Source: http://www.legislation.gov.uk/ukpga/2001/15/body/enacted?view=interweave
Timestamp: 2018-10-20 03:27:16
Document Index: 706952307

Matched Legal Cases: ['art 1', 'art 4', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 1', 'art 2', 'art 3', 'art 2', 'art 2', 'art 3', 'art 4', 'art 3', 'art 7', 'art 4', 'art 3', 'art 3', 'art 3']

Part 1National Health Service
1Determination of allotments to and resource limits for Health Authorities and Primary Care Trusts
(1)Part 4 of the National Health Service Act 1977 (c. 49) (property and finance) shall be amended as follows.
(2)In section 97 (payments to Health Authorities and Special Health Authorities), after subsection (3) there shall be inserted—
“(3AA)In determining the amount to be allotted for any year to a Health Authority under subsection (3) above (or in varying the amount under subsection (5) below), the Secretary of State may take into account (in whatever way he thinks appropriate)—
(a)the Authority’s general Part 2 expenditure, and
(b)expenditure which would have been the Authority’s general Part 2 expenditure but for an order under section 103(1) below,
during any period he thinks appropriate (or such elements of that expenditure as he thinks appropriate).”
(3)In section 97AA (resource limits for Health Authorities and Special Health Authorities), after subsection (2) there shall be inserted—
“(2A)But in specifying an amount for a Health Authority under subsection (1) above (or in varying the amount under subsection (6) below), the Secretary of State may take into account (in whatever way he thinks appropriate)—
(b)the use of any resources which would have been for the purpose of the Authority’s general Part 2 expenditure but for an order under section 103(1) below,
during any period he thinks appropriate (or such elements of such uses of resources as he thinks appropriate).”
(4)In section 97C (public funding of Primary Care Trusts), after subsection (1) there shall be inserted—
“(1A)In determining the amount to be allotted for any year to a Primary Care Trust under subsection (1)(b) above (or in varying the amount under subsection (3) below), the Authority may take into account, in whatever way they think appropriate, but subject to any directions, the distribution within their area of—
(a)their general Part 2 expenditure, and
(b)expenditure which would have been their general Part 2 expenditure but for an order under section 103(1) below,
during any period the Authority think appropriate (or such elements of that expenditure as they think appropriate).”
(5)In section 97E (resource limits for Primary Care Trusts), after subsection (2) there shall be inserted—
“(2A)But in specifying an amount for a Primary Care Trust under subsection (1) above (or in varying the amount under subsection (4) below), the Health Authority may take into account, in whatever way they think appropriate, but subject to any directions, the distribution within their area of—
(a)their use of resources for the purpose of their general Part 2 expenditure, and
(b)the use of any resources which would have been for the purpose of their general Part 2 expenditure but for an order under section 103(1) below,
during any period they think appropriate (or such elements of such uses of resources as they think appropriate).”
2Payments relating to past performance
(1)Section 97 of the 1977 Act (means of meeting expenditure of Health Authorities out of public funds) shall be amended as follows.
(2)For subsection (3C) there shall be substituted—
“(3C)Where the Secretary of State has made an initial determination of the amount (“the initial amount”) to be allotted for any year to a Health Authority under subsection (3) above, he may increase the initial amount by a further sum if it appears to him that over a period notified to the Authority—
(a)they satisfied any objectives notified to them as objectives to be met in performing their functions, or
(b)they performed well against any criteria notified to them as criteria relevant to the satisfactory performance of their functions (whether or not the method of measuring their performance against those criteria was also notified to them).”
(3)In subsection (3D), for “Health Authorities” there shall be substituted “the Health Authority”.
3Supplementary payments to NHS trusts and Primary Care Trusts
(1)After paragraph 5 of Schedule 3 to the National Health Service and Community Care Act 1990 (c. 19) (which makes financial provision about NHS trusts) there shall be inserted—
“Supplementary payments
5A(1)If the Secretary of State considers it appropriate to do so, he may make a payment to the trust.
(2)The payment may be subject to such conditions as he thinks fit to impose, including conditions as to repayment.”
(2)In section 9 of the 1990 Act (financial provisions relating to NHS trusts), in subsection (9), after paragraph (c) there shall be inserted—
“(ca)the making of supplementary payments to them;”.
(3)In section 97C of the 1977 Act (public funding of Primary Care Trusts), after subsection (5) there shall be inserted—
“(5A)If the Secretary of State considers it appropriate to do so, he may make a supplementary payment to a Primary Care Trust, which may be subject to such conditions as he thinks fit to impose, including conditions as to repayment.”
(4)In section 97D of the 1977 Act (financial duties of Primary Care Trusts), in subsection (1)(b), after “section” there shall be inserted “, apart from subsection (5A)”.
4Public-private partnerships
After section 96B of the 1977 Act there shall be inserted—
96CPublic-private partnerships
(1)The Secretary of State may form, or participate in forming, companies to provide facilities or services for—
(a)persons or bodies exercising functions, or otherwise providing services, under this Act; or
(b)NHS trusts.
(2)The Secretary of State may, with a view to securing or facilitating the provision by companies of facilities or services for persons or bodies falling within subsection (1)(a) or (b)—
(3)For the purposes of subsections (1) and (2) above it is immaterial that the facilities or services provided or to be provided by the companies in question are not provided or to be provided—
(b)to persons or bodies falling within subsection (1)(a) only in their capacities as persons or bodies such as are mentioned in that provision.
(5)This section is without prejudice to any powers of the Secretary of State exercisable otherwise than by virtue of this section.”
5Income generation
In section 7 of the Health and Medicines Act 1988 (c. 49) (additional powers for financing Health Service), after subsection (7) there shall be inserted—
“(7A)The power specified in paragraph (g) of subsection (2) above includes power for the Secretary of State—
(a)to form, or participate in the forming of, companies,
(b)to invest in companies (whether by acquiring assets, securities or rights or otherwise), and
(c)to provide loans and guarantees and make other kinds of financial provision to or in respect of companies,
where it appears to him that to do so is calculated to facilitate, or to be conducive or incidental to, the exercise of any power conferred by that subsection.
(7B)In subsection (7A) above “companies” means companies within the meaning of the Companies Act 1985 (c. 6); and that subsection is without prejudice to—
(a)the generality of paragraph (g) of subsection (2) above, and
(b)any powers of the Secretary of State exercisable otherwise than by virtue of this section.”
Terms of employment of health service employees
6Terms and conditions of employment by health service bodies
(1)In Schedule 5 to the 1977 Act (Health Authorities), in paragraph 10(1) (staff)—
(a)for “at such remuneration and on such conditions of service” there shall be substituted “and pay its officers such remuneration and allowances, and employ them on such other terms and conditions,”; and
(b)for “may contain provision—” there shall be substituted “may make provision with respect to any matter connected with the employment by an authority of its officers, including in particular provision—”.
(2)In Schedule 5A to the 1977 Act (Primary Care Trusts)—
(a)for paragraph 8 there shall be substituted—
“8(1)A Primary Care Trust may employ such officers as it thinks fit.
(2)Subject to sub-paragraph (3) below, a trust may—
(3)A trust shall—
(a)in exercising its powers under sub-paragraph (2) above, and
(4)Before making any regulations under sub-paragraph (3) above, the Secretary of State shall consult such bodies as he may recognise as representing persons who, in his opinion, are likely to be affected by the regulations.”; and
(b)in paragraph 11 (remuneration and pensions etc), sub-paragraph (2) (remuneration and allowances payable to officers of a Primary Care Trust) shall accordingly be omitted.
(3)In paragraph 16 of Schedule 2 to the 1990 Act (general powers of National Health Service Trusts)—
(a)sub-paragraph (1)(d) (general power to employ staff) shall be omitted; and
“(3)An NHS trust may employ such staff as it thinks fit.
(4)Subject to sub-paragraph (5) below, an NHS trust may—
(5)An NHS trust shall—
(a)in exercising its powers under sub-paragraph (4) above, and
(6)Before making any regulations under sub-paragraph (5) above, the Secretary of State shall consult such bodies as he may recognise as representing persons who, in his opinion, are likely to be affected by the regulations.”
7Functions of overview and scrutiny committees
(1)In section 21 of the Local Government Act 2000 (c. 22) (overview and scrutiny committees), in subsection (2), after paragraph (e) there shall be inserted—
“(f)in the case of the overview and scrutiny committee or committees of an authority to which section 7 of the Health and Social Care Act 2001 applies, to review and scrutinise, in accordance with regulations under that section, matters relating to the health service (within the meaning of that section) in the authority’s area, and to make reports and recommendations on such matters in accordance with the regulations.”
(a)any county council,
(b)any county borough council,
(c)the council of any district comprised in an area for which there is no county council,
(d)any London borough council.
(3)Regulations may, in relation to an overview and scrutiny committee of an authority to which this section applies, make provision—
(b)as to matters relating to the health service in the authority’s area on which the committee may make reports and recommendations to local NHS bodies,
(c)as to matters on which local NHS bodies must consult the committee in accordance with the regulations,
(4)For the purposes of any provision of subsection (3) “local NHS body”, in relation to an overview and scrutiny committee, means a Health Authority, Primary Care Trust or NHS trust specified for those purposes by regulations in relation to the committee.
“the health service” has the same meaning as in the 1977 Act, except that it includes services provided in pursuance of section 31 arrangements in relation to the exercise of health-related functions of a local authority;
“section 31 arrangements” means arrangements under regulations under section 31 of the Health Act 1999 (c. 8) (arrangements between NHS bodies and local authorities).
8Joint overview and scrutiny committees etc.
(b)in relation to a local authority operating alternative arrangements under that Part, are any corresponding functions which are, or, but for regulations under this section, would be, exercisable by a committee of the authority falling within paragraph (b) of section 32(1) of that Act;
(a)two or more local authorities may appoint a joint committee of those authorities (a “joint overview and scrutiny committee”) and arrange for relevant functions in relation to any (or all) of those authorities to be exercisable by the committee;
(b)a local authority may arrange for relevant functions in relation to that authority to be exercisable by an overview and scrutiny committee of another local authority;
(a)provide for arrangements to be made only in specified circumstances, or subject to specified conditions or limitations;
(b)in relation to joint overview and scrutiny committees, make provision applying, or corresponding to, any provision of section 21(4) and (6) to (15) of the 2000 Act or section 9 of, and Schedule 1 to, this Act, with or without modifications.
(4)The regulations may require, or enable the relevant authority to direct, a local authority—
(b)to comply with such requirements in connection with the arrangements as may be specified in the regulations or as the relevant authority may direct.
(5)In section 7(3) and (4), references to an overview and scrutiny committee include references to a joint overview and scrutiny committee.
(9)In this section “local authority” means a county council, county borough council, district council or London borough council.
9Overview and scrutiny committees: exempt information
(1)This section applies in relation to any item of business at a meeting of an overview and scrutiny committee which is an item relating to functions of the committee under section 21(2)(f) of the Local Government Act 2000 (c. 22).
(2)In relation to any such item, information is exempt information for the purposes of section 100A(4) of the Local Government Act 1972 (c. 70) (exclusion of public from meetings to prevent disclosure of exempt information) if it falls within any of the descriptions of information which are for the time being specified in Part 1 of Schedule 1 to this Act, but subject to any qualifications contained in Part 2 of that Schedule.
(3)Part 3 of that Schedule has effect for the interpretation of that Schedule.
(4)The relevant authority may by order vary that Schedule—
(b)by deleting or varying any description or other provision for the time being specified or contained in that Schedule.
(5)The relevant authority may exercise the power conferred by subsection (4) by amending any Part of Schedule 1, with or without amendment of any other Part.
(6)In this section and Schedule 1 “relevant body” means a body in respect of which overview and scrutiny committees exercise functions under regulations under section 7.
10Application to the City of London
11Public involvement and consultation
(1)It is the duty of every body to which this section applies to make arrangements with a view to securing, as respects health services for which it is responsible, that persons to whom those services are being or may be provided are, directly or through representatives, involved in and consulted on—
(a)Health Authorities,
(b)Primary Care Trusts, and
(c)NHS trusts.
(a)if the body provides or is to provide those services to individuals, or
(b)if another person provides, or is to provide, those services to individuals—
13Intervention orders
(1)After section 84 of the 1977 Act there shall be inserted—
“84AIntervention orders
(1)If the Secretary of State—
(a)is of the opinion that a body to which this section applies is not performing one or more of its functions adequately or at all, or that there are significant failings in the way the body is being run, and
(b)Special Health Authorities,
(d)Primary Care Trusts.
(3)An intervention order may make any provision authorised by section 84B below (including any combination of such provisions).
84BIntervention orders: effect
(a)“member” means a member of a Health Authority, Special Health Authority or Primary Care Trust, or a member of the board of directors of an NHS trust,
(b)“employee member” means a member of a Health Authority, Special Health Authority or Primary Care Trust who is an officer of the Authority or Trust, or an executive director of an NHS trust.
(6)If the person referred to in subsection (5)(a) is a body referred to in section 84A(2) above, the functions of that body include the performance of the functions specified in the directions under subsection (5); and, if that body is a Health Authority, are primary functions of the Authority.
(7)Subsection (8) applies in relation to any provision—
(a)in this Act, the National Health Service and Community Care Act 1990 (c. 19), or the Health and Social Care Act 2001; or
(b)in any order or regulations made, or directions given, under any of those Acts,
which relates to the membership of the body to which an intervention order relates (or of its board of directors, in the case of an NHS trust), or relates to its procedure.
(8)If the Secretary of State considers it appropriate, the intervention order may, in relation to any such provision specified in the order, provide—
(a)that it is not to apply in relation to the body while the order remains in force; or
(b)that it is to apply in relation to the body, while the order remains in force, with modifications specified in the order.
(9)An intervention order may contain such supplementary directions to the body to which it relates as the Secretary of State considers appropriate for the purpose of giving full effect to the order.”
(2)In section 126 of the 1977 Act (orders, regulations and directions), in subsection (1), after “section 28EE(2)” there shall be inserted “or section 84A”.
17Remuneration of general medical practitioners
In section 29 of the 1977 Act (which makes provision for the arrangements for general medical services), subsection (4) (which prevents general medical practitioners' remuneration from consisting wholly or mainly of a fixed salary except in special circumstances) shall cease to have effect.
18Out of hours medical services
(1)This section applies to arrangements made by—
(a)a medical practitioner, in connection with any obligation of his to provide general medical services under arrangements under section 29 of the 1977 Act, or
(b)any person (the “participant”), in connection with any obligation of his to provide personal medical services under section 28C arrangements,
under which a person undertakes, or persons undertake, to provide out of hours services.
(a)for such arrangements to be made, in the case of a service provider of a specified description, only if the service provider is approved in accordance with the regulations;
(b)for approval to be given, as respects out of hours services provided for persons in the area of any Health Authority, by that Authority or by another Health Authority;
(c)as to steps to be taken by any Health Authority for making available information about approvals which have been given;
(d)as to the procedure for applying for approval;
(e)as to requirements (including requirements imposed by a Health Authority) with which an approved service provider must comply;
(f)as to the suspension or withdrawal of any approval;
(g)as to circumstances in which, while the arrangements are in force, there may be transferred to the service provider—
(i)liabilities or obligations of the medical practitioner by virtue of Part 2 of the 1977 Act, or
(ii)(as the case may be) liabilities or obligations of the participant by virtue of the section 28C arrangements;
(h)as to criteria to be applied in making decisions under the regulations;
(i)as to appeals against decisions of Health Authorities under the regulations.
“medical practitioner” has the same meaning as in the 1977 Act;
“out of hours period” means any period specified by the regulations as such a period;
“out of hours services” means general medical services or personal medical services (as the case may be) provided during part or all of an out of hours period;
“section 28C arrangements” means arrangements made under section 28C of the 1977 Act;
“service provider”, in relation to arrangements to which this section applies, means the person or persons undertaking to provide out of hours services under the arrangements.
19Enhanced criminal record certificates
20Medical, dental, ophthalmic and pharmaceutical etc. lists
(a)in subsection (1)(b), for “(2) and (3)” there shall be substituted “(2) to (7)”,
of a criminal conviction certificate under section 112 of the Police Act 1997 (c. 50), a criminal record certificate under section 113 of that Act or an enhanced criminal record certificate under section 115 of that Act.”; and
(a)in that subsection as so renumbered, in paragraph (b), after “subject to” there shall be inserted “subsections (2) and (3) below, to”, and
“(f)as to other grounds on which a Health Authority may, or must, refuse to grant an application (including grounds corresponding to the conditions referred to in section 49F(2), (3) and (4) as read with section 49H below);
(g)as to information which must be supplied to a Health Authority by a person included, or seeking inclusion, in such a list (or by arrangement with him);
(h)for the supply to a Health Authority by an individual—
(i)for grounds on which a Health Authority may defer a decision whether or not to grant an application;
(j)for the disclosure by a Health Authority, to prescribed persons or persons of prescribed descriptions, of information of a prescribed description about applicants for inclusion in such a list, and refusals by the Health Authority to grant such applications;
(k)as to criteria to be applied in making decisions under the regulations (other than decisions required by virtue of paragraph (d))”, and
21Conditional inclusion in medical, dental, ophthalmic and pharmaceutical lists
After section 43 of the 1977 Act there shall be inserted—
“43ZAConditional inclusion in medical, dental, ophthalmic and pharmaceutical lists
(a)that if a person is to be included in a list referred to in subsection (3), he is to be subject, while he remains included in the list, to conditions determined by the Health Authority,
(b)for the Health Authority to vary that person’s terms of service for the purpose of or in connection with the imposition of any such conditions,
(c)for the Health Authority to vary the conditions or impose different ones,
(e)for the review by the Health Authority of any decision made by virtue of the regulations.
(a)the regulations may provide that he may not withdraw from the list while the Health Authority are investigating whether there are grounds for exercising their power to remove him, or after the Health Authority have decided to remove him but before they have given effect to that decision; and
(ii)giving him the opportunity of putting his case at a hearing before the Health Authority make any decision as to his removal from the list, and
(iii)requiring him to be given notice of the Health Authority’s decision and the reasons for it and of his right of appeal under subsection (5).
(5)If regulations provide as mentioned in subsection (1), they must also provide for an appeal by the person in question to the FHSAA against the Health Authority’s decision—
and the appeal shall be by way of redetermination of the Health Authority’s decision.
(7)Regulations under this section may provide for the disclosure by a Health Authority, to prescribed persons or persons of prescribed descriptions, of information of a prescribed description about persons whose inclusion in the lists referred to in subsection (3) is subject to conditions imposed under this section, and about the removal of such persons from such lists for breach of condition.”
22Dental corporations
(2)In section 35 (arrangements for general dental services)—
(i)after “dental practitioners” there shall be inserted “or dental corporations”, and
(ii)after “dental practitioner” there shall be inserted “or dental corporation”,
(i)after “dental practitioner who” there shall be inserted “, or dental corporation which,”,
(ii)after “salary” there shall be inserted “(or, in the case of a dental corporation, a fixed rate of remuneration)”, and
(iii)in paragraph (b), after “practitioner” there shall be inserted “or corporation”, and
“(5)In this Act, “dental corporation” means a body corporate which carries on the business of dentistry (within the meaning of section 40 of the Dentists Act 1984 (c. 24)).”
(3)In section 36 (regulations about general dental services)—
(a)in subsection (1)(a), after “dental practitioners” there shall be inserted “and dental corporations”,
(b)in subsection (1)(b), after “dental practitioner” there shall be inserted “or dental corporation”,
(c)in subsection (1)(d), after “dental practitioners” there shall be inserted “and dental corporations”, and
(d)in subsection (3), after “dental practitioner” there shall be inserted “or dental corporation”.
(4)In section 37 (Dental Practice Board), after subsection (1C) there shall be inserted—
“(2)In subsections (1A) and (1B), references to a dental practitioner include references to a dental corporation.”
(5)In section 128(1) (interpretation), in the appropriate place there shall be inserted—
““dental corporation” has the meaning given by section 35(5);”.
23Declaration of financial interests, gifts, etc.
(iii)other benefits received.”, and
24Supplementary lists
After section 43C of the 1977 Act there shall be inserted—
“43DSupplementary lists
(1)The Secretary of State may make regulations providing for the preparation and publication by each Health Authority of one or more lists of persons approved by the Health Authority for the purpose of assisting in the provision of general medical services, general dental services, general ophthalmic services and pharmaceutical services.
(2)Such a list is referred to in this section as a “supplementary list”.
(a)the Health Authority to which an application for inclusion in a supplementary list is to be made,
(c)grounds on which the Health Authority may, or must, refuse a person’s application for inclusion in a supplementary list (including his unsuitability for inclusion in such a list), or on which they may defer their decision on the application,
(e)grounds on which a Health Authority may, or must, suspend or remove a person from a supplementary list, the procedure for doing so, and the consequences of doing so,
(g)the supply to the Health Authority by an applicant for inclusion in a supplementary list, or by a person included in one, of a criminal conviction certificate under section 112 of the Police Act 1997 (c. 50), a criminal record certificate under section 113 of that Act or an enhanced criminal record certificate under section 115 of that Act,
(k)the disclosure by a Health Authority, to prescribed persons or persons of prescribed descriptions, of information of a prescribed description about applicants for inclusion in a supplementary list, refusals of such applications, and suspensions and removals from that list.
(a)a person’s inclusion in a supplementary list to be subject to conditions determined by the Health Authority,
(a)preventing any prejudice to the efficiency of the services to which the supplementary list relates; or
(6)Regulations made by virtue of subsection (3)(e) may (but need not) make provision corresponding to anything in sections 49F to 49N below.
(7)If the regulations provide under subsection (3)(e) or (4) that a Health Authority may suspend or remove a person from a supplementary list, they must include provision—
(c)requiring him to be given notice of the Health Authority’s decision and the reasons for it and of any right of appeal under subsection (8) or (9).
(8)If the regulations provide under subsection (3)(c) or (e) that a Health Authority may refuse a person’s application for inclusion in a supplementary list, or remove a person from one, the regulations must provide for an appeal (by way of redetermination) to the FHSAA against the Health Authority’s decision.
(9)If the regulations make provision under subsection (4), they must provide for an appeal (by way of redetermination) by the person in question to the FHSAA against the Health Authority’s decision—
(d)on any review of an earlier such decision of theirs.
(10)Regulations may require a person (“A”) included in—
(a)a medical list,
(b)a list referred to in section 36(1)(a),
(c)a list referred to in section 39(1)(a),
(d)a list referred to in section 42(2)(a), or
(e)a list referred to in section 43(2A),
not to employ or engage a person (“B”) to assist him in the provision of the relevant service unless B is included in a list referred to in paragraphs (a) to (e), a supplementary list, a services list referred to in section 28DA above or section 8ZA of the National Health Service (Primary Care) Act 1997 (c. 46) or a list corresponding to a services list prepared by a Health Authority by virtue of regulations made under section 41 of the Health and Social Care Act 2001 (or, in any of those cases, such a list of a prescribed description).
(11)If regulations do so require, they—
(a)need not require both A and B to be included in lists prepared by the same Health Authority, but
(b)may, in particular, require that both A and B be included in lists prepared by Health Authorities in England, or in lists prepared by Health Authorities in Wales.”
25Suspension and disqualification of practitioners
After section 49E of the 1977 Act (which is repealed by this Act) there shall be inserted—
“49FDisqualification of practitioners
(1)If it appears to a Health Authority that any of the conditions set out in subsections (2) to (4) is established in relation to a person included in any of the following prepared by them—
(a)a list of medical practitioners undertaking to provide general medical services,
(b)a list of medical practitioners undertaking to provide general ophthalmic services,
(c)a list of dental practitioners and dental corporations undertaking to provide general dental services,
(d)a list of ophthalmic opticians undertaking to provide general ophthalmic services, or
(such a person being referred to in this group of sections as a “practitioner”), they may (or, in cases falling within subsection (6), must) decide to remove him from that list.
(2)The first condition is that the continued inclusion of the person concerned in the list would be prejudicial to the efficiency of the services which those included in the list undertake to provide (and such a case is referred to in this group of sections as an “efficiency case”).
(3)The second condition is that the person concerned—
(a)has (whether on his own or together with another) by an act or omission caused, or risked causing, detriment to any health scheme by securing or trying to secure for himself or another any financial or other benefit, and
(b)knew that he or (as the case may be) the other was not entitled to the benefit,
(and such a case is referred to in this group of sections as a “fraud case”).
(4)The third condition is that the person concerned is unsuitable to be included in the list (and such a case is referred to in this group of sections as an “unsuitability case”).
(5)“This group of sections” means this section and sections 49G to 49R below.
(6)In unsuitability cases, the Health Authority must remove the practitioner from the list in prescribed circumstances.
(7)The Health Authority must state which condition (or conditions) they are relying on when removing a practitioner from a list.
(8)In subsection (3), “health scheme” means—
(a)any of the health services under section 1(1) above or any corresponding enactment extending to Scotland or Northern Ireland, and
and regulations may prescribe any scheme for the purposes of this subsection which appears to the Secretary of State to be a health or medical scheme paid for out of public funds.
(9)Detriment to a health scheme includes detriment to any patient of, or person working in, that scheme or any person liable to pay charges for services provided under that scheme.
49GContingent removal
(1)In an efficiency case or a fraud case, the Health Authority may, instead of deciding to remove a practitioner from their list, decide to remove him contingently.
(2)If they so decide, they must impose such conditions as they may decide on his inclusion in the list with a view to—
(a)removing any prejudice to the efficiency of the services in question (in an efficiency case), or
(b)preventing further acts or omissions within section 49F(3)(a) above (in a fraud case).
(3)If the Health Authority determine that the practitioner has failed to comply with a condition, they may decide to—
(a)vary the conditions, or impose different conditions, or
(b)remove him from their list.
(4)The Health Authority may decide to vary the terms of service of the person concerned for the purpose of or in connection with the imposition of any conditions by virtue of this section.
49HFraud and unsuitability cases: supplementary
(1)Where the practitioner is a body corporate, the body corporate is to be treated for the purposes of this group of sections as meeting the second or third condition referred to in section 49F(3) and (4) above—
(a)in the case of an ophthalmic optician not referred to in paragraph (b) or a dental corporation, if any director meets that condition (whether or not he first did so when he was a director), and
(b)in the case of a body corporate carrying on a retail pharmacy business or an ophthalmic optician which is a limited liability partnership, if any one of the body of persons controlling the body meets that condition (whether or not he first did so when he was such a person).
(2)A practitioner is to be treated for the purposes of this group of sections as meeting the condition referred to in section 49F(3) above if—
(a)another person, because of an act or omission of his occurring in the course of providing any services mentioned in section 49F(1) above on the practitioner’s behalf, meets that condition; and
(b)the practitioner failed to take all such steps as were reasonable to prevent acts or omissions within section 49F(3)(a) above occurring in the course of the provision of those services on his behalf.
49ISuspension
(1)If the Health Authority are satisfied that it is necessary to do so for the protection of members of the public or is otherwise in the public interest, they may suspend a practitioner from their list—
(a)while they decide whether or not to exercise their powers under section 49F or 49G (other than in circumstances falling within paragraph (b)), or
(b)while they wait for a decision affecting the practitioner of a court or of a body which regulates—
(i)the practitioner’s profession,
(ii)the profession of a person providing any of the services mentioned in section 49F(1) on the practitioner’s behalf, or
(iii)if the practitioner is a body corporate, the profession of one of its directors or, as the case may be, one of the body of persons controlling it or (if it is a limited liability partnership) one of its members,
or one of that regulatory body’s committees.
(2)The references in subsection (1)(b) to a court or regulatory body are to a court or such a body anywhere in the world.
(3)In a case falling within subsection (1)(a), the Health Authority must specify how long the period of suspension is to be.
(4)In a case falling within subsection (1)(b), the Health Authority may specify that the practitioner shall remain suspended after the decision referred to there for an additional period which the Health Authority must specify.
(5)In either case—
(a)before that period expires they may extend, or further extend, the suspension for a further specified period, or
(b)if that period has expired, they may impose a further suspension, for a period which they must specify.
(6)The period of suspension (in a subsection (1)(a) case) or the additional period (in a subsection (1)(b) case), including in both cases the period of any further suspension imposed under subsection (5)(b), may not exceed six months in aggregate, except—
(a)in prescribed circumstances, when it may not extend beyond any prescribed event (which may be the expiry of a prescribed period),
(b)if, on the application of the Health Authority, the FHSAA orders accordingly before the expiry of the period of suspension, or
(c)if the Health Authority have applied under paragraph (b) before the expiry of the period of suspension, but the FHSAA has not made an order by the time it expires, in which case it continues until the FHSAA has made an order.
(7)If the FHSAA does so order, it shall specify—
(a)the date on which the period of suspension is to end, or
(b)an event beyond which it is not to continue.
(8)The FHSAA may, on the application of the Health Authority, make a further order (complying with subsection (7)) at any time while the period of suspension pursuant to the earlier order is still continuing.
(9)The Secretary of State may make regulations providing for payments to practitioners who are suspended.
(10)Those regulations may include provision for the amount of the payments, or the method of calculating the amount, to be determined by the Secretary of State or by another person appointed for the purpose by the Secretary of State.
49JSuspension pending appeal
(1)This section applies if the Health Authority decide to remove a practitioner from a list under section 49F.
(2)In such a case they may also decide to suspend the practitioner from the list pending any appeal by him, if they are satisfied that it is necessary to do so for the protection of members of the public or is otherwise in the public interest.
(3)If they do suspend the practitioner under this section, the suspension has effect from the date when the Health Authority gave him notice of the suspension.
(4)The suspension has effect until its revocation under subsection (5) or (6) or, if later, until the expiry of the period of 28 days referred to in section 49M(1) below, or, if the practitioner appeals under section 49M, until the FHSAA has disposed of the appeal.
(5)The Health Authority may revoke a suspension imposed under this section.
(6)If the practitioner appeals under section 49M against the Health Authority’s decision to remove him from the list, the FHSAA may also revoke a suspension imposed on him under this section.
(7)Subsections (9) and (10) of section 49I above apply for the purposes of this section as they apply for the purposes of that.
49KEffect of suspension
While a practitioner is suspended (whether under section 49I or under section 49J above) he is to be treated as not being included in the list from which he has been suspended even though his name appears in it.
49LReview of decisions
(1)The Health Authority may, and (except in prescribed cases) if requested in writing to do so by the practitioner must, review a contingent removal or a suspension (other than a contingent removal or a suspension imposed by, or a suspension continuing pursuant to, an order of the FHSAA, or a suspension imposed under section 49J above).
(2)The practitioner may not request a review before the expiry of the period of—
(a)three months beginning with the date of the Health Authority’s decision to suspend or contingently remove him, or (as appropriate),
(b)six months beginning with the date of their decision on the previous review.
(3)On such a review, the Health Authority may—
(a)confirm the contingent removal or the suspension,
(b)in the case of a suspension, terminate it,
(c)in the case of a contingent removal, vary the conditions, impose different conditions, revoke the contingent removal, or remove the practitioner from the list.
49MAppeals
(1)A practitioner may appeal to the FHSAA against a decision of a Health Authority mentioned in subsection (2) by giving notice in writing to the FHSAA within the period of 28 days beginning with the date on which the Health Authority gave him notice of the decision.
(2)The Health Authority decisions in question are—
(a)to remove the practitioner from a list (under section 49F or 49G(3) or under subsection (5)(b) of this section),
(b)to remove him contingently (under section 49G),
(c)to impose any particular condition under section 49G, or to vary any condition or to impose any different condition under that section,
(d)to vary his terms of service (under section 49G(4)),
(e)any decision on a review of a contingent removal under section 49L.
(3)The appeal shall be by way of redetermination of the Health Authority’s decision.
(4)On an appeal, the FHSAA may make any decision which the Health Authority could have made.
(5)If the FHSAA decides to remove the practitioner contingently—
(a)the Health Authority and the practitioner may each apply to the FHSAA for the conditions imposed on the practitioner to be varied, for different conditions to be imposed, or for the contingent removal to be revoked, and
(b)the Health Authority may remove him from their list if they determine that he has failed to comply with a condition.
(6)The Health Authority shall not remove a person from a list, or impose a contingent removal—
(a)until the expiry of the period of 28 days referred to in subsection (1), or
(b)if the practitioner appeals within that period, until the FHSAA has disposed of the appeal.
(7)Regulations may provide for payments by Health Authorities to practitioners who are removed from lists pursuant to decisions of the FHSAA under this section, but whose appeals against those decisions are successful.
49NNational disqualification
(1)If the FHSAA removes the practitioner from a list, it may also decide to disqualify him from inclusion in—
(a)all lists referred to in section 49F(1)(a) to (e) prepared by all Health Authorities,
(b)all supplementary lists prepared by all Health Authorities, and
(c)all services lists prepared by all Health Authorities under section 28DA above or under section 8ZA of the National Health Service (Primary Care) Act 1997 (c. 46), or any list corresponding to a services list prepared by any Health Authority by virtue of regulations made under section 41 of the Health and Social Care Act 2001,
or only from inclusion in one or more descriptions of such lists prepared by all Health Authorities, the description being specified by the FHSAA in its decision.
(2)A decision by the FHSAA to do what is mentioned in subsection (1) is referred to in this section as the imposition of a national disqualification.
(3)The FHSAA may also impose a national disqualification on a practitioner if it dismisses an appeal by him against a Health Authority’s refusal to include him in such a list (or, in the case of a medical list, to nominate or approve him for inclusion in it).
(4)The Health Authority may apply to the FHSAA for a national disqualification to be imposed on a person after they have—
(a)removed him from a list of theirs of any of the kinds referred to in subsection (1)(a) to (c), or
(b)refused to include him in such a list (or, in the case of a medical list, to nominate or approve him for inclusion in it).
(5)Any such application must be made before the end of the period of three months beginning with the date of the removal or of their refusal.
(6)If the FHSAA imposes a national disqualification on a person—
(a)no Health Authority may include him in a list of any of the kinds from which he has been disqualified from inclusion prepared by them, and
(b)if he is included in such a list, each Health Authority in whose list he is included must remove him from it.
(7)The FHSAA may at the request of the person upon whom it has been imposed review a national disqualification, and on a review may confirm it or revoke it.
(8)Subject to subsection (9), the person may not request such a review before the end of the period of—
(a)two years beginning with the date on which the national disqualification was imposed, or
(b)one year beginning with the date of the FHSAA’s decision on the last such review.
(9)The Secretary of State may provide in regulations for subsection (8) to have effect in prescribed circumstances as if the reference there to “two years” or “one year” were a reference to a different period specified in the regulations.
49ONotification of decisions
Regulations may require a Health Authority to notify prescribed persons, or persons of prescribed descriptions, of any decision they make under this group of sections, and of any information relevant to the decision which they consider it appropriate to include in the notification.
49PWithdrawal from lists
Regulations may provide for circumstances in which a practitioner—
(a)whom a Health Authority are investigating in order to see whether there are grounds for exercising their powers under section 49F, 49G or 49I,
(b)whom a Health Authority have decided to remove from a list under section 49F or 49G, or contingently remove under section 49G, but who has not yet been removed or contingently removed, or
(c)who has been suspended under section 49I,
may not withdraw from a list in which he is included.
49QRegulations
(1)Any decision by a Health Authority referred to in this group of sections shall be reached in accordance with regulations made by the Secretary of State about such decisions.
(a)requiring the practitioner to be given notice of any allegation against him,
(b)giving him the opportunity of putting his case at a hearing before a Health Authority make any decision affecting him under this group of sections,
(c)requiring him to be given notice of the Health Authority’s decision and the reasons for it and of any right of appeal which he may have.
(3)The regulations may, in particular, make provision as to criteria which the Health Authority must apply when making decisions in unsuitability cases.
49RCorresponding provision in Scotland and Northern Ireland
(1)This section applies where it appears to the Secretary of State that there is provision in Scotland or Northern Ireland under which a person may be dealt with in any way which corresponds (whether or not exactly) with a way in which a person may be dealt with under this group of sections.
(2)A decision in Scotland or Northern Ireland to deal with such a person in such a way is referred to in this section as a “corresponding decision”.
(3)If this section applies, the Secretary of State may make regulations providing for the effect to be given in England and Wales to a corresponding decision.
(4)That effect need not be the same as the effect of the decision in the place where it was made.
(5)The regulations may not provide for a corresponding decision to be reviewed or revoked in England and Wales.”
26PMS and PDS lists
“28DALists of persons who may perform personal medical services or personal dental services
(9)If the regulations provide under subsection (3)(c) or (e) that a Health Authority may refuse a person’s application for inclusion in a services list, or remove a person from one, the regulations must provide for an appeal (by way of redetermination) to the FHSAA against the Health Authority’s decision.
“Services Lists
8ZALists of persons who may perform personal medical services or personal dental services
(3)In section 40(3) of the National Health Service (Primary Care) Act 1997 (c. 46) (interpretation) after “sections 28C” there shall be inserted “, 28DA”.
27The Family Health Services Appeal Authority
“The Family Health Services Appeal Authority
49SThe Family Health Services Appeal Authority
(2)In section 102 of the 1977 Act (allowances and remuneration for members of certain bodies), in each of subsections (1)(a)(v) and (2)(d), for “the Tribunal constituted under section 46 above” there shall be substituted “the FHSAA”.
“SCHEDULE 9AThe Family Health Services Appeal Authority
(a)in section 22 (supplementary regulations about personal medical or dental services), in the section 28E to be inserted into the 1977 Act, in subsection (7)(e), for “Tribunal constituted under section 46” there shall be substituted “Family Health Services Appeal Authority constituted under section 49S”; and
(b)in Schedule 1 (preferential treatment on transferring to medical lists), in paragraph 9(a), for “Tribunal constituted under section 46” there shall be substituted “Family Health Services Appeal Authority constituted under section 49S”.
Part 2Pharmaceutical Services
Chapter 1Local Pharmaceutical Services
28Pilot schemes
(1)Health Authorities may establish pilot schemes.
(a)made by a Health Authority (“A”) in accordance with this Chapter;
(6)In determining the arrangements they need to make in order to comply with section 41 of the 1977 Act (arrangements to be made by Health Authorities for the provision of pharmaceutical services), a Health Authority may take into account arrangements under a pilot scheme made by them.
(7)The functions of an NHS trust or a Primary Care Trust include power to provide any services to which a pilot scheme applies.
29Making pilot schemes
31Reviews of pilot schemes
(a)the Health Authority concerned, and
32Variation and termination of pilot schemes
(1)The relevant authority may give directions authorising Health Authorities to vary pilot schemes (otherwise than in response to directions given under subsection (2)) in such circumstances, and subject to such conditions, as may be specified in the directions.
(2)The relevant authority may by directions require a pilot scheme to be varied by the Health Authority concerned in accordance with the directions.
(3)If satisfied that a pilot scheme is (for any reason) unsatisfactory, the relevant authority may give directions to the Health Authority concerned requiring them to bring the scheme to an end in accordance with the terms of the directions.
33NHS contracts
34Funding of preparatory work
(1)Provision may be made by regulations for Health Authorities to make payments of financial assistance for preparatory work.
(b)imposing a limit on the amount of any payment of financial assistance which a Health Authority may make in any prescribed period in respect of any one person or any one pilot scheme;
(c)imposing a limit on the aggregate amount which a Health Authority may pay by way of financial assistance in any one financial year;
35Charges, recovery of payments and penalties
39Assessing pilot schemes
41Corresponding provision and application of enactments
Chapter 2Changes to existing arrangements
42Dispensing of NHS prescriptions and provision of pharmaceutical services
“41Arrangements for pharmaceutical services
43Remote provision of pharmaceutical, etc. services
44Dispensing of NHS prescriptions
(a)for “listed drugs and medicines and listed appliances” there shall be substituted “such drugs and medicines and such listed appliances as may be determined by the Scottish Ministers for the purposes of this paragraph”; and
(b)for “registered nurse, midwife or health visitor” there shall be substituted “person in accordance with such conditions, if any, as may be prescribed,”.
Part 3Care Trusts and Partnership Arrangements
45Care Trusts
46Directed partnership arrangements
(1)If the relevant authority is of the opinion—
(a)that a body to which this section applies (“the failing body”) is not exercising any of its functions adequately, and
(b)that it would be likely to lead to an improvement in the way in which that function is exercised if it were to be exercised—
(i)by another body to which this section applies under delegation arrangements, or
(ii)in accordance with pooled fund arrangements made with another such body,
the relevant authority may direct those bodies to enter into such delegation arrangements or pooled fund arrangements in relation to the exercise of the appropriate function or functions as are specified in the direction.
(2)In subsection (1) “the appropriate function or functions” means—
(a)the function of the failing body mentioned in that subsection; and
(b)such other function of that body (if any) as the relevant authority considers would, if exercised under or in accordance with the arrangements in question, be likely to contribute to an improvement in the exercise of the function referred to in paragraph (a).
(a)NHS bodies, and
but in subsections (1) and (2) any reference to functions is, in relation to a local authority, a reference only to relevant social services functions of the authority.
(4)In this section any reference to an improvement in the way in which any function is exercised includes an improvement in the provision to any individuals of any services to which that function relates.
“delegation arrangements” means arrangements falling within section 31(2)(b) or (c) of the Health Act 1999, whether or not made in conjunction with any pooled fund arrangements;
“NHS body” means a Health Authority, Primary Care Trust or NHS trust;
48Transfer of staff in connection with partnership arrangements
(1)The Health Act 1999 (c. 8) shall be amended as follows.
(2)At the end of section 31 (arrangements between NHS bodies and local authorities) there shall be added—
“(9)Schedule 2A makes provision with respect to the transfer of staff in connection with arrangements made by virtue of this section.”
(3)In section 62 (regulations and orders), at the end of subsection (1) there shall be inserted “, unless it is an order under paragraph 2 of Schedule 2A.”
(4)The Schedule set out in Schedule 4 to this Act shall be inserted in the Health Act 1999 as Schedule 2A to that Act.
Part 4Social Care
50Preserved rights: transfer to local authorities of responsibilities as to accommodation
51Preserved rights: disclosure of information
52Preserved rights: alignment of social security benefits
53Disregarding of resources when determining need for residential accommodation
54Funding by resident etc. of more expensive accommodation
(1)Regulations may make provision for and in connection with the making, in respect of the provision of Part 3 accommodation, of additional payments—
56Cross-border placements
58Direct payments in respect of children
For section 17A of the Children Act 1989 (c. 41) there shall be substituted—
“17ADirect payments
(1)The Secretary of State may by regulations make provision for and in connection with requiring or authorising the responsible authority in the case of a person of a prescribed description who falls within subsection (2) to make, with that person’s consent, such payments to him as they may determine in accordance with the regulations in respect of his securing the provision of the service mentioned in that subsection.
(b)a person who is in receipt of income support, working families' tax credit or disabled person’s tax credit under Part 7 of the Social Security Contributions and Benefits Act 1992 (c. 4) or of an income-based jobseeker’s allowance.
59Interpretation of Part 4
“community care services”—
in relation to England or Wales, has the meaning given by section 46(3) of the 1990 Act (local authority plans for community care services);
in relation to Scotland, has the same meaning as in the 1968 Act;
in relation to England or Wales, has the meaning given by section 46(3) of the 1990 Act;
“Part 3 accommodation” means (in accordance with section 54(3)) accommodation provided under sections 21 to 26 of the 1948 Act.
(2)In this Part any reference to Part 3 accommodation or to a local authority providing such accommodation shall be construed in accordance with section 21(5) or (6) of the 1948 Act, as the case may be.
(3)In this Part any reference (however expressed) to services provided by a local authority includes services which the authority arrange to provide, where they have power to do so.
61Patient Information Advisory Group
(1)For the purposes of subsections (2) and (3), the Secretary of State shall, as soon as reasonably practicable after the passing of this Act, by regulations establish a committee to be known as the Patient Information Advisory Group (“the Advisory Group”).
(2)Before laying before Parliament a draft of any statutory instrument containing regulations under section 60(1), or making any regulations pursuant to section 60(4)(b), the Secretary of State shall seek and have regard to the views of the Advisory Group on the proposed regulations.
(3)The Secretary of State may seek the views of the Advisory Group on such other matters connected with the processing of patient information or of any information (other than patient information) obtained or generated in the course of the provision of the health service as he considers appropriate.
(4)Regulations under subsection (1) may, in particular, make provision as to—
(a)the persons or bodies who are to be represented by members of the Advisory Group,
(c)the proceedings of the Advisory Group, and
(d)the payment by the Secretary of State of—
(i)such expenses incurred by the Advisory Group, and
(ii)such allowances in respect of expenses incurred by members of the Advisory Group,
(5)The Secretary of State shall publish, in such manner as he considers appropriate, any views which he receives from the Advisory Group pursuant to subsection (2).
(6)In this section “the health service”, “patient information” and “processing” have the same meaning as they have for the purposes of section 60.
62Reports to Parliament on services for disabled people
(1)Section 11 of the Disabled Persons (Services, Consultation and Representation) Act 1986 (c. 33) shall be amended as follows.
(2)Before subsection (1) there shall be inserted—
“(1ZA)In this section, subsection (1ZB) extends to England and Wales only and subsection (1) extends to Scotland only.
(1ZB)The Secretary of State shall annually lay before Parliament—
(a)a report containing such information as he considers appropriate with respect to the development of health and social services for persons with mental illness; and
(b)a report containing such information as he considers appropriate with respect to the development of health and social services for persons with learning disability;
and each of those reports may contain such other information as the Secretary of State considers appropriate.”
“health service hospital” has the same meaning as in the 1978 Act, except that it does not include a State hospital;
“learning disability” means a state of arrested or incomplete development of mind which includes significant impairment of intelligence and social functioning.”
64Regulations and orders
(1)Any power under this Act to make any order or regulations shall (except in the case of regulations under section 65(3)(c)) be exercisable by statutory instrument.
(2)A statutory instrument containing any order or regulations made by the Secretary of State under this Act other than—
(a)an order under section 70(2), or
(b)any regulations to which subsection (3) applies,
(3)This subsection applies to any regulations under section 60 (except where they are made pursuant to section 60(4)(b)); and no such regulations shall be made (whether alone or with other provisions) unless a draft of the statutory instrument containing the regulations has been laid before, and approved by a resolution of, each House of Parliament.
(4)A statutory instrument containing any regulations made by the Scottish Ministers shall be subject to annulment in pursuance of a resolution of the Scottish Parliament.
(5)Any regulations made by virtue of section 65(3)(c) shall be made by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979 (S.I. 1979/1573 (N.I. 12)) and shall be subject to negative resolution within the meaning of section 41(6) of the Interpretation Act (Northern Ireland) 1954 (c. 33 (N.I.)).
(6)Any power under this Act to make any order or regulations may be exercised—
(7)Where any such power is expressed to be exercisable for alternative purposes it may be exercised in relation to the same case for any or all of those purposes.
(a)to make such incidental, supplementary, consequential, saving or transitional provision (including provision amending, repealing or revoking enactments) as the authority making the order or regulations considers to be expedient; and
(9)Nothing in this Act shall be read as affecting the generality of subsection (8).
65Supplementary and consequential provision etc
(a)by the National Assembly for Wales, in relation to provision dealing with matters with respect to which functions are exercisable by the Assembly;
(b)by the Scottish Ministers, in relation to provision that would be within the legislative competence of the Scottish Parliament;
(c)by the First Minister and deputy First Minister acting jointly, in relation to provision dealing with transferred matters (within the meaning of section 4(1) of the Northern Ireland Act 1998 (c. 47)).
In this Act (unless the context otherwise requires)—
“the 1990 Act” means the National Health Service and Community Care Act 1990 (c. 19);
“regulations” means regulations made by the relevant authority;
in relation to Wales, the National Assembly for Wales, and
in relation to Scotland (in connection with regulations under section 50), the Scottish Ministers.
67Minor and consequential amendments and repeals
(1)The minor and consequential amendments specified in Schedule 5 shall have effect.
(2)The enactments specified in Schedule 6 are repealed to the extent specified.
68Powers of National Assembly for Wales under amended Acts
(1)In Schedule 1 to the National Assembly for Wales (Transfer of Functions) Order 1999 (S.I. 1999/672), any reference to an Act which is amended by this Act shall (as from the time when the Act is so amended) be treated as referring to the Act as so amended.
(2)But for the purpose of so construing the reference in that Schedule to the 1977 Act the amendments made by this Act do not include those made by section 27 above.
(3)The reference in that Schedule to the 1977 Act shall also be treated as referring to that Act as amended by sections 12(1) and 13(1) of the Government Resources and Accounts Act 2000 (c. 20) (but subject to the further amendments made by section 1 above).
(4)Neither of subsections (1) and (3) affects the power to make further Orders varying or omitting any such reference as is mentioned in that subsection.
69Financial provisions
70Short title, commencement and extent
(1)This Act may be cited as the Health and Social Care Act 2001.
(2)With the exception of—
(a)sections 59, 60, 61, 64 to 66, 68 and 69 and this section,
(b)Part 3 of Schedule 5, and
(c)any other provision of this Act so far as it confers any power to make an order or regulations under this Act which is exercisable by the Secretary of State,
this Act does not come into force until such day as the relevant authority may by order appoint; and different days may be so appointed for different purposes.
(3)In subsection (2), in its application in relation to—
(a)sections 14 to 17 and 27,
(b)sections 50(1), 51 and 52,
(c)sections 62 (except so far as extending to Wales) and 63, and
(d)any repeals consequential on any provisions falling within paragraph (a) or (b),
the reference to the relevant authority shall be read as a reference to the Secretary of State.
(4)In subsection (2), in its application in relation to—
(a)section 44, and
(b)the provisions of section 50(2) to (10) so far as relating to Scotland (and not within subsection (2)(b)),
the reference to the relevant authority shall be read as a reference to the Scottish Ministers.
(5)Subject to subsections (6) to (8), this Act extends to England and Wales only.
(6)The following provisions, namely—
(a)sections 50 to 52 and 59,
(b)sections 63 to 66, and
also extend to Scotland.
(7)The following provisions, namely—
(a)sections 63 to 65, and
also extend to Northern Ireland.
(8)The extent of any amendment or repeal made by this Act is the same as that of the enactment amended or repealed.
(9)Subsection (8) does not apply in relation to any amendment or repeal relating to section 115 of the Police Act 1997, and any such amendment or repeal extends to England and Wales only.
(10)The Secretary of State may by order provide that so much of this Act as extends to England and Wales is to apply to the Isles of Scilly with such modifications (if any) as are specified in the order; but otherwise this Act does not extend there.