http://www.legislation.gov.uk/ukpga/2012/7/section/175/2022-07-01Health and Social Care Act 2012An Act to establish and make provision about a National Health Service Commissioning Board and clinical commissioning groups and to make other provision about the National Health Service in England; to make provision about public health in the United Kingdom; to make provision about regulating health and adult social care services; to make provision about public involvement in health and social care matters, scrutiny of health matters by local authorities and co-operation between local authorities and commissioners of health care services; to make provision about regulating health and social care workers; to establish and make provision about a National Institute for Health and Care Excellence; to establish and make provision about a Health and Social Care Information Centre and to make other provision about information relating to health or social care matters; to abolish certain public bodies involved in health or social care; to make other provision about health care; and for connected purposes.texttext/xmlenStatute Law Database2024-07-23Expert Participation2022-07-01 PART 4 <Acronym Expansion="National Health Service">NHS</Acronym> foundation trusts & NHS trusts<Emphasis>Failure</Emphasis>Objective of trust special administration1751After section 65D of the National Health Service Act 2006 insert—Objective of trust special administration65DA1The objective of a trust special administration is to secure—athe continued provision of such of the services provided for the purposes of the NHS by the NHS foundation trust that is subject to an order under section 65D(2), at such level, as the commissioners of those services determine, andbthat it becomes unnecessary for the order to remain in force for that purpose.2The commissioners may determine that the objective set out in subsection (1) is to apply to a service only if they are satisfied that the criterion in subsection (3) is met.3The criterion is that ceasing to provide the service under this Act would, in the absence of alternative arrangements for its provision under this Act, be likely to—ahave a significant adverse impact on the health of persons in need of the service or significantly increase health inequalities, orbcause a failure to prevent or ameliorate either a significant adverse impact on the health of such persons or a significant increase in health inequalities.4In determining whether that criterion is met, the commissioners must (in so far as they would not otherwise be required to do so) have regard to—athe current and future need for the provision of the service under this Act,bwhether ceasing to provide the service under this Act would significantly reduce equality between those for whom the commissioner arranges for the provision of services under this Act with respect to their ability to access services so provided, andcsuch other matters as may be specified in relation to NHS foundation trusts in guidance published by the regulator.5The regulator may revise guidance under subsection (4)(c) and, if it does so, must publish the guidance as revised.6Before publishing guidance under subsection (4)(c) or (5), the regulator must obtain the approval of—athe Secretary of State;bthe Board.7The Board must make arrangements for facilitating agreement between commissioners in determining the services provided by the trust under this Act to which the objective set out in subsection (1) is to apply.8Where commissioners fail to reach agreement in pursuance of arrangements under subsection (7), the Board may make the determination (and the duty imposed by subsection (1)(a), so far as applying to the commissioners concerned, is to be regarded as discharged).9In this section—commissioners” means the persons to which the trust provides services under this Act, andhealth inequalities” means the inequalities between persons with respect to the outcomes achieved for them by the provision of services that are provided as part of the health service.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S. 175 in force at 1.11.2012 by S.I. 2012/2657, art. 2(2)S. 175(2) omitted (1.7.2022) by virtue of Health and Care Act 2022 (c. 31), s. 186(6), Sch. 5 para. 93; S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
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<Number>
<Strong>PART 4</Strong>
</Number>
<Title>
<Acronym Expansion="National Health Service">NHS</Acronym>
foundation trusts & NHS trusts
</Title>
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<Title>
<Emphasis>Failure</Emphasis>
</Title>
<P1group RestrictStartDate="2022-07-01">
<Title>Objective of trust special administration</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2012/7/section/175/2022-07-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2012/7/section/175" id="section-175">
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175
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<P1para>
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<Pnumber>1</Pnumber>
<P2para>
<Text>After section 65D of the National Health Service Act 2006 insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P1group>
<Title>Objective of trust special administration</Title>
<P1>
<Pnumber PuncAfter="">65DA</Pnumber>
<P1para>
<P2>
<Pnumber>1</Pnumber>
<P2para>
<Text>The objective of a trust special administration is to secure—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>the continued provision of such of the services provided for the purposes of the NHS by the NHS foundation trust that is subject to an order under section 65D(2), at such level, as the commissioners of those services determine, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>that it becomes unnecessary for the order to remain in force for that purpose.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>2</Pnumber>
<P2para>
<Text>The commissioners may determine that the objective set out in subsection (1) is to apply to a service only if they are satisfied that the criterion in subsection (3) is met.</Text>
</P2para>
</P2>
<P2>
<Pnumber>3</Pnumber>
<P2para>
<Text>The criterion is that ceasing to provide the service under this Act would, in the absence of alternative arrangements for its provision under this Act, be likely to—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>have a significant adverse impact on the health of persons in need of the service or significantly increase health inequalities, or</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>cause a failure to prevent or ameliorate either a significant adverse impact on the health of such persons or a significant increase in health inequalities.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>4</Pnumber>
<P2para>
<Text>In determining whether that criterion is met, the commissioners must (in so far as they would not otherwise be required to do so) have regard to—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>the current and future need for the provision of the service under this Act,</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>whether ceasing to provide the service under this Act would significantly reduce equality between those for whom the commissioner arranges for the provision of services under this Act with respect to their ability to access services so provided, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>c</Pnumber>
<P3para>
<Text>such other matters as may be specified in relation to NHS foundation trusts in guidance published by the regulator.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>5</Pnumber>
<P2para>
<Text>The regulator may revise guidance under subsection (4)(c) and, if it does so, must publish the guidance as revised.</Text>
</P2para>
</P2>
<P2>
<Pnumber>6</Pnumber>
<P2para>
<Text>Before publishing guidance under subsection (4)(c) or (5), the regulator must obtain the approval of—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>the Secretary of State;</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>the Board.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>7</Pnumber>
<P2para>
<Text>The Board must make arrangements for facilitating agreement between commissioners in determining the services provided by the trust under this Act to which the objective set out in subsection (1) is to apply.</Text>
</P2para>
</P2>
<P2>
<Pnumber>8</Pnumber>
<P2para>
<Text>Where commissioners fail to reach agreement in pursuance of arrangements under subsection (7), the Board may make the determination (and the duty imposed by subsection (1)(a), so far as applying to the commissioners concerned, is to be regarded as discharged).</Text>
</P2para>
</P2>
<P2>
<Pnumber>9</Pnumber>
<P2para>
<Text>In this section—</Text>
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<Para>
<Text>
<Term>commissioners</Term>
” means the persons to which the trust provides services under this Act, and
</Text>
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</ListItem>
<ListItem>
<Para>
<Text>
<Term>health inequalities</Term>
” means the inequalities between persons with respect to the outcomes achieved for them by the provision of services that are provided as part of the health service.
</Text>
</Para>
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<Pnumber>
<CommentaryRef Ref="key-9eac12c416fafa55907825c0b1b0b0d1"/>
2
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<P2para>
<Text>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</Text>
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</P2>
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<Para>
<Text>
S. 175 in force at 1.11.2012 by
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,
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</Text>
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<Para>
<Text>
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omitted (1.7.2022) by virtue of
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,
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,
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;
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,
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,
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(with
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,
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