Source: http://www.legislation.gov.uk/ukpga/1990/19/body
Timestamp: 2018-08-21 05:21:34
Document Index: 253366265

Matched Legal Cases: ['art. 1', 'art. 1', 'art. 4', 'art. 2', 'art. 3', 'art. 3', 'art. 4', 'art. 3', 'art. 3', 'art. 4', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 1', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 3', 'art. 3', 'art. 4', 'art. 2', 'art. 4', 'art. 3', 'art. 3', 'art. 4', 'art. 2', 'art. 4', 'art. 3', 'art. 3', 'art. 4', 'art. 2', 'art. 4', 'art. 2', 'art. 5', 'art. 2', 'art. 2', 'art. 2', 'art. 4', 'art. 115', 'art. 91', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 5', 'art. 2', 'art. 7', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 4', 'art.2', 'art. 2', 'art. 2', 'art. 3', 'art. 3', 'art. 2', 'art.2', 'art. 2', 'art. 2', 'art. 2', 'art. 3', 'art. 2', 'art. 2', 'art. 2', 'art. 1', 'art. 1', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 1', 'art. 1', 'art. 2', 'art 1', 'art 4', 'art. 8', 'art. 1', 'art. 1', 'art. 8', 'art. 1', 'art. 1', 'art. 1', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 1', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 3', 'art. 2', 'art. 2', 'art. 2', 'art. 3', 'art. 2', 'art. 2', 'art. 3', 'art. 2', 'art. 3', 'art. 11', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 4', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 7']

National Health Service and Community Care Act 1990 is up to date with all changes known to be in force on or before 21 August 2018. There are changes that may be brought into force at a future date. Changes that have been made appear in the content and are referenced with annotations.
s. 4A(1)(a) word omitted by S.I. 2006/1056 Sch. para. 5(a)(i) (This amendment comes into force on the day on which 2005 asp 13, s. 20 comes into force, see art. 1(2)(b))
s. 4A(3) words omitted by S.I. 2006/1056 Sch. para. 5(b) (This amendment comes into force on the day on which 2005 asp 13, s. 20 comes into force, see art. 1(2)(b))
s. 11(7) repealed by 2006 c. 28 Sch. 9
s. 20(2) repealed by 2006 c. 28 Sch. 9
s. 29(3) repealed by 2004 asp 7 sch. 2
s. 29(4)(a) repealed by 2004 asp 7 sch. 2
s. 29(4)(c) repealed by 2004 asp 7 sch. 2
Sch. 2 para. 24 repealed by 2006 c. 28 Sch. 9
Sch. 6 repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(2) (24) repealed by 2003 asp 4 sch. 4 para. 11(b)
Sch. 9 para. 19(4) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(7)(a)(ii) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(11)-(14) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(16) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(17) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(19) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(21) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(22)(b) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 19(22)(d) repealed by 2004 asp 7 sch. 2
Sch. 9 para. 4 repealed by 2008 asp 5 Sch. 3 Pt. 1
Part IE+W+S The National Health Service: England and Wales
Local managementE+W
1 Regional and District Health Authorities.E+W
F1S. 1(1)(2)(4)(5) repealed (1.4.1996) by 1995 c. 17, ss. 2(1)(3), 5, Sch. 3 (with Sch. 2 paras. 6, 16)
F2S. 1(3) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
F3S. 2 repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3
3 Primary and other functions of health authorities etc. and exercise of functions.E+W
F4S. 3 omitted (the amendment coming into force immediately before the National Health Service Act 2006 (c. 41) which Act came into force on 1.3.2007 in accordance with s. 277(1) (subject to s. 277(2)-(5) of that Act)) by virtue of The National Health Service (Pre-consolidation Amendments) Order 2006, arts. 1(1), 2, Sch. 1 Pt. 2 {para. 2} (with art. 4)
4 NHS contracts.E+W
F5Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
[F64A Provision of certain services under NHS contracts.E+W
[F7(1)This section applies to any arrangement under which [F8a Strategic Health Authority,][F9a Primary Care Trust,] a Health Authority or such other health service body as may be prescribed arrange for the provision to them—
(a)by a person on an ophthalmic list, F10. . .
[F11(aa)by a contractor under a general ophthalmic services contract, or]
section [F1439(1)(a)] of the principal Act;
section 26(2)(a) of the M1National Health Service (Scotland) Act 1978; or
Article 62(2)(a) of the M2Health and Personal Social Services (Northern Ireland) Order 1972; and
Article 63(2A)(a) of the 1972 Order.
F6S. 4A inserted (1.9.1997) by 1997 c. 46, s. 31(1); S.I. 1997/1780,
F7S. 4A repealed (1.3.2007 for certain purposes, 1.8.2008 for certain purposes and otherwise prosp.) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2)(4)(g)(h)(l)(5)(6), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1); S.I. 2008/1972, art. 2(b)
F8Words in s. 4A(1) inserted (1.10.2002) by 2002 c. 17, s. 1(3), Sch. 1 Pt. 2 para. 41; S.I. 2002/2478, art. 3(1)(c) (with art. 3(3) and transitional provision in art. 4)
F9Words in s. 4A(1) inserted (1.10.2002) by 2002 c. 17, s. 2(5), Sch. 2 Pt. 2 para. 54; S.I. 2002/2478, art. 3(1)(d) (with art. 3(3) and transitional provision in art. 4)
F10Word in s. 4A(1)(a) omitted (1.8.2008) by Health Act 2006 (c. 28), ss. 80(1), 83(7), Sch. 8 para. 29(2)(a); S.I. 2008/1972, art. 2(b)
F11S. 4A(1)(aa) inserted (1.8.2008) by Health Act 2006 (c. 28), ss. 80(1), 83(7), Sch. 8 {para. 29(2)(a)}; S.I. 2008/1972, art. 2(b)
F12Words in s. 4A(1) inserted (1.8.2008) by Health Act 2006 (c. 28), ss. 80(1), 83(7), Sch. 8 para. 29(2)(b); S.I. 2008/1972, art. 2(b)
F13S. 4A(3): definition of "general ophthalmic services contract" and "contractor" inserted (19.7.2006 for specified purposes, otherwise 1.8.2008) by Health Act 2006 (c. 28), ss. 80(1), 83(1)(e)(7), Sch. 8 {para. 29(3)}
F14Words in s. 4A(3) substituted (1.7.2002) by virtue of 2001 c. 15, s. 67, Sch. 5 Pt. 1 para. 8 (with ss. 64(9), 65(4)); S.I. 2002/1475, art. 2, Sch. Pt. 1
F15S. 4A(4) inserted (1.4.2006) by The Smoking, Health and Social Care (Scotland) Act 2005 (Consequential Modifications) (England, Wales and Northern Ireland) Order 2006 (S.I. 2006/1056, arts. 1(2)(c), 2, Sch. para. 5(c) (which came into force in accordance with art. 1(2) of that Order and The National Health Service (General Ophthalmic Services) (Scotland) Regulations 2006 (S.S.I. 2006/135) which were made on 10.3.2006 under substituted s. 26 of the National Health Service (Scotland) Act 1978 (c. 29) and came into force on 1.4.2006)
National Health Service trustsE+W
5 NHS trusts.E+W
F16Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
6 Transfer of staff to NHS trusts.E+W
F17Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
7 Supplementary provisions as to transfer of staff.E+W
F18Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
8 Transfer of property, rights and liabilities to NHS trust.E+W
F19Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
9 Originating capital debt of, and other financial provisions relating to NHS trusts.E+W
F20Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
10 Financial obligations of NHS trusts.E+W
F21Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
11 Trust funds and trustees for NHS trusts.E+W
F22Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
Family Health Services AuthoritiesE+W
12 Functions of Family Health Services Authorities.E+W
F23Ss. 4-12 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
F2413. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E+W
F24S. 13 repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3 (with Sch. 2 paras. 6, 16)
Fund-holding practicesE+W+S
F25S. 14 repealed (1.10.1999 for E. and 1.4.2000 for W.) by 1999 c. 8, ss. 1, 65, Sch. 5; S.I. 1999/2540, art. 2(1)(a), Sch. 1; S.I. 2000/1026, art. 2(1), Sch.; S.I. 2000/1041, art. 2(1)(d), Sch.
[F2615 Payments to recognised fund-holding practices.E+W+S
E1S. 15 other than s. 15(4) does not extend to Scotland
F26S. 15 repealed (1.10.1999 for E., 1.4.2000 for W. and otherwise prosp.) by 1999 c. 8, ss. 1, 65, Sch. 5; S.I. 1999/2540, art. 2(1)(a), Sch. 1; S.I. 2000/1026, art. 2(1), Sch.; S.I. 2000/1041, art. 2(d), Sch.
F27S. 15(2)(5) and (8) repealed (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, ss. 2(1)(3), 5(1)(2), Sch. 1 para. 74(b)(e) and (g), Sch. 3 (with Sch. 2 paras. 6, 16)
F28S. 15(4) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 74(a) (with Sch. 2 paras. 6, 16)
I1S. 15 wholly in force at 1.4.1991 see s. 67(1) and S.I. 1990/1329, art. 2(8), Sch. 3.
F29S. 16 repealed (1.10.1999 for E. and 1.4.2000 for W.) by 1999 c. 8, ss. 1, 65, Sch. 5; S.I. 1999/2540, art. 2(1)(a), Sch. 1; S.I. 2000/1026, art. 2(1), Sch.; S.I. 2000/1041, art. 2(1)(d), Sch.
F30S. 17 repealed (1.10.1999 for E. and 1.4.2000 for W.) by 1999 c. 8, s. 65, Sch. 5; S.I. 1999/2540, art. 2(1)(a); S.I. 2000/1026, art. 2(1), Sch.; S.I. 2000/1041, art. 2(1)(d), Sch.
Indicative amountsE+W
[F3118 Indicative amounts for doctors’ practices.E+W
(1)Subject to [F32subsections (2) and (8)] below, for each financial year, [F33every Primary Care Trust and] every [F34Local Health Board] shall, by notice in writing given to each practice in relation to the members of which it is the relevant [F35Primary Care Trust or][F34Local Health Board], specify an amount of money (in this Act referred to as an “indicative amount”) representing the basic price of the drugs, medicines and listed appliances which, in the opinion of the [F35Primary Care Trust or][F34Local Health Board], it is reasonable to expect will be supplied in that year pursuant to orders given by or on behalf of the members of that practice.
[F36(a)a person or body who has entered into a contract under section 28Q of the principal Act, otherwise than in partnership; or
(b)two or more individuals practising in partnership who together have entered into such a contract,]
(4)The members of a practice shall seek to secure that, except with the consent of the relevant [F37Primary Care Trust or][F38Local Health Board] or for good cause, the orders for drugs, medicines and listed appliances given by them or on their behalf are such that the basic price of the items supplied pursuant to those orders in any financial year does not exceed the indicative amount notified to the practice for that year under subsection (1) above.
(5)For the purpose of measuring the extent to which a practice is operating within the indicative amount notified to it under subsection (1) above for any financial year, a [F37Primary Care Trust or][F38Local Health Board] shall set against that indicative amount an amount equal to the basic price of the drugs, medicines and listed appliances supplied in that year pursuant to orders given by or on behalf of members of the practice.
[F40(8)This section does not apply in relation to the performance or provision of personal medical services in accordance with arrangements made under section 28C of the principal Act.]
[F41(9)In this section, references to the “relevant” Primary Care Trust or Local Health Board, in relation to a practice, are to the Primary Care Trust or Local Health Board with which it has entered into a contract under section 28Q of the principal Act.]]
F31S. 18 repealed by 1999 c. 8, ss. 65, 67(1), Sch. 4 para. 80, Sch. 5 (the repeal being brought into force: on 1.10.1999 to the extent that Sch. 5 repeals s. 18(2) for E. by S.I. 1999/2540, art. 2(1)(a), Sch. 1; on 1.4.2000 to the extent that Sch. 5 repeals s. 18(2) and is not already in force by S.I. 2000/1041, art. 2(1)(d), Sch.; the repeal being otherwise prosp.)
F32Words in s. 18(1) substituted (1.4.1998) by 1997 c. 46, s. 41(10), (11), Sch. 2 para. 65(8); S.I. 1998/631, art. 2(b), Sch. 2
F33Words in s. 18(1) inserted (1.10.2002 with effect as mentioned in Sch. 2 para. 55(2) of the amending act) by 2002 c. 17, s. 2(5), Sch. 2 Pt. 2 para. 55(1)(a)(i)(2); S.I. 2002/2478, art. 3(1)(d) (with art. 3(3) and transitional provision in art. 4)
F34Words in s. 18(1) substituted (1.4.2004) by Health and Social Care (Community Health and Standards Act 2003 (c. 43), ss. 184, 199(1)(a), Sch. 11 para. 56(2); S.I. 2004/288, arts. 1(5), 5(2)(v) (as amended by S.I. 2004/866, art. 2(1)); S.I. 2004/480, art. 4(2)(z)
F35Words in s. 18(1) inserted (1.10.2002 with effect as mentioned in Sch. 2 para. 55(2) of the amending act) by 2002 c. 17, s. 2(5), Sch. 2 Pt. 2 para. 55(1)(a)(ii)(2); S.I. 2002/2478, art. 3(1)(d) (with art. 3(3) and transitional provision in art. 4)
F36S. 18(3)(a)(b) substituted (1.4.2004) by Health and Social Care (Community Health and Standards Act 2003 (c. 43), ss. 184, 199(1)(a), Sch. 11 para. 56(3); S.I. 2004/288, arts. 1(5), 5(2)(v) (as amended by S.I. 2004/866, art. 2(1)); S.I. 2004/480, art. 4(2)(z)
F37Words in s. 18 inserted (1.10.2002 with effect as mentioned in Sch. 2 para. 55(2) of the amending act) by 2002 c. 17, s. 2(5), Sch. 2 Pt. 2 para. 55(1)(b); S.I. 2002/2478, art. 3(1)(d) (with art. 3(3) and transitional provision in art. 4)
F38Words in s. 18(4)(5) substituted (1.4.2004) by Health and Social Care (Community Health and Standards Act 2003 (c. 43), ss. 184, 199(1)(a), Sch. 11 para. 56(4); S.I. 2004/288, arts. 1(5), 5(2)(v) (as amended by S.I. 2004/866, art. 2(1)); S.I. 2004/480, art. 4(2)(z)
F39S. 18(7) repealed (1.4.2004 ) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), ss. 196, 199(1), Sch. 14 Pt. 4; S.I. 2004/288, arts. 1(5), 6(2)(i) (as amended (23.3.2004) by S.I. 2004/866, art. 2(1)); S.I. 2004/480, art. 5(2)(i) (as amended by S.I. 2004/1019, art. 2(5)(a))
F40S. 18(8) inserted (1.4.1998) by 1997 c. 46, s. 41(10(11), Sch. 2 para. 65(10); S.I. 1998/631, art. 2(b), Sch. 2
F41S. 18(9) inserted (1.4.2004) by Health and Social Care (Community Health and Standards Act 2003 (c. 43), ss. 184, 199(1)(a), Sch. 11 para. 56(5); S.I. 2004/288, arts. 1(5), 5(2)(v) (as amended by S.I. 2004/866, art. 2(1)); S.I. 2004/480, art. 4(2)(z)
C1S. 18 modified (1.4.1991) by S.I. 1991/556, reg. 3.
S. 18(2) applied (with modifications) (1.4.1997) by S.I. 1997/980, reg. 3
C2S. 18: functions of local authority may be responsibility of an executive of the authority (1.4.2000) by virtue of S.I. 2000/695, reg. 3(2)(b), Sch. 2
C3S. 18 modified (temp.) (1.4.2004) by The General Medical Services and Personal Medical Services Transitional and Consequential Provisions Order 2004 (S.I. 2004/865), art. 115
C4S. 18 modified (W.) (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), art. 91
I2S. 18 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/1329, art. 2(8), Sch. 3.
Funding, audit and liabilitiesE+W
F4219. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E+W
F42S. 19 repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3 (with Sch. 2 paras. 6, 16)
20 Extension of functions etc. of Audit Commission to cover the health service.E+W
(2)In section 98 of the principal Act (accounts and audit),—
(a)in subsection (1), in the words following paragraph (e) for the words from “appointed” to “Comptroller” there shall be substituted “appointed by the Audit Commission for Local Authorities and the National Health Service in England and Wales and the Comptroller”;
F43S. 20(1)(3)-(8) repealed (11.9.1998) by 1998 c. 18, ss. 54(3), 55(2), Sch. 5
F44S. 20(2)(b) repealed (1.10.1999 for E. and 1.4.2000 for W.) by 1999 c. 8, ss. 65(2), Sch. 4 para. 83(6), Sch. 5; S.I. 1999/2540, art. 2(1)(a), Sch. 1; S.I. 2000/1041, art. 2(d), Sch.
F45S. 20(2)(c)(d) repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3 (with Sch. 2 para. 6)
21 Schemes for meeting losses and liabilities etc. of certain health service bodies.E+W
F46S. 21 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
Further amendments of the principal ActE+W
22 The Medical Practices Committee.E+W
23 Distribution of general medical services.E+W
F47S. 23 repealed (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 c. 43, ss. 196, 199(1), Sch. 14 Pt. 4; S.I. 2004/288, arts. 1(5), 6(2)(i) (as amended (23.3.2004) by S.I. 2004/866, art. 2(1)); S.I. 2004/480, art. 5(2)(i) (as amended by S.I. 2004/1019, art. 2(5)(a))
24 Limitations on right to be included on list of dental practitioners.E+W
F48S. 24 repealed (1.4.2006) by Health and Social Care (Community Health and Standards) Act 2003 c. 43, ss. 196, 199(1), Sch. 14 Pt. 4; S.I. 2005/2925, arts. 1(3), 11(2)(l); S.I. 2006/345, art. 7(2)(g)
25 Transfer to DHA of certain functions relating to private patients.E+W
F49S. 25 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
26 Interpretation of Part I.E+W
F50S. 26 repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
Part IIE+W+S The National Health Service: Scotland
Health Boards and other bodiesS
27 Health Boards, the Common Services Agency and state hospitals.S
(1)Subject to subsection (2) below, at the end of the day appointed for the coming into force of this subsection, any person who is a member of—
(c)a State Hospital Management Committee within the meaning of the M3Mental Health (Scotland) Act 1984,
(3)Schedule 1 (Health Boards) and Schedule 5 (Common Services Agency) to the M4National Health Service (Scotland) Act 1978 (in this Part of this Act referred to as “the 1978 Act”) and Schedule 1 to the M5Mental Health (Scotland) Act 1984 (State Hospital Management Committees) shall be amended in accordance with Schedule 5 to this Act.
I3S. 27 wholly in force; s. 27 not in force at Royal Assent see s. 67(2); s. 27(3) in force at 17.9.1990 and s. 27(1)(2) in force for certain purposes at 31.3.1991 and at 30.6.1992 insofar as not already in force by S.I. 1990/1793, art. 2(1)(3)(5), Sch. I (art. 2(5) of that S.I. amended (13.3.1992) by S.I. 1992/799, art. 2).
28 Special Health Boards.S
In section 2 (Health Boards) of the 1978 Act—
29 Scottish advisory bodies.S
(1)Section 5 of the 1978 Act (Scottish Health Service Planning Council) shall cease to have effect.
30 NHS contracts.S
After section 17 of the 1978 Act there shall be inserted the following sections—
“17A NHS contracts.
(1)The persons or bodies mentioned in paragraphs (a) to (e) of subsection (2) may, for the purpose of carrying out their functions under any enactment, and without prejudice to any other power they may have in that regard, enter into arrangements for the provision of goods or services to or by them with—
17B Reimbursement of Health Boards’ costs.
(1)Where a Health Board provide goods or services under this Act for an individual for whose health care it is not their function to provide by virtue of section 2(1), in circumstances where the condition of the individual is such that he needs those goods or services and, having regard to his condition, it is not practicable, before providing them, to enter into an NHS contract for their provision, that Health Board shall be remunerated in respect of that provision by the Health Board or Health and Social Services Board which has the function, or the District or Special Health Authority which has the primary functions, of providing those goods or services to that individual.
I4S. 30 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/1793, art. 2(4), Sch. II.
National Health Service trustsS
31 National Health Service trusts.S
After section 12 of the 1978 Act there shall be inserted the following sections—
“12A National Health Service trusts.
(1)Subject to subsection (2), the Secretary of State may by order establish bodies, to be known as National Health Service trusts (in this Act referred to as “NHS trusts”)—
12B Transfer of staff to NHS trusts.
(1)Subject to subsection (5), this section applies to any person who, immediately before an NHS trust’s operational date—
12C Supplementary provisions as to transfer of staff.
(1)In the case of a person who falls within subsection (1)(b) of section 12B, a scheme under that section may provide that, with effect from the NHS trust’s operational date, his contract of employment (in this section referred to as “his original contract”) shall be treated in accordance with the scheme as divided so as to constitute—
12D Transfer of property rights and liabilities to NHS trusts.
(1)The Secretary of State may by order provide for the transfer to an NHS trust, with effect from such date as may be specified in the order, of such of the property, liabilities and obligations of a Health Board, the Agency or the Secretary of State as, in his opinion, need to be transferred to the NHS trust for the purpose of enabling it to carry out its functions.
12E Originating capital debt of, and other financial provisions relating to NHS trusts.
(1)Each NHS trust shall have an originating capital debt of an amount specified in an order made by the Secretary of State with the consent of the Treasury, being an amount representing, subject to subsection (2), the excess of the valuation of the assets which, on or in connection with the establishment of the trust, are or are to be transferred to it (whether before, on or after its operational date) over the amounts of the liabilities which are or are to be so transferred.
12F Financial obligations of NHS trusts.
(1)Every NHS trust shall ensure that its revenue is not less than sufficient, taking one financial year with another, to meet outgoings properly chargeable to revenue account.
33 Trust property of NHS trusts.S
After section 12F of the 1978 Act (as inserted by section 31 of this Act) there shall be inserted the following section—
“12G Trust property of NHS trusts.
(1)Subject to subsection (2), an NHS trust shall have power to accept, hold and administer any property on trust for purposes relating to any service which it is their function to make arrangements for, administer or provide.
34 Fund-holding practices.E+W+S
After section 87 of the 1978 Act there shall be inserted the following sections—
“ Fund-holding practicesE+W+S
87A Recognition of fund-holding practices of doctors.
(1)Any one or more medical practitioners who are providing general medical services in accordance with arrangements under section 19 may apply to the relevant Health Board for recognition as a fund-holding practice.
87B Payments to recognised fund-holding practices.
(1)In respect of each financial year, every Health Board shall be liable to pay to the members of each recognised fund-holding practice in relation to which it is the relevant Health Board a sum determined in such manner and by reference to such factors as the Secretary of State may direct (in this section referred to as an “allotted sum”).
87C Renunciation and removal of recognition as a fund-holding practice and withholding of funds.
(1)Regulations may make provision as to the circumstances in which the members of a recognised fund-holding practice may renounce that status and such regulations may, in particular, make provision as to—
Indicative amountsS
35 Indicative amounts for doctors’ practices.S
After the sections inserted in the 1978 Act by section 34 above there shall be inserted the following section—
“ Indicative amountsS
87D Indicative amounts for doctors’ practices.
(1)Subject to subsection (2), for each financial year every Health Board shall, by notice in writing given to each practice in relation to the members of which it is the relevant Health Board, specify an amount of money (in this Act referred to as an “indicative amount”) representing the basic price of the drugs, medicines and listed appliances which, in the opinion of the Board, it is reasonable to expect will be supplied in that year pursuant to orders given by or on behalf of the members of that practice.
I5S. 35 wholly in force at 1.4.1992 see s. 67(2) and S.I. 1990/1793, art. 2(6).
36 Accounts and audit of NHS trusts and fund-holding practices.S
(1)The enactments specified in Schedule 7 to this Act shall have effect subject to the amendments set out in that Schedule, being amendments—
(a)to extend the functions of the Commission for Local Authority Accounts in Scotland (in this section referred to as “the Commission”) to cover Health Boards and other bodies established under the 1978 Act, the Mental Welfare Commission for Scotland and State Hospital Management Committees constituted under the M6Mental Health (Scotland) Act 1984;
F51S. 36(5) repealed (1.4.1995) by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 66(2), Sch. 10; S.I. 1994/2658, art. 4
I6S. 36 wholly in force; s. 36 not in force at Royal Assent, see s. 67(2); s. 36 in force at 24.10.1994, 1.12.1994 by S.I. 1994/2658, arts. 2, 3
37 Relationship of Health Boards and medical practitioners.S
After subsection (7) of section 19 of the 1978 Act (arrangements and regulations for general medical services) there shall be inserted the following subsection—
38 Scottish Medical Practices Committee.S
(1)In section 3 of the 1978 Act (the Scottish Medical Practices Committee), after subsection (1) there shall be inserted the following subsection—
I7S. 38 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1991/607, art.2
39 Distribution of general medical services.S
(1)In section 23 of the 1978 Act (distribution of general medical services), after subsection (1) there shall be inserted the following subsections—
(7)F52. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F52S. 39(7) repealed (1.4.2004) by Public Appointments and Public Bodies etc. (Scotland) Act 2003 (asp 4), ss. 17, 21(2), Sch. 4 para. 11(a); S.S.I. 2004/148, art. 2(c)
I8S. 39 partly in force; s. 39 (except 39(4)) in force for certain purposes at 1.4.1991, see s. 67(2) and S.I. 1991/607, art. 2, (art. 3(1) of S.I. 1991/607 contains transitional provisions relating to s. 39(2))
40 Limitations on right to be included on list of dental practitioners.S
F53S. 40 repealed (2.7.2010) by Smoking, Health and Social Care (Scotland) Act 2005 (asp 13), ss. 42(2), 43(3), sch. 3; S.S.I. 2010/185, art. 3(b), Sch. 2
41 Schemes for meeting losses and liabilities etc. of certain health service bodies.S
After section 85A of the 1978 Act there shall be inserted the following section—
“85B Schemes for meeting losses and liabilities etc. of certain health service bodies.
(1)The Secretary of State may by regulations made with the consent of the Treasury establish a scheme whereby any of the bodies mentioned in subsection (2) may make provision to meet—
Part IIIE+W+S Community Care: England and Wales
C5Pt. III (ss. 42-50) applied (with modifications) (1.4.1993) by S.I. 1993/570, art. 2(2)(a)
Provision of accommodation and welfare servicesE+W+S
42 Provision of accommodation and welfare services: agency arrangements.E+W+S
(1)In section 21(1) of the M7National Assistance Act 1948 (duties of local authorities to provide accommodation for persons aged 18 or over who are in need of care and attention by reason of age, infirmity or other circumstances)—
(b)at the end of that paragraph there shall be added “and
(aa)residential accommodation for expectant and nursing mothers who are in need of care and attention which is not otherwise available to them”.
(3)[F55In section 26 of that Act (arrangements for provision of accommodation in premises maintained by voluntary organisations etc.), at the end of subsection (2)] (under which the arrangements must provide for the local authority to make payments in respect of accommodation provided) there shall be added “and subject to subsection (3A) below the local authority shall recover from each person for whom accommodation is provided under the arrangements the amount of the refund which he is liable to make in accordance with the following provisions of this section”.
(7)In section 45(3) of the M8Health Services and Public Health Act 1968 (under which a local authority may employ certain voluntary organisations as their agents for promoting the welfare of old people) for the words from “any voluntary organisation” onwards there shall be substituted “any voluntary organisation or any person carrying on, professionally or by way of trade or business, activities which consist of or include the provision of services for old people, being an organisation or person appearing to the authority to be capable of promoting the welfare of old people”.
F54S. 42(2) repealed (1.4.1993) by Community Care (Residential Accommodation) Act 1992 (c. 49), s. 1(2)(a); S.I. 1992/2976, art.2.
F55Words in s. 42(3) substituted (1.4.1993) by Community Care (Residential Accommodation) Act 1992 (c. 49), s. 1(2); S.I. 1992/2976, art. 2.
I9S. 42 wholly in force at 1.4.1993; s. 42 not in force at Royal Assent see s. 67(2); s. 42(6)(7) in force at 1.4.1991 by S.I. 1990/2218, art. 2; s. 42(1)-(5) in force at 1.4.1993 by S.I. 1992/2975, art. 2(2), Sch.
M81968 c. 46.
[F5643 Exclusion of powers to provide accommodation in certain cases.E+W
After section 26 of the M9National Assistance Act 1948 there shall be inserted—
26A“ Exclusion of powers to provide accommodation under this Part in certain cases.
(1)Subject to subsection (3) of this section, no accommodation may be provided under section 21 or 26 of this Act for any person who immediately before the date on which this section comes into force was ordinarily resident in relevant premises.
F56S. 43 repealed (15.5.2002) 2001 c. 15, s. 67, Sch. 6 Pt. 3 (with ss. 64(9), 65(4)); S.I. 2002/1312, art. 3(c)
I10S. 43 wholly in force at 1.4.1993 see s. 67(2) and S.I. 1992/2975, art. 2(2), Sch.
44 Charges for accommodation provided by local authorities.E+W+S
(1)Section 22 of the M10National Assistance Act 1948 (charges for accommodation provided under Part III of that Act to be made at a standard rate fixed by the local authority subject to a minimum weekly rate prescribed under subsection (3)) shall have effect subject to the amendments specified in subsections (2) to (6) below.
I11S. 44 wholly in force at 1.4.1993 see s. 67(2) and S.I. 1992/2975, art. 2(2), Sch.
45 Recovery of charges due to local authorities for accommodation.E+W+S
(1)In section 21 of the M11Health and Social Services and Social Security Adjudication Act 1983 (recovery of sums due to local authority where persons in residential accommodation have disposed of assets) after subsection (3) there shall be inserted—
I12S. 45 wholly in force at 12.4.1993 see s. 67(2) and S.I. 1992/2975, art. 2(3)(a).
M111983 c. 41.
General provisions concerning community care servicesE+W
F5746 Local authority plans for community care services.E+W
F57S. 46 omitted (6.4.2016) by virtue of The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) Regulations 2016 (S.I. 2016/413), regs. 2(1), 125
47 Assessment of needs for community care services.E+W
(1)Subject to subsections (5) and (6) below, where it appears to a local authority that any person for whom they may provide or arrange for the provision [F58of services under section 117 of the Mental Health Act 1983 F59...] may be in need of any such services, the authority—
(2)If at any time during the assessment of the needs of any person under subsection (1)(a) above it appears to a local authority [F60in England] that he is a disabled person, [F61(and F62..., that he is under 18)] the authority—
(a)shall proceed to make such a decision as to the services he requires as is mentioned in section 4 of the M12Disabled Persons (Services, Consultation and Representation) Act 1986 without his requesting them to do so under that section; and
[F63(za)that there may be a need for the provision to that person, pursuant to arrangements made under the National Health Service Act 2006 by such clinical commissioning group as may be determined in accordance with regulations, of any services (including services that may be provided pursuant to such arrangements by virtue of section 7A of that Act),]
(a)that there may be a need for the provision to that person by such F64... [F65Health Authority] as may be determined in accordance with regulations of any services under F66... [F67 the National Health Service (Wales) Act 2006], or
(b)that there may be a need for the provision to him of any services which fall within the functions of a local housing authority (within the meaning of the M13Housing Act 1985) which is not the local authority carrying out the assessment,
the local authority shall notify that F68... [F69clinical commissioning group,] [F65Health Authority] or local housing authority and invite them to assist, to such extent as is reasonable in the circumstances, in the making of the assessment; and, in making their decision as to the provision of the services needed for the person in question, the local authority shall take into account any services which are likely to be made available for him by that F68... [F69clinical commissioning group,] [F65Health Authority] or local housing authority.
(5)Nothing in this section shall prevent a local authority from temporarily providing or arranging for the provision of [F70services mentioned in subsection (1)] for any person without carrying out a prior assessment of his needs in accordance with the preceding provisions of this section if, in the opinion of the authority, the condition of that person is such that he requires those services as a matter of urgency.
(6)If, by virtue of subsection (5) above, F71... services have been provided temporarily for any person as a matter of urgency, then, as soon as practicable thereafter, an assessment of his needs shall be made in accordance with the preceding provisions of this section.
“local authority” [F73means a county council in England, a district council for an area in England for which there is no county council, the council of a county or county borough in Wales, a London borough council or the Common Council of the City of London].
F58Words in s. 47(1) substituted (1.4.2015) by The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 51(2) (with arts. 1(3), 3)
F59Words in s. 47(1) omitted (6.4.2016) by virtue of The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) Regulations 2016 (S.I. 2016/413), regs. 2(1), 126(a)
F60Words in s. 47(2) inserted (6.4.2016) by The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) Regulations 2016 (S.I. 2016/413), regs. 2(1), 126(b)(i)
F61Words in s. 47(2) inserted (1.4.2015) by The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 51(3) (with arts. 1(3), 3)
F62Words in s. 47(2) omitted (6.4.2016) by virtue of The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) Regulations 2016 (S.I. 2016/413), regs. 2(1), 126(b)(ii)
F63S. 47(3)(za) inserted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 59(a); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F64Words in s. 47(3)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 59(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F65Words in s. 47(3) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 81 (with Sch. 2 paras. 6, 16)
F66Words in s. 47(3)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 59(c); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F67Words in s. 47(3) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 130
F68Words in s. 47(3) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 59(d); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F69Words in s. 47(3) inserted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 59(e); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F70Words in s. 47(5) substituted (1.4.2015) by The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 51(4) (with arts. 1(3), 3)
F71Words in s. 47(6) omitted (1.4.2015) by virtue of The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 51(5) (with arts. 1(3), 3)
F72S. 47(7) omitted (6.4.2016) by virtue of The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) Regulations 2016 (S.I. 2016/413), regs. 2(1), 126(c)
F73Words in s. 47(8) substituted (6.4.2016) by The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) Regulations 2016 (S.I. 2016/413), regs. 2(1), 126(d)
I13S. 47 wholly in force at 1.4.1993 see s. 67(2) and S.I. 1992/2975, art. 2(2), Sch.
M121986 c. 33.
M131985 c. 68.
48 Inspection of premises used for provision of community care services.E+W
(1)Any person authorised by the Secretary of State may at any reasonable time enter and inspect any premises [F74(other than regulated premises)] in which [F75services under section 117 of the Mental Health Act 1983, or services under Part 1 of the Care Act 2014 to meet adults’ needs for care and support, are or are proposed to be provided by a local authority in England, or] [F76services under Part 4 of the Social Services and Well-being (Wales) Act 2014] are or are proposed to be provided by a local authority [F77in Wales], whether directly or under arrangements made with another person.
[F78(1A) In subsection (1) “ regulated premises ” means—
(b)inspect any records (in whatever form they are held) relating to the premises, or any person for whom [F79services mentioned in subsection (1)] have been or are to be provided there; and
(i)for the purpose of investigating any complaint as to those premises or the [F80services mentioned in subsection (1) that are] provided there, or
(ii)if he has reason to believe that [F81any of those services] being provided there for that person are not satisfactory; and
(8)In this section “local authority” [F82has the same meaning as in section 47].
F74Words in s. 48(1) substituted (1.10.2010) by The Health and Social Care Act 2008 (Consequential Amendments No.2) Order 2010 (S.I. 2010/813), art. 8(a)
F75Words in s. 48(1) inserted (1.4.2015) by The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 52(2)(a) (with arts. 1(3), 3)
F76Words in s. 48(1) substituted (6.4.2016) by The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) Regulations 2016 (S.I. 2016/413), regs. 2(1), 127(a)
F77Words in s. 48(1) inserted (1.4.2015) by The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 52(2)(b) (with arts. 1(3), 3)
F78S. 48(1A) inserted {1.10.2010} by The Health and Social Care Act 2008 (Consequential Amendments No.2) Order 2010 (S.I. 2010/813), art. 8(b)
F79Words in s. 48(2)(b) substituted (1.4.2015) by The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 52(3) (with arts. 1(3), 3)
F80Words in s. 48(4)(a)(i) substituted (1.4.2015) by The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 52(4) (with arts. 1(3), 3)
F81Words in s. 48(4)(a)(ii) substituted (1.4.2015) by The Care Act 2014 and Children and Families Act 2014 (Consequential Amendments) Order 2015 (S.I. 2015/914), art. 1(2), Sch. para. 52(5) (with arts. 1(3), 3)
F82Words in s. 48(8) substituted (6.4.2016) by The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) Regulations 2016 (S.I. 2016/413), regs. 2(1), 127(b)
I14S. 48 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/2218, art. 2, Sch.
49 Transfer of staff from health service to local authorities.E+W
(1)In connection with arrangements relating to community care services made by virtue of this Part of this Act, the Secretary of State may make regulations with respect to the transfer to employment by a local authority of persons previously employed by a National Health Service body.
(b)the period and continuity of a person’s employment for the purposes of [F83the Employment Rights Act 1996];
(b)“National Health Service body” means a F84... F85... [F86Health Authority [F87, Local Health Board] or Special Health Authority] or a National Health Service trust.
F83Words in s. 49(3)(b) substituted (22.8.1996) by 1996 c. 18, ss. 240, 243, Sch. 1 para. 45(3)(b) (with ss. 191-200, 202)
F84Words in s. 49(4)(b) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 60(a); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F85Words in s. 49(4)(b) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 60(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F86Words in s. 49(4)(b) substituted (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 82 (with Sch. 2 paras. 6, 16)
F87Words in s. 49(4)(b) inserted (10.10.2002 for W. and otherwise in force immediately before the National Health Service Act 2006 (c. 41) (which Act came into force on 1.3.2007 in accordance with s. 227(1) (subject to s. 277(2)-(5) of that Act))) by National Health Service Reform and Health Care Profession Act 2002 (c. 17), ss. 6(2), 42(3), Sch. 5 para. 34; S.I. 2002/2532, art. 2, Sch; S.I. 2006/1407, art. 1(1), Sch. 1. Pt. 2 {para. 12(c)}
I15S. 49 wholly in force at 10.12.1992 see s. 67(2) and S.I. 1992/2975, art. 2(1)(a).
50 Powers of the Secretary of State as respects social services functions of local authorities.E+W
After section 7 of the M14Local Authority Social Services Act 1970 (local authorities to exercise social services functions under guidance of the Secretary of State) there shall be inserted the following sections—
“7A Directions by the Secretary of State as to exercise of social services functions.
(1)Without prejudice to section 7 of this Act, every local authority shall exercise their social services functions in accordance with such directions as may be given to them under this section by the Secretary of State.
7B Complaints procedure.
(1)The Secretary of State may by order require local authorities to establish a procedure for considering any representations (including any complaints) which are made to them by a qualifying individual, or anyone acting on his behalf, in relation to the discharge of, or any failure to discharge, any of their social services functions in respect of that individual.
7C Inquiries.
(1)The Secretary of State may cause an inquiry to be held in any case where, whether on representations made to him or otherwise, he considers it advisable to do so in connection with the exercise by any local authority of any of their social services functions (except in so far as those functions relate to persons under the age of eighteen).
7D Default powers of Secretary of State as respects social services functions of local authorities.
(1)If the Secretary of State is satisfied that any local authority have failed, without reasonable excuse, to comply with any of their duties which are social services functions (other than a duty imposed by or under the Children Act 1989), he may make an order declaring that authority to be in default with respect to the duty in question.
7E Grants to local authorities in respect of social services for the mentally ill.
The Secretary of State may, with the approval of the Treasury, make grants out of money provided by Parliament towards any expenses of local authorities incurred— (a) in connection with the exercise of their social services functions in relation to persons suffering from mental illness; or (b) in making payments in accordance with directions given by the Secretary of State to voluntary organisations which provide care and services to persons who are, have been, or are likely to become dependant upon alcohol or drugs.”
I16S. 50 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/2218, art. 2, Sch.
M141970 c. 42.
Part IVS Community Care: Scotland
51 Power of Secretary of State to give directions.S
After subsection (1) of section 5 (powers of Secretary of State) of the M15Social Work (Scotland) Act 1968 (in this Part of this Act referred to as “the 1968 Act”) there shall be inserted the following subsection—
“(1A)Without prejudice to subsection (1) above, the Secretary of State may issue directions to local authorities, either individually or collectively, as to the manner in which they are to exercise any of their functions under this Act or any of the enactments mentioned in section 2(2) of this Act; and a local authority shall comply with any direction made under this subsection.”
I17S. 51 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/2510, art. 2, Sch.
52 Local authority plans for, and complaints in relation to, community care services in Scotland.S
After section 5 of the 1968 Act there shall be inserted the following sections—
“5A Local authority plans for community care services.
(1)Within such period after the day appointed for the coming into force of this section as the Secretary of State may direct, and in accordance with the provisions of this section, each local authority shall prepare and publish a plan for the provision of community care services in their area.
(a)any Health Board providing services under the National Health Service (Scotland) Act 1978 in the area of the authority;
5B Complaints procedure.
(1)Subject to the provisions of this section, the Secretary of State may by order require local authorities to establish a procedure whereby a person, or anyone acting on his behalf, may make representations (including complaints) in relation to the authority’s discharge of, or failure to discharge, any of their functions under this Act, or any of the enactments referred to in section 2(2) of this Act, in respect of that person.
I18S. 52 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/2510, art. 2, Sch.
53 Inspection of premises providing accommodation.S
F88S. 53 repealed (23.2.2006) by Joint Inspection of Children's Services and Inspection of Social Work Services (Scotland) Act 2006 (asp 3) {ss. 8(4)(e)}, 10(2)
I19S. 53 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/2510, art. 2, Sch.
I20S. 54 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/2510, art. 2, Sch.
55 Duty of local authority to make assessment of needs.S
After section 12 of the 1968 Act there shall be inserted the following section—
“12A Duty of local authority to assess needs.
(1)Subject to the provisions of this section, where it appears to a local authority that any person for whom they are under a duty or have a power to provide, or to secure the provision of, community care services may be in need of any such services, the authority—
(a)shall make an assessment of the needs of that person for those services; and
(b)having regard to the results of that assessment, shall then decide whether the needs of that person call for the provision of any such services.
(2)Before deciding, under subsection (1)(b) of this section, that the needs of any person call for the provision of nursing care, a local authority shall consult a medical practitioner.
(3)If, while they are carrying out their duty under subsection (1) of this section, it appears to a local authority that there may be a need for the provision to any person to whom that subsection applies—
(a)of any services under the National Health Service (Scotland) Act 1978 by the Health Board—
(i)in whose area he is ordinarily resident; or
(ii)in whose area the services to be supplied by the local authority are, or are likely, to be provided; or
(b)of any services which fall within the functions of a housing authority (within the meaning of section 130 (housing) of the Local Government (Scotland) Act 1973) which is not the local authority carrying out the assessment,
the local authority shall so notify that Health Board or housing authority, and shall request information from them as to what services are likely to be made available to that person by that Health Board or housing authority; and, thereafter, in carrying out their said duty, the local authority shall take into account any information received by them in response to that request.
(4)Where a local authority are making an assessment under this section and it appears to them that the person concerned is a disabled person, they shall—
(a)proceed to make such a decision as to the services he requires as is mentioned in section 4 of the Disabled Persons (Services, Consultation and Representation) Act 1986 without his requesting them to do so under that section; and
(b)inform him that they will be doing so and of his rights under that Act.
(5)Nothing in this section shall prevent a local authority from providing or arranging for the provision of community care services for any person without carrying out a prior assessment of his needs in accordance with the preceding provisions of this section if, in the opinion of the authority, the condition of that person is such that he requires those services as a matter of urgency.
(6)If, by virtue of subsection (5) of this section, community care services have been provided for any person as a matter of urgency, then, as soon as practicable thereafter, an assessment of his needs shall be made in accordance with the preceding provisions of this section.
(7)This section is without prejudice to section 3 of the said Act of 1986.
“community care services” has the same meaning as in section 5A of this Act;
“disabled person” has the same meaning as in the said Act of 1986; and
“medical practitioner” means a fully registered person within the meaning of section 55 (interpretation) of the Medical Act 1983.”
I21S. 55 wholly in force at 1.4.1993 see s. 67(2) and S.I. 1992/2975, art. 2(2), Sch.
56 Residential accommodation with nursing and provision of care and after-care.S
After section 13 of the 1968 Act there shall be inserted the following sections—
“ Residential accommodation with nursingS
13A Residential accommodation with nursing.
(1)Without prejudice to section 12 of this Act, a local authority shall make such arrangements as they consider appropriate and adequate for the provision of suitable residential accommodation where nursing is provided for persons who appear to them to be in need of such accommodation by reason of infirmity, age, illness or mental disorder, dependency on drugs or alcohol or being substantially handicapped by any deformity or disability.
(2)The arrangements made by virtue of subsection (1) above shall be made with a voluntary or other organisation or other person, being an organisation or person managing premises which are—
(a)a nursing home within the meaning of section 10(2)(a) of the Nursing Homes Registration (Scotland) Act 1938 in respect of which that organisation or person is registered or exempt from registration under that Act; or
(b)a private hospital registered under section 12 of the Mental Health (Scotland) Act 1984,
for the provision of accommodation in those premises.
Provision of care and after-careS
13B Provision of care and after-care.
(1)Subject to subsection (2) below, a local authority may, with the approval of the Secretary of State, and shall, if and to the extent that the Secretary of State so directs, make arrangements for the purpose of the prevention of illness, the care of persons suffering from illness, and the after-care of such persons.
(2)The arrangements which may be made under subsection (1) above do not include arrangements in respect of medical, dental or nursing care, or health visiting.”
I22S. 56 wholly in force at 1.4.1993; S. 56 not in force at Royal Assent see s. 67(2); s. 56 in force for certain purposes at 1.4.1991 by S.I. 1990/2510, art. 2, Sch.; s. 56 in force at 1.4.1993 so far as not already in force by S.I. 1992/2975, art. 2(2), Sch.
[F8957 Exclusion of powers to provide accommodation in certain cases.S
After section 86 of the 1968 Act there shall be inserted the following section—
86A“ Exclusion of powers to provide accommodation in certain cases.
(1)Subject to subsection (3) below, no accommodation may be provided under this Act for any person who, immediately before the date on which this section comes into force, was ordinarily resident in relevant premises.
(2)In subsection (1) above “relevant premises” means—
(a)any establishment in respect of which a person is registered under section 62 of this Act;
(b)any nursing home within the meaning of the Nursing Homes Registration (Scotland) Act 1938 in respect of which a person is registered or exempt from registration under that Act;
(c)any private hospital registered under section 12 of the Mental Health (Scotland) Act 1984; and
(d)such other premises as the Secretary of State may by regulations prescribe.
(3)The Secretary of State may by regulations provide that in such cases and subject to such conditions as may be prescribed subsection (1) above shall not apply in relation to such classes of persons as may be prescribed in the regulations.
(4)The Secretary of State shall by regulations prescribe the circumstances in which persons are to be treated as being ordinarily resident in any premises for the purposes of subsection (1) above.
F89S. 57 repealed (15.4.2002) by 2001 c. 15, s. 67, Sch. 6 Pt. 3 (with ss. 64(9), 65(4)); S.I. 2002/1312, art. 3(d)
I23S. 57 wholly in force at 1.4.1993 see s. 67(2) and S.I. 1992/2975, art. 2(2), Sch.
58 Power of Secretary of State to make grants.S
After section 92 of the 1968 Act there shall be inserted the following section—
“92A Power of the Secretary of State to make grants.
The Secretary of State may, with the approval of the Treasury, make grants out of money provided by Parliament towards any expenses of local authorities in respect of their functions under—
(b)sections 7 and 8 of the Mental Health (Scotland) Act 1984,
I24S. 58 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/2510, art. 2, Sch.
59 Parliamentary disqualification.E+W+S+N.I.
(c)in the entry relating to the Chairman of a committee constituted under section 91 of the M16Mental Health (Scotland) Act 1984, after the word “Chairman” there shall be inserted “or any member, not being also an employee”.
F90S. 59(1) repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3 (with Sch. 2 para. 6)
I25S. 59 wholly in force; s. 59(3) in force at 1.4.1991 by s. 67(2) and S.I. 1991/607, art. 2(c)
M161984 c. 36.
60 Removal of Crown immunities.E+W+S
(1)Subject to the following provisions of this section, on and after the day appointed for the coming into force of this subsection, no health service body shall be regarded as the servant or agent of the Crown or as enjoying any status, immunity or privilege of the Crown; and so far as concerns land in which the Secretary of State has an interest, at any time when—
(a)by virtue of directions under any provision of the [F91National Health Service Act 2006, the National Health Service (Wales) Act 2006,]F92... or the M17Health and Medicines Act 1988 or by virtue of orders under section 2 or section 10 of the M18National Health Service (Scotland) Act 1978, powers of disposal or management with respect to the land are conferred on a health service body, or
(b)he also has statutory rights against the health service body under [F93Part XI of the Employment Rights Act 1996] (redundancy payments),
any benefits provided to him by virtue of the contractual rights referred to in paragraph (a) above shall be taken as satisfying his entitlement to benefits under [F93that Part of that Act].
(a)Schedule 1 to the M19Registered Designs Act 1949 (provisions as to the use of registered designs for the services of the Crown etc.); and
(b)sections 55 to 59 of the M20Patents Act 1977 (use of patented inventions for the services of the Crown);
and, accordingly, services provided in pursuance of any power or duty of the Secretary of State under [F94the National Health Service Act 2006] or Part I or Part III of the M21National Health Service (Scotland) Act 1978 shall continue to be regarded as included in that expression, whether the services are in fact provided by a health service body, a National Health Service trust or any other person.
[F95(a)F96...F96...F96... a Health Authority F97. . . ;
(aa)a Special Health Authority established under [F98section 28 of [F99the National Health Service Act 2006] or section 22 of the National Health Service (Wales) Act 2006];]
(b)a Health Board or Special Health Board constituted under section 2 of the M22National Health Service (Scotland) Act 1978;
[F100(ba)Healthcare Improvement Scotland established under section 10A of that Act;]
(f)F103. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(g)the Scottish Dental Practice Board; F104. . .
(h)F104. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F91Words in s. 60(1)(a) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 131(a) (with Sch. 3 Pt. 1)
F92Words in s. 60(1)(a) repealed (S.) (27.9.2005) by The Mental Health (Care and Treatment) (Scotland) Act 2003 (Modification of Enactments) Order 2005 (S.S.I. 2005/465), art. 3, Sch. 2
F93Words in s. 60(3) substituted (22.8.1996) by 1996 c. 18, ss. 240, 243, Sch. 1 para. 45(4)
F94Words in s. 60(4) substituted (1.3.2007) by virtue of National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 131(b) (with Sch. 3 Pt. 1)
F95S. 60(7)(a)(aa) substituted (1.4.1996 subject to s. 8 of the amending Act) for s. 60(7)(a) by 1995 c. 17, s. 2(1)(3), Sch. 1 Pt. II para. 83(a) (with Sch. 2 paras. 6, 16)
F96Words in s. 60(7)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 61(a); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F97Words in s. 60(7)(a) omitted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 131(c)(ii) (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
F98Words in s. 60(7)(aa) substituted (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 2, 8(2), Sch. 1 para. 131(d) (with Sch. 3 Pt. 1)
F99Words in s. 60(7)(aa) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 61(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F100S. 60(7)(ba) inserted (S.) (1.10.2010 for specified purposes, otherwise 1.4.2011) by Public Services Reform (Scotland) Act 2010 (asp 8), ss. 110(2), 134(7), sch. 17 para. 23; S.S.I. 2010/321, art. 3(1)(2), Sch; S.S.I. 2011/122, art. 2(1), Sch.
F101S. 60(7)(c) repealed (S.) (27.9.2005) by The Mental Health (Care and Treatment) (Scotland) Act 2003 (Modification of Enactments) Order 2005 (S.S.I. 2005/465), art. 3, Sch. 2
F102S. 60(7)(d) repealed (1.4.1996 subject to s. 8 of the amending Act) by 1995 c. 17, ss. 2(1)(3), 5, Sch. 1 Pt. II para. 83(b), Sch. 3 (with Sch. 2 paras. 6, 16)
F103S. 60(7)(f) repealed (1.4.2006 for E.W.) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), ss. 196, 199(1), Sch. 14 Pt. 4; S.I. 2005/2925, art. 11(l)(2)(l)
F104S. 60(7)(h) and preceding word repealed (1.4.2005 for E.W.) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), ss. 190(2), 196, 199(1), Sch. 13 para. 6(c), Sch. 14 Pt. 7; S.I. 2005/457, art. 2(1)(a)(b)
I26S. 60 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/1329, art. 2(8), Sch. 3.
M171988 c. 49.
M181978 c. 29.
M201977 c. 37.
M211978 c. 29.
M221978 c. 29.
61 Health service bodies: taxation.E+W+S+N.I.
(1)F105. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F107(3A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F107(3B). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F107(3C). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F105S. 61(1) repealed (1.10.2010 with effect as mentioned in s. 1184(1) of the repealing Act) by Corporation Tax Act 2010 (c. 4), ss. 1181(1), 1184(1), Sch. 3 Pt. 1 (with Sch. 2)
F106S. 61(2) repealed by Finance Act 1990 (c. 29, SIF 63:1), s. 132, Sch. 19 Pt. IV
F107S. 61(3)-(3C) repealed (with effect in accordance with s. 216(3)(4) of the amending Act) by Finance Act 2012 (c. 14), s. 216(2)(a)
F108S. 61(4) repealed (1.9.1994) by 1994 c. 23, ss. 100(2), 101(1), Sch. 15
[F10961AHealth service bodies: stamp duty land taxE+W+S+N.I.
F110. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .]
F109S. 61A inserted (1.12.2003) by The Stamp Duty Land Tax (Consequential Amendment of Enactments) Regulations 2003 (S.I. 2003/2867), reg. 2, Sch. para. 15
F110S. 61A repealed (11.2.2005) by The Stamp Duty Land Tax (Consequential Amendment of Enactments) Regulations 2005 (S.I. 2005/82), reg. 4
F11162. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E+W+S+N.I.
F111S. 62 repealed (1.11.1999) by 1999 c. 8, s. 65(2), Sch. 5; S.I. 1999/2793, art. 2(1)(d)
63 Repeal of remaining provisions of Health Services Act 1976.E+W+S
(1)Part III (control of hospital building outside National Health Service) and Part IV (supplementary and general) of the M23Health Services Act 1976 shall cease to have effect.
(a)that Part shall continue to have effect in relation to any authorisation granted by the Secretary of State under section 13(2) of that Act which is in force when that repeal takes effect; [F112and
F112S. 63(2)(b) and word “and” immediately preceding it repealed (S.) (1.4.2002) by 2001 asp 8, s. 80(1), Sch. 4; S.S.I. 2002/162, art. 2(i)
I27S. 63 wholly in force at 1.4.1991 see s. 67(2) and S.I. 1990/1329, art. 2(8), Sch. 3.
M231976 c. 83.
64 Financial provisions.E+W+S
65 Regulations, orders and directions.E+W+S
(1)Any power to make regulations conferred by this Act shall be exercisable by statutory instrument, and any such statutory instrument shall be subject to annulment in pursuance of a resolution of either House of Parliament.
(2)F113. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F113S. 65(2) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 8(2), 6, Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
66 Amendments and repeals.E+W+S
(1)Schedule 9 to this Act, which contains minor amendments and amendments consequential on the provisions of this Act, shall have effect.
I28S. 66 partly in force; s. 66 not in force at Royal Assent see s. 67(2); s. 66 partly in force at 5.7.1990, 17.9.1990, 1.1.1991 and 1.4.1991 by S.I. 1990/1329; at 24.7.1990 by S.I. 1990/1520; at 17.9.1990, 1.1.1991 and 1.4.1991 by S.I. 1990/1793; at 1.4.1991 by S.I. 1990/2218; at 1.4.1991 by S.I. 1990/2510; at 6.4.1992 by S.I. 1992/567, art. 2; at 10.12.1992, 1.4.1993 and 12.4.1993 by S.I. 1992/2975, art. 2, Sch.; at 1.4.1995 by S.I. 1994/2658, art. 4(b)
67 Short title, commencement and extent.E+W+S
(1)This Act may be cited as the National Health Service and Community Care Act 1990.
(4)F114. . . Part II, other than section 34, and Part IV of this Act do not extend to England and Wales; and Part III of this Act, other than subsections (3) and (4) of section 42, subsections (1) and (3) to (6) of section 44 and section 45, does not extend to Scotland.
(5)This Act, other than sections 59 [F115,61 and 62] , does not extend to Northern Ireland.
P1S. 67(2) power of appointment conferred by s. 67(2) partly exercised: S.I. 1990/1329, 1520, 1793 (as amended (13.3.1992) by S.I. 1992/799, art. 2), 2218, 2510, 2511
P2S. 67(2) power partly exercised: 6.3.1991 appointed for specified provisions by S.I. 1991/388, art. 2
S.67(2)(3) power partly exercised : 1.4.1991 appointed for specified provisions by S.I. 1991/607, art. 2
s. 67(2) power partly exercised (9.3.1992): 6.4.1992 appointed day for specified provisions by S.I. 1992/567, art. 2.
s. 67(2) power partly exercised (30.11.1992): different dates appointed for specified provisions by S.I. 1992/2975, art. 2, Sch.
s. 67(2) power partly exercised (10.10.1994): different dates appointed for specified provisions by S.I. 1994/2658, arts. 2-4
P3S. 67(6) power exercised by S.I.1991/552.
F114Words in s. 67(4) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1)
F115Words in s. 67(5) substituted (1.4.1991) by S.I. 1991/195, art. 7(8)