http://www.legislation.gov.uk/ukpga/2014/23/part/2/crossheading/quality-of-services/2014-10-01Care Act 2014An Act to make provision to reform the law relating to care and support for adults and the law relating to support for carers; to make provision about safeguarding adults from abuse or neglect; to make provision about care standards; to establish and make provision about Health Education England; to establish and make provision about the Health Research Authority; to make provision about integrating care and support with health services; and for connected purposes.texttext/xmlenStatute Law Database2024-05-18Expert Participation2014-10-01 PART 2 Care standards<Emphasis>Quality of services</Emphasis>Duty of candour81In section 20 of the Health and Social Care Act 2008 (regulation of regulated activities), after subsection (5) insert—5ARegulations under this section must make provision as to the provision of information in a case where an incident of a specified description affecting a person's safety occurs in the course of the person being provided with a service.Warning notice821In section 29 of the Health and Social Care Act 2008 (warning notice), after subsection (1) insert—1ABut a warning notice under this section may not be given to an NHS trust established under section 25 of the National Health Service Act 2006 or an NHS foundation trust.2In subsections (2) and (3)(a) of that section, after “warning notice” insert “ under this section ”.3After that section insert—Warning notice: quality of health care29A1If it appears to the Commission that the quality of health care provided by an NHS trust established under section 25 of the National Health Service Act 2006 or by an NHS foundation trust requires significant improvement, the Commission may give the trust a warning notice.2A warning notice under this section is a notice in writing—astating that the Commission has formed the view that the quality of health care provided by the trust requires significant improvement,bspecifying the health care concerned,cgiving the Commission's reasons for its view, anddrequiring the trust to make a significant improvement to the quality of the health care concerned within a specified time.3Where a warning notice under this section imposes more than one requirement under subsection (2)(d), it may specify different times for different requirements.4The Commission must—awhere the notice specifies only one time under subsection (2)(d), determine at the end of that time whether the requirement has been complied with;bwhere the notice specifies more than one time under subsection (2)(d), determine at the end of the latest of those times, whether the requirements have been complied with.5Where, having carried out the duty under subsection (4), the Commission is satisfied that a requirement to which the notice relates has not been complied with, it—amust decide what action to take in relation to the trust, andbin so deciding in the case of an NHS foundation trust, must consider in particular whether to require Monitor to make an order under section 65D(2) of the National Health Service Act 2006 (appointment of trust special administrator).4In each of the following provisions of that Act, after “section 29” insert “ or 29A ”asection 32(1)(a) (decisions against which appeal may not be made to the First-tier tribunal),bsection 39(2)(c) (bodies required to be given certain notices), andcsection 89(1)(e) and (2) (publication of information relating to enforcement action).5In section 88(1)(d) of that Act (guidance issued by the Commission about enforcement action), for “section 29” substitute “ sections 29 and 29A ”.Imposition of licence conditions on NHS foundation trusts831Section 111 of the Health and Social Care Act 2012 (imposition by Monitor of licence conditions on NHS foundation trusts during transitional period) is amended as follows.2After subsection (2) insert—2AWhere a warning notice under section 29A of the Health and Social Care Act 2008 is given to an NHS foundation trust, Monitor may include in the trust's licence such conditions as it considers appropriate in connection with the matters to which the notice relates.3In subsections (3) to (5) and (7) to (9), after “subsection (1)” in each place it appears insert “ or (2A) ”.Trust special administration: appointment of administrator841In section 65D of the National Health Service Act 2006 (NHS foundation trusts: appointment of trust special administrator), in subsection (1)—aafter “satisfied that” inserta, andbat the end insert, or bthere is a serious failure by an NHS foundation trust to provide services that are of sufficient quality to be provided under this Act and it is appropriate to make an order under subsection (2).2After that subsection insert—1AThis section also applies if the Care Quality Commission—ais satisfied that there is a serious failure by an NHS foundation trust to provide services that are of sufficient quality to be provided under this Act and that it is appropriate to make an order under subsection (2),binforms the regulator that it is satisfied as mentioned in paragraph (a) and gives the regulator its reasons for being so satisfied, andcrequires the regulator to make an order under subsection (2).3In subsection (2) of that section, after “The regulator may” insert “ or, where this section applies as a result of subsection (1A), must ”.4After subsection (3) of that section insert—3ABefore imposing a requirement as mentioned in subsection (1A)(c), the Care Quality Commission must—aconsult the Secretary of State and the regulator, andbhaving done that, consult—ithe trust,iithe Board, andiiiany other person to which the trust provides services under this Act and which the Commission considers it appropriate to consult.5In subsection (4) of that section, after “making an order under this section” insert “ (except where it is required to do so as a result of subsection (1A)) ”.6In section 65N of that Act (guidance for trust special administrators), after subsection (3) insert—3ABefore publishing guidance under this section, the Secretary of State must consult the Care Quality Commission.7In subsection (4) of that section, for “the reference in subsection (1) to the Secretary of State is to be read as a reference” substitute “ the references in subsections (1) and (3A) to the Secretary of State are to be read as references ”.8In paragraph 24 of Schedule 14 to the Health and Social Care Act 2012 (abolition of NHS trusts in England: consequential amendments to section 65N of the National Health Service Act 2006), after sub-paragraph (2) insert—2AIn subsection (3A), for “the Secretary of State” substitute “ the regulator ”.Trust special administration: objective, consultation and reports851In section 65DA of the National Health Service Act 2006 (objective of trust special administration), in subsection (1), after paragraph (a) (but before the following “and”) insert—aathat the services whose continuous provision is secured as mentioned in paragraph (a) are of sufficient safety and quality to be provided under this Act,.2After subsection (5) of that section insert—5ABefore publishing guidance under subsection (4)(c), the regulator must consult the Care Quality Commission.3In section 65F of that Act (administrator's draft report), in subsection (2)—aomit the “and” preceding paragraph (b), andbafter that paragraph insert, and cthe Care Quality Commission.4In subsection (5) of that section, in paragraph (a), for “65DA” substitute “ 65DA(1)(a) ”.5After that subsection insert—5ANor, in the case of an NHS foundation trust, may the administrator provide the draft report to the regulator under subsection (1) without having obtained from the Care Quality Commission a statement that it considers that the recommendation in the draft report would achieve that part of the objective set out in section 65DA(1)(aa).6In subsection (6) of that section—aafter “Where the Board” insert “ or the Care Quality Commission ”,bfor “to that effect” substitute “ to the effect mentioned in subsection (5) or (5A) ”, andcafter “, the Board” insert “ or (as the case may be) the Commission ”.7In section 65G of that Act (consultation plan), in subsection (4), in paragraph (a), for “65DA” substitute “ 65DA(1)(a) ”.8After that subsection insert—4ANor may the administrator make a variation to the draft report following the consultation period without having obtained from the Care Quality Commission a statement that it considers that the recommendation in the draft report as so varied would achieve that part of the objective set out in section 65DA(1)(aa).9In subsection (5) of that section—aafter “Where the Board” insert “ or the Care Quality Commission ”,bfor “to that effect” substitute “ to the effect mentioned in subsection (4) or (4A) ”, andcafter “, the Board” insert “ or (as the case may be) the Commission ”.10In section 65H of that Act (consultation requirements)—ain subsection (7), after paragraph (b) insert—bathe Care Quality Commission;, andbin subsection (9), after “subsection (7)(b),” insert “ (ba), ”.11In section 65KB of that Act (Secretary of State's response to regulator's decision), in subsection (1), after paragraph (c) insert—cathat the Care Quality Commission has discharged its functions for the purposes of this Chapter,.12In subsection (2) of that section, in paragraph (b), after “the regulator” insert “ and the Care Quality Commission ”.13In section 65KD of that Act (Secretary of State's response to re-submitted final report), in subsection (3), for “(8)” substitute “ (8A) ”.14After subsection (8) of that section insert—8AIf the notice states that the Care Quality Commission has failed to discharge a function—athe Care Quality Commission is to be treated for the purposes of this Act as having failed to discharge the function, andbthe failure is to be treated for those purposes as significant (and section 82 of the Health and Social Care Act 2008 applies accordingly).15In paragraph 15(4) of Schedule 14 to the Health and Social Care Act 2012 (abolition of NHS trusts in England: consequential amendments to section 65F of the National Health Service Act 2006)—ain the new subsection (2A) to be inserted by paragraph 15(4), in paragraph (a), for “65DA” substitute “ 65DA(1)(a) ”,bafter that new subsection, insert—2AANor may the administrator provide the draft report to the regulator under subsection (1) without having obtained from the Care Quality Commission a statement that it considers that the recommendation in the draft report would achieve that part of the objective set out in section 65DA(1)(aa)., andcin the new subsection (2B) to be inserted by paragraph 15(4)—iafter “Where the Board” insert “ or the Care Quality Commission ”,iifor “to that effect” substitute “ to the effect mentioned in subsection (2A) or (2AA) ”, andiiiafter “, the Board” insert “ or (as the case may be) the Commission ”.S. 81 in force at 7.7.2014 for specified purposes by S.I. 2014/1714, art. 2(a)S. 81 in force at 15.7.2014 in so far as not already in force by S.I. 2014/1714, art. 3(1)S. 84 in force at 15.7.2014 by S.I. 2014/1714, art. 3(2)(a)S. 85 in force at 15.7.2014 by S.I. 2014/1714, art. 3(2)(b)
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<Pnumber PuncAfter="">82</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/82/1/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/82/1" id="section-82-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>In section 29 of the Health and Social Care Act 2008 (warning notice), after subsection (1) insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>1A</Pnumber>
<P2para>
<Text>
But a warning notice under this section may not be given to an
<Acronym Expansion="National Health Service">NHS</Acronym>
trust established under section 25 of the National Health Service Act 2006 or an NHS foundation trust.
</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/82/2/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/82/2" id="section-82-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>
In subsections (2) and (3)(a) of that section, after “warning notice” insert
<InlineAmendment>“ under this section ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/82/3/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/82/3" id="section-82-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>After that section insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P1group>
<Title>Warning notice: quality of health care</Title>
<P1>
<Pnumber PuncAfter="">29A</Pnumber>
<P1para>
<P2>
<Pnumber>1</Pnumber>
<P2para>
<Text>If it appears to the Commission that the quality of health care provided by an NHS trust established under section 25 of the National Health Service Act 2006 or by an NHS foundation trust requires significant improvement, the Commission may give the trust a warning notice.</Text>
</P2para>
</P2>
<P2>
<Pnumber>2</Pnumber>
<P2para>
<Text>A warning notice under this section is a notice in writing—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>stating that the Commission has formed the view that the quality of health care provided by the trust requires significant improvement,</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>specifying the health care concerned,</Text>
</P3para>
</P3>
<P3>
<Pnumber>c</Pnumber>
<P3para>
<Text>giving the Commission's reasons for its view, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>d</Pnumber>
<P3para>
<Text>requiring the trust to make a significant improvement to the quality of the health care concerned within a specified time.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>3</Pnumber>
<P2para>
<Text>Where a warning notice under this section imposes more than one requirement under subsection (2)(d), it may specify different times for different requirements.</Text>
</P2para>
</P2>
<P2>
<Pnumber>4</Pnumber>
<P2para>
<Text>The Commission must—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>where the notice specifies only one time under subsection (2)(d), determine at the end of that time whether the requirement has been complied with;</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>where the notice specifies more than one time under subsection (2)(d), determine at the end of the latest of those times, whether the requirements have been complied with.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>5</Pnumber>
<P2para>
<Text>Where, having carried out the duty under subsection (4), the Commission is satisfied that a requirement to which the notice relates has not been complied with, it—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>must decide what action to take in relation to the trust, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>in so deciding in the case of an NHS foundation trust, must consider in particular whether to require Monitor to make an order under section 65D(2) of the National Health Service Act 2006 (appointment of trust special administrator).</Text>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/82/4/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/82/4" id="section-82-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>
In each of the following provisions of that Act, after “section 29” insert
<InlineAmendment>“ or 29A ”</InlineAmendment>
</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/82/4/a/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/82/4/a" id="section-82-4-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>section 32(1)(a) (decisions against which appeal may not be made to the First-tier tribunal),</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/82/4/b/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/82/4/b" id="section-82-4-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>section 39(2)(c) (bodies required to be given certain notices), and</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/82/4/c/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/82/4/c" id="section-82-4-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>section 89(1)(e) and (2) (publication of information relating to enforcement action).</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/82/5/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/82/5" id="section-82-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>
In section 88(1)(d) of that Act (guidance issued by the Commission about enforcement action), for “section 29” substitute
<InlineAmendment>“ sections 29 and 29A ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group Match="false" RestrictStartDate="2015-04-01">
<Title>Imposition of licence conditions on NHS foundation trusts</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/83/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/83" id="section-83">
<Pnumber PuncAfter="">83</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/83/1/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/83/1" id="section-83-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>Section 111 of the Health and Social Care Act 2012 (imposition by Monitor of licence conditions on NHS foundation trusts during transitional period) is amended as follows.</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/83/2/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/83/2" id="section-83-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>After subsection (2) insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>2A</Pnumber>
<P2para>
<Text>Where a warning notice under section 29A of the Health and Social Care Act 2008 is given to an NHS foundation trust, Monitor may include in the trust's licence such conditions as it considers appropriate in connection with the matters to which the notice relates.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/83/3/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/83/3" id="section-83-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>
In subsections (3) to (5) and (7) to (9), after “subsection (1)” in each place it appears insert
<InlineAmendment>“ or (2A) ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group RestrictStartDate="2014-07-15">
<Title>Trust special administration: appointment of administrator</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84" id="section-84">
<Pnumber PuncAfter="">
<CommentaryRef Ref="key-4d085ff407e91ddddee0d9137bf4ba23"/>
84
</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/1/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/1" id="section-84-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>In section 65D of the National Health Service Act 2006 (NHS foundation trusts: appointment of trust special administrator), in subsection (1)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/1/a/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/1/a" id="section-84-1-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>after “satisfied that” insert</Text>
<BlockAmendment TargetClass="unknown" TargetSubClass="unknown" Context="unknown" Format="default">
<Text></Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text/>
</P3para>
</P3>
</BlockAmendment>
<AppendText>, and</AppendText>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/1/b/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/1/b" id="section-84-1-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>at the end insert</Text>
<BlockAmendment TargetClass="unknown" TargetSubClass="unknown" Context="unknown" Format="default">
<Text>, or </Text>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>there is a serious failure by an NHS foundation trust to provide services that are of sufficient quality to be provided under this Act and it is appropriate to make an order under subsection (2).</Text>
</P3para>
</P3>
</BlockAmendment>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/2/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/2" id="section-84-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>After that subsection insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>1A</Pnumber>
<P2para>
<Text>This section also applies if the Care Quality Commission—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>is satisfied that there is a serious failure by an NHS foundation trust to provide services that are of sufficient quality to be provided under this Act and that it is appropriate to make an order under subsection (2),</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>informs the regulator that it is satisfied as mentioned in paragraph (a) and gives the regulator its reasons for being so satisfied, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>c</Pnumber>
<P3para>
<Text>requires the regulator to make an order under subsection (2).</Text>
</P3para>
</P3>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/3/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/3" id="section-84-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>
In subsection (2) of that section, after “The regulator may” insert
<InlineAmendment>“ or, where this section applies as a result of subsection (1A), must ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/4/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/4" id="section-84-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>After subsection (3) of that section insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>3A</Pnumber>
<P2para>
<Text>Before imposing a requirement as mentioned in subsection (1A)(c), the Care Quality Commission must—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>consult the Secretary of State and the regulator, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>having done that, consult—</Text>
<P4>
<Pnumber>i</Pnumber>
<P4para>
<Text>the trust,</Text>
</P4para>
</P4>
<P4>
<Pnumber>ii</Pnumber>
<P4para>
<Text>the Board, and</Text>
</P4para>
</P4>
<P4>
<Pnumber>iii</Pnumber>
<P4para>
<Text>any other person to which the trust provides services under this Act and which the Commission considers it appropriate to consult.</Text>
</P4para>
</P4>
</P3para>
</P3>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/5/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/5" id="section-84-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>
In subsection (4) of that section, after “making an order under this section” insert
<InlineAmendment>“ (except where it is required to do so as a result of subsection (1A)) ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/6/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/6" id="section-84-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>In section 65N of that Act (guidance for trust special administrators), after subsection (3) insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>3A</Pnumber>
<P2para>
<Text>Before publishing guidance under this section, the Secretary of State must consult the Care Quality Commission.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/7/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/7" id="section-84-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>
In subsection (4) of that section, for “the reference in subsection (1) to the Secretary of State is to be read as a reference” substitute
<InlineAmendment>“ the references in subsections (1) and (3A) to the Secretary of State are to be read as references ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/84/8/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84/8" id="section-84-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>In paragraph 24 of Schedule 14 to the Health and Social Care Act 2012 (abolition of NHS trusts in England: consequential amendments to section 65N of the National Health Service Act 2006), after sub-paragraph (2) insert—</Text>
<BlockAmendment TargetClass="unknown" TargetSubClass="unknown" Context="schedule" Format="default">
<P2>
<Pnumber>2A</Pnumber>
<P2para>
<Text>
In subsection (3A), for “the Secretary of State” substitute
<InlineAmendment>“ the regulator ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
<P1group RestrictStartDate="2014-07-15">
<Title>Trust special administration: objective, consultation and reports</Title>
<P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85" id="section-85">
<Pnumber PuncAfter="">
<CommentaryRef Ref="key-bcb43e323ca16ecc56fe88ac753b00ca"/>
85
</Pnumber>
<P1para>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/1/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/1" id="section-85-1">
<Pnumber>1</Pnumber>
<P2para>
<Text>In section 65DA of the National Health Service Act 2006 (objective of trust special administration), in subsection (1), after paragraph (a) (but before the following “and”) insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P3>
<Pnumber>aa</Pnumber>
<P3para>
<Text>that the services whose continuous provision is secured as mentioned in paragraph (a) are of sufficient safety and quality to be provided under this Act,</Text>
</P3para>
</P3>
</BlockAmendment>
<AppendText>.</AppendText>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/2/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/2" id="section-85-2">
<Pnumber>2</Pnumber>
<P2para>
<Text>After subsection (5) of that section insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>5A</Pnumber>
<P2para>
<Text>Before publishing guidance under subsection (4)(c), the regulator must consult the Care Quality Commission.</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/3/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/3" id="section-85-3">
<Pnumber>3</Pnumber>
<P2para>
<Text>In section 65F of that Act (administrator's draft report), in subsection (2)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/3/a/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/3/a" id="section-85-3-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>omit the “and” preceding paragraph (b), and</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/3/b/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/3/b" id="section-85-3-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>after that paragraph insert</Text>
<BlockAmendment TargetClass="unknown" TargetSubClass="unknown" Context="unknown" Format="default">
<Text>, and </Text>
<P3>
<Pnumber>c</Pnumber>
<P3para>
<Text>the Care Quality Commission.</Text>
</P3para>
</P3>
</BlockAmendment>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/4/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/4" id="section-85-4">
<Pnumber>4</Pnumber>
<P2para>
<Text>
In subsection (5) of that section, in paragraph (a), for “65DA” substitute
<InlineAmendment>“ 65DA(1)(a) ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/5/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/5" id="section-85-5">
<Pnumber>5</Pnumber>
<P2para>
<Text>After that subsection insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>5A</Pnumber>
<P2para>
<Text>Nor, in the case of an NHS foundation trust, may the administrator provide the draft report to the regulator under subsection (1) without having obtained from the Care Quality Commission a statement that it considers that the recommendation in the draft report would achieve that part of the objective set out in section 65DA(1)(aa).</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/6/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/6" id="section-85-6">
<Pnumber>6</Pnumber>
<P2para>
<Text>In subsection (6) of that section—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/6/a/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/6/a" id="section-85-6-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>
after “Where the Board” insert
<InlineAmendment>“ or the Care Quality Commission ”</InlineAmendment>
,
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/6/b/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/6/b" id="section-85-6-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>
for “to that effect” substitute
<InlineAmendment>“ to the effect mentioned in subsection (5) or (5A) ”</InlineAmendment>
, and
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/6/c/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/6/c" id="section-85-6-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>
after “, the Board” insert
<InlineAmendment>“ or (as the case may be) the Commission ”</InlineAmendment>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/7/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/7" id="section-85-7">
<Pnumber>7</Pnumber>
<P2para>
<Text>
In section 65G of that Act (consultation plan), in subsection (4), in paragraph (a), for “65DA” substitute
<InlineAmendment>“ 65DA(1)(a) ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/8/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/8" id="section-85-8">
<Pnumber>8</Pnumber>
<P2para>
<Text>After that subsection insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>4A</Pnumber>
<P2para>
<Text>Nor may the administrator make a variation to the draft report following the consultation period without having obtained from the Care Quality Commission a statement that it considers that the recommendation in the draft report as so varied would achieve that part of the objective set out in section 65DA(1)(aa).</Text>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/9/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/9" id="section-85-9">
<Pnumber>9</Pnumber>
<P2para>
<Text>In subsection (5) of that section—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/9/a/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/9/a" id="section-85-9-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>
after “Where the Board” insert
<InlineAmendment>“ or the Care Quality Commission ”</InlineAmendment>
,
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/9/b/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/9/b" id="section-85-9-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>
for “to that effect” substitute
<InlineAmendment>“ to the effect mentioned in subsection (4) or (4A) ”</InlineAmendment>
, and
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/9/c/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/9/c" id="section-85-9-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>
after “, the Board” insert
<InlineAmendment>“ or (as the case may be) the Commission ”</InlineAmendment>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/10/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/10" id="section-85-10">
<Pnumber>10</Pnumber>
<P2para>
<Text>In section 65H of that Act (consultation requirements)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/10/a/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/10/a" id="section-85-10-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>in subsection (7), after paragraph (b) insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P3>
<Pnumber>ba</Pnumber>
<P3para>
<Text>the Care Quality Commission;</Text>
</P3para>
</P3>
</BlockAmendment>
<AppendText>, and</AppendText>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/10/b/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/10/b" id="section-85-10-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>
in subsection (9), after “subsection (7)(b),” insert
<InlineAmendment>“ (ba), ”</InlineAmendment>
.
</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/11/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/11" id="section-85-11">
<Pnumber>11</Pnumber>
<P2para>
<Text>In section 65KB of that Act (Secretary of State's response to regulator's decision), in subsection (1), after paragraph (c) insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P3>
<Pnumber>ca</Pnumber>
<P3para>
<Text>that the Care Quality Commission has discharged its functions for the purposes of this Chapter,</Text>
</P3para>
</P3>
</BlockAmendment>
<AppendText>.</AppendText>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/12/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/12" id="section-85-12">
<Pnumber>12</Pnumber>
<P2para>
<Text>
In subsection (2) of that section, in paragraph (b), after “the regulator” insert
<InlineAmendment>“ and the Care Quality Commission ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/13/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/13" id="section-85-13">
<Pnumber>13</Pnumber>
<P2para>
<Text>
In section 65KD of that Act (Secretary of State's response to re-submitted final report), in subsection (3), for “(8)” substitute
<InlineAmendment>“ (8A) ”</InlineAmendment>
.
</Text>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/14/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/14" id="section-85-14">
<Pnumber>14</Pnumber>
<P2para>
<Text>After subsection (8) of that section insert—</Text>
<BlockAmendment TargetClass="primary" TargetSubClass="unknown" Context="main" Format="default">
<P2>
<Pnumber>8A</Pnumber>
<P2para>
<Text>If the notice states that the Care Quality Commission has failed to discharge a function—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>the Care Quality Commission is to be treated for the purposes of this Act as having failed to discharge the function, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>the failure is to be treated for those purposes as significant (and section 82 of the Health and Social Care Act 2008 applies accordingly).</Text>
</P3para>
</P3>
</P2para>
</P2>
</BlockAmendment>
</P2para>
</P2>
<P2 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/15/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/15" id="section-85-15">
<Pnumber>15</Pnumber>
<P2para>
<Text>In paragraph 15(4) of Schedule 14 to the Health and Social Care Act 2012 (abolition of NHS trusts in England: consequential amendments to section 65F of the National Health Service Act 2006)—</Text>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/15/a/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/15/a" id="section-85-15-a">
<Pnumber>a</Pnumber>
<P3para>
<Text>
in the new subsection (2A) to be inserted by paragraph 15(4), in paragraph (a), for “65DA” substitute
<InlineAmendment>“ 65DA(1)(a) ”</InlineAmendment>
,
</Text>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/15/b/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/15/b" id="section-85-15-b">
<Pnumber>b</Pnumber>
<P3para>
<Text>after that new subsection, insert—</Text>
<BlockAmendment TargetClass="unknown" TargetSubClass="unknown" Context="unknown" Format="default">
<P2>
<Pnumber>2AA</Pnumber>
<P2para>
<Text>Nor may the administrator provide the draft report to the regulator under subsection (1) without having obtained from the Care Quality Commission a statement that it considers that the recommendation in the draft report would achieve that part of the objective set out in section 65DA(1)(aa).</Text>
</P2para>
</P2>
</BlockAmendment>
<AppendText>, and</AppendText>
</P3para>
</P3>
<P3 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/15/c/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/15/c" id="section-85-15-c">
<Pnumber>c</Pnumber>
<P3para>
<Text>in the new subsection (2B) to be inserted by paragraph 15(4)—</Text>
<P4 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/15/c/i/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/15/c/i" id="section-85-15-c-i">
<Pnumber>i</Pnumber>
<P4para>
<Text>
after “Where the Board” insert
<InlineAmendment>“ or the Care Quality Commission ”</InlineAmendment>
,
</Text>
</P4para>
</P4>
<P4 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/15/c/ii/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/15/c/ii" id="section-85-15-c-ii">
<Pnumber>ii</Pnumber>
<P4para>
<Text>
for “to that effect” substitute
<InlineAmendment>“ to the effect mentioned in subsection (2A) or (2AA) ”</InlineAmendment>
, and
</Text>
</P4para>
</P4>
<P4 DocumentURI="http://www.legislation.gov.uk/ukpga/2014/23/section/85/15/c/iii/2014-10-01" IdURI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85/15/c/iii" id="section-85-15-c-iii">
<Pnumber>iii</Pnumber>
<P4para>
<Text>
after “, the Board” insert
<InlineAmendment>“ or (as the case may be) the Commission ”</InlineAmendment>
.
</Text>
</P4para>
</P4>
</P3para>
</P3>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
</Part>
</Body>
</Primary>
<Commentaries>
<Commentary id="key-d88d064595aef301911258afae3f35fe" Type="I">
<Para>
<Text>
<CitationSubRef SectionRef="section-81" URI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/81" id="cuwcpzs31-00007">S. 81</CitationSubRef>
in force at 7.7.2014 for specified purposes by
<Citation URI="http://www.legislation.gov.uk/id/uksi/2014/1714" Class="UnitedKingdomStatutoryInstrument" Year="2014" Number="1714" Title="The Care Act 2014 (Commencement No.1) Order 2014" id="cuwcpzs31-00008">S.I. 2014/1714</Citation>
,
<CitationSubRef SectionRef="article-2-a" URI="http://www.legislation.gov.uk/id/uksi/2014/1714/article/2/a" CitationRef="cuwcpzs31-00008" Operative="true" id="cuwcpzs31-00009">art. 2(a)</CitationSubRef>
</Text>
</Para>
</Commentary>
<Commentary id="key-fb3bcab7fc72fff7b02e21553218046c" Type="I">
<Para>
<Text>
<CitationSubRef SectionRef="section-81" URI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/81" id="cuwcsmb91-00007">S. 81</CitationSubRef>
in force at 15.7.2014 in so far as not already in force by
<Citation URI="http://www.legislation.gov.uk/id/uksi/2014/1714" Class="UnitedKingdomStatutoryInstrument" Year="2014" Number="1714" Title="The Care Act 2014 (Commencement No.1) Order 2014" id="cuwcsmb91-00008">S.I. 2014/1714</Citation>
,
<CitationSubRef SectionRef="article-3-1" URI="http://www.legislation.gov.uk/id/uksi/2014/1714/article/3/1" CitationRef="cuwcsmb91-00008" Operative="true" id="cuwcsmb91-00009">art. 3(1)</CitationSubRef>
</Text>
</Para>
</Commentary>
<Commentary id="key-4d085ff407e91ddddee0d9137bf4ba23" Type="I">
<Para>
<Text>
<CitationSubRef SectionRef="section-84" URI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/84" id="cuwcsmb91-00016">S. 84</CitationSubRef>
in force at 15.7.2014 by
<Citation URI="http://www.legislation.gov.uk/id/uksi/2014/1714" Class="UnitedKingdomStatutoryInstrument" Year="2014" Number="1714" Title="The Care Act 2014 (Commencement No.1) Order 2014" id="cuwcsmb91-00017">S.I. 2014/1714</Citation>
,
<CitationSubRef SectionRef="article-3-2-a" URI="http://www.legislation.gov.uk/id/uksi/2014/1714/article/3/2/a" CitationRef="cuwcsmb91-00017" Operative="true" id="cuwcsmb91-00018">art. 3(2)(a)</CitationSubRef>
</Text>
</Para>
</Commentary>
<Commentary id="key-bcb43e323ca16ecc56fe88ac753b00ca" Type="I">
<Para>
<Text>
<CitationSubRef SectionRef="section-85" URI="http://www.legislation.gov.uk/id/ukpga/2014/23/section/85" id="cuwcsmb91-00025">S. 85</CitationSubRef>
in force at 15.7.2014 by
<Citation URI="http://www.legislation.gov.uk/id/uksi/2014/1714" Class="UnitedKingdomStatutoryInstrument" Year="2014" Number="1714" Title="The Care Act 2014 (Commencement No.1) Order 2014" id="cuwcsmb91-00026">S.I. 2014/1714</Citation>
,
<CitationSubRef SectionRef="article-3-2-b" URI="http://www.legislation.gov.uk/id/uksi/2014/1714/article/3/2/b" CitationRef="cuwcsmb91-00026" Operative="true" id="cuwcsmb91-00027">art. 3(2)(b)</CitationSubRef>
</Text>
</Para>
</Commentary>
</Commentaries>
</Legislation>