PART 1The health service in England
Further provision about the Board
23The NHS Commissioning Board: further provision
(1)
“CHAPTER A1The National Health Service Commissioning Board
Secretary of State’s mandate to the Board
13AMandate to Board
(1)
Before the start of each financial year, the Secretary of State must publish and lay before Parliament a document to be known as “the mandate”.
(2)
The Secretary of State must specify in the mandate—
(a)
the objectives that the Secretary of State considers the Board should seek to achieve in the exercise of its functions during that financial year and such subsequent financial years as the Secretary of State considers appropriate, and
(b)
any requirements that the Secretary of State considers it necessary to impose on the Board for the purpose of ensuring that it achieves those objectives.
(3)
(4)
(5)
The Secretary of State may also specify in the mandate the matters by reference to which the Secretary of State proposes to assess the Board’s performance in relation to the first financial year to which the mandate relates.
(6)
The Secretary of State may not specify in the mandate an objective or requirement about the exercise of the Board’s functions in relation to only one clinical commissioning group.
(7)
The Board must—
(a)
seek to achieve the objectives specified in the mandate, and
(b)
comply with any requirements so specified.
(8)
Before specifying any objectives or requirements in the mandate, the Secretary of State must consult—
(a)
the Board,
(b)
the Healthwatch England committee of the Care Quality Commission, and
(c)
such other persons as the Secretary of State considers appropriate.
(9)
Requirements included in the mandate have effect only if regulations so provide.
13BThe mandate: supplemental provision
(1)
The Secretary of State must keep the Board’s performance in achieving any objectives or requirements specified in the mandate under review.
(2)
(3)
The Secretary of State may make any other revision to the mandate only if—
(a)
the Board agrees to the revision,
(b)
a parliamentary general election takes place, or
(c)
the Secretary of State considers that there are exceptional circumstances that make the revision necessary.
(4)
Revisions to the mandate which consist of adding, omitting or modifying requirements have effect only if regulations so provide.
(5)
If the Secretary of State revises the mandate, the Secretary of State must—
(a)
publish the mandate (as so revised), and
(b)
lay it before Parliament, together with an explanation of the reasons for making the revision.
General duties of the Board
13CDuty to promote NHS Constitution
(1)
The Board must, in the exercise of its functions—
(a)
act with a view to securing that health services are provided in a way which promotes the NHS Constitution, and
(b)
promote awareness of the NHS Constitution among patients, staff and members of the public.
(2)
In this section, “patients” and “staff” have the same meaning as in Chapter 1 of Part 1 of the Health Act 2009 (see section 3(7) of that Act).
13DDuty as to effectiveness, efficiency etc.
The Board must exercise its functions effectively, efficiently and economically.
13EDuty as to improvement in quality of services
(1)
The Board must exercise its functions with a view to securing continuous improvement in the quality of services provided to individuals for or in connection with—
(a)
the prevention, diagnosis or treatment of illness, or
(b)
the protection or improvement of public health.
(2)
In discharging its duty under subsection (1), the Board must, in particular, act with a view to securing continuous improvement in the outcomes that are achieved from the provision of the services.
(3)
The outcomes relevant for the purposes of subsection (2) include, in particular, outcomes which show—
(a)
the effectiveness of the services,
(b)
the safety of the services, and
(c)
the quality of the experience undergone by patients.
(4)
In discharging its duty under subsection (1), the Board must have regard to—
(a)
any document published by the Secretary of State for the purposes of this section, and
(b)
the quality standards prepared by NICE under section 234 of the Health and Social Care Act 2012.
13FDuty as to promoting autonomy
(1)
In exercising its functions, the Board must have regard to the desirability of securing, so far as consistent with the interests of the health service—
(a)
that any other person exercising functions in relation to the health service or providing services for its purposes is free to exercise those functions or provide those services in the manner it considers most appropriate, and
(b)
that unnecessary burdens are not imposed on any such person.
(2)
13GDuty as to reducing inequalities
The Board must, in the exercise of its functions, have regard to the need to—
(a)
reduce inequalities between patients with respect to their ability to access health services, and
(b)
reduce inequalities between patients with respect to the outcomes achieved for them by the provision of health services.
13HDuty to promote involvement of each patient
The Board must, in the exercise of its functions, promote the involvement of patients, and their carers and representatives (if any), in decisions which relate to—
(a)
the prevention or diagnosis of illness in the patients, or
(b)
their care or treatment.
13IDuty as to patient choice
The Board must, in the exercise of its functions, act with a view to enabling patients to make choices with respect to aspects of health services provided to them.
13JDuty to obtain appropriate advice
The Board must obtain advice appropriate for enabling it effectively to discharge its functions from persons who (taken together) have a broad range of professional expertise in—
(a)
the prevention, diagnosis or treatment of illness, and
(b)
the protection or improvement of public health.
13KDuty to promote innovation
(1)
The Board must, in the exercise of its functions, promote innovation in the provision of health services (including innovation in the arrangements made for their provision).
(2)
The Board may make payments as prizes to promote innovation in the provision of health services.
(3)
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 section 23 of the Health and Social Care Act 2012).
13LDuty in respect of research
The Board must, in the exercise of its functions, promote—
(a)
research on matters relevant to the health service, and
(b)
the use in the health service of evidence obtained from research.
13MDuty as to promoting education and training
13NDuty as to promoting integration
(1)
The Board must exercise its functions with a view to securing that health services are provided in an integrated way where it considers that this would—
(a)
improve the quality of those services (including the outcomes that are achieved from their provision),
(b)
reduce inequalities between persons with respect to their ability to access those services, or
(c)
reduce inequalities between persons with respect to the outcomes achieved for them by the provision of those services.
(2)
The Board must exercise its functions with a view to securing that the provision of health services is integrated with the provision of health-related services or social care services where it considers that this would—
(a)
improve the quality of the health services (including the outcomes that are achieved from the provision of those services),
(b)
reduce inequalities between persons with respect to their ability to access those services, or
(c)
reduce inequalities between persons with respect to the outcomes achieved for them by the provision of those services.
(3)
The Board must encourage clinical commissioning groups to enter into arrangements with local authorities in pursuance of regulations under section 75 where it considers that this would secure—
(a)
that health services are provided in an integrated way and that this would have any of the effects mentioned in subsection (1)(a) to (c), or
(b)
that the provision of health services is integrated with the provision of health-related services or social care services and that this would have any of the effects mentioned in subsection (2)(a) to (c).
(4)
In this section—
“health-related services” means services that may have an effect on the health of individuals but are not health services or social care services;
“social care services” means services that are provided in pursuance of the social services functions of local authorities (within the meaning of the Local Authority Social Services Act 1970).
13ODuty to have regard to impact on services in certain areas
(1)
In making commissioning decisions, the Board must have regard to the likely impact of those decisions on the provision of health services to persons who reside in an area of Wales or Scotland that is close to the border with England.
(2)
In this section, “commissioning decisions”, in relation to the Board, means decisions about the carrying out of its functions in arranging for the provision of health services.
13PDuty as respects variation in provision of health services
The Board must not exercise its functions for the purpose of causing a variation in the proportion of services provided as part of the health service that is provided by persons of a particular description if that description is by reference to—
(a)
whether the persons in question are in the public or (as the case may be) private sector, or
(b)
some other aspect of their status.
Public involvement
13QPublic involvement and consultation by the Board
(1)
This section applies in relation to any health services which are, or are to be, provided pursuant to arrangements made by the Board in the exercise of its functions (“commissioning arrangements”).
(2)
The Board must make arrangements to secure that individuals to whom the services are being or may be provided are involved (whether by being consulted or provided with information or in other ways)—
(a)
in the planning of the commissioning arrangements by the Board,
(b)
in the development and consideration of proposals by the Board for changes in the commissioning arrangements where the implementation of the proposals would have an impact on the manner in which the services are delivered to the individuals or the range of health services available to them, and
(c)
in decisions of the Board affecting the operation of the commissioning arrangements where the implementation of the decisions would (if made) have such an impact.
(3)
The reference in subsection (2)(b) to the delivery of services is a reference to their delivery at the point when they are received by users.
Functions in relation to information
13RInformation on safety of services provided by the health service
(1)
The Board must establish and operate systems for collecting and analysing information relating to the safety of the services provided by the health service.
(2)
The Board must make information collected by virtue of subsection (1), and any other information obtained by analysing it, available to such persons as the Board considers appropriate.
(3)
The Board may impose charges, calculated on such basis as it considers appropriate, in respect of information made available by it under subsection (2).
(4)
The Board must give advice and guidance, to such persons as it considers appropriate, for the purpose of maintaining and improving the safety of the services provided by the health service.
(5)
The Board must monitor the effectiveness of the advice and guidance given by it under subsection (4).
(6)
A clinical commissioning group must have regard to any advice or guidance given to it under subsection (4).
(7)
The Board may arrange for any other person (including another NHS body) to exercise any of the Board’s functions under this section.
(8)
Arrangements made under subsection (7) do not affect the liability of the Board for the exercise of any of its functions.
13SGuidance in relation to processing of information
(1)
The Board must publish guidance for registered persons on the practice to be followed by them in relation to the processing of—
(a)
patient information, and
(b)
any other information obtained or generated in the course of the provision of the health service.
(2)
Registered persons who carry on an activity which involves, or is connected with, the provision of health care must have regard to any guidance published under this section.
(3)
In this section, “patient information”, “processing” and “registered person” have the same meaning as in section 20A of the Health and Social Care Act 2008.
Business plan and report
13TBusiness plan
(1)
Before the start of each financial year, the Board must publish a business plan setting out how it proposes to exercise its functions in that year and each of the next two financial years.
(2)
The business plan must, in particular, explain how the Board proposes to discharge its duties under—
(3)
The business plan must, in particular, explain how the Board proposes to achieve the objectives, and comply with the requirements, specified in the mandate for the first financial year to which the plan relates.
(4)
The Board may revise the plan.
(5)
The Board must publish any revised plan.
13UAnnual report
(1)
As soon as practicable after the end of each financial year, the Board must publish an annual report on how it has exercised its functions during the year.
(2)
The annual report must, in particular, contain an assessment of—
(a)
the extent to which it met any objectives or requirements specified in the mandate for that year,
(b)
the extent to which it gave effect to the proposals for that year in its business plan, and
(3)
The Board must—
(a)
lay the annual report before Parliament, and
(b)
once it has done so, send a copy of it to the Secretary of State.
(4)
The Secretary of State must, having considered the annual report, set out in a letter to the Board the Secretary of State’s assessment of the Board’s performance of its functions in the financial year in question.
(5)
The letter must, in particular, contain the Secretary of State’s assessment of the matters mentioned in subsection (2)(a) to (c).
(6)
The Secretary of State must—
(a)
publish the letter to the Board, and
(b)
lay it before Parliament.
Additional powers
13VEstablishment of pooled funds
(1)
The Board and one or more clinical commissioning groups may establish and maintain a pooled fund.
(2)
A pooled fund is a fund—
(a)
which is made up of contributions by the bodies which established it, and
(b)
out of which payments may be made, with the agreement of those bodies, towards expenditure incurred in the discharge of any of their commissioning functions.
(3)
In this section, “commissioning functions” means functions in arranging for the provision of services as part of the health service.
13WBoard’s power to generate income, etc.
(1)
The Board has power to do anything specified in section 7(2) of the Health and Medicines Act 1988 (provision of goods, services, etc.) for the purpose of making additional income available for improving the health service.
(2)
The Board may exercise a power conferred by subsection (1) only to the extent that its exercise does not to any significant extent interfere with the performance by the Board of its functions.
13XPower to make grants etc.
(1)
The Board may make payments by way of grant or loan to a voluntary organisation which provides or arranges for the provision of services which are similar to the services in respect of which the Board has functions.
(2)
The payments may be made subject to such terms and conditions as the Board considers appropriate.
13YBoard’s incidental powers: further provision
The power conferred on the Board by section 2 includes, in particular, power to—
(a)
enter into agreements,
(b)
acquire and dispose of property, and
(c)
accept gifts (including property to be held on trust for the purposes of the Board).
Exercise of functions of Board
13ZExercise of functions
(1)
This section applies to functions exercisable by the Board under or by virtue of this Act or any prescribed provision of any other Act.
(2)
The Board may arrange for any such function to be exercised by or jointly with—
(a)
a Special Health Authority,
(b)
a clinical commissioning group, or
(c)
such other body as may be prescribed.
(3)
Regulations may provide that the power in subsection (2) does not apply in relation to a function of a prescribed description.
(4)
Where any functions are (by virtue of subsection (2)) exercisable jointly by the Board and another body, they may be exercised by a joint committee of the Board and the other body.
(5)
Arrangements under this section may be on such terms and conditions (including terms as to payment) as may be agreed between the Board and the other party to the arrangements.
(6)
Arrangements made under this section do not affect the liability of the Board for the exercise of any of its functions.
Power to confer additional functions
13Z1Power to confer additional functions on the Board
(1)
Regulations may provide that the Board is to have such additional functions in relation to the health service as may be specified in the regulations.
(2)
A function may be specified in regulations under subsection (1) only if the function is connected to another function of the Board.
Intervention powers
13Z2Failure by the Board to discharge any of its functions
(1)
The Secretary of State may give a direction to the Board if the Secretary of State considers that—
(a)
the Board—
(i)
is failing or has failed to discharge any of its functions, or
(ii)
is failing or has failed properly to discharge any of its functions, and
(b)
the failure is significant.
(2)
A direction under subsection (1) may direct the Board to discharge such of those functions, and in such manner and within such period or periods, as may be specified in the direction.
(3)
If the Board fails to comply with a direction under subsection (1), the Secretary of State may—
(a)
discharge the functions to which it relates, or
(b)
make arrangements for any other person to discharge them on the Secretary of State’s behalf.
(4)
Where the Secretary of State exercises a power under subsection (1) or (3), the Secretary of State must publish the reasons for doing so.
(5)
For the purposes of this section a failure to discharge a function properly includes a failure to discharge it consistently with what the Secretary of State considers to be the interests of the health service.
Disclosure of information
13Z3Permitted disclosures of information
(1)
The Board may disclose information obtained by it in the exercise of its functions if—
(a)
the information has previously been lawfully disclosed to the public,
(b)
the disclosure is made under or pursuant to regulations under section 113 or 114 of the Health and Social Care (Community Health and Standards) Act 2003 (complaints about health care or social services),
(c)
the disclosure is made in accordance with any enactment or court order,
(d)
the disclosure is necessary or expedient for the purposes of protecting the welfare of any individual,
(e)
the disclosure is made to any person in circumstances where it is necessary or expedient for the person to have the information for the purpose of exercising functions of that person under any enactment,
(f)
the disclosure is made for the purpose of facilitating the exercise of any of the Board’s functions,
(g)
the disclosure is made in connection with the investigation of a criminal offence (whether or not in the United Kingdom), or
(h)
the disclosure is made for the purpose of criminal proceedings (whether or not in the United Kingdom).
(2)
Paragraphs (a) to (c) and (h) of subsection (1) have effect notwithstanding any rule of common law which would otherwise prohibit or restrict the disclosure.
Interpretation
13Z4Interpretation
(1)
In this Chapter—
“the health service” means the health service in England;
(2)
Any reference (however expressed) in the following provisions of this Act to the functions of the Board includes a reference to the functions of the Secretary of State that are exercisable by the Board by virtue of arrangements under section 7A—
section 6E(7) and (10)(b),
section 13A(2),
section 13C(1),
section 13D,
section 13E(1),
section 13F,
section 13G,
section 13H,
section 13I,
section 13J,
section 13K(1),
section 13L,
section 13M,
section 13N(1) and (2),
section 13O(2),
section 13Q(1),
section 13T(1),
section 13U(1) and (4),
section 13W(2),
section 13X(1),
section 13Z2(1),
section 13Z3(1),
section 72(1),
section 75(1)(a) and (2),
section 82,
section 223C(2)(a),
in Schedule A1, paragraph 13.
(3)
Any reference (however expressed) in the following provisions of other Acts to the functions of the Board includes a reference to the functions of the Secretary of State that are exercisable by the Board by virtue of arrangements under section 7A—
sections 116 to 116B of the Local Government and Public Involvement in Health Act 2007 (joint strategic needs assessments etc.),
section 197(6) of the Health and Social Care Act 2012 (participation of the Board in work of Health and Wellbeing Boards),
section 199(4) of that Act (supply of information to Health and Wellbeing Boards),
section 290(1) and (2) of that Act (duties to co-operate),
section 291(2)(d) of that Act (breaches of duties to co-operate).
(4)
The Secretary of State may by order amend the list of provisions specified in subsection (2) or (3).”
(2)
“(zb)
regulations under section 13Z1,”.