far as they relate to Wales;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/2/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/2/c" id="section-40-2-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>sections 30 to 32.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/3/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/3" id="section-40-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>
Subject to subsections
<InternalLink id="i00231" Ref="section-40-5" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/5" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/5/enacted">(5)</InternalLink>
to
<InternalLink id="i00232" Ref="section-40-7" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/7" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/7/enacted">(7)</InternalLink>
, sections 20 to 24 and Schedule 4, so far as they relate to Northern Ireland, come into force on such day as the Department of Health, Social Services and Public Safety in Northern Ireland may appoint by order made by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979 (
<Citation URI="http://www.legislation.gov.uk/id/nisi/1979/1573" id="c00034" Class="NorthernIrelandOrderInCouncil" Year="1979" Number="1573" AlternativeNumber="N.I 12">S.I. 1979/1573 (N.I. 12)</Citation>
).
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/4/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/4" id="section-40-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>
Different days may be appointed under subsections
<InternalLink id="i00233" Ref="section-40-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/1/enacted">(1)</InternalLink>
to
<InternalLink id="i00234" Ref="section-40-3" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/3" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/3/enacted">(3)</InternalLink>
for different purposes or different areas.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/5/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/5" id="section-40-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>The following come into force on the day on which this Act is passed—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/5/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/5/a" id="section-40-5-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>paragraph 9(2) and (4) of Schedule 4;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/5/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/5/b" id="section-40-5-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>a repeal or revocation made by Schedule 6 connected to the repeal made by paragraph 9(2) of Schedule 4;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/5/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/5/c" id="section-40-5-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>this section and sections 37, 39 and 41.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/6/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/6" id="section-40-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>The following come into force, for the purposes of making regulations, on the day on which this Act is passed—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/6/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/6/a" id="section-40-6-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>
sections 8, 9
<InternalLink id="i00235" Ref="section-9-5" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/9/5" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/9/5/enacted">(5)</InternalLink>
and 10;
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/6/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/6/b" id="section-40-6-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>sections 20 to 23;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/6/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/6/c" id="section-40-6-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>paragraphs 11 and 12 of Schedule 4.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/7/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/7" id="section-40-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>The following come into force at the end of the period of 2 months beginning with the day on which this Act is passed—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/7/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/7/a" id="section-40-7-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>section 34;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/7/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/7/b" id="section-40-7-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>paragraphs 1, 4(3), (4) and (6), 5, 6(3), 7(2) and 9(3) of Schedule 4;</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/7/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/7/c" id="section-40-7-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>
paragraph 13 of that Schedule for the purposes of sections 8, 9 and 11 of the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2002/36" id="c00035" Year="2002" Class="UnitedKingdomPublicGeneralAct" Number="0036">Tobacco Advertising and Promotion Act 2002 (c. 36)</Citation>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/8/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/8" id="section-40-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>
Where any particular provision or provisions of a Schedule come into force in accordance with subsection
<InternalLink id="i00236" Ref="section-40-5" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/5" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/5/enacted">(5)</InternalLink>
,
<InternalLink id="i00237" Ref="section-40-6" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/6" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/6/enacted">(6)</InternalLink>
or
<InternalLink id="i00238" Ref="section-40-7" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/7" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/7/enacted">(7)</InternalLink>
, the section introducing the Schedule also comes into force in accordance with that subsection so far as relating to the particular provision or provisions.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/9/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/9" id="section-40-9">
<Pnumber>9</Pnumber>
<P2para>
<Text>
The Secretary of State must not make an order under subsection
<InternalLink id="i00239" Ref="section-40-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/1/enacted">(1)</InternalLink>
which relates to amendments to the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/1968/67" id="c00036" Year="1968" Class="UnitedKingdomPublicGeneralAct" Number="0067">Medicines Act 1968 (c. 67)</Citation>
made by Schedule 3 unless the Secretary of State first consults the Department of Health, Social Services and Public Safety in Northern Ireland.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/10/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/10" id="section-40-10">
<Pnumber>10</Pnumber>
<P2para>
<Text>
The Secretary of State must not make an order under subsection
<InternalLink id="i00240" Ref="section-40-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/1/enacted">(1)</InternalLink>
which relates to amendments to the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2004/17" id="c00037" Year="2004" Class="UnitedKingdomPublicGeneralAct" Number="0017">Health Protection Agency Act 2004 (c. 17)</Citation>
made by Schedule 3 unless the Secretary of State first consults—
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/10/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/10/a" id="section-40-10-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>the Welsh Ministers,</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/10/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/10/b" id="section-40-10-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>the Scottish Ministers, and</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/10/c/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/10/c" id="section-40-10-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>the Department of Health, Social Services and Public Safety in Northern Ireland.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/11/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/11" id="section-40-11">
<Pnumber>11</Pnumber>
<P2para>
<Text>
The Secretary of State must not make an order under subsection
<InternalLink id="i00241" Ref="section-40-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/1/enacted">(1)</InternalLink>
which relates to amendments made to
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2004/30" id="c00038" Year="2004" Class="UnitedKingdomPublicGeneralAct" Number="0030">Human Tissue Act 2004 (c. 30)</Citation>
by Schedule 3 unless the Secretary of State first consults—
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/11/a/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/11/a" id="section-40-11-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>the Welsh Ministers, and</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/11/b/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/11/b" id="section-40-11-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>the Department of Health, Social Services and Public Safety in Northern Ireland.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/12/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/12" id="section-40-12">
<Pnumber>12</Pnumber>
<P2para>
<Text>
The Secretary of State must not make an order under subsection
<InternalLink id="i00242" Ref="section-40-1" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/1" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/1/enacted">(1)</InternalLink>
which relates to amendments made by Schedule 3 to Schedule 6 or 19 to the
<Citation URI="http://www.legislation.gov.uk/id/ukpga/2006/41" id="c00039" Year="2006" Class="UnitedKingdomPublicGeneralAct" Number="0041">National Health Service Act 2006 (c. 41)</Citation>
unless the Secretary of State first consults the Welsh Ministers.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/13/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/13" id="section-40-13">
<Pnumber>13</Pnumber>
<P2para>
<Text>
The Welsh Ministers must not make an order under subsection
<InternalLink id="i00243" Ref="section-40-2-a" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/40/2/a" DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/40/2/a/enacted">(2)(a)</InternalLink>
unless they first consult the Secretary of State.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group id="p00278">
<Title>Short title</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2009/21/section/41/enacted" IdURI="http://www.legislation.gov.uk/id/ukpga/2009/21/section/41" id="section-41">
<Pnumber>41</Pnumber>
<P1para>
<Text>This Act may be cited as the Health Act 2009.</Text>
</P1para>
</P1>
</P1group>
</Part>
</Body>
</Primary>
</Legislation>