Health and Social Care Act 2008 Part 1 The Care Quality Commission Chapter 1 Introductory The Care Quality Commission 1 1 There is to be a body corporate known as the Care Quality Commission (referred to in this Part as “ the Commission ”). 2 The Commission for Healthcare Audit and Inspection, the Commission for Social Care Inspection and the Mental Health Act Commission are dissolved. 3 Schedule 1 (which makes further provision about the Care Quality Commission) has effect. The Commission's functions 2 1 The Commission has the functions conferred on it by or under any enactment. 2 Those functions include— a registration functions under Chapter 2, b review and investigation functions under Chapter 3, and c functions under the Mental Health Act 1983 (c. 20). The Commission's objectives 3 1 The main objective of the Commission in performing its functions is to protect and promote the health, safety and welfare of people who use health and social care services. 2 The Commission is to perform its functions for the general purpose of encouraging— a the improvement of health and social care services, b the provision of health and social care services in a way that focuses on the needs and experiences of people who use those services, and c the efficient and effective use of resources in the provision of health and social care services. 3 In this Chapter “ health and social care services ” means the services to which the Commission's functions relate. Matters to which the Commission must have regard 4 1 In performing its functions the Commission must have regard to— a views expressed by or on behalf of members of the public about health and social care services, b experiences of people who use health and social care services and their families and friends, c views expressed by Local Healthwatch organisations or Local Healthwatch contractors about the provision of health and social care services ..., d the need to protect and promote the rights of people who use health and social care services (including, in particular, the rights of children, of persons detained under the Mental Health Act 1983, of persons who are deprived of their liberty in accordance with the Mental Capacity Act 2005 (c. 9), and of other vulnerable adults), e the need to ensure that action by the Commission in relation to health and social care services is proportionate to the risks against which it would afford safeguards and is targeted only where it is needed, f any developments in approaches to regulatory action, and g best practice among persons performing functions comparable to those of the Commission (including the principles under which regulatory action should be transparent, accountable and consistent). 2 In performing its functions the Commission must also have regard to such aspects of government policy as the Secretary of State may direct. 3 In subsection (1)(c), “ Local Healthwatch contractor ” has the meaning given by section 223 of the Local Government and Public Involvement in Health Act 2007. Statement on user involvement 5 1 The Commission must publish a statement describing how it proposes to— a promote awareness among service users and carers of its functions, b promote and engage in discussion with service users and carers about the provision of health and social care services and about the way in which the Commission exercises its functions, c ensure that proper regard is had to the views expressed by service users and carers, and d arrange for any of its functions to be exercised by, or with the assistance of, service users and carers. 2 The Commission may from time to time revise the statement and must publish any revised statement. 3 Before publishing the statement (or revised statement) the Commission must consult such persons as it considers appropriate. 4 In this section— a “ service users ” means people who use health or social care services, and b “ carers ” means people who care for service users as relatives or friends. Transfers of property, rights and liabilities 6 Schedule 2 (which makes provision for the transfer of property, rights and liabilities) has effect. Meaning of “health and social care services” in Chapter 1 7 In this Chapter “ health and social care services ” has the meaning given by section 3(3). Chapter 2 Registration in respect of provision of health or social care Introductory “Regulated activity” 8 1 In this Part “ regulated activity ” means an activity of a prescribed kind. 2 An activity may be prescribed for the purposes of subsection (1) only if— a the activity involves, or is connected with, the provision of health or social care in, or in relation to, England, and b the activity does not involve the carrying on of any establishment or agency, within the meaning of the Care Standards Act 2000 (c. 14), for which Her Majesty's Chief Inspector of Education, Children's Services and Skills is the registration authority under that Act. 3 For the purposes of subsection (2), activities connected with the provision of health or social care include, in particular— a the supply of staff who are to provide such care; b the provision of transport or accommodation for those who require such care; c the provision of advice in respect of such care. “Health or social care” 9 1 This section has effect for the interpretation of this Part. 2 “ Health care ” includes all forms of health care provided for individuals, whether relating to physical or mental health, and also includes procedures that are similar to forms of medical or surgical care but are not provided in connection with a medical condition. 3 “ Social care ” includes all forms of personal care and other practical assistance provided for individuals who by reason of age, illness, disability, pregnancy, childbirth, dependence on alcohol or drugs, or any other similar circumstances, are in need of such care or other assistance. 4 “ Health or social care ” means health care or social care. Registration of persons carrying on regulated activities Requirement to register as a service provider 10 1 Any person who carries on a regulated activity without being registered under this Chapter in respect of the carrying on of that activity is guilty of an offence. 2 The Secretary of State may by regulations make provision for the purposes of this Chapter for determining, in relation to a regulated activity carried on by two or more persons acting in different capacities, which of those persons is to be regarded as the person who carries on the activity. 3 In the following provisions of this Part, the registration of a person under this Chapter in respect of the carrying on of a regulated activity by that person is referred to as registration “as a service provider” in respect of that activity. 4 A person guilty of an offence under this section is liable— a on summary conviction, to a fine , or to imprisonment for a term not exceeding the general limit in a magistrates’ court , or to both; b on conviction on indictment, to a fine, or to imprisonment for a term not exceeding 12 months, or to both. 5 In relation to an offence committed before 2 May 2022 , the reference in subsection (4)(a) to the general limit in a magistrates’ court is to be read as a reference to 6 months. Applications for registration as a service provider 11 1 A person seeking to be registered under this Chapter as a service provider must make an application to the Commission. 2 The application must be made in such form, and contain or be accompanied by such information, as the Commission requires. 3 In such cases as the Commission may determine, a person seeking to be registered as a service provider in respect of two or more regulated activities may make a single application in respect of them. Grant or refusal of registration as a service provider 12 1 Subsections (2) to (4) apply where an application under section 11 has been made in accordance with the provisions of this Chapter with respect to a regulated activity. 2 If the Commission is satisfied that— a the requirements of regulations under section 20, and b the requirements of any other enactment which appears to the Commission to be relevant, are being and will continue to be complied with (so far as applicable) in relation to the carrying on of the regulated activity, it must grant the application; otherwise it must refuse it. 3 The application may be granted either unconditionally or subject to such conditions as the Commission thinks fit. 4 On granting the application, the Commission must issue a certificate of registration to the applicant. 5 The Commission may at any time— a vary or remove any condition for the time being in force in relation to a person's registration as a service provider, or b impose any additional condition. 6 Subsections (3) and (5) have effect subject to section 13. Registration of managers Condition requiring registered manager 13 1 The registration under this Chapter of a person (“S”) as a service provider in respect of a regulated activity must in prescribed cases be subject to a registered manager condition. 2 In deciding whether to impose a registered manager condition under section 12(3) or (5), in a case where subsection (1) does not require such a condition to be imposed, the Commission must have regard to prescribed matters. 3 For the purposes of this Chapter, a registered manager condition is a condition that the activity as carried on by S, or the activity as carried on by S at or from particular premises, must be managed by an individual who is registered under this Chapter as a manager in respect of the activity, or the activity as carried on at or from those premises. Applications for registration as a manager 14 1 A person seeking to be registered under this Chapter as a manager in respect of a regulated activity in respect of which a registered manager condition has, or is to have, effect must make an application to the Commission. 2 The application must be made in such form, and contain or be accompanied by such information, as the Commission requires. 3 In such cases as the Commission may determine, a person seeking to be registered as a manager in respect of two or more regulated activities carried on by a person registered as a service provider may make a single application in respect of them. Grant or refusal of registration as a manager 15 1 Subsections (2) to (4) apply where an application under section 14 has been made in accordance with the provisions of this Chapter with respect to a regulated activity in respect of which a person is registered under this Chapter as a service provider and in respect of which a registered manager condition has effect. 2 If the Commission is satisfied that— a the requirements of regulations under section 20, and b the requirements of any other enactment which appears to the Commission to be relevant, are being and will continue to be complied with (so far as applicable) in relation to the carrying on of the regulated activity, it must grant the application; otherwise it must refuse it. 3 The application may be granted either unconditionally or subject to such conditions as the Commission thinks fit. 4 On granting the application, the Commission must issue a certificate of registration to the applicant. 5 The Commission may at any time— a vary or remove any condition for the time being in force in relation to a person's registration as a manager, or b impose any additional condition. Further provision about registration as a service provider or manager Regulations about registration 16 Regulations may make provision for the purposes of this Chapter about— a the keeping by the Commission of registers, b the making of applications for registration as a service provider or manager, c the registration of persons as service providers or managers, and d the notification by registered persons to the Commission of an address for service of documents. Cancellation of registration 17 1 The Commission may at any time cancel the registration of a person (“R”) under this Chapter as a service provider or manager in respect of a regulated activity— a on the ground that R has been convicted of, or admitted, a relevant offence; b on the ground that any other person has been convicted of any relevant offence in relation to the regulated activity; c on the ground that the regulated activity is being, or has at any time been, carried on otherwise than in accordance with the relevant requirements; d on the ground that R has failed to comply with a requirement imposed by or under Chapter 6; e on any ground specified by regulations. 2 The Commission must cancel the registration of a person under this Chapter as a manager in respect of a regulated activity if— a no-one is registered under this Chapter as a service provider in respect of the activity, or b the registration of a person under this Chapter as a service provider in respect of the activity ceases to be subject to a registered manager condition. 3 For the purposes of this section, the following are relevant offences— a a Part 1 offence, b an offence under the Registered Homes Act 1984 (c. 23) or regulations made under it, c an offence under Part 2 of the Care Standards Act 2000 (c. 14) or regulations made under it, ... ca an offence under Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016 (anaw 2) or specified in regulations made under section 45 or 46 of that Act, and d any other offence which appears to the Commission to be relevant. 4 In this section “ relevant requirements ” means— a any requirements or conditions imposed by or under this Chapter, and b the requirements of any other enactment which appears to the Commission to be relevant. Suspension of registration 18 1 The Commission may at any time suspend a person's registration under this Chapter as a service provider or manager for a specified period. 2 Except where the Commission gives notice under section 31, the power conferred by subsection (1) is exercisable only on the ground that— a the regulated activity is being, or has at any time been, carried on otherwise than in accordance with the relevant requirements, or b the person has failed to comply with a requirement imposed by or under Chapter 6. 3 The suspension of a person's registration does not affect the continuation of the registration (but see sections 34 and 36 as to offences). 4 A period of suspension may be extended under subsection (1) on one or more occasions. 5 In this section “ relevant requirements ” has the same meaning as in section 17. Applications by registered persons 19 1 Except in case A or B and subject to subsections (3A) to (3F , a person registered under this Chapter as a service provider or manager (“R”) may apply to the Commission— a for the variation or removal of any condition for the time being in force in relation to the registration, other than a registered manager condition required by section 13(1), b for the cancellation of the registration, or c for the cancellation of, or the variation of the period of, any suspension of the registration. 2 Case A is where— a the Commission has given R notice under section 26(4)(a) of a proposal to cancel the registration, and b the Commission has not decided not to take that step. 3 Case B is where— a the Commission has given R notice under section 28(3) of its decision to cancel the registration, and b either the time within which an appeal may be brought has not expired or, if an appeal has been brought, it has not yet been determined. 3A R may not apply under subsection (1)(a) for the variation of a condition where either subsection (3B) or (3C) applies. 3B This subsection applies where— a the Commission has given R notice under section 26(4)(c) of a proposal to make that variation (or a variation which would have substantially the same effect as that variation), and b the Commission has not decided not to take that step. 3C This subsection applies where— a the Commission has given R notice under section 28(3) of its decision to make that variation (or a variation which would have substantially the same effect as that variation), and b either the time within which an appeal may be brought has not expired or, if an appeal has been brought, it has not yet been determined. 3D R may not apply under subsection (1)(a) for the removal of a condition where either subsection (3E) or (3F) applies. 3E This subsection applies where— a the Commission has given R notice under section 26(4)(c) of a proposal to remove that condition, and b the Commission has not decided not to take that step. 3F This subsection applies where— a the Commission has given R notice under section 28(3) of its decision to remove that condition, and b either the time within which an appeal may be brought has not expired or, if an appeal has been brought, it has not yet been determined. 4 An application under subsection (1) must be made in such form, and contain or be accompanied by such information, as the Commission requires. 5 If the Commission decides to grant an application under subsection (1)(a), it must serve notice in writing of its decision on the applicant (stating, where applicable, the condition as varied) and issue a new certificate of registration. 6 If the Commission decides to grant an application under subsection (1)(c), it must serve notice in writing of its decision on the applicant (stating, where applicable, the period as varied). Regulation, code of practice and guidance Regulation of regulated activities 20 1 The Secretary of State must by regulations impose requirements that the Secretary of State considers necessary to secure that services provided in the carrying on of regulated activities cause no avoidable harm to the persons for whom the services are provided. 2 The Secretary of State may by regulations impose any other requirements in relation to regulated activities that the Secretary of State thinks fit for the purposes of this Chapter, including in particular provision with a view to— a securing that any service provided in the carrying on of a regulated activity is of appropriate quality, and b securing the health, safety and welfare of persons for whom any such service is provided. 3 Regulations under this section may in particular— a make provision as to the persons who are fit to carry on or manage a regulated activity; b make provision as to the manner in which a regulated activity is carried on; c make provision as to the persons who are fit to work for the purpose of the carrying on of a regulated activity; d make provision as to the management and training of persons who work for the purpose of the carrying on of a regulated activity; da impose requirements in connection with food or drink provided or made available to any person on hospital premises in England that are used in connection with the carrying on of a regulated activity; e make provision as to the fitness of premises; f impose requirements as to the keeping of records and accounts; g impose requirements as to the provision of information; h impose requirements as to the financial position of a person registered as a service provider; i impose requirements as to the making available to the public of information as to any charges made for the provision of any services provided in the carrying on of a regulated activity; j impose requirements as to the review of the quality of any services provided in the carrying on of a regulated activity, as to the preparation of reports of such reviews, and as to the making available to the public of such reports; k make provision as to the handling of complaints and disputes and the application of lessons learnt from them. 4 Regulations made under this section by virtue of subsection (3)(b) may in particular include provision as to the control and restraint, in appropriate cases, of persons receiving health or social care or other services in connection with the carrying on of a regulated activity. 4A Regulations made under this section by virtue of subsection (3)(d) may in particular include provision for a specified person to set the standards which persons undergoing the training in question must attain. 4B Regulations made under this section by virtue of subsection (3)(da) may in particular— a specify nutritional standards, or other nutritional requirements, which are to be complied with; b require that specified descriptions of food or drink are not to be provided or made available. 5 Regulations made under this section may make provision for the prevention and control of health care associated infections and may include such provision as the Secretary of State considers appropriate for the purpose of safeguarding individuals (whether receiving health or social care or otherwise) from the risk, or any increased risk, of being exposed to health care associated infections or of being made susceptible, or more susceptible, to them. 5ZA Regulations under this section must require service providers to ensure that each person working for the purpose of the regulated activities carried on by them receives training on learning disability and autism which is appropriate to the person’s role. 5A Regulations under this section must make provision as to the provision of information in a case where an incident of a specified description affecting a person's safety occurs in the course of the person being provided with a service. 5B In subsection (1)— a “ cause ” means cause or contribute to, whether directly or indirectly; and b harm is avoidable, in relation to a service, unless the person providing the service cannot reasonably avoid it (whether because it is an inherent part or risk of a regulated activity or for another reason). 5C In subsection (3)(da) “ hospital ” has the meaning given by section 275 of the National Health Service Act 2006. 5D In subsection (5ZA) — “ learning disability ” has the meaning given by section 1(4) of the Mental Health Act 1983; “ service provider ” means a person registered under this Chapter as a service provider in respect of a regulated activity. 6 In this Chapter “ health care associated infection ” means any infection to which an individual may be exposed or made susceptible (or more susceptible) in circumstances where— a health or social care is being, or has been, provided to that or any other individual, and b the risk of exposure to the infection, or of susceptibility (or increased susceptibility) to it, is directly or indirectly attributable to the provision of that care. 7 But “ health care associated infection ” does not include an infection to which the individual is deliberately exposed as part of any health care. 8 Before making regulations under this section, except regulations which amend other regulations under this section and do not, in the opinion of the Secretary of State, effect any substantial change in the provision made by those regulations, the Secretary of State must consult such persons as the Secretary of State considers appropriate. 9 Consultation undertaken by the Secretary of State before the commencement of this section is as effective for the purposes of this section as consultation undertaken after that time. Functions relating to processing of information by registered persons 20A 1 The Commission has the following functions in relation to the processing of relevant information— a to monitor the practice followed by registered persons in relation to such processing, and b to keep NHS England ... informed about the practice being followed by registered persons in relation to such processing. 2 The Commission must, in exercising those functions, seek to improve the practice followed by registered persons in relation to the processing of relevant information. 3 In this section “ relevant information ” means— a patient information, b any other information obtained or generated in the course of the provision of the health service continued under section 1 of the National Health Service Act 2006, c any other information obtained or generated in the course of the exercise by an English local authority of its adult social services functions, and d any other information obtained or generated in the course of the carrying on by an English local authority of adult placement schemes in connection with which arrangements are made for the provision of personal care. 4 In subsection (3) “ patient information ” means— a information (however recorded) which relates to the physical or mental health or condition of an individual (“P”), to the diagnosis of P's condition or to P's care or treatment, and b information (however recorded) which is to any extent derived, directly or indirectly, from that information, whether or not the identity of the individual in question is ascertainable from the information. 5 In this section— “adult placement scheme” and “personal care” each have such meaning as they have from time to time in regulations under section 20; “ processing ”, in relation to information, has the same meaning as in Parts 5 to 7 of the Data Protection Act 2018 (see section 3(4) and (14) of that Act); “ registered person ” means a person registered under this Chapter as a manager or service provider in respect of a regulated activity. Code of practice relating to health care associated infections 21 1 The Secretary of State may issue a code of practice about compliance with any requirements of regulations under section 20 which relate to the prevention or control of health care associated infections. 2 The code may— a operate by reference to provisions of other documents specified in it (whether published by the Secretary of State or otherwise); b provide for any reference in it to such a document to take effect as a reference to that document as revised from time to time; c make different provision for different cases or circumstances. 3 The Secretary of State must keep the code under review and may from time to time— a revise the whole or any part of the code, and b issue a revised code. Learning disability and autism training: code of practice 21A 1 The Secretary of State must issue a code of practice about compliance with requirements imposed by virtue of section 20 (5ZA) (requirements relating to training on learning disability and autism). 2 The code must make provision about— a the content of training; b training appropriate to different roles; c circumstances in which it is appropriate for training to be delivered in person; d the involvement of people with learning disability, autistic people, or their carers, in the provision of training; e accreditation of training; f procurement of training; g monitoring and evaluation of the impact of training; 3 The code may make different provision for different cases or circumstances. 4 The Secretary of State must, at least once every five years— a review the code, and b lay before Parliament a report setting out the findings of the review. Codes of practice: consultation and Parliamentary scrutiny 22 1 Where the Secretary of State proposes to issue a code of practice under section 21 or 21A , the Secretary of State must— a prepare a draft of the code, and b consult such persons as the Secretary of State considers appropriate about the draft. 2 Where the Secretary of State proposes to issue under section 21 or 21A a revised code which in the opinion of the Secretary of State would result in a substantial change in the code, the Secretary of State must— a prepare a draft of the revised code, and b consult such persons as the Secretary of State considers appropriate about the change. 3 Where, following consultation under subsection (1) or (2) in relation to a draft of a code or revised code under section 21 , the Secretary of State issues the code or revised code (whether in the form of the draft or with such modifications as the Secretary of State thinks fit), it comes into force at the time when it is issued by the Secretary of State. 4 Where— a any document by reference to whose provisions the code operates as mentioned in section 21(2)(a) and (b) is a document published by the Secretary of State in connection with the Secretary of State's functions relating to health or social care, b the Secretary of State proposes to revise the document, and c in the opinion of the Secretary of State, the revision would result in a substantial change in the code, the Secretary of State must, before revising the document, consult such persons as the Secretary of State considers appropriate about the change. 5 Where— a any document by reference to whose provisions the code operates as mentioned in section 21(2)(a) and (b) is not one to which subsection (4)(a) of this section applies, b the document is revised, and c in the opinion of the Secretary of State, the revision results in a substantial change in the code, the Secretary of State must consult such persons as the Secretary of State considers appropriate about whether the code should be revised in connection with the change. 5A Where, following consultation under subsection (1) or (2) in relation to a draft of a code or revised code under section 21A , the Secretary of State decides to proceed with the draft (in its original form or with modifications), the Secretary of State must lay a copy of the draft before Parliament. 5B The Secretary of State may not issue the code or revised code if, within the 40-day period, either House of Parliament resolves not to approve it. 5C In this section “ 40-day period ” means— a the period of 40 days beginning with the day on which the draft is laid before Parliament, or b if the draft is not laid before each House on the same day, the period of 40 days beginning with the later of the days on which it is laid before Parliament. 5D For the purposes of subsection (5C) , no account is to be taken of any whole days that fall within a period during which— a Parliament is dissolved or prorogued, or b either House of Parliament is adjourned for more than four days. 6 Consultation undertaken by the Secretary of State before the commencement of this section is as effective for the purposes of this section as consultation undertaken after that time. Guidance as to compliance with requirements 23 1 The Commission must issue guidance about compliance with the requirements of regulations under section 20, other than requirements which relate to— a the prevention or control of health care associated infections, or b training on learning disability or autism. 2 The guidance may, if the Commission thinks fit, also relate to compliance for the purposes of this Chapter with the requirements of any other enactments. 3 The guidance may— a operate by reference to provisions of other documents specified in it (whether published by the Commission or otherwise); b provide for any reference in it to such a document to take effect as a reference to that document as revised from time to time; c make different provision for different cases or circumstances. 4 The Commission may from time to time revise guidance issued by it under this section and issue the revised guidance. Consultation in relation to guidance under s. 23 24 1 Where the Commission proposes to issue guidance under section 23, it must— a prepare a draft of the guidance, and b consult such persons as the Commission considers appropriate about the draft. 2 Where the Commission proposes to issue under section 23 revised guidance which in its opinion would result in a substantial change in the guidance, the Commission must— a prepare a draft of the revised guidance, and b consult such persons as the Commission considers appropriate about the change. 3 Where, following consultation under subsection (1) or (2), the Commission issues the guidance or revised guidance (whether in the form of the draft or with such modifications as the Commission thinks fit), it comes into force at the time when it is issued by the Commission. 4 Where— a any document by reference to whose provisions the guidance operates as mentioned in section 23(3)(a) and (b) is a document published by the Commission, b the Commission proposes to revise the document, and c in the opinion of the Commission, the revision would result in a substantial change in the guidance, the Commission must, before revising the document, consult such persons as the Commission considers appropriate about the change. 5 Where— a any document by reference to whose provisions the guidance operates as mentioned in section 23(3)(a) and (b) is not one to which subsection (4)(a) of this section applies, b the document is revised, and c in the opinion of the Commission, the revision results in a substantial change in the guidance, the Commission must consult such persons as the Commission considers appropriate about whether the guidance should be revised in connection with the change. 6 Consultation undertaken by the Commission before the commencement of this section is as effective for the purposes of this section as consultation undertaken after that time. Effect of code under s. 21 or 21A and guidance under s. 23 25 1 Codes of practice under sections 21 and 21A and guidance under section 23 are to be taken into account— a in the making of any decision by the Commission under this Chapter; b in any proceedings for the making of an order under section 30; c in any proceedings on an appeal against such a decision or order; d in any proceedings for an offence under section 33 or under regulations under section 20. 2 Codes of practice under sections 21 and 21A and guidance under section 23 are also admissible in evidence in other criminal or civil proceedings. 3 A failure to observe any provision of a code of practice under section 21 or 21A or guidance under section 23 does not of itself make a person liable to any criminal or civil proceedings. Registration procedure Notice of proposals 26 1 Subsections (2) and (3) apply where a person applies for registration as a service provider or manager in respect of a regulated activity. 2 If the Commission proposes to grant the application subject to any condition which has not been agreed in writing between it and the applicant, other than a registered manager condition required by section 13(1), it must give the applicant notice in writing of its proposal and of the conditions subject to which it proposes to grant the application. 3 The Commission must give the applicant notice in writing of a proposal to refuse the application. 4 Except where it makes an application under section 30 or gives notice under section 31, the Commission must give any person registered as a service provider or manager in respect of a regulated activity notice in writing of a proposal— a to cancel the registration (otherwise than by virtue of section 17(2) or in accordance with an application under section 19(1)(b)), b to suspend the registration or extend a period of suspension, c to vary or remove (otherwise than in accordance with an application under section 19(1)(a)) any condition for the time being in force in relation to the registration, or d to impose in relation to the registration any additional condition. 4A Where a proposal under subsection (4) names an individual and specifies action that the Commission would require the registered person to take in relation to that individual, the Commission must give that individual notice in writing of the proposal. 5 The Commission must give the applicant notice in writing of a proposal to refuse an application under section 19(1)(a), (b) or (c). 6 A notice under this section must give the Commission's reasons for its proposal. Right to make representations 27 1 A notice under section 26 must state that within 28 days of service of the notice any person on whom it was served may make written representations to the Commission concerning any matter which that person wishes to dispute. 2 Where a notice has been served under section 26, the Commission must not determine any matter to which the notice relates until either— a any person on whom the notice was served has made written representations to it concerning the matter, b any such person has notified the Commission in writing that the person does not intend to make such representations, or c the period during which any such person could have made representations has elapsed. Notice of decisions 28 1 If the Commission decides to grant an application for registration as a service provider or manager in respect of a regulated activity— a unconditionally, or b subject only to conditions each of which is either required by section 13(1) or agreed in writing between the Commission and the applicant, it must give the applicant notice in writing of the decision. 2 A notice under subsection (1) must state the conditions subject to which registration is granted. 3 If the Commission decides to adopt a proposal of which it was required to give notice under section 26, it must give notice in writing of its decision to any person to whom it was required by section 26 to give notice of the proposal. 4 A notice under subsection (3) must— a explain the right of appeal conferred by section 32, b in the case of a decision to adopt a proposal under section 26(2), state the conditions subject to which the application is granted, c in the case of a decision to adopt a proposal under section 26(4)(b), state the period (or extended period) of suspension, and d in the case of a decision to adopt a proposal under section 26(4)(c) or (d), state the condition as varied, the condition which is removed or (as the case may be) the additional condition imposed. 5 Where a person (“M”) is registered as a manager in respect of a regulated activity, the Commission must— a give M a copy of any notice given under subsection (3) to the person (“S”) registered as a service provider in respect of the regulated activity, and b give S a copy of any such notice given under that subsection to M. 6 Subject to subsections (7) to (9) , a decision of the Commission to adopt a proposal under section 26(2) or (4) takes effect— a at the end of the period of 28 days referred to in section 32(2), or b if an appeal is brought, on the determination or abandonment of the appeal. 7 Where the applicant notifies the Commission in writing before the end of the period mentioned in subsection (6)(a) that the applicant does not intend to appeal, the decision is to take effect when the Commission receives the applicant's notification. 8 But in a case where notice of the proposal has been given to an individual under section 26(4A) subsection (7) does not apply unless, by the time the Commission receives the applicant's notification, it has received notification from the individual that he or she does not intend to appeal. 9 And if the Commission receives notification from the individual after it receives the applicant's notification and before the end of the period mentioned in subsection (6)(a), the decision is to take effect when the Commission receives the individual's notification. Warning notice 29 1 If it appears to the Commission that a person who is registered under this Chapter as a service provider or manager in respect of a regulated activity has failed to comply with the relevant requirements, the Commission may give the registered person a warning notice. 1A But a warning notice under this section may not be given to an NHS trust established under section 25 of the National Health Service Act 2006 or an NHS foundation trust. 2 A warning notice under this section is a notice in writing— a specifying the conduct which appears to the Commission to constitute a failure to comply with the relevant requirements, b specifying the requirement concerned, and c where it appears to the Commission that the failure is continuing— i requiring the registered person to comply with the requirement concerned within a specified time, and ii stating that, if the registered person fails to do so within that time, the Commission may take action to secure compliance with the relevant requirements. 3 Subsections (4) and (5) apply where— a a warning notice under this section has been given to any person, and b where any failure to comply with a requirement is specified under subsection (2)(c), the requirement has been complied with within the specified time. 4 The failure to which the notice relates, so far as occurring before the relevant time, is not to constitute a ground for the cancellation or suspension of registration, the variation of the conditions of registration, the removal of a condition or the imposition of any additional condition. 5 No proceedings may be brought against any person registered in respect of the regulated activity for a Part 1 offence that arises out of the failure to which the notice relates, so far as occurring before the relevant time. 6 In subsections (4) and (5) “ the relevant time ” means— a where a time is specified under subsection (2)(c)(i), the time so specified, and b in any other case, the date on which the notice was given. 7 In this section “ relevant requirements ” means— a any requirements or conditions imposed by or under this Chapter or Chapter 6, and b the requirements of any other enactment which appears to the Commission to be relevant. Warning notice: quality of health care 29A 1 If it appears to the Commission that the quality of health care provided by an NHS trust established under section 25 of the National Health Service Act 2006 or by an NHS foundation trust requires significant improvement, the Commission may give the trust a warning notice. 2 A warning notice under this section is a notice in writing— a stating that the Commission has formed the view that the quality of health care provided by the trust requires significant improvement, b specifying the health care concerned, c giving the Commission's reasons for its view, and d requiring the trust to make a significant improvement to the quality of the health care concerned within a specified time. 3 Where a warning notice under this section imposes more than one requirement under subsection (2)(d), it may specify different times for different requirements. 4 The Commission must— a where the notice specifies only one time under subsection (2)(d), determine at the end of that time whether the requirement has been complied with; b where the notice specifies more than one time under subsection (2)(d), determine at the end of the latest of those times, whether the requirements have been complied with. 5 Where, having carried out the duty under subsection (4), the Commission is satisfied that a requirement to which the notice relates has not been complied with, it— a must decide what action to take in relation to the trust, and b must consider in particular whether to require NHS England to make an order under section 65B(1) or 65D(2) of the National Health Service Act 2006 (appointment of trust special administrator). Urgent procedure for cancellation 30 1 If— a the Commission applies to a justice of the peace for an order cancelling the registration of a person as a service provider or manager in respect of a regulated activity, and b it appears to the justice that, unless the order is made, there will be a serious risk to a person's life, health or well-being, the justice may make the order, and the cancellation has effect from the time when the order is made. 2 An application under subsection (1) may, if the justice thinks fit, be made without notice having been given to the registered person. 3 As soon as practicable after the making of an application under this section, the Commission must give notice of the application— za in any case where regulations so provide, to NHS England , a in any case where regulations so provide, to such integrated care board ... or English local authority as may be determined in accordance with regulations, b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d to such other persons as the Commission considers appropriate. 4 An order under subsection (1) must be in writing. 5 Where such an order is made, the Commission must, as soon as practicable after the making of the order, serve on the person registered as a service provider or manager in respect of the regulated activity— a a copy of the order, and b notice of the right of appeal conferred by section 32. Urgent procedure for suspension, variation etc. 31 1 If the Commission has reasonable cause to believe that unless it acts under this section any person will or may be exposed to the risk of harm, the Commission may, by giving notice in writing under this section to a person registered as a service provider or manager in respect of a regulated activity, provide for any decision of the Commission that is mentioned in subsection (2) to take effect from the time when the notice is given. 2 Those decisions are— a a decision under section 12(5) or 15(5) to vary or remove a condition for the time being in force in relation to the registration or to impose an additional condition; b a decision under section 18 to suspend the registration or extend a period of suspension. 3 The notice must— a state that it is given under this section, b state the Commission's reasons for believing that the circumstances fall within subsection (1), c specify the condition as varied, removed or imposed or the period (or extended period) of suspension, and d explain the right of appeal conferred by section 32. Appeals to the Tribunal 32 1 An appeal against— a any decision of the Commission under this Chapter, other than a decision to give a warning notice under section 29 or 29A , or b an order made by a justice of the peace under section 30, lies to the First-tier Tribunal . 2 No appeal against a decision or order may be brought by a person more than 28 days after service on the person of notice of the decision or order. 3 On an appeal against a decision of the Commission, other than a decision to which a notice under section 31 relates, the First-tier Tribunal may confirm the decision or direct that it is not to have effect. 4 On an appeal against an order made by a justice of the peace the First-tier Tribunal may confirm the order or direct that it is to cease to have effect. 5 On an appeal against a decision to which a notice under section 31 relates, the First-tier Tribunal may confirm the decision or direct that it is to cease to have effect. 6 On an appeal against a decision or order, the First-tier Tribunal also has power— a to vary any discretionary condition for the time being in force in respect of the regulated activity to which the appeal relates, b to direct that any such discretionary condition is to cease to have effect, c to direct that any such discretionary condition as the First-tier Tribunal thinks fit shall have effect in respect of the regulated activity, or d to vary the period of any suspension. 7 In this section— “ discretionary condition ”, in relation to registration under this Chapter, means any condition other than a registered manager condition required by section 13(1); ... Offences Failure to comply with conditions 33 A person who— a is registered under this Chapter in respect of a regulated activity (whether as a service provider or manager), and b fails, without reasonable excuse, to comply with any condition for the time being in force by virtue of this Chapter in relation to the registration, is guilty of an offence and liable on summary conviction to a fine . Offences relating to suspension or cancellation of registration 34 1 If a person (“S”) who is registered under this Chapter as a service provider in respect of a regulated activity carries on that activity while S's registration is suspended, S is guilty of an offence. 2 A person (“M”) whose registration under this Chapter as a manager in respect of a regulated activity is suspended is guilty of an offence if, during the period of suspension, M manages that activity at a time when no one else has been registered under this Chapter as a manager in respect of the activity since the suspension of M's registration. 3 A person (“M”) whose registration under this Chapter as a manager in respect of a regulated activity has been cancelled is guilty of an offence if M manages that activity at a time when— a a person (“S”) remains registered under this Chapter as a service provider in respect of the activity, b S's registration remains subject to a registered manager condition, and c no-one has been registered under this Chapter as a manager in respect of the activity since the cancellation of M's registration. 4 If a person (“M”) who is registered under this Chapter as a manager in respect of a regulated activity manages that activity while the registration of the person registered under this Chapter as a service provider in respect of the activity is suspended, M is guilty of an offence if M knows or could reasonably be expected to know of the suspension. 5 A person guilty of an offence under this section is liable on summary conviction to a fine . Contravention of regulations 35 Regulations under this Chapter may provide that a contravention of or failure to comply with any specified provision of the regulations is to be an offence, but may not provide for an offence to be triable on indictment or to be punishable with imprisonment or, except in the case of regulations under section 20, with a fine exceeding level 4 on the standard scale. False description of concerns, premises etc. 36 1 Any person who, with intent to deceive any person— a applies any name to any concern carried on in England or to any premises in England, or b in any way describes such a concern or such premises or holds such a concern or such premises out, so as to indicate, or reasonably be understood to indicate, that the carrying on of the concern is a regulated activity or that the premises are used for the carrying on of a regulated activity is guilty of an offence unless the conditions in subsection (2) are met. 2 Those conditions are— a that a person is registered under this Chapter as a service provider in respect of the regulated activity in question, and b that the registration has not been suspended. 3 Any person who, with intent to deceive any person, in any way describes or holds out any person registered under this Chapter as a service provider in respect of a regulated activity as able to provide a service or do any thing the provision or doing of which would contravene a condition for the time being in force by virtue of this Chapter in relation to the regulated activity is guilty of an offence. 4 A person guilty of an offence under subsection (1) or (3) is liable on summary conviction to a fine not exceeding level 5 on the standard scale. 5 In this section “ concern ” includes any organisation. False statements in applications 37 1 Subsection (2) applies to any application under this Chapter by a person (“A”)— a for registration, b for the variation or removal of any condition in force in relation to A's registration, c for the variation or cancellation of any suspension of A's registration, or d for the cancellation of A's registration. 2 If, in an application to which this subsection applies, A knowingly makes a statement which is false or misleading in a material respect, A is guilty of an offence. 3 A person guilty of an offence under this section is liable on summary conviction to a fine not exceeding level 4 on the standard scale. Information to be available to public Provision of copies of registers 38 1 Subject to subsection (3), the Commission must secure that copies of any register kept for the purposes of this Chapter are available at its offices for inspection at all reasonable times by any person. 2 Subject to subsections (3) and (4), any person who asks the Commission for a copy of, or an extract from, a register kept for the purposes of this Chapter is entitled to have one. 3 Regulations may provide that subsections (1) and (2) do not apply— a in such circumstances as may be prescribed, or b to such parts of a register as may be prescribed. 4 A fee determined by the Commission is payable for the copy or extract except— a in prescribed circumstances, or b in any case where the Commission considers it appropriate to provide the copy or extract free of charge. Miscellaneous Bodies required to be notified of certain matters 39 1 Where the Commission gives a notice to which this section applies in respect of a regulated activity, it must give a copy of the notice— za in any case where regulations so provide, to NHS England , a in any case where regulations so provide, to such integrated care board ... or English local authority as may be determined in accordance with regulations, b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d to such other persons as the Commission considers appropriate. 2 This section applies to the following notices— a a notice under section 26 (notice of proposals), b a notice under subsection (1) or (3) of section 28 (notice of decisions), c a warning notice under section 29 or 29A (warning notice), and d a notice under section 31 (urgent procedure for suspension, variation etc.). 3 The Commission must notify each of the persons mentioned in subsection (1)(a) to (d) of either of the following events in relation to a person registered under this Chapter— a the payment of a penalty in accordance with a penalty notice issued under section 86, or b the commencement of proceedings in respect of a Part 1 offence. 4 Regulations may prescribe cases in which subsection (1) or (3) does not apply. Periodic returns 40 1 Regulations may require the person carrying on a regulated activity to make a return to the Commission at such intervals as may be prescribed. 2 Provision may be made by the regulations as to the contents of the return and the period in respect of which and date by which it is to be made. Liquidators etc. 41 1 Regulations may— a require any person to whom this section applies to give notice of the person's appointment to the Commission; b require any person to whom this section applies to appoint a person to manage the regulated activity in question. 2 This section applies to any person appointed as— a a receiver or manager of the property of a relevant company, b the liquidator or provisional liquidator of a relevant company, or c the trustee in bankruptcy of a relevant individual. 3 In this section— “ company ” includes a partnership; “ relevant company ” means a company which is registered under this Chapter as a service provider in respect of a regulated activity; “ relevant individual ” means an individual who is registered under this Chapter as a service provider in respect of a regulated activity. Death of registered person 42 1 Regulations may— a provide for the provisions of this Chapter to apply with prescribed modifications in cases where a person who was the only person registered under this Chapter as a service provider in respect of a regulated activity has died; b require the personal representatives of a deceased person who was registered as a service provider in respect of a regulated activity to notify the Commission of the person's death. 2 Regulations under subsection (1)(a) may in particular— a provide for the regulated activity to be carried on for a prescribed period by a person who is not registered in respect of it, and b include provision for the prescribed period to be extended by such further period as the Commission may allow. Power to modify provisions of Chapter Power to modify Chapter in relation to newly regulated activities 43 1 Regulations may modify the provisions of this Chapter in their application to any newly regulated activity of a prescribed description. 2 A “newly regulated activity” is any regulated activity other than one which— a consists of or includes the carrying on of a relevant concern, b under the 2000 Act as it has effect immediately before commencement, is regulated under Part 2 of that Act by virtue of regulations under section 42 of that Act (power to extend application of that Part), or c consists of the provision of health care by a National Health Service body, as defined by section 121 of that Act. 3 For this purpose a relevant concern is anything which, under the 2000 Act as it has effect immediately before commencement, would for the purposes of that Act be— a an independent hospital, b an independent clinic, c an independent medical agency, d a care home, e a domiciliary care agency, or f a nurses agency. 4 Any regulated activity carried on by or on behalf of the Crown is for this purpose a newly regulated activity. 5 In this section— “ the 2000 Act ” means the Care Standards Act 2000 (c. 14); “ commencement ” means the commencement of section 10 of this Act. Interpretation Interpretation of Chapter 2 44 In this Chapter— “ health care associated infection ” is to be read in accordance with section 20(6) and (7); “ registered manager condition ” is to be read in accordance with section 13(3). Chapter 3 Quality of health and social care ... Standards set by Secretary of State 45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Healthwatch England and Local Healthwatch organisations Functions to be exercised by Healthwatch England 45A 1 The Commission has the functions set out in subsections (2) to (5), but must arrange for the Healthwatch England committee to exercise the functions on its behalf. 2 The function in this subsection is to provide Local Healthwatch organisations with general advice and assistance in relation to— a the making of arrangements under section 221(1) of the Local Government and Public Involvement in Health Act 2007 (local care services); b the making of arrangements in pursuance of arrangements made under section 221(1) of that Act (see section 222(2B) of that Act); c the carrying-on of activities specified in section 221(2) of that Act. 3 The function in this subsection is a power to make recommendations of a general nature to English local authorities about the making of arrangements under section 221(1) of that Act. 4 The function in this subsection is a power, where the Healthwatch England committee is of the opinion that the activities specified in section 221(2) of that Act are not being carried on properly in an English local authority's area, to give the authority concerned written notice of its opinion. 5 The function in this subsection is to provide the persons mentioned in subsection (6) with information and advice on— a the views of people who use health or social care services and of other members of the public on their needs for and experiences of health and social care services, and b the views of Local Healthwatch organisations and of other persons on the standard of provision of health and social care services and on whether or how the standard could or should be improved. 6 The persons referred to in subsection (5) are— a the Secretary of State; b NHS England ; c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d English local authorities. 7 A person provided with advice under subsection (5) must inform the Healthwatch England committee in writing of its response or proposed response to the advice. 8 The Healthwatch England committee may provide the Commission with information and advice on the matters mentioned in subsection (5)(a) and (b); and the Commission must inform the committee in writing of its response or proposed response to the advice. 9 The Commission must publish details of arrangements it makes under subsection (1) (including details of payments of remuneration or other amounts); and inclusion of the details in a report under section 83 is not to be regarded as a discharge of the duty imposed by this subsection. 10 In performing functions under this section, the Healthwatch England committee must have regard to such aspects of government policy as the Secretary of State may direct. Conflicts of interest 45B 1 In making arrangements under section 45A(1), the Commission must have regard to any conflicts guidance issued by the Secretary of State. 2 In exercising functions on behalf of the Commission, the Healthwatch England committee must have regard to any conflicts guidance issued by the Secretary of State. 3 In this section, “ conflicts guidance ” means guidance about managing conflicts between— a the exercise of functions by the Commission, and b the exercise of functions by the Healthwatch England committee on the Commission's behalf. Reports 45C 1 As soon as possible after the end of each financial year, the Healthwatch England committee— a must make a report to the Commission (whether or not in writing) on the matters mentioned in section 45A(5)(a) and (b), and b must publish a report on the way in which it has exercised during the year the functions exercisable by it. 2 The committee must— a lay before Parliament a copy of each report made under subsection (1)(b), and b send a copy of each such report to the Secretary of State and to every Local Healthwatch organisation. 3 The committee may publish other reports at such times, and on such matters relating to health or social care, as it thinks appropriate. 4 Where a recommendation is made to the committee under section 221(2)(h) of the Local Government and Public Involvement in Health Act 2007 (reports under subsection (3)), the committee must have regard to the recommendation. 5 Before publishing a report under subsection (1)(b) or (3), the committee must, so far as practicable, exclude any matter which relates to the private affairs of an individual the publication of which, in the committee's opinion, would or might seriously and prejudicially affect that individual's interests. 6 In this section, “ financial year ” means— a the period beginning with the date on which the committee is appointed and ending with the following 31 March, and b each successive period of 12 months ending with 31 March. Granting licence to use trade mark 45D 1 The Commission may grant a Local Healthwatch organisation a licence authorising the use, in relation to the carrying-on of activities under arrangements made under section 221(1) of the Local Government and Public Involvement in Health Act 2007, of a registered trade mark of which the Commission is the proprietor. 2 A licence under this section may not provide for the grant of a sub-licence by the licensee other than a sub-licence authorising the use of the mark by a Local Healthwatch contractor in relation to the carrying-on of activities under Local Healthwatch arrangements. 3 In this section— “ Local Healthwatch arrangements ” has the meaning given by section 222 of the Local Government and Public Involvement in Health Act 2007, “ Local Healthwatch contractor ” has the meaning given by section 223 of that Act, and “ registered trade mark ” and “ use ” have the same meaning as in the Trade Marks Act 1994. Reviews and investigations Reviews and performance assessments : registered service providers 46 1 The Commission must, in respect of such regulated activities and such registered service providers as may be prescribed— a conduct reviews of the carrying on of the regulated activities by the service providers, b assess the performance of the service providers following each such review, and c publish a report of its assessment. 2 Regulations under subsection (1) may prescribe— a all regulated activities or regulated activities of a particular description; b all registered service providers or particular registered service providers; c the whole of a regulated activity or a particular aspect of it. 3 The assessment of the performance of a registered service provider is to be by reference to whatever indicators of quality the Commission devises. 4 The Commission must prepare a statement— a setting out the frequency with which reviews under this section are to be conducted and the period to which they are to relate, and b describing the method that it proposes to use in assessing and evaluating the performance of a registered service provider under this section. 5 The Commission may— a use different indicators for different cases, b make different provision about frequency and period of reviews for different cases, and c describe different methods for different cases. 6 The Commission must publish— a any indicators it devises for the purpose of subsection (3), and b the statement it prepares for the purpose of subsection (4). 7 Before doing so, the Commission— a must consult the Secretary of State and such other persons, or other persons of such a description, as may be prescribed, and b may also consult any other persons it considers appropriate. 8 The Commission may from time to time revise— a any indicators it devises for the purpose of subsection (3), and b the statement it prepares for the purpose of subsection (4); and, if it does so, it must publish the indicators and statement as revised. 9 Subsection (7) applies to revised indicators and a revised statement, so far as the Commission considers the revisions in question to be significant. 10 In this section “ registered service provider ” means a person registered under Chapter 2 as a service provider. 11 Consultation undertaken before the commencement of this section is as effective for the purposes of subsection (7) as consultation undertaken after that commencement. Reviews and performance assessments: local authorities 46A 1 The Commission must, in accordance with this section— a conduct reviews of the exercise of regulated care functions by English local authorities, b assess the performance of those authorities following each such review, and c publish a report of its assessment. 2 In this section “ regulated care functions ” means such functions under Part 1 of the Care Act 2014 (functions relating to adult social care in England) as may be prescribed. 3 Regulations under subsection (2) may prescribe— a all functions of English local authorities under Part 1 of the Care Act 2014 or some of their functions under that Part; b the whole of a function or a particular aspect of it. 4 The Secretary of State— a must set, and may from time to time revise, objectives and priorities for the Commission in relation to the assessment under this section of the performance of English local authorities, and b must inform the Commission of the objectives and priorities. 5 The Commission— a must determine, and may from time to time revise, indicators of quality for the purposes of the assessment under this section of the performance of English local authorities, and b must obtain the approval of the Secretary of State in relation to the indicators. 6 The Secretary of State may direct the Commission to revise the indicators under subsection (5) . 7 Different objectives and priorities may be set, and different indicators of quality may be determined, for different cases. 8 The Commission— a must prepare, and may from time to time revise, a statement— i setting out the frequency with which reviews under this section are to be conducted and the period to which they are to relate, and ii describing the method that it proposes to use in assessing and evaluating the performance of a English local authority under this section, and b must obtain the approval of the Secretary of State in relation to the statement. 9 The Secretary of State may direct the Commission to revise the statement under subsection (8) . 10 The statement may— a make different provision about frequency and period of reviews for different cases, and b describe different methods for different cases. 11 The Commission must publish— a the objectives and priorities under subsection (4) , b the indicators of quality under subsection (5) , and c the statement under subsection (8) . 12 For the purposes of this section “ English local authority ” includes the Council of the Isles of Scilly only so far as references to a local authority in Part 1 of the Care Act 2014 include references to that Council as a result of an order under section 128(4) of that Act. Reviews and performance assessments: integrated care system 46B 1 The Commission must, in accordance with this section— a conduct reviews of— i the provision of relevant health care, and adult social care, within the area of each integrated care board, and ii the exercise of the functions of the following in relation to the provision of that care within the area of each integrated care board: the board; its partner local authorities; and registered service providers, b assess the functioning of the system for the provision of relevant health care, and adult social care, within the area of each integrated care board (taking into account, in particular, how those mentioned in paragraph (a)(ii) work together), and c publish a report of its assessment. 2 The Secretary of State— a must set, and may from time to time revise, objectives and priorities for the Commission in relation to assessments under this section, and b must inform the Commission of the objectives and priorities. 3 The priorities set by the Secretary of State under subsection (2)(a) must include priorities relating to leadership, the integration of services and the quality and safety of services. 4 The Commission— a must determine, and may from time to time revise, indicators of quality for the purposes of assessments under this section, and b must obtain the approval of the Secretary of State in relation to the indicators. 5 The Secretary of State may direct the Commission to revise the indicators under subsection (4) . 6 Different objectives and priorities may be set, and different indicators of quality may be determined, for different cases. 7 The Commission— a must prepare, and may from time to time revise, a statement— i setting out the frequency with which reviews under this section are to be conducted and the period to which they are to relate, and ii describing the method that it proposes to use in assessing and evaluating the functioning of the system for the provision of relevant health care, and adult social care, within the area of an integrated care board, and b must obtain the approval of the Secretary of State in relation to the statement. 8 The statement may— a make different provision about frequency and period of reviews for different cases, and b describe different methods for different cases. 9 Before preparing or revising a statement under subsection (7) the Commission must consult— a NHS England, and b any other persons it considers appropriate. 10 The Secretary of State may direct the Commission to revise the statement under subsection (7) . 11 The Commission must publish— a the objectives and priorities under subsection (2) , b the indicators of quality under subsection (4) , and c the statement under subsection (7) . 12 For the purposes of this section— “ adult social care ” means social care for individuals aged 18 or over; “ partner local authority ”, in relation to an integrated care board, means any English local authority whose area coincides with, or includes the whole or any part of, the area of the integrated care board; “ registered service provider ” means a person registered under Chapter 2 as a service provider; “ relevant health care ” means— NHS care, or the promotion and protection of public health. 13 Regulations may amend the definition of “relevant health care” to include health care which is provided or commissioned by a public authority (but which does not amount to NHS care). Frequency and period of review 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Special reviews and investigations 48 1 The Commission may ...conduct any special review or investigation, and must do so if the Secretary of State so requests ; but the Commission may not conduct a review or investigation under subsection (2)(ba) or (bb) without the approval of the Secretary of State. . 1A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 A special review or investigation is a review (other than a review under section 46 , 46A or 46B ) of or an investigation into— a the provision of NHS care, b the provision of adult social services, ba the exercise of the functions of NHS England or an integrated care board in arranging for the provision of NHS care under the National Health Service Act 2006 or section 117 of the Mental Health Act 1983 (after-care) , bb the exercise of the functions of English local authorities in arranging for the provision of adult social services, or c the exercise of functions by English Health Authorities. 3 Such a review or investigation may relate— a to the overall provision of NHS care or adult social services or to the provision of NHS care or adult social services of a particular description; b to the overall exercise of functions or to the exercise of functions of a particular description; c to the provision of care or services or the exercise of functions by bodies or persons generally or by particular bodies or persons. 3A A review or investigation under subsection (2)(b), in so far as it involves a review or investigation into the arrangements made for the provision of the adult social services in question, is to be treated as a review or investigation under subsection (2)(bb) (and the requirement for approval under subsection (1) is accordingly to apply). 4 Where the Commission conducts a review or investigation under this section, it must publish a report. 5 The Commission must consider whether the report raises anything on which it ought to give advice to the Secretary of State under section 53(2). 6 If the review or investigation gives rise to a duty to act under section 50(2) ... in respect of an English local authority, subsection (5) does not apply in relation to so much of the report as relates to that local authority. 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 In this section “ English Health Authority ” means— a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b a Special Health Authority performing functions only or mainly in respect of England. Power to extend periodic review function 49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Failings by English local authorities 50 1 This section applies where the Commission conducts a review under section 46 , 46A or 46B ..., or a review or investigation under section 48, in respect of an English local authority. 2 If the Commission considers that the local authority is failing to discharge any of its adult social services functions to an acceptable standard, then ... the Commission must— a inform the Secretary of State of that fact, and b recommend any special measures which it considers the Secretary of State should take. 3A Nothing in subsection (2) prevents a report published under section 46(1)(c), 46A(1)(c), 46B(1)(c) or 48(4) from specifying respects in which the Commission considers a local authority to be failing and making recommendations to the local authority for addressing the failure. 5 If the Commission recommends that the Secretary of State should take special measures in relation to the local authority, the Commission must, if the Secretary of State so requests— a conduct a further review under section 48 in relation to the authority, and b include in its report under subsection (4) of that section a report on such matters as the Secretary of State may specify. Failings by Welsh NHS bodies 51 1 Following a review under section 46 ..., or a review or investigation under section 48, the Commission must inform the Welsh Ministers if it considers that— a there are significant failings in relation to the provision of health care by or pursuant to arrangements made by a Welsh NHS body, b there are significant failings in the running of a Welsh NHS body, or c there are significant failings in the running of a body, or the practice of an individual, providing health care pursuant to arrangements made by a Welsh NHS body. 2 The Commission may also recommend to the Welsh Ministers that, with a view to remedying those failings, the Welsh Ministers take special measures— a in a case falling within subsection (1)(a) or (b), in relation to the Welsh NHS body concerned; b in a case falling within subsection (1)(c), in relation to the body or individual concerned (except an English NHS body or a cross-border Special Health Authority). 3 In this section “ Welsh NHS body ” has the same meaning as in Part 2 of the Health and Social Care (Community Health and Standards) Act 2003 (c. 43). Chapter 4 Functions under Mental Health Act 1983 Transfer and amendment of functions under Mental Health Act 1983 52 1 The functions of the Secretary of State under the following provisions of the Mental Health Act 1983 (c. 20) (“the MHA”) are transferred to the Commission— a section 57(2)(a) (appointment of registered medical practitioners and other persons), b section 58(3)(a) (appointment of registered medical practitioners), c section 61(1) (receipt of reports on treatment), d section 61(3) (power to disapply Part 4 certificates), e section 64H(4) (receipt of reports on treatment), f section 64H(5) (power to disapply Part 4A certificates), g section 118(2) (code of practice) so far as it relates to the appointment of registered medical practitioners, h section 119(1) (power to make provision for payment to practitioners etc.), and i section 120 (duty to keep matters under review etc.). 2 Registered medical practitioners, and other persons, appointed or authorised by the Commission in the exercise of a function under the MHA may include members or employees of the Commission. 3 The functions of the Mental Health Act Commission under the MHA are transferred— a in relation to England, to the Care Quality Commission; b in relation to Wales, to the Welsh Ministers. 4 Section 121 of the MHA (which makes provision about the Mental Health Act Commission and requires the Secretary of State and the Welsh Ministers to delegate some of their functions to it) ceases to have effect. 5 Schedule 3 (which makes amendments to the MHA consequential on the provisions of this section, and other amendments to the MHA relating to the functions of the Commission and the Welsh Ministers) has effect. Chapter 5 Further functions Information and advice 53 1 The Commission must keep the Secretary of State informed about the following matters— a the provision of NHS care; b the provision of adult social services; c the carrying on of regulated activities. 2 The Commission may at any time give the Secretary of State advice on anything connected with those matters. 3 Advice under subsection (2) may in particular include advice on any changes that the Commission thinks should be made to— a regulations under section 20 (regulation of regulated activities), or b a code of practice under section 21 (code of practice relating to health care associated infections), or c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 When requested to do so by the Secretary of State, the Commission must give the Secretary of State such advice or information in connection with a matter mentioned in subsection (1) as may be specified in the request. 5 The Commission may give advice— a to the Secretary of State or an English NHS body about the establishment or conduct of any inquiry held, or to be held, by the Secretary of State or NHS body in relation to the provision of health care by or pursuant to arrangements made by that body; b to the Secretary of State or an English local authority about the establishment or conduct of any inquiry held, or to be held, by the Secretary of State or local authority in relation to the provision of adult social services by or pursuant to arrangements made by that authority. Studies as to economy, efficiency etc. 54 1 The Commission may ...undertake or promote comparative or other studies designed to enable it to make recommendations— a for improving economy, efficiency and effectiveness in any activity mentioned in subsection (2), b for improving the management, other than the financial management, of an English NHS body, or c for improving the management of an English local authority in its provision of adult social services. 2 Those activities are— a the provision of health care by an English NHS provider, b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c the provision of adult social services by an English local authority, and d the making of arrangements by an English local authority for the provision of adult social services. 2A The Commission may not exercise the power under subsection (1)(a), so far as it relates to the activity mentioned in subsection (2)(d), without the approval of the Secretary of State. 3 The Commission may ... also undertake or promote studies designed to enable it to prepare reports as to the impact of— a the operation of any particular statutory provisions, or b any directions or guidance given by a Minister of the Crown (whether pursuant to any such provisions or otherwise), on economy, efficiency and effectiveness in an activity mentioned in subsection (2)(c) or (d). 4 The Commission must undertake or promote a study falling within subsection (1) or (3) if the Secretary of State so requests. 5 The reference in subsection (1) to an English NHS body does not include a reference to NHS England , an integrated care board or a Special Health Authority. Publication of results of studies under s. 54 55 1 The Commission must publish— a any recommendations made by it under subsection (1) of section 54, and b the result of any studies undertaken or promoted under that section. 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Role of Audit Commission 56 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reviews of data, studies and research 57 1 The Commission may ... review— a studies and research undertaken by others, or the quality of data obtained by others, in relation to the provision of NHS care or adult social services or the carrying on of regulated activities, b the methods used in undertaking such studies and research or in collecting and analysing such data, and c the validity of conclusions drawn from such studies and research or from such data. 2 The Commission must conduct a review under subsection (1) if the Secretary of State so requests. 3 If the Commission conducts a review under this section it must publish a report. Publication of information 58 1 The Commission may make available to the public information relating to— a the provision of NHS care; b the provision of adult social services; c the carrying on of regulated activities. 2 Subsection (1) is subject to sections 76 and 79(2). Additional functions 59 1 The Secretary of State may by regulations provide that the Commission is to have such additional functions as may be specified in the regulations in relation to any of the following— a the provision of NHS care; b the exercise in respect of England of functions by cross-border Special Health Authorities; c the improvement of— i economy, efficiency and effectiveness in the exercise of the functions of English NHS bodies, and ii the financial or other management, or operations, of English NHS bodies; d the provision of adult social services; e the carrying on of regulated activities; f the exercise of powers or the discharge of duties conferred or imposed by the Mental Health Act 1983 (c. 20) as mentioned in section 120(1) of that Act. 2 The Secretary of State must consult NHS England before making provision under subsection (1) in relation to persons who hold licences under Chapter 3 of Part 3 of the Health and Social Care Act 2012. 3 The references in subsection (1) to English NHS bodies do not include references to NHS England or integrated care boards . Chapter 6 Miscellaneous and General Inspections Inspections 60 1 The Commission may for the purposes of its regulatory functions carry out inspections of— a the carrying on of a regulated activity, b the provision of NHS care, c the provision of adult social services, ca the exercise of functions by an English local authority, or d the exercise of functions by an English NHS body. 2 For the purposes of this Part, the “regulatory functions” of the Commission are its functions under Chapters 2, 3 and 5 except— a its functions under section 53 (information and advice), b its functions under section 57 (reviews of data, studies and research), and c its functions under regulations under section 59 (additional functions) to the extent that the regulations provide that they are not to be treated as regulatory functions for the purposes of this Part. 3 In this section “ English local authority ” has the same meaning as in section 46A (see subsection (12) of that section). Inspections carried out for registration purposes 61 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Where an inspection is carried out under section 60 for the purposes of the Commission's functions under Chapter 2, the Commission must— a prepare a report on the matters inspected, and b without delay send a copy of the report to— i the person who carries on the regulated activity in question, and ii if a person is registered under that Chapter as a manager in respect of the activity, that person. 3 The Commission must publish a report prepared under subsection (2). 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Powers of entry etc. Entry and inspection 62 1 The power in subsection (2) is exercisable if the Commission considers it necessary or expedient for the purposes of any of its regulatory functions. 2 A person authorised by the Commission may enter and inspect any premises which are, or which the person reasonably believes to be, regulated premises. 3 Premises are “regulated premises” if they fall within one or more of the following descriptions— a they are used for the carrying on of a regulated activity, b they are owned or controlled by an English NHS body or English local authority, or c they are used or proposed to be used for or in connection with— i the provision of NHS care, ii the exercise of any functions of an English NHS body, or iii the provision of adult social services. 4 If NHS care or an adult social service is provided to a person in premises used wholly or mainly as a private dwelling, the premises are not to be regarded as used for or in connection with the provision of that care or service. 5 A person who proposes to exercise the power conferred by subsection (2) must if so required produce some duly authenticated document showing the person's authority to exercise the power. 6 “ Premises ” includes a vehicle. Entry and inspection: supplementary 63 1 This section applies where a person (“A”) is authorised by virtue of section 62 to enter and inspect premises. 2 If A considers it necessary or expedient for relevant purposes, A may— a make any examination into the state and management of the premises or the treatment of persons receiving care there, b inspect and take copies of any documents or records, c have access to, and check the operation of, any computer, and any associated apparatus or material, which is or has been in use in connection with any documents or records, d inspect any other item, e seize and remove from the premises any documents, records or other items, f interview in private— i any person who carries on or manages a regulated activity, or who manages the provision of NHS care or adult social services, at the premises, ii any person working at the premises, and iii any person receiving care at the premises who consents to be interviewed, and g if the conditions in subsection (3) are met, examine in private any person receiving care at the premises. 3 The conditions are— a A is a registered medical practitioner or registered nurse, b A has reason to believe that the person to be examined is not receiving proper care at the premises, and c the person to be examined— i is capable of giving consent to the examination and does so, or ii is incapable of giving consent to the examination. 4 The power under subsection (2)(b) includes power— a to require any person holding or accountable for documents or records (whether or not kept at the premises) to produce them for inspection at the premises, and b to require any records which are kept by means of a computer to be produced in a form in which they are legible and can be taken away. 5 The power under subsection (2)(f)(i) to interview a person in private includes power, in the case of a body corporate, to interview in private— a any director, manager, secretary or other similar officer of the body corporate, and b where the body is an English NHS body or English local authority, any officer or member of the NHS body or local authority. 6 A may— a require any person to afford A such facilities and assistance with respect to matters within the person's control as are necessary to enable A to exercise powers under section 62 and this section, and b take such measurements and photographs, and make such recordings, as A considers necessary to enable A to exercise those powers. 7 A person who without reasonable excuse— a obstructs the exercise of a power conferred by section 62 or this section, or b fails to comply with a requirement imposed under this section, is guilty of an offence and liable on summary conviction to a fine not exceeding level 4 on the standard scale. 8 In this section— a “ relevant purposes ” means the purposes of any of the Commission's regulatory functions, b any reference to documents or records includes a reference to personal and medical records, and c any reference to a person receiving care at premises includes a reference to a person who is accommodated there. Power to require documents and information etc. 64 1 The Commission may require any person mentioned in subsection (2) to provide it with any information, documents, records (including personal and medical records) or other items which the Commission considers it necessary or expedient to have for the purposes of any of its regulatory functions. 2 The persons are— a an English NHS body, b a person providing health care commissioned by — i NHS England , ii an integrated care board, or iii ... c an English local authority, d a person providing adult social services commissioned by an English local authority, ... e a person who carries on or manages a regulated activity, ... f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 The power in subsection (1) to require the provision of information, documents or records includes, in relation to information, documents or records kept by means of a computer, power to require the provision of the information, documents or records in legible form. 4 A person who without reasonable excuse fails to comply with a requirement imposed under this section is guilty of an offence and liable on summary conviction to a fine not exceeding level 4 on the standard scale. Power to require explanation 65 1 The Secretary of State may by regulations make provision requiring prescribed persons to provide an explanation of any relevant matter to the Commission, or to persons authorised by the Commission, in circumstances where the Commission considers the explanation necessary or expedient for the purposes of any of its regulatory functions. 2 “ Relevant matter ” means— a any documents, records or other items inspected, copied or provided under sections 62 to 64, b any information provided under those sections, c any documents, records, other items or information otherwise provided to the Commission by any person for the purposes of the Commission's regulatory functions, or d any matters which are the subject of the exercise of any such functions. 3 Regulations under subsection (1) may require explanations to be provided at such times and places as may be specified by the Commission. 4 A person who without reasonable excuse fails to comply with a requirement imposed by virtue of this section is guilty of an offence and liable on summary conviction to a fine not exceeding level 4 on the standard scale. Interaction with other authorities Interaction with other authorities 66 Schedule 4 (interaction with other authorities) has effect. Co-ordination of reviews or assessments 67 The Commission must promote the effective co-ordination of reviews or assessments carried out by public bodies or other persons in relation to the carrying on of regulated activities. Avoidance of unreasonable burdens in exercise of regulatory powers 68 1 The Secretary of State may publish guidance about steps which regulatory authorities may take in exercising relevant powers with a view to avoiding the imposition of unreasonable burdens on those in respect of whom the powers are exercisable. 2 “ Regulatory authorities ” means— a the Commission, and b such other bodies as may be prescribed. 3 A body may not be prescribed under subsection (2)(b) unless it has functions relating to the provision of health or social care. 4 “ Relevant powers ” means powers conferred by or under an enactment to— a carry out inspections, or b require the provision of information, but, in relation to a body prescribed under subsection (2)(b), such powers are “relevant powers” only so far as they are exercisable in respect of a person in respect of whom the Commission has relevant powers. 5 The steps mentioned in subsection (1) might include for example— a co-operating with other regulatory authorities and co-ordinating the exercise of relevant powers, b sharing information or the results of inspections, and c seeking to obtain information from other sources before exercising a relevant power to require the provision of that information. 6 In exercising relevant powers, regulatory authorities must have regard to any guidance published under subsection (1). 7 Nothing in this section is intended to limit the scope of a relevant power or affect a person's obligation to comply with a requirement imposed in the exercise of such a power. 8 In this section— a “ inspections ” includes inspections of persons, premises or the carrying on of activities, b a reference to a power to carry out inspections includes a reference to any power which is ancillary to that power (such as a power to enter premises or to require assistance), and c a reference to a power to require the provision of information includes a reference to a power to require the production of documents, records or other items, a power to require the making of reports and a power to require explanations. Co-operation between the Commission and Welsh Ministers 69 1 The Commission and the Welsh Ministers must co-operate with each other for the efficient and effective discharge of their corresponding functions. 2 Their corresponding functions are— a the Commission's functions, and b any functions of the Welsh Ministers exercisable in or in relation to Wales which correspond or are similar to any of the Commission's functions. 3 The Commission and the Welsh Ministers may share information with each other for the purposes of subsection (1). Co-operation between the Commission and NHS England 70 1 The Commission must co-operate with NHS England in the exercise of their respective functions. 2 In particular the Commission must— a give NHS England any information the Commission has about the provision of health care which the Commission or NHS England considers would assist NHS England in the exercise of — i its regulatory functions, within the meaning given by section 13SB (2) of the National Health Service Act 2006, or ii its functions under section 27A of the National Health Service Act 2006 (NHS trusts: oversight and support) b make arrangements with NHS England to ensure that— i a person applying to be both registered under Chapter 2 and for a licence under the Health and Social Care Act 2012 may do so by way of a single application form, and ii such a person is granted a registration under Chapter 2 and a licence under that Act by way of a single document, and c seek to secure that the conditions on a registration under Chapter 2 in a case within paragraph (b) are consistent with the conditions included in the person's licence under that Act. 3 Without prejudice to subsection (2)(a) the Commission must, on request, provide the NHS England with any material relevant to— a a review under section 46 ..., b a review or investigation under section 48, or c a study promoted, or undertaken, by the Commission under section 54, so far as the material relates to the provision of health care by a person who holds a licence under the Health and Social Care Act 2012 4 In this section, a reference to a licence under the Health and Social Care Act 2012 is a reference to a licence under Chapter 3 of Part 3 of that Act. Provision of information by Auditor General for Wales 71 1 The Auditor General for Wales must, on request, provide the Commission with any information it may reasonably require for the purpose of making comparisons, in the exercise of its functions under section 54 so far as relating to health care or English NHS bodies, between English NHS bodies and Welsh NHS bodies. 2 In this section “ Welsh NHS body ” has the same meaning as in Part 3 of the Public Audit (Wales) Act 2004 (c. 23). Provision of material to the Comptroller and Auditor General 72 The Commission must, on request, provide the Comptroller and Auditor General with any material relevant to— a a review under section 46 ... in respect of an English NHS body, b a review or investigation under section 48 in respect of such a body, or c a study promoted, or undertaken, by the Commission under section 54. Arrangements with Ministers 73 1 The Commission and a Minister of the Crown may make arrangements for the Commission to— a perform any of its functions in relation to a prescribed health scheme, or a prescribed social care scheme, for which the Minister has responsibility; b provide services or facilities insofar as they are required by the Minister in connection with such a scheme. 2 Arrangements under this section may be made on such terms and conditions as may be agreed between the parties to the arrangements. 3 Those terms and conditions may include provision with respect to the making of payments to the Commission in respect of the cost to it of giving effect to the arrangements. 4 In this section— “ health scheme ” means a scheme which appears to the Secretary of State to be a health or medical scheme paid for out of public funds; “ social care scheme ” means a scheme which appears to the Secretary of State to be a social care scheme paid for out of public funds. Arrangements with Northern Ireland Ministers 74 1 The Commission and a Northern Ireland Minister may make arrangements for the Commission to— a exercise on behalf of the Minister any function of the Minister which corresponds to a function of the Commission and relates to the Northern Ireland health service; b provide services or facilities insofar as they are required by the Minister in connection with the exercise by the Minister of any such functions. 2 Arrangements under this section may be made on such terms and conditions as may be agreed between the parties to the arrangements. 3 Those terms and conditions may include provision with respect to the making of payments to the Commission in respect of the cost to it of giving effect to the arrangements. 4 Any arrangements under subsection (1)(a) are not to affect the responsibility of the Minister on whose behalf the function is exercised. 5 In this section— “ Northern Ireland Minister ” includes the First Minister, the deputy First Minister and a Northern Ireland department; “ Northern Ireland health service ” means any of the health services under any enactment which extends to Northern Ireland and which corresponds to section 1(1) of the National Health Service Act 2006 (c. 41). Inquiries Inquiries 75 1 The Secretary of State may cause an inquiry to be held into any matter connected with the exercise by the Commission of any of its functions. 2 Before an inquiry is begun, the Secretary of State may give a direction that it be held in private. 3 Where no such direction has been given, the person holding the inquiry may decide to hold it, or any part of it, in private. 4 Subsections (2) to (5) of section 250 of the Local Government Act 1972 (c. 70) (powers in relation to local inquiries) apply in relation to an inquiry under this section as they apply in relation to a local inquiry under that section. 5 The report of the person holding the inquiry is to be published, unless the Secretary of State considers that there are exceptional circumstances which make publication inappropriate. 6 Publication is to be in such manner as the Secretary of State considers appropriate. Information Disclosure of confidential personal information: offence 76 1 This section applies to information which— a has been obtained by the Commission on terms or in circumstances requiring it to be held in confidence, and b relates to and identifies an individual. 2 A person is guilty of an offence if the person knowingly or recklessly discloses information to which this section applies during the lifetime of the individual. 3 A person guilty of an offence under this section is liable— a on summary conviction, to imprisonment for a term not exceeding the general limit in a magistrates’ court , or to a fine not exceeding the statutory maximum, or to both; b on conviction on indictment, to imprisonment for a term not exceeding two years, or to a fine, or to both. 4 In relation to an offence committed before 2 May 2022 , the reference in subsection (3)(a) to the general limit in a magistrates’ court is to be read as a reference to 6 months. 5 For the purposes of subsection (1)(b), information obtained by the Commission is to be treated as identifying an individual if the individual can be identified from a combination of— a that information, and b other information obtained by the Commission. 6 Reference in this section and in sections 77 to 80 to information obtained or disclosed by the Commission includes information obtained or disclosed by a person authorised by the Commission. Defence 77 1 It is a defence for a person charged with an offence under section 76 to prove that at the time of the alleged offence— a any of the circumstances in subsection (2) applied in relation to the disclosure, or b the person reasonably believed that any of them so applied. 2 The circumstances are— a that the disclosure was made in a form in which the individual to whom the information relates is not identified; b that the disclosure was made with the consent of that individual; c that the information disclosed had previously been lawfully disclosed to the public; d that the disclosure was made under or pursuant to regulations under section 113 or 114 of the Health and Social Care (Community Health and Standards) Act 2003 (c. 43) (complaints about health care or social services); e that the disclosure was made in accordance with any enactment or court order; f that the disclosure was necessary or expedient for the purposes of protecting the welfare of any individual; g that the disclosure was made to any person or body in circumstances where it was necessary or expedient for the person or body to have the information for the purpose of exercising functions of that person or body under any enactment. 3 It is also a defence for a person charged with an offence under section 76 to prove that the disclosure was made— a for the purpose of facilitating the exercise of any of the Commission's functions, b in connection with the investigation of a criminal offence (whether or not in the United Kingdom), or c for the purpose of criminal proceedings (whether or not in the United Kingdom). 4 If a person charged with an offence under section 76 relies on a defence in subsection (1) or (3), and evidence is adduced which is sufficient to raise an issue with respect to that defence, the court must assume that the defence is satisfied unless the prosecution proves beyond reasonable doubt that it is not. 5 For the purposes of subsection (2)(a), information disclosed by a person is to be treated as being in a form in which an individual is identified if the individual can be identified from a combination of— a the information, and b other information disclosed by the person or by the Commission. Use of information etc. 78 Information obtained by, or documents or records produced to, the Commission in connection with any of its functions may be used by the Commission in connection with any of its other functions. Permitted disclosures 79 1 Subsections (2) and (3) apply to any information obtained by the Commission in the course of exercising any of its functions. 2 In the case of information relating to an individual, the Commission may disclose the information if— a the disclosure is made in a form in which the individual is not identified, or b the disclosure is made with the consent of the individual. 3 In all cases (whether or not relating to an individual), the Commission may disclose the information if— a the information has previously been lawfully disclosed to the public, b the disclosure is made under or pursuant to regulations under section 113 or 114 of the Health and Social Care (Community Health and Standards) Act 2003 (c. 43) (complaints about health care or social services), c the disclosure is made in accordance with any enactment or court order, d the disclosure is necessary or expedient for the purposes of protecting the welfare of any individual, e the disclosure is made to any person or body in circumstances where it is necessary or expedient for the person or body to have the information for the purpose of exercising functions of that person or body under any enactment, f the disclosure is made for the purpose of facilitating the exercise of any of the Commission's functions, g the disclosure is made in connection with the investigation of a criminal offence (whether or not in the United Kingdom), or h the disclosure is made for the purpose of criminal proceedings (whether or not in the United Kingdom). 4 Subsections (2) and (3) have effect notwithstanding any rule of common law which would otherwise prohibit or restrict the disclosure. 5 For the purposes of subsection (2)(a), information disclosed by the Commission is to be treated as being in a form in which an individual is identified if the individual can be identified from a combination of— a the information, and b other information disclosed by the Commission. Code of practice on confidential personal information 80 1 The Commission must prepare and publish a code in respect of the practice it proposes to follow in relation to confidential personal information. 2 The code must in particular make provision— a about the obtaining by the Commission of information which, once obtained, will be confidential personal information, and b about the handling, use and disclosure by the Commission of confidential personal information. 3 Before publishing the code, the Commission must consult— a NHS England , and b such other persons as it considers appropriate. 4 The Commission must keep the code under review and, if it considers it appropriate, from time to time publish a revised code (and references in this section to the code include any revised code). 5 In this section “ confidential personal information ” means information which— a is obtained by the Commission on terms or in circumstances requiring it to be held in confidence, and b relates to and identifies an individual. 6 For the purposes of subsection (5)(b), information obtained by the Commission is to be treated as identifying an individual if the individual can be identified from a combination of— a the information, and b other information obtained by the Commission. Further provisions about functions of Commission Publication of programme of reviews etc. 81 1 The Commission must from time to time prepare and publish a document setting out— a the special reviews and investigations that it proposes to conduct under section 48, b the studies that it proposes to undertake under section 54, and c the reviews that it proposes to conduct under section 57. 2 Before preparing a document under subsection (1) the Commission must consult— a the Secretary of State, aa NHS England , and b any other person or body specified by an order made by the Secretary of State, and it must send each of those persons or bodies a copy of the document once it is prepared. 3 The Commission may determine that any document or combination of documents prepared for the purposes of any other enactment or enactments is to be treated as a document prepared for the purposes of subsection (1) (so long as the requirements of subsection (2) are complied with in relation to the document or documents concerned). 4 Nothing in a document published under subsection (1) is to be regarded— a as affecting any power of the Secretary of State to require a review or investigation to be conducted or a study to be undertaken, or b as preventing the Commission from conducting an investigation under section 48 where the Commission considers there to be a risk to the health, safety or welfare of persons receiving health or social care. Failure by the Commission or Healthwatch England in discharge of functions 82 1 The Secretary of State may give a direction to the Commission if the Secretary of State considers that the Commission— a is failing or has failed to discharge any of its functions, or b is failing or has failed properly to discharge any of its functions and that the failure is significant. . 1A The Secretary of State may give a direction to the Healthwatch England committee if the Secretary of State considers that the committee— a is failing or has failed to discharge a function under section 45A or any other function it is required to discharge, or b is failing or has failed properly to discharge a function under that section or any other function it is required to discharge, and that the failure is significant. 2 A direction under subsection (1) or (1A) may direct the Commission or (as the case may be) the committee to discharge such of those functions, and in such manner and within such period or periods, as may be specified in the direction. 2A But the Secretary of State may not give a direction under subsection (1) or (1A) in relation to the performance of functions in a particular case. 3 If the Commission or the committee fails to comply with a direction under subsection (1) or (1A) , the Secretary of State may— a discharge the functions to which the direction relates, or b make arrangements for any other person to discharge them on the Secretary of State's behalf. 4 Where the Secretary of State exercises a power under subsection (1) , (1A) or (3), the Secretary of State must publish the reasons for doing so. 5 For the purposes of this section a failure to discharge a function properly includes a failure to discharge it consistently with what the Secretary of State considers to be the interests of the health service in England or (as the case may be) with what otherwise appears to the Secretary of State to be the purpose for which it is conferred; and “ the health service ” has the same meaning as in the National Health Service Act 2006. Reports for each financial year etc. 83 1 As soon as possible after the end of each financial year, the Commission must make a report on each of the following matters— a the way in which it has exercised its functions during the year, b the provision of NHS care during the year, c the provision of adult social services during the year, d the carrying on of regulated activities during the year, and e the steps taken by it during the year to implement the proposals in its statement under section 5 (statement on user involvement). 1A The reference in subsection (1)(a) to the Commission's functions does not include a reference to its functions under section 45A. 2 The Commission may comply with subsection (1) by preparing a single document or separate documents on each of the matters mentioned there. 2A The reports under subsection (1)(b) and (c) must, in particular, set out (and identify as such) the contents of the report made by the Healthwatch England committee under section 45C(1)(a) in respect of the year concerned. 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 The Commission must— a lay before Parliament a copy of each report made under subsection (1), and b send a copy of each such report to the Secretary of State. 5 The Commission must also provide the Secretary of State with such reports and information relating to the exercise of its functions as the Secretary of State may from time to time request. 6 Subsection (1)(a) does not apply to the Commission's functions under the Mental Health Act 1983 (c. 20). 7 In this section, “ financial year ” means— a the period beginning with the date on which the Commission is established and ending with the next 31 March following that date, and b each successive period of 12 months ending with 31 March. Reports and information 84 1 Subsections (2) and (3) apply to a report published by the Commission under any provision of this Part or of the Mental Health Act 1983. 2 The Commission must make copies of the report available for inspection at its offices by any person at any reasonable time. 3 Any person who requests a copy of the report is entitled to have one on payment of such reasonable fee (if any) as the Commission considers appropriate. 4 The Commission may charge a person such reasonable fee as it considers appropriate where it provides the person, on request, with any other information relevant to the exercise of the Commission's functions under this Part. Fees Fees 85 1 The Commission may with the consent of the Secretary of State from time to time make and publish provision— a requiring a fee to be paid in respect of— i an application for registration as a service provider or manager under Chapter 2, ii the grant or subsistence of any such registration, or iii an application under section 19(1); b requiring English NHS bodies, English local authorities, persons registered under Chapter 2 and such other persons as may be prescribed to pay a fee in respect of the exercise by the Commission of such of its other functions under this Part as may be prescribed. 2 The amount of a fee payable under provision under subsection (1) is to be such as may be specified in, or calculated or determined under, the provision. 3 Provision under subsection (1) may include provision— a for different fees to be paid in different cases, b for different fees to be paid by persons of different descriptions, c for the amount of a fee to be determined by the Commission in accordance with specified factors, and d for determining the time by which a fee is to be payable. 4 Before making provision under subsection (1) the Commission must consult such persons as it thinks appropriate. 5 If the Secretary of State considers it necessary or desirable to do so, the Secretary of State may by regulations make provision determining the amount of a fee payable to the Commission by virtue of this section, and the time at which it is payable, instead of those matters being determined in accordance with provision made under subsection (1). 6 Before making any regulations under this section, the Secretary of State must consult the Commission and such other persons as the Secretary of State thinks appropriate. 7 For the purpose of determining the fee payable by a person by virtue of this section, the person must provide the Commission with such information, in such form, as the Commission may require. 8 A fee payable by virtue of this section may, without prejudice to any other method of recovery, be recovered summarily as a civil debt. Enforcement Penalty notices 86 1 Where the Commission is satisfied that a person has committed a fixed penalty offence, the Commission may give the person a penalty notice in respect of the offence. 2 A fixed penalty offence is any Part 1 offence that is prescribed for the purposes of this section. 3 A penalty notice is a notice offering the person the opportunity of discharging any liability to conviction for the offence to which the notice relates by payment of a penalty in accordance with the notice. 4 Where a person is given a penalty notice, proceedings for the offence to which the notice relates may not be instituted before the end of such period as may be prescribed. 5 Where a person is given a penalty notice, the person cannot be convicted of the offence to which the notice relates if the person pays a penalty in accordance with the notice. 6 Penalties under this section are payable to the Commission. 7 Penalties received by the Commission under this section must be paid to the Secretary of State. Penalty notices: supplementary provision 87 1 Regulations may make— a provision as to the form and content of penalty notices, b provision as to the monetary amount of the penalty and the time by which it is to be paid, c provision determining the methods by which penalties may be paid, d provision as to the records to be kept in relation to penalty notices, e provision for or in connection with the withdrawal, in prescribed circumstances, of a penalty notice, including— i repayment of any amount paid by way of penalty under a penalty notice which is withdrawn, and ii prohibition of the institution or continuation of proceedings for the offence to which the withdrawn notice relates, f provision for a certificate— i purporting to be signed by or on behalf of a prescribed person, and ii stating that payment of any amount paid by way of penalty was or, as the case may be, was not received on or before a date specified in the certificate, to be received in evidence of the matters so stated, g provision as to the action to be taken if a penalty is not paid in accordance with a penalty notice, and h such other provision in relation to penalties or penalty notices as the Secretary of State thinks necessary or expedient. 2 Regulations under subsection (1)(b)— a may make provision for penalties of different amounts to be payable in different cases, including provision for the penalty payable under a penalty notice to differ according to the time by which it is paid, but b must secure that the amount of any penalty payable in respect of any offence does not exceed one half of the maximum amount of the fine to which a person committing the offence would be liable on summary conviction or, where there is no such maximum amount, £50,000 . 3 In this section— “ penalty ” means a penalty under a penalty notice; “ penalty notice ” has the meaning given by section 86(3). Guidance by the Commission in relation to enforcement action 88 1 The Commission must issue guidance about how it will exercise its functions under any of the following provisions of this Part— a section 12(5) (variation, removal or imposition of condition in relation to registration as a service provider), b section 15(5) (variation, removal or imposition of condition in relation to registration as a manager), c sections 17 and 18 (cancellation or suspension of registration), d sections 29 and 29A (warning notice), e section 86 (penalty notices), and f section 89 (publication of information). 2 The guidance may also include guidance, in relation to any Part 1 offence, as to the circumstances in which the Commission is likely to take criminal proceedings for the offence. 3 The Commission may from time to time revise guidance published by it under this section and issue the revised guidance. 4 Before issuing any guidance or revised guidance under this section, the Commission must consult— a such persons as may be prescribed, and b such other persons as the Commission considers appropriate. Publication of information relating to enforcement action etc. 89 1 Regulations may authorise or require the publication by the Commission of prescribed information relating to— a the cancellation or suspension of a person's registration under Chapter 2; b the conviction of any person in respect of a Part 1 offence and the penalty imposed; c the variation or removal under section 12(5)(a) or 15(5)(a) of any condition for the time being in force in relation to a person's registration; d the imposition under section 12(5)(b) or 15(5)(b) of any additional condition; e a warning notice under section 29 or 29A ; f the payment by any person of a penalty in accordance with a penalty notice issued under section 86, and the offence to which the notice relates. 2 Any regulations made by virtue of subsection (1)(e) must require the Commission, before publishing information relating to a warning notice under section 29 or 29A , to provide the person to whom the notice was given with an opportunity to make representations to the Commission relating to the matters dealt with in the notice. 3 The regulations may prescribe the time when, and manner in which, any information is to be published. Proceedings for offences 90 1 Proceedings in respect of a Part 1 offence may not, without the written consent of the Attorney General, be taken by any person other than— a the Commission, or b in relation to any functions of the Commission which the Secretary of State is for the time being discharging by virtue of section 82, the Secretary of State. 2 Proceedings for a Part 1 offence may be brought within a period of 12 months from the date on which evidence sufficient in the opinion of the prosecutor to warrant the proceedings came to the prosecutor's knowledge; but no such proceedings are to be brought by virtue of this subsection more than 3 years after the commission of the offence. Offences by bodies corporate 91 1 This section applies where a Part 1 offence is committed by a body corporate. 2 If the offence is proved to have been committed by, or with the consent or connivance of, or to be attributable to any neglect on the part of— a any director, manager or secretary of the body corporate, or b any person who was purporting to act in any such capacity, that director, manager, secretary or person purporting to act as such (as well as the body corporate) is guilty of the offence and liable to be proceeded against and punished accordingly. 3 The reference in subsection (2) to a director, manager or secretary of a body corporate includes a reference— a to any other similar officer of the body, and b where the body is an English NHS body or English local authority, to any officer or member of the NHS body or local authority. Unincorporated associations 92 1 Proceedings for a Part 1 offence alleged to have been committed by an unincorporated association are to be brought in the name of the association (and not in that of any of the members). 2 Rules of court relating to the service of documents have effect as if the unincorporated association were a body corporate. 3 In proceedings for a Part 1 offence brought against an unincorporated association, section 33 of the Criminal Justice Act 1925 (c. 86) and Schedule 3 to the Magistrates' Courts Act 1980 (c. 43) apply as they apply in relation to a body corporate. 4 A fine imposed on an unincorporated association on its conviction for a Part 1 offence is to be paid out of the funds of the association. 5 If a Part 1 offence committed by an unincorporated association is proved— a to have been committed with the consent or connivance of an officer of the association or a member of its governing body, or b to be attributable to any neglect on the part of such an officer or member, the officer or member (as well as the association) is guilty of the offence and liable to be proceeded against and punished accordingly. Service of documents Service of documents 93 1 Any notice required under this Part to be given to a person (“R”) may be given to R— a by being delivered personally to R, b by being sent to R— i by a registered post service, as defined by section 125(1) of the Postal Services Act 2000 (c. 26), or ii by a postal service which provides for the delivery of the document to be recorded, or c subject to section 94, by being sent to R by an electronic communication. 2 Where a notice is given as mentioned in subsection (1)(b), it is, unless the contrary is proved, to be taken to have been received on the third day after the day on which it is sent. 2A Where a notice is given as mentioned in subsection (1)(c) in accordance with section 94, it is, unless the contrary is proved, to be taken to have been received on the next working day after the day on which it is transmitted; and in this subsection “working day” means any day other than— a a Saturday or Sunday; b Christmas Day or Good Friday; or c a day which is a bank holiday under the Banking and Financial Dealings Act 1971 in England. 3 Any notice required under this Part to be given to a body corporate or firm is duly given if it is given to the secretary or clerk of that body or a partner of that firm. 4 For the purposes of section 7 of the Interpretation Act 1978 (c. 30) in its application to this section, the proper address of a person is— a in the case of a person registered under Chapter 2 who has notified the Commission under regulations under section 16 (regulations about registration) of an address for service, that address, and b in any other case, the address determined in accordance with subsection (5). 5 That address is— a in the case of a secretary or clerk of a body corporate, the address of the registered or principal office of the body, b in the case of a partner of a firm, the address of the principal office of the firm, and c in any other case, the last known address of the person. 6 In this section and in section 94— a “ electronic communication ” has the same meaning as in the Electronic Communications Act 2000 (c. 7), b “ notice ” includes any other document, and c a reference to a notice being given by or to a person includes a reference to a notice being served by or on a person. Electronic communications 94 1 If a notice required or authorised under this Part to be given by or to a person is sent by an electronic communication, it is to be treated as given only if the requirements of subsection (2) or (3) are met. 2 If the person required or authorised to give the notice is the Commission— a the person to whom the notice is required or authorised to be given must have indicated to the Commission the person's willingness to receive notices by an electronic communication and provided an address suitable for that purpose, and b the notice must be sent to the address provided by that person. 3 If the person required or authorised to give the notice is not the Commission, the notice must be sent in such manner as the Commission may require. 4 An indication given for the purposes of subsection (2) may be given generally for the purposes of notices required or authorised to be given by the Commission under this Part or may be limited to notices of a particular description. 5 A requirement imposed by the Commission under subsection (3) must be published in such manner as the Commission thinks appropriate for the purpose of bringing it to the attention of persons who are likely to be affected by it. Further amendments Further amendments relating to Part 1 95 Schedule 5 (which contains further amendments relating to the provisions of this Part) has effect. Crown application Application of Part 1 to Crown 96 1 Any provision made by or under Chapter 2 or 3 or this Chapter binds the Crown, but does not affect Her Majesty in her private capacity. 2 Subsection (1)— a does not require regulations made under section 8 to be made so as to apply to activities carried on by or on behalf of the Crown, and b is to be read as if section 38(3) of the Crown Proceedings Act 1947 (c. 44) (references to Her Majesty in her private capacity) were contained in this Act. 3 No contravention of any provision made by or under Chapter 2 or 3 or this Chapter is to make the Crown criminally liable; but the High Court may declare unlawful any act or omission of the Crown which constitutes such a contravention. 4 The provisions of Chapters 2 and 3 and this Chapter apply to persons in the public service of the Crown as they apply to other persons. 5 If the Secretary of State certifies that it appears to the Secretary of State requisite or expedient in the interests of national security that the powers of entry and inspection conferred by sections 62 and 63— a should not be exercisable in relation to any premises which are used by or on behalf of the Crown and are specified in the certificate, or b should not be exercisable in relation to any premises which are so used and are specified in the certificate, except in circumstances specified in the certificate, those powers are not exercisable in relation to those premises or (as the case may be) are not exercisable in relation to those premises except in those circumstances. Interpretation General interpretation of Part 1 97 1 In this Part— “ adult social services ” means— services which are provided or commissioned by an English local authority in the exercise of its adult social services functions, and services which are provided or commissioned by an English local authority under section 2(1)(b) of the Local Government Act 2000 (c. 22) or section 1 of the Localism Act 2011 and which are similar in nature to a service which could be provided by the authority in the exercise of any of its adult social services functions; “ adult social services functions ” means social services functions (within the meaning of the Local Authority Social Services Act 1970 (c. 42)) so far as relating to persons aged 18 or over, excluding any function to which Chapter 4 of Part 8 of the Education and Inspections Act 2006 (c. 40) applies; “ the Commission ” means the Care Quality Commission; “ cross-border Special Health Authority ” means a Special Health Authority not performing functions only or mainly in respect of England or only or mainly in respect of Wales; “ enactment ” includes an enactment comprised in subordinate legislation (within the meaning of the Interpretation Act 1978 (c. 30)); “ English local authority ” means— a county council in England, a metropolitan district council, a non-metropolitan district council for an area for which there is no county council, a London borough council, the Common Council of the City of London, or the Council of the Isles of Scilly; “ English NHS body ” means— ... ... a National Health Service trust all or most of whose hospitals, establishments and facilities are situated in England, a clinical commissioning group, NHS England , an integrated care board, an NHS foundation trust, or a Special Health Authority performing functions only or mainly in respect of England; “ English NHS provider ” means— ... a National Health Service trust all or most of whose hospitals, establishments and facilities are situated in England, or an NHS foundation trust; “ health care ” has the meaning given by section 9(2) (but see subsection (2) below); “ health or social care ” has the meaning given by section 9(4); “ Minister of the Crown ” has the same meaning as in the Ministers of the Crown Act 1975 (c. 26); “ NHS care ” means health care commissioned by NHS England or by an integrated care board (whether from an English NHS provider or not), or ... “ Part 1 offence ” means an offence under this Part or under regulations under this Part; “ prescribed ” means prescribed by regulations; “ regulated activity ” has the meaning given by section 8; “ regulations ” means regulations made by the Secretary of State; “ regulatory functions ”, in relation to the Commission, is to be read in accordance with section 60(2); “ social care ” has the meaning given by section 9(3). 2 Except in Chapter 2, any reference in this Part to the provision of health care includes a reference to— a the provision of services connected with the provision of health care, and b the promotion and protection of public health. 2A Any reference in this Part to health care commissioned by NHS England or by an integrated care board is a reference to health care provided by other persons pursuant to arrangements made by NHS England or an integrated care board (including arrangements made by it in the exercise of functions of another person by virtue of any provision of the National Health Service Act 2006). 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Any reference in this Part to adult social services commissioned by an English local authority is a reference to adult social services provided by other persons pursuant to arrangements made by the authority. 5 Any reference in this Part to a person who carries on a regulated activity includes a reference to a person who carries it on otherwise than for profit. 6 Any reference in this Part to the provision of health care, or adult social services, by a person includes a reference to the provision of that care, or those services, by that person's agent or sub-contractor. 7 In its application to a function conferred on the Commission by regulations under section 59(1)(b), Chapter 6 has effect as if any reference in Chapter 6 to an English NHS body included a reference to a cross-border Special Health Authority. Part 2 Regulation of health professions and health and social care workforce The Office of the Health Professions Adjudicator The Office of the Health Professions Adjudicator 98. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Functions under Medical Act 1983 and Opticians Act 1989 99. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fitness to practise panels 100. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lists of persons eligible for membership of fitness to practise panels 101. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Further provisions about listed persons 102. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Legal assessors 103. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Clinical and other specialist advisers 104. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Procedural rules 105. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Administration of oaths and issuing of witness summonses etc. 106. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Duty to inform the public 107. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Duty to consult 108. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OHPA rules: supplementary 109. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fees payable by General Medical Council and General Optical Council 110. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amendments of Part 3 of Health Act 1999 Extension of powers under s. 60 of Health Act 1999 111 Schedule 8 (which contains amendments of section 60 of, and Schedule 3 to, the 1999 Act) has effect. Standard of proof in fitness to practise proceedings 112 After section 60 of the 1999 Act insert— Standard of proof in fitness to practise proceedings 60A 1 The standard of proof applicable to any proceedings to which this subsection applies is that applicable to civil proceedings. 2 Subsection (1) applies to any proceedings before— a the Office of the Health Professions Adjudicator, or b a committee of a regulatory body, a regulatory body itself or any officer of a regulatory body, which relate to a person's fitness to practise a profession to which section 60(2) applies. 3 In subsection (2) “ regulatory body ” means the body (or main body) responsible for the regulation of a profession to which section 60(2) applies. 4 An Order in Council under section 60 may not— a amend this section, or b make any provision that is inconsistent with subsection (1). The Council for Healthcare Regulatory Excellence The Council for Healthcare Regulatory Excellence 113 1 The Council for the Regulation of Health Care Professionals is to be known instead as the Council for Healthcare Regulatory Excellence. 2 Accordingly, in section 25 of the 2002 Act (which establishes the Council), in subsection (1), for “the Council for the Regulation of Health Care Professionals” substitute “ the Council for Healthcare Regulatory Excellence ” . 3 After subsection (2) of that section insert— 2A The main objective of the Council in exercising its functions under subsection (2)(b) to (d) is to promote the health, safety and well-being of patients and other members of the public. Constitution etc. of Council 114 1 Schedule 7 to the 2002 Act (which contains provisions relating to the Council) is amended as follows. 2 For paragraph 4 substitute— 4 The Council is to consist of— a a chair appointed by the Privy Council, b one non-executive member appointed by the Scottish Ministers, c one non-executive member appointed by the Welsh Ministers, d one non-executive member appointed by the Department of Health, Social Services and Public Safety in Northern Ireland, e three non-executive members appointed by the Secretary of State, and f two executive members appointed in accordance with paragraph 11. 3 In paragraph 6— a for paragraph (a) substitute— a the conditions to be fulfilled for appointment as chair or other member of the Council, , b in paragraph (b), for “chairman and other members” substitute “ chair and non-executive members ” , and c before the “and” at the end of paragraph (b) insert— ba the appointment of a member as deputy chair and the circumstances in which that member ceases to hold, or may be removed from, office as deputy chair, . 4 In paragraph 10, for “chairman” (wherever occurring) substitute “ chair ” . 5 For paragraph 11 substitute— 11 1 The Council may appoint the executive members referred to in paragraph 4(f) on such terms and conditions as the Council may determine. 2 The executive members must be employees of the Council. 3 Any decision of the Council under sub-paragraph (1) must be taken by the members appointed under paragraph 4(a) to (e). 4 The Council may appoint such other employees as it considers appropriate on such terms and conditions as it may determine. 6 In paragraph 16 after sub-paragraph (1) insert— 1A The report must state— a how the Council, in exercising its functions, has promoted the health, safety and well-being of patients and other members of the public, and b how far, in the opinion of the Council, each regulatory body has complied with any duty imposed on it to promote the health, safety and well-being of such persons. Powers and duties of Council 115 In section 26 of the 2002 Act (powers and duties of the Council: general), for subsection (4) substitute— 4 Subsection (3) does not prevent the Council from— a taking action under section 28, b where section 29 applies, taking action under that section after the regulatory body's proceedings have ended, or c investigating particular cases with a view to making general reports on the performance by the regulatory body of its functions or making general recommendations to the regulatory body affecting future cases. Powers of Secretary of State and devolved administrations 116 1 After section 26 of the 2002 Act insert— Powers of Secretary of State and devolved administrations 26A 1 The Secretary of State, the Welsh Ministers, the Scottish Ministers or the relevant Northern Ireland department may request the Council for advice on any matter connected with a profession appearing to the person making the request to be a health care profession; and the Council must comply with such a request. 2 The Secretary of State, the Welsh Ministers, the Scottish Ministers or the relevant Northern Ireland department may require the Council to investigate and report on a particular matter in respect of which the Council's functions are exercisable. 3 In this section “ the relevant Northern Ireland department ” means the Department of Health, Social Services and Public Safety in Northern Ireland. 2 In section 26 of the 2002 Act (powers and duties of the Council: general), omit subsections (7) and (8) (which are superseded by subsection (1) of this section). Duty to inform and consult the public 117 After section 26A of the 2002 Act insert— Duty to inform and consult the public 26B 1 For the purpose of ensuring that members of the public are informed about the Council and the exercise by it of its functions, the Council must publish or provide in such manner as it thinks fit information about the Council and the exercise of its functions. 2 Nothing in subsection (1) authorises or requires the publication or provision of information if the publication or provision of that information— a is prohibited by any enactment, or b would constitute or be punishable as a contempt of court. 3 In subsection (2) “ enactment ” has the same meaning as in Part 2 of the Health and Social Care Act 2008. 4 The Council must from time to time seek the views of— a members of the public, and b bodies which appear to the Council to represent the interests of patients, on matters relevant to the exercise by it of its functions. Reference of cases by Council to court 118 1 Section 29 of the 2002 Act (reference of disciplinary cases by Council to court) is amended as follows. 2 In subsection (1)— a for paragraph (a) substitute— a a direction of— i the Health Committee of the Royal Pharmaceutical Society of Great Britain under article 51 of the Pharmacists and Pharmacy Technicians Order 2007 (powers concerning registration), or ii the Disciplinary Committee of that Society under article 52 of that Order (powers concerning registration) or under section 80 of the Medicines Act 1968 (power to disqualify and direct removal from register), , b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c in paragraph (e) omit the words from “(other than a determination” to the end, d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e for paragraph (g) substitute— g any step taken— i by the Professional Conduct Committee of the General Osteopathic Council under section 22 of the Osteopaths Act 1993 (which relates to action to be taken in cases of allegations referred to the Professional Conduct Committee), or ii by the Health Committee of the General Osteopathic Council under section 23 of that Act (which relates to action to be taken in cases of allegations referred to the Health Committee), , f for paragraph (h) substitute— h any step taken— i by the Professional Conduct Committee of the General Chiropractic Council under section 22 of the Chiropractors Act 1994 (which relates to action to be taken in cases of allegations referred to the Professional Conduct Committee), or ii by the Health Committee of the General Chiropractic Council under section 23 of that Act (which relates to action to be taken in cases of allegations referred to the Health Committee), , and g for paragraph (j) substitute— j any corresponding measure taken in relation to a member of a profession regulated by the Health Professions Order 2001, under that Order. 3 For subsection (5) substitute— 5 In subsection (4), the “relevant court” — a in the case of a person who (in accordance with the rules applying to the body making the relevant decision) was, or was required to be, notified of the relevant decision at an address in Scotland, means the Court of Session, b in the case of a person who (in accordance with the rules applying to the body making the relevant decision) was, or was required to be, notified of the relevant decision at an address in Northern Ireland, means the High Court of Justice in Northern Ireland, and c in the case of any other person, means the High Court of Justice in England and Wales. 4 In subsection (6) for the words from “four weeks beginning with the last date” to the end substitute “ 40 days beginning with the day which is the last day on which the practitioner concerned can appeal against the relevant decision ” . 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conduct and performance of medical practitioners and other health care workers Responsible officers and their duties relating to medical profession 119 After Part 5 of the Medical Act 1983 (c. 54) insert— Part 5A Responsible Officers Requirement to nominate or appoint responsible officer 45A 1 The appropriate authority may by regulations make provision for or in connection with requiring designated bodies to nominate or appoint persons who are to have such responsibilities as may be conferred on them by virtue of section 45B. 2 A person who is so nominated or appointed by a designated body is to be known as its responsible officer (but this is subject to any provision made by virtue of subsection (5)(e)). 3 In this Part “ designated body ” means— a a body falling within any description of bodies prescribed for the purposes of this section, or b any other body prescribed for those purposes. 4 The descriptions of bodies, or particular bodies, that may be so prescribed are descriptions of bodies, or particular bodies, appearing to the appropriate authority— a to provide, or arrange for the provision of, health care, or b to employ or contract with medical practitioners. 5 Regulations under this section may make provision— a for conditions that must be satisfied in relation to a person if that person is to be nominated or appointed as, or remain as, a responsible officer of a designated body, b authorising or requiring a designated body to nominate or appoint more than one responsible officer, c for a single person to be nominated or appointed as the responsible officer for each of two or more designated bodies where those bodies are satisfied as to the prescribed matters, d requiring a designated body that has a responsible officer to provide to the officer, or, if that designated body does not employ the officer, to the employer of the officer, funds and other resources necessary for enabling the officer to discharge the officer's prescribed responsibilities as a responsible officer for the designated body, e for the persons nominated or appointed as mentioned in subsection (1) to be known by such name as is prescribed, and f for making such amendments of any enactment as appear to the appropriate authority to be required in connection with any provision made by virtue of paragraph (e). 6 The conditions imposed under subsection (5)(a) may in particular include a requirement for the designated body to consult the General Council before nominating or appointing any person as a responsible officer for the body. 7 Regulations under this section may in prescribed cases provide that a responsible officer for a designated body is to be nominated by the appropriate authority instead of the designated body. 8 In this section— “ enactment ” includes any provision of, or any instrument made under, Northern Ireland legislation; “ health care ” means services provided to individuals for or in connection with the prevention, diagnosis or treatment of illness; “ illness ” has the same meaning as in section 25(1) of the Health Act 2006. Responsibilities of responsible officer 45B 1 Regulations under section 45A may make provision for or in connection with— a conferring on the responsible officer or officers for a designated body responsibilities relating to the evaluation of the fitness to practise of medical practitioners having a prescribed connection with that body, and b requiring a responsible officer for a designated body to co-operate with the General Council, any of its committees, or any persons authorised by the General Council, in connection with the exercise by any of them of functions under Part 3A or 5 of this Act. 2 Where a designated body has more than one responsible officer, regulations under section 45A may make provision for or in connection with the division of prescribed responsibilities among those officers, including provision for the division to be determined by the designated body. 3 The power by virtue of subsection (1)(a) to prescribe the connection between a medical practitioner and a designated body includes, in particular, power to prescribe a connection based on any of the following circumstances— a the practitioner being employed by the designated body, b the practitioner providing services to the designated body, c the practitioner being employed by a person who provides services to the designated body, d the practitioner providing services in the geographical area in relation to which the designated body exercises functions in relation to the provision of the health service, or e the practitioner being employed by or providing services to, or pursuant to arrangements made by, a body which is located in the geographical area in relation to which the designated body exercises functions in relation to the provision of the health service but is not itself a designated body. 4 A designated body may confer on any of its responsible officers such powers as it considers appropriate to enable the officer to discharge any of the officer's prescribed responsibilities as a responsible officer for the body. 5 If a designated body requires any of its responsible officers to carry out any functions other than the officer's prescribed responsibilities, it must in doing so have regard to the officer's prescribed responsibilities. 6 In this section “ the health service ” means— a the health service as defined by section 275(1) of the National Health Service Act 2006 or section 206(1) of the National Health Service (Wales) Act 2006, b the health service as defined by section 108(1) of the National Health Service (Scotland) Act 1978, or c any of the health services under any enactment which extends to Northern Ireland and which corresponds to section 1(1) of the National Health Service Act 2006. Regulations under section 45A: further provisions 45C 1 Regulations under section 45A may— a create offences punishable on summary conviction by a fine not exceeding level 5 on the standard scale, and b create other procedures for enforcing any provisions of the regulations. 2 Regulations under section 45A may require a designated body or a responsible officer to have regard to any guidance given from time to time by the appropriate authority or any other prescribed person in relation to the nomination or appointment of responsible officers or their prescribed responsibilities. 3 Regulations under section 45A may make provision requiring— a a body which employs, or is provided with services by, a medical practitioner, or which arranges for others to be provided with services by a medical practitioner, but which is not a designated body, or b a medical practitioner, to provide, to the responsible officer with prescribed responsibilities relating to that medical practitioner or to the designated body for which the officer is a responsible officer or, if that designated body does not employ the responsible officer, to the employer of the officer, funds and other resources necessary for enabling the responsible officer to discharge the officer's prescribed responsibilities relating to that medical practitioner. 4 Regulations under section 45A may make provision for or in connection with requiring prescribed persons to supply information or produce documents to a responsible officer in connection with the discharge of the prescribed responsibilities of the responsible officer. Crown application 45D 1 This Part binds the Crown. 2 No contravention by the Crown of any provision of this Part or regulations made under this Part makes the Crown criminally liable; but the High Court (or, in Scotland, the Court of Session) may declare unlawful any act or omission of the Crown which constitutes such a contravention. 3 The provisions of this Part apply to persons in the service of the Crown as they apply to other persons. 4 Nothing in this section affects Her Majesty in her private capacity; and this subsection is to be read as if section 38(3) of the Crown Proceedings Act 1947 (meaning of Her Majesty in her private capacity) were contained in this Act. Regulations under section 45A: supplementary provisions 45E 1 The power of the Secretary of State to make regulations under section 45A is exercisable by statutory instrument. 2 Before making any regulations under section 45A, the Secretary of State must consult— a the Scottish Ministers, if the regulations extend to Scotland, and b the Welsh Ministers, if the regulations apply to Wales. 3 A statutory instrument that— a contains regulations made by the Secretary of State under section 45A, and b is not subject to a requirement that a draft of the instrument be laid before, and approved by a resolution of, each House of Parliament, is subject to annulment in pursuance of a resolution of either House of Parliament. 4 The Secretary of State may not make a statutory instrument containing (whether alone or with other provision) the first regulations under section 45A that include provision made by the Secretary of State by virtue of section 45B unless a draft of the instrument has been laid before, and approved by a resolution of, each House of Parliament. 5 The power of the Department of Health, Social Services and Public Safety in Northern Ireland to make regulations under section 45A is exercisable by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979. 6 A statutory rule that— a contains regulations made by the Department of Health, Social Services and Public Safety in Northern Ireland under section 45A, and b is not subject to a requirement that a draft of the statutory rule be laid before, and approved by a resolution of, the Northern Ireland Assembly, is subject to negative resolution within the meaning of section 41(6) of the Interpretation Act (Northern Ireland) 1954. 7 The Department of Health, Social Services and Public Safety in Northern Ireland may not make a statutory rule containing (whether alone or with other provision) the first regulations under section 45A that include provision made by the Department by virtue of section 45B unless a draft of the statutory rule has been laid before, and approved by a resolution of, the Northern Ireland Assembly. 8 Regulations under section 45A may make different provision for different cases. Interpretation of Part 5A 45F In this Part— “ the appropriate authority ” means— in relation to England and Wales or Scotland, the Secretary of State, or in relation to Northern Ireland, the Department of Health, Social Services and Public Safety in Northern Ireland; “ designated body ” has the meaning given by section 45A(3); “ prescribed ” means prescribed by regulations under section 45A. Additional responsibilities of responsible officers: England and Wales and Northern Ireland 120 1 Regulations under this section may confer on a responsible officer nominated or appointed for the purposes of regulations under section 45A of the Medical Act 1983 (c. 54) (requirement to nominate or appoint responsible officer) additional responsibilities that relate to— a the entry by the designated body into contracts of employment with medical practitioners or into contracts for the provision of services by such practitioners, b the monitoring of the conduct or performance of medical practitioners who have a prescribed connection with the designated body, or c ensuring that appropriate action is taken in response to concerns about such conduct or performance, but do not relate to the regulation under that Act of the medical profession. 2 Subject to subsection (3), the power to make regulations under this section is exercisable— a in relation to England, by the Secretary of State, b in relation to Wales, by the Welsh Ministers, or c in relation to Northern Ireland, by the Department of Health, Social Services and Public Safety in Northern Ireland. 3 In relation to cross-border bodies, the power to make regulations under this section is exercisable by the Secretary of State after consultation with the Welsh Ministers. 4 For the purposes of this section a “cross-border body” is a body which— a performs (and only performs) functions in respect of England and Wales, and b does not perform functions mainly in respect of England or mainly in respect of Wales. 5 Sections 45A(5)(d), 45B(2) to (5) and 45C(1), (3) and (4) of the Medical Act 1983 (c. 54) (provisions that may be included in regulations under section 45A of that Act and responsibilities of responsible officers) apply in relation to regulations under this section as they apply in relation to regulations under section 45A of that Act but as if— a references to prescribed responsibilities were references to responsibilities conferred by regulations under this section, b the reference in section 45B(2) to regulations under section 45A were a reference to regulations under this section, and c the reference in section 45B(3) to subsection (1)(a) of that section were a reference to subsection (1)(b) of this section. 6 Subject to subsection (7), regulations under this section may require a designated body or a responsible officer to have regard to any guidance given from time to time by the Secretary of State, the Welsh Ministers or the Department of Health, Social Services and Public Safety in Northern Ireland (as the case may be), or by any other person prescribed by the regulations, in relation to responsibilities conferred on responsible officers by the regulations. 7 In relation to cross-border bodies, the reference in subsection (6) to the Secretary of State is to be read as a reference to the Secretary of State after consultation with the Welsh Ministers. 8 Expressions used in this section and in Part 5A of the Medical Act 1983 (responsible officers) have the same meaning in this section as in that Part. Co-operation between prescribed bodies 121 1 The appropriate Minister may by regulations make provision for or in connection with requiring a designated body to co-operate with any other designated body in connection with— a the sharing of information which relates to the conduct or performance of any health care worker and which may show that that worker is likely to constitute a threat to the health and safety of patients, b the provision of information in response to requests for information from any other designated body about the conduct or performance of any health care worker, c the consideration of any issues which arise as a result of the acts mentioned in paragraphs (a) and (b), and d the taking of any prescribed steps following such consideration. 2 Regulations under this section may make provision requiring a designated body to disclose the information referred to in subsection (1)(a) and any information disclosed under subsection (1)(b) to any other designated body in prescribed circumstances, or in circumstances where it appears to that body that the prescribed conditions are satisfied, whether or not the disclosure of information has been requested. 3 Regulations under this section may— a create offences punishable on summary conviction by a fine not exceeding level 5 on the standard scale, and b create other procedures for enforcing any provisions of the regulations. 4 Regulations under this section may require a designated body to have regard to any guidance given from time to time by the appropriate Minister or any other prescribed person. 5 In making regulations under this section the appropriate Minister must have regard to the importance of avoiding unfair prejudice to health care workers against whom unsubstantiated allegations are made. 6 In this section— “ the appropriate Minister ” means the Secretary of State except that, in relation to co-operation by a Welsh health body or a Welsh social services body, it means the Welsh Ministers; “ designated body ” means— any body which is a designated body for the purposes of Part 5A of the Medical Act 1983 (c. 54), and any other body prescribed for the purposes of this section; “ health care ” has the meaning given by section 45A(8) of the Medical Act 1983; “ health care worker ” means— any person who is a member of a prescribed profession concerned with the physical or mental health of individuals, or any person who— is employed by a designated body, provides services to a designated body, or is employed by a person who provides services to a designated body, for purposes connected with the provision of health care; “ prescribed ” means prescribed by regulations under this section; “ Welsh health body ” means— a Welsh NHS body, as defined by section 148 of the Health and Social Care (Community Health and Standards) Act 2003 (c. 43), or any other person providing or arranging for the provision of health care in Wales; “ Welsh social services body ” means— the council of a county or county borough in Wales, or a body engaged in the provision of Welsh local authority social services, as defined by section 148 of the Health and Social Care (Community Health and Standards) Act 2003. Ss. 120 and 121: Crown application 122 1 Sections 120 and 121 bind the Crown. 2 No contravention by the Crown of any provision of either of those sections or regulations made under them makes the Crown criminally liable; but the High Court may declare unlawful any act or omission of the Crown which constitutes such a contravention. 3 The provisions of those sections apply to persons in the service of the Crown as they apply to other persons. 4 Nothing in this section affects Her Majesty in her private capacity; and this subsection is to be read as if section 38(3) of the Crown Proceedings Act 1947 (c. 44) (meaning of Her Majesty in her private capacity) were contained in this Act. Hearing Aid Council Dissolution of Hearing Aid Council 123 1 The Hearing Aid Council is dissolved. 2 The Hearing Aid Council Act 1968 (c. 50) and the Hearing Aid Council (Extension) Act 1975 (c. 39) cease to have effect. 3 An order under section 170(3) may not appoint a day for the coming into force of— a subsection (1), or b subsection (2), so far as relating to the profession mentioned in section 60(2)(ca) of the Health Act 1999 (c. 8), unless the following conditions are met. 4 Those conditions are— a that an Order in Council under section 60 of the Health Act 1999 (regulation of health care and associated professions) has made provision by virtue of subsection (2)(ca) of that section (regulation of dispensers of hearing aids), and b that the day appointed under section 170(3) is not earlier than the day on which the Order in Council, so far as making such provision, comes into force. 5 The Secretary of State may by order make provision for the transfer of property, rights and liabilities of the Hearing Aid Council to any relevant regulatory body or to the Secretary of State. 6 For that purpose a “relevant regulatory body” is any body which under an Order in Council under section 60 of the Health Act 1999 (c. 8) is responsible for the regulation of the profession mentioned in subsection (2)(ca) of that section. Regulation of social care workforce Regulation of social care workers: Wales 124 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Standard of proof in proceedings relating to registration of social care worker 125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Approved mental health professionals Education and training of approved mental health professionals: Wales 126 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General Further amendments relating to Part 2 127 Schedule 10 (which contains further amendments relating to this Part) has effect. Interpretation of Part 2 128 In this Part— “ the 1999 Act ” means the Health Act 1999 (c. 8); “ the 2002 Act ” means the National Health Service Reform and Health Care Professions Act 2002 (c. 17); “ enactment ” means an enactment contained in, or in an instrument made under— an Act of Parliament, an Act of the Scottish Parliament, a Measure or Act of the National Assembly for Wales, or Northern Ireland legislation; ... Part 3 Public health protection Public health protection 129 Before Part 3 of the Public Health (Control of Disease) Act 1984 (c. 22) insert— Part 2A Public Health Protection Introductory Infection or contamination 45A 1 The following provisions have effect for the interpretation of this Part. 2 “ Contamination ” includes radiation. 3 Any reference to infection or contamination is a reference to infection or contamination which presents or could present significant harm to human health. 4 Any reference to the spread of contamination includes a reference to the spread of any source of contamination. 5 Any reference to disinfection or decontamination includes a reference to the removal of any vector, agent or source of the infection or contamination. 6 Related expressions are to be read accordingly. Power to make regulations Health protection regulations: international travel etc. 45B 1 The appropriate Minister may by regulations make provision— a for preventing danger to public health from vessels, aircraft, trains or other conveyances arriving at any place, b for preventing the spread of infection or contamination by means of any vessel, aircraft, train or other conveyance leaving any place, and c for giving effect to any international agreement or arrangement relating to the spread of infection or contamination. 2 Regulations under subsection (1) may in particular include provision— a for the detention of conveyances, b for the medical examination, detention, isolation or quarantine of persons, c for the inspection, analysis, retention, isolation, quarantine or destruction of things, d for the disinfection or decontamination of conveyances, persons or things or the application of other sanitary measures, e for prohibiting or regulating the arrival or departure of conveyances and the entry or exit of persons or things, f imposing duties on masters, pilots, train managers and other persons on board conveyances and on owners and managers of ports, airports and other points of entry, and g requiring persons to provide information or answer questions (including information or questions relating to their health). Health protection regulations: domestic 45C 1 The appropriate Minister may by regulations make provision for the purpose of preventing, protecting against, controlling or providing a public health response to the incidence or spread of infection or contamination in England and Wales (whether from risks originating there or elsewhere). 2 The power in subsection (1) may be exercised— a in relation to infection or contamination generally or in relation to particular forms of infection or contamination, and b so as to make provision of a general nature, to make contingent provision or to make specific provision in response to a particular set of circumstances. 3 Regulations under subsection (1) may in particular include provision— a imposing duties on registered medical practitioners or other persons to record and notify cases or suspected cases of infection or contamination, b conferring on local authorities or other persons functions in relation to the monitoring of public health risks, and c imposing or enabling the imposition of restrictions or requirements on or in relation to persons, things or premises in the event of, or in response to, a threat to public health. 4 The restrictions or requirements mentioned in subsection (3)(c) include in particular— a a requirement that a child is to be kept away from school, b a prohibition or restriction relating to the holding of an event or gathering, c a restriction or requirement relating to the handling, transport, burial or cremation of dead bodies or the handling, transport or disposal of human remains, and d a special restriction or requirement. 5 The power in subsection (1) is subject to section 45D. 6 For the purposes of this Part— a a “ special restriction or requirement ” means a restriction or requirement which can be imposed by a justice of the peace by virtue of section 45G(2), 45H(2) or 45I(2), but b a restriction or requirement mentioned in subsection (4)(a), (b) or (c) is not to be regarded as a special restriction or requirement. Restrictions on power to make regulations under section 45C 45D 1 Regulations under section 45C may not include provision imposing a restriction or requirement by virtue of subsection (3)(c) of that section unless the appropriate Minister considers, when making the regulations, that the restriction or requirement is proportionate to what is sought to be achieved by imposing it. 2 Regulations under section 45C may not include provision enabling the imposition of a restriction or requirement by virtue of subsection (3)(c) of that section unless the regulations provide that a decision to impose such a restriction or requirement may only be taken if the person taking it considers, when taking the decision, that the restriction or requirement is proportionate to what is sought to be achieved by imposing it. 3 Regulations under section 45C may not include provision imposing a special restriction or requirement mentioned in section 45G(2)(a), (b), (c) or (d). 4 Regulations under section 45C may not include provision enabling the imposition of a special restriction or requirement unless— a the regulations are made in response to a serious and imminent threat to public health, or b imposition of the restriction or requirement is expressed to be contingent on there being such a threat at the time when it is imposed. 5 For the purposes of this section— a regulations “enable the imposition of a restriction or requirement” if the restriction or requirement is imposed by virtue of a decision taken under the regulations by the appropriate Minister, a local authority or other person; b regulations “impose a restriction or requirement” if the restriction or requirement is imposed without any such decision. Medical treatment 45E 1 Regulations under section 45B or 45C may not include provision requiring a person to undergo medical treatment. 2 “ Medical treatment ” includes vaccination and other prophylactic treatment. Health protection regulations: supplementary 45F 1 This section makes further provision about regulations under section 45B or 45C (“ health protection regulations ”). 2 Health protection regulations may— a confer functions on local authorities and other persons; b create offences; c enable a court to order a person convicted of any such offence to take or pay for remedial action in appropriate circumstances; d provide for the execution and enforcement of restrictions and requirements imposed by or under the regulations; e provide for appeals from and reviews of decisions taken under the regulations; f permit or prohibit the levy of charges; g permit or require the payment of incentive payments, compensation and expenses; h provide for the resolution of disputes. 3 Health protection regulations may, for the purposes of giving effect to an international agreement or arrangement, amend any enactment. 4 Health protection regulations may not confer functions on officers of Revenue and Customs unless the regulations are made with the consent of the Commissioners for Her Majesty's Revenue and Customs. 5 Health protection regulations may not create an offence triable on indictment or punishable with— a imprisonment, b a fine exceeding £20,000, or c a further fine exceeding an amount equal to 2% of level 5 on the standard scale for each day on which the default continues after conviction. 6 Regulations under section 45C must provide for a right of appeal to a magistrates' court against any decision taken under the regulations by virtue of which a special restriction or requirement is imposed on or in relation to a person, thing or premises. 7 Regulations under section 45C which enable a special restriction or requirement to be imposed by virtue of a decision taken under the regulations must also provide that, if the restriction or requirement is capable of remaining in force in relation to any person, thing or premises for more than a specified period, a specified person may require the continuation of the restriction or requirement to be reviewed in accordance with the regulations at specified intervals by a person determined in accordance with the regulations. 8 In relation to a special restriction or requirement mentioned in section 45G(2)(c) or (d)— a the period specified by virtue of subsection (7) and the intervals specified by virtue of that subsection must be 28 days or less, and b the regulations must require the continuation of the restriction or requirement to be reviewed without an application being made. Orders that may be made by justice of the peace Power to order health measures in relation to persons 45G 1 A justice of the peace may make an order under subsection (2) in relation to a person (“P”) if the justice is satisfied that— a P is or may be infected or contaminated, b the infection or contamination is one which presents or could present significant harm to human health, c there is a risk that P might infect or contaminate others, and d it is necessary to make the order in order to remove or reduce that risk. 2 The order may impose on or in relation to P one or more of the following restrictions or requirements— a that P submit to medical examination; b that P be removed to a hospital or other suitable establishment; c that P be detained in a hospital or other suitable establishment; d that P be kept in isolation or quarantine; e that P be disinfected or decontaminated; f that P wear protective clothing; g that P provide information or answer questions about P's health or other circumstances; h that P's health be monitored and the results reported; i that P attend training or advice sessions on how to reduce the risk of infecting or contaminating others; j that P be subject to restrictions on where P goes or with whom P has contact; k that P abstain from working or trading. 3 A justice of the peace may make an order under subsection (4) in relation to a person (“P”) if the justice is satisfied that— a P is or may be infected or contaminated, b the infection or contamination is one which presents or could present significant harm to human health, c there is a risk that a related party might infect or contaminate others, and d it is necessary to make the order in order to remove or reduce that risk. 4 The order may impose on or in relation to P a requirement that P provide information or answer questions about P's health or other circumstances (including, in particular, information or questions about the identity of a related party). 5 “ Related party ” means— a a person who has or may have infected or contaminated P, or b a person whom P has or may have infected or contaminated. 6 An order under this section may also order a person with parental responsibility (within the meaning of the Children Act 1989) for P to secure that P submits to or complies with the restrictions or requirements imposed by the order. 7 The appropriate Minister must by regulations make provision about the evidence that must be available to a justice of the peace before the justice can be satisfied as mentioned in subsection (1) or (3). 8 Any reference in this section to a person who is infected or contaminated includes a reference to a person who carries the source of an infection or contamination, and any reference to infecting or contaminating others includes a reference to passing that source to others. Power to order health measures in relation to things 45H 1 A justice of the peace may make an order under subsection (2) in relation to a thing if the justice is satisfied that— a the thing is or may be infected or contaminated, b the infection or contamination is one which presents or could present significant harm to human health, c there is a risk that the thing might infect or contaminate humans, and d it is necessary to make the order in order to remove or reduce that risk. 2 The order may impose in relation to the thing one or more of the following restrictions or requirements— a that the thing be seized or retained; b that the thing be kept in isolation or quarantine; c that the thing be disinfected or decontaminated; d in the case of a dead body, that the body be buried or cremated; e in any other case, that the thing be destroyed or disposed of. 3 A justice of the peace may make an order under subsection (4) in relation to a thing if the justice is satisfied that— a the thing is or may be infected or contaminated, b the infection or contamination is one which presents or could present significant harm to human health, c there is a risk that a related person or related thing might infect or contaminate humans, and d it is necessary to make the order in order to remove or reduce that risk. 4 The order may require— a the owner of the thing, or b any person who has or has had custody or control of the thing, to provide information or answer questions about the thing (including, in particular, information or questions about where the thing has been or about the identity of any related person or the whereabouts of any related thing). 5 “ Related person ” means— a a person who has or may have infected or contaminated the thing mentioned in subsection (3)(a), or b a person whom the thing has or may have infected or contaminated. 6 “ Related thing ” means— a a thing which has or may have infected or contaminated the thing mentioned in subsection (3)(a), or b a thing which the thing mentioned in subsection (3)(a) has or may have infected or contaminated. 7 The appropriate Minister may by regulations make provision about the evidence that must be available to a justice of the peace before the justice can be satisfied as mentioned in subsection (1) or (3). 8 In this section— a any reference to being infected or contaminated includes a reference to carrying the source of an infection or contamination, and b any reference to infecting or contaminating humans, or a person or thing, includes a reference to passing the source of an infection or contamination to humans, or to the person or thing. Power to order health measures in relation to premises 45I 1 A justice of the peace may make an order under subsection (2) in relation to premises if the justice is satisfied that— a the premises are or may be infected or contaminated, b the infection or contamination is one which presents or could present significant harm to human health, c there is a risk that the premises might infect or contaminate humans, and d it is necessary to make the order in order to remove or reduce that risk. 2 The order may impose in relation to the premises one or more of the following restrictions or requirements— a that the premises be closed; b that, in the case of a conveyance or movable structure, the conveyance or structure be detained; c that the premises be disinfected or decontaminated; d that, in the case of a building, conveyance or structure, the premises be destroyed. 3 A justice of the peace may make an order under subsection (4) in relation to premises if the justice is satisfied that— a the premises are or may be infected or contaminated or are or may be a place where infection or contamination was spread between persons or things, b the infection or contamination is one which presents or could present significant harm to human health, c there is a risk that a related person or related thing might infect or contaminate humans, and d it is necessary to make the order in order to remove or reduce that risk. 4 The order may require the owner or any occupier of the premises to provide information or answer questions about the premises (including, in particular, information about the identity of any related person or the whereabouts of any related thing). 5 “ Related person ” means— a a person who has or may have infected or contaminated the premises, b a person who has or may have infected or contaminated a person who or thing which is or has been on the premises, c a person whom the premises have or may have infected or contaminated, or d a person who has or may have been infected or contaminated by a person who or thing which is or has been on the premises. 6 “ Related thing ” means— a a thing which has or may have infected or contaminated the premises, b a thing which has or may have infected or contaminated a person who or thing which is or has been on the premises, c a thing which the premises have or may have infected or contaminated, or d a thing which has or may have been infected or contaminated by a person who or thing which is or has been on the premises. 7 The appropriate Minister may by regulations make provision about the evidence that must be available to a justice of the peace before the justice can be satisfied as mentioned in subsection (1) or (3). 8 In this section— a any reference to being infected or contaminated includes a reference to carrying the source of an infection or contamination, and b any reference to infecting or contaminating humans, or a person, thing or premises, includes a reference to passing the source of an infection or contamination to humans, or to the person, thing or premises. Orders in respect of groups 45J 1 The powers in sections 45G, 45H and 45I include power to make an order in relation to a group of persons, things or premises. 2 For those purposes, the sections have effect as follows. 3 In section 45G— a in subsections (1)(a) and (c) and (3)(a), the reference to P is a reference to each person in the group, and b in subsections (2) and (4), any reference to P is a reference to any one or more of the persons in the group. 4 In section 45H— a in subsections (1)(a) and (c) and (3)(a), the reference to the thing is a reference to each thing in the group, and b in subsections (2) and (4) any reference to the thing is a reference to any one or more of the things in the group. 5 In section 45I— a in subsections (1)(a) and (c) and (3)(a), the reference to the premises is a reference to each set of premises in the group, and b in subsections (2) and (4), any reference to the premises is a reference to any one or more of the sets of premises in the group. Part 2A orders: supplementary 45K 1 This section makes further provision about orders under sections 45G, 45H and 45I (referred to in this Part as “ Part 2A orders ”). 2 A Part 2A order may include, in addition to the restrictions or requirements mentioned in the provision under which it is made, such other restrictions or requirements as the justice considers necessary for the purpose of reducing or removing the risk in question. 3 A restriction or requirement contained in a Part 2A order may be expressed to take effect subject to conditions specified in the order. 4 Two or more Part 2A orders may be combined in a single order. 5 A Part 2A order may contain such directions as the justice considers appropriate to give effect to it. 6 Without prejudice to subsection (5)— a a Part 2A order may, if the justice is satisfied as mentioned in subsection (4) of section 61, authorise anything which may be authorised by warrant under subsection (3) of that section, and b if the order does so, section 62(1) and (1A) have effect as if— i the order were a warrant issued under section 61, and ii the person so authorised were a proper officer. 7 A Part 2A order may order the payment of compensation or expenses in connection with the taking of measures pursuant to the order. 8 A Part 2A order is authority for those persons to whom it is addressed to do such things as may be necessary to give effect to it. Period for which Part 2A order may be in force 45L 1 A Part 2A order must specify the period for which any restriction or requirement imposed by or under the order is to remain in force. 2 That period may be extended by further order of a justice of the peace. 3 In relation to restrictions or requirements mentioned in section 45G(2)(c) or (d), neither the period specified under subsection (1) nor the period of any extension under subsection (2) may exceed 28 days or such shorter period as the appropriate Minister may by regulations prescribe. 4 The appropriate Minister may by regulations prescribe, in relation to any other restrictions or requirements, the maximum period which may be specified under subsection (1) and the maximum period of any extension under subsection (2). Procedure for making, varying and revoking Part 2A orders 45M 1 The power of a justice of the peace to make a Part 2A order is exercisable on the application of a local authority. 2 Local authorities must co-operate with each other in deciding which of them should apply for a Part 2A order in any particular case. 3 The appropriate Minister must by regulations require a local authority to give notice to such persons as may be prescribed by the regulations of the making of an application for a Part 2A order, but this is subject to subsection (4). 4 If a justice of the peace considers it necessary to do so, the justice may make a Part 2A order without a person having been given such notice as is otherwise required to be given to that person under rules of court or regulations under subsection (3). 5 A Part 2A order may be varied or revoked by a justice of the peace on the application of— a an affected person, b a local authority, or c any other authority with the function of executing or enforcing the order in question. 6 In the case of an order under section 45G, the following persons are affected persons— a P, b a person with parental responsibility (within the meaning of the Children Act 1989) for P, c P's husband, wife or civil partner, d a person living with P as P's husband, wife or civil partner, and e such other persons as may be prescribed by regulations. 7 In the case of an order under section 45H(2), the following persons are affected persons— a the owner of the thing, b any person with custody or control of the thing, and c such other persons as may be prescribed by regulations. 8 In the case of an order under section 45I(2), the following persons are affected persons— a the owner of the premises, b any occupier of the premises, and c such other persons as may be prescribed by regulations. 9 In the case of an order under section 45H(4) or 45I(4), the person required to provide information or answer questions and such other persons as may be prescribed by regulations are affected persons. 10 Variation or revocation of a Part 2A order does not invalidate anything done under the order prior to the variation or revocation. 11 In this section “ regulations ” means regulations made by the appropriate Minister. Power to make further provision by regulations 45N 1 The appropriate Minister may by regulations make provision about the taking of measures pursuant to Part 2A orders. 2 The regulations may in particular make provision about— a the type of investigation which may be carried out as part of a medical examination; b the manner in which measures are to be taken; c who is to be responsible for executing and enforcing measures; d who is to be liable for the costs of measures; e the payment of compensation or expenses in connection with the taking of measures. 3 But the regulations may not confer functions on officers of Revenue and Customs to execute or enforce Part 2A orders unless the regulations are made with the consent of the Commissioners for Her Majesty's Revenue and Customs. Enforcement of Part 2A orders 45O 1 A person commits an offence if the person— a fails without reasonable excuse to comply with a restriction or requirement imposed by or under a Part 2A order, or b wilfully obstructs anyone acting in the execution of a Part 2A order. 2 A person guilty of an offence under subsection (1) is liable on summary conviction to a fine not exceeding £20,000. 3 If— a a person is convicted of an offence under subsection (1), and b the court by which the person is convicted is satisfied that the failure or wilful obstruction constituting the offence has caused premises or things to become infected or contaminated or otherwise damaged them in a material way, the court may, if it considers it appropriate to do so, order the person to take or pay for such remedial action as may be specified in the order. 4 Subsection (5) applies if— a a Part 2A order imposes a requirement that a person be detained or kept in isolation or quarantine in a place, and b the person leaves that place contrary to the requirement. 5 A constable may take the person into custody and return the person to that place. 6 But a person may not be taken into custody under subsection (5) after expiry of the period for which the requirement is in force. Regulations under Part 2A: general General provision about regulations 45P 1 A power to make regulations under this Part is exercisable by statutory instrument. 2 A power to make regulations under this Part includes power to make different provision for different cases or different areas. Parliamentary control 45Q 1 An instrument containing regulations under this Part, except one to which subsection (4) applies, is subject to annulment— a in the case of English regulations, in pursuance of a resolution of either House of Parliament; b in the case of Welsh regulations, in pursuance of a resolution of the National Assembly for Wales. 2 Subject to subsection (3), subsection (4) applies to an instrument containing (whether alone or with other provisions)— a regulations under section 45C, b regulations which amend an enactment pursuant to section 45F(3), c the first regulations to be made under section 45G(7), d the first regulations to be made under section 45L(4), or e the first regulations to be made under section 45N. 3 Subsection (4) does not apply by virtue of subsection (2)(a) if the instrument contains a declaration that the person making it is of the opinion that the instrument does not contain any provision made by virtue of section 45C(3)(c) which imposes or enables the imposition of— a a special restriction or requirement, or b any other restriction or requirement which has or would have a significant effect on a person's rights. 4 Subject to section 45R, an instrument to which this subsection applies may not be made unless— a in the case of English regulations, a draft of the instrument has been laid before, and approved by a resolution of, each House of Parliament; b in the case of Welsh regulations, a draft of the instrument has been laid before, and approved by a resolution of, the National Assembly for Wales. 5 If an instrument, or a draft of an instrument, containing regulations under section 45B or 45C would, apart from this subsection, be treated for the purposes of the Standing Orders of either House of Parliament as a hybrid instrument, it is to proceed in that House as if it were not such an instrument. 6 In this section— “ English regulations ” means regulations made by the Secretary of State; “ Welsh regulations ” means regulations made by the Welsh Ministers. Emergency procedure 45R 1 This section applies to an instrument to which subsection (4) of section 45Q applies by virtue of subsection (2)(a) or (b) of that section. 2 The instrument may be made without a draft having been laid and approved as mentioned in subsection (4) of that section if the instrument contains a declaration that the person making it is of the opinion that, by reason of urgency, it is necessary to make the order without a draft being so laid and approved. 3 After an instrument is made in accordance with subsection (2), it must be laid— a in the case of English regulations, before each House of Parliament; b in the case of Welsh regulations, before the National Assembly for Wales. 4 Regulations contained in an instrument made in accordance with subsection (2) cease to have effect at the end of the period of 28 days beginning with the day on which the instrument is made unless, during that period, the instrument is approved— a in the case of English regulations, by a resolution of each House of Parliament; b in the case of Welsh regulations, by a resolution of the National Assembly for Wales. 5 But if on any day during that period, on proceedings on a motion that (or to the effect that) the instrument be so approved, either House of Parliament or, as the case may be, the National Assembly for Wales comes to a decision rejecting the instrument, the regulations cease to have effect at the end of that day instead. 6 In reckoning any such period of 28 days, no account is to be taken— a in the case of English regulations, of any time during which Parliament is prorogued or dissolved or during which both Houses are adjourned for more than 4 days; b in the case of Welsh regulations, of any time during which the National Assembly for Wales is dissolved or is in recess for more than 4 days. 7 Subsections (4) and (5) do not— a affect anything done in reliance on the regulations before they ceased to have effect, or b prevent the making of new regulations. 8 In this section “ English regulations ” and “ Welsh regulations ” have the same meaning as in section 45Q. General Application to territorial sea 45S The provisions of this Part have effect in relation to the territorial sea adjacent to England or Wales. Part 2A: further definitions 45T 1 This Part is to be read in accordance with this section. 2 “ Enactment ” means an enactment whenever passed or made, and includes an enactment comprised in subordinate legislation (within the meaning of the Interpretation Act 1978). 3 “ Medical examination ” includes microbiological, radiological and toxicological tests. 4 “ Special restriction or requirement ” has the meaning given by section 45C(6). 5 “ Thing ” includes— a human tissue, b a dead body or human remains, c animals, and d plant material. 6 “ The appropriate Minister ” means— a the Secretary of State, as respects England (including the sea adjacent to England out as far as the seaward boundary of the territorial sea); b the Welsh Ministers, as respects Wales (including the sea adjacent to Wales out as far as that boundary). 7 An order made under section 158(3) of the Government of Wales Act 2006 (orders to determine boundary of the sea adjacent to Wales) applies for the purposes of subsection (6) as it applies for the purposes of that Act. 8 Any reference to amending an enactment includes a reference to repealing, revoking or modifying the application of an enactment, and “amendment” is to be read accordingly. 9 Any reference to giving effect to an international agreement or arrangement includes a reference to giving effect to a recommendation issued under such an agreement or arrangement. Further amendments relating to public health protection 130 1 Part 2 of the Public Health (Control of Disease) Act 1984 (c. 22) (which is superseded by the new Part 2A inserted by section 129) ceases to have effect. 2 Schedule 11 (which contains further amendments of that Act and other Acts) has effect. Part 4 Health in pregnancy grant England, Wales and Scotland Entitlement: Great Britain 131 After Part 8 of the Social Security Contributions and Benefits Act 1992 (c. 4) insert— Part 8A Health in pregnancy grant Entitlement 140A 1 A woman who satisfies prescribed conditions in relation to a pregnancy of hers is entitled to payment of a lump sum (to be known as “ health in pregnancy grant ”). 2 A condition prescribed under subsection (1) may, in particular, require a woman to have reached a specified stage of her pregnancy. 3 A woman is not entitled to health in pregnancy grant unless— a she has received advice on matters relating to maternal health from a health professional; b she is in Great Britain at the time she makes a claim for the grant in accordance with the Administration Act. 4 Circumstances may be prescribed in which a woman is to be treated for the purposes of subsection (3)(b) as being, or as not being, in Great Britain. 5 In this section— “health professional” has such meaning as may be prescribed, “ prescribed ” means prescribed by regulations, and “ woman ” means a female of any age. 6 The power to make regulations under this section is exercisable by the Treasury. Amount 140B 1 Health in pregnancy grant is to be of an amount prescribed by regulations made by the Treasury. 2 Different amounts may be prescribed in relation to different cases. Administration: Great Britain 132 1 In section 5 of the Social Security Administration Act 1992 (c. 5) (claims and payments regulations), in subsection (2), after paragraph (f), insert— fa health in pregnancy grant; . 2 The power to make regulations under that section in relation to health in pregnancy grant is exercisable by the Commissioners for Her Majesty's Revenue and Customs. 3 After section 12 of that Act insert— Health in pregnancy grant Necessity of application for health in pregnancy grant 12A 1 No person is entitled to health in pregnancy grant unless she claims it in the manner, and within the time, prescribed in relation to health in pregnancy grant by regulations under section 5. 2 No person is entitled to health in pregnancy grant unless subsection (3) or (4) is satisfied in relation to her. 3 This subsection is satisfied in relation to a person if her claim for health in pregnancy grant is accompanied by— a a statement of her national insurance number and information or evidence establishing that that number has been allocated to her; or b information or evidence enabling the national insurance number that has been allocated to her to be ascertained. 4 This subsection is satisfied in relation to a person if she makes an application for a national insurance number to be allocated to her which is accompanied by information or evidence enabling a national insurance number to be allocated to her. 5 The Commissioners for Her Majesty's Revenue and Customs may by regulations make provision disapplying subsection (2) in the case of prescribed descriptions of persons making a claim. 4 In section 71 of that Act (benefits in relation to which overpayments may be recovered), in subsection (11), after paragraph (e), insert— ea health in pregnancy grant; and . 5 In the application of that section in relation to health in pregnancy grant, references to the Secretary of State are to be read as references to the Commissioners for Her Majesty's Revenue and Customs. 6 In section 121E of that Act (supply of information by Her Majesty's Revenue and Customs), in subsection (1), after “contributions,” insert “ health in pregnancy grant, ” . 7 In section 121F of that Act (supply of information to Her Majesty's Revenue and Customs), in subsection (2), after “contributions,” insert “ health in pregnancy grant, ” . 8 Chapter 2 of Part 1 of the Social Security Act 1998 (c. 14) (decisions and appeals) is to have effect as if health in pregnancy grant were a relevant benefit for the purposes of that Chapter; and the functions of the Secretary of State under that Act are, in relation to that grant, exercisable by the Commissioners for Her Majesty's Revenue and Customs. Penalty: Great Britain 133 1 After section 113B of the Social Security Administration Act 1992 (c. 5) insert— Health in pregnancy grant: civil penalty for fraud, etc. 113C Schedule 3A (health in pregnancy grant: civil penalty for fraud, etc.) has effect. 2 Before Schedule 4 to that Act, insert— SCHEDULE 3A Health in pregnancy grant: Civil penalty for fraud, etc. Penalty 1 1 This paragraph applies where a person fraudulently or negligently— a makes an incorrect statement or declaration in or in connection with a claim for health in pregnancy grant, or b gives incorrect information or evidence in response to a requirement imposed on the person by virtue of section 5. 2 The Commissioners for Her Majesty's Revenue and Customs may make a determination imposing a penalty on the person. 3 The amount of a penalty imposed under this paragraph— a is to be determined by the Commissioners, but b may not exceed the amount of the grant. 4 A penalty imposed under this paragraph becomes payable at the end of the period of 30 days beginning with the date on which the notice is given. 5 The Commissioners must give notice of a determination imposing a penalty under this paragraph to the person on whom it is imposed. 6 The notice must— a state the date on which the notice is given, b state the date on or before which payment is due in accordance with sub-paragraph (4), and c give details of the right to appeal under paragraph 2. Appeal 2 1 A person on whom a penalty is imposed under paragraph 1 may appeal to an appeal tribunal against the determination imposing it. 2 On an appeal under sub-paragraph (1), an appeal tribunal may— a set the determination aside, b confirm the determination, c reduce the amount of the penalty, or d increase the amount of it (but not so as to exceed the amount of the grant). 3 An appeal lies to a Commissioner from a decision of an appeal tribunal under sub-paragraph (2). 4 On an appeal under sub-paragraph (3), a Commissioner has a similar jurisdiction to that conferred on an appeal tribunal by sub-paragraph (2). 5 In sub-paragraphs (1) to (4), “ appeal tribunal ” and “ Commissioner ” have the same meaning as in Chapter 2 of Part 1 of the Social Security Act 1998 (decisions, etc.). 6 The Commissioners for Her Majesty's Revenue and Customs may by regulations apply provision contained in that Act in relation to an appeal under this paragraph (with such modifications as are prescribed). Mitigation 3 The Commissioners for Her Majesty's Revenue and Customs may mitigate or entirely remit a penalty under this Schedule. Time limit 4 1 The Commissioners for Her Majesty's Revenue and Customs may make a determination imposing a penalty under paragraph 1 at any time before the end of the period of two years beginning with the relevant day. 2 In sub-paragraph (1), the “relevant day” is the day on which the statement or declaration, or information or evidence, referred to in paragraph 1(1) is made or given. Recovery 5 A penalty payable under this Schedule is to be treated for the purposes of Part 6 of the Taxes Management Act 1970 (collection and recovery) as if it were tax charged in an assessment and due and payable. Northern Ireland Entitlement: Northern Ireland 134 After Part 8 of the Social Security Contributions and Benefits (Northern Ireland) Act 1992 (c. 7) insert— Part 8A Health in pregnancy grant Entitlement 136A 1 A woman who satisfies prescribed conditions in relation to a pregnancy of hers is entitled to payment of a lump sum (to be known as “ health in pregnancy grant ”). 2 A condition prescribed under subsection (1) may, in particular, require a woman to have reached a specified stage of her pregnancy. 3 A woman is not entitled to health in pregnancy grant unless— a she has received advice on matters relating to maternal health from a health professional; b she is in Northern Ireland at the time she makes a claim for the grant in accordance with the Administration Act. 4 Circumstances may be prescribed in which a woman is to be treated for the purposes of subsection (3)(b) as being, or as not being, in Northern Ireland. 5 In this section— “health professional” has such meaning as may be prescribed, “ prescribed ” means prescribed by regulations, and “ woman ” means a female of any age. 6 The power to make regulations under this section is exercisable by the Treasury. Amount 136B 1 Health in pregnancy grant is to be of an amount prescribed by regulations made by the Treasury. 2 Different amounts may be prescribed in relation to different cases. Administration: Northern Ireland 135 1 In section 5 of the Social Security Administration (Northern Ireland) Act 1992 (c. 8) (claims and payments regulations), in subsection (2), after paragraph (f), insert— fa health in pregnancy grant; . 2 The power to make regulations under that section in relation to health in pregnancy grant is exercisable by the Commissioners for Her Majesty's Revenue and Customs. 3 After section 10 of that Act insert— Health in pregnancy grant Necessity of application for health in pregnancy grant 10A 1 No person is entitled to health in pregnancy grant unless she claims it in the manner, and within the time, prescribed in relation to health in pregnancy grant by regulations under section 5. 2 No person is entitled to health in pregnancy grant unless subsection (3) or (4) is satisfied in relation to her. 3 This subsection is satisfied in relation to a person if her claim for health in pregnancy grant is accompanied by— a a statement of her national insurance number and information or evidence establishing that that number has been allocated to her; or b information or evidence enabling the national insurance number that has been allocated to her to be ascertained. 4 This subsection is satisfied in relation to a person if she makes an application for a national insurance number to be allocated to her which is accompanied by information or evidence enabling a national insurance number to be allocated to her. 5 The Commissioners for Her Majesty's Revenue and Customs may by regulations make provision disapplying subsection (2) in the case of prescribed descriptions of persons making a claim. 4 In section 69 of that Act (benefits in relation to which overpayments may be recovered), in subsection (11), after paragraph (e), insert— ea health in pregnancy grant; and . 5 In the application of that section in relation to health in pregnancy grant, references to the Northern Ireland Department are to be read as references to the Commissioners for Her Majesty's Revenue and Customs. 6 In section 115D of that Act (supply of information by Her Majesty's Revenue and Customs), in subsection (1), after “contributions,” insert “ health in pregnancy grant, ” . 7 In section 115E of that Act (supply of information to Her Majesty's Revenue and Customs), in subsection (2), after “contributions,” insert “ health in pregnancy grant, ” . 8 Chapter 2 of Part 2 of the Social Security (Northern Ireland) Order 1998 ( S.I. 1998/1506 (N.I. 10)) (decisions and appeals) is to have effect as if health in pregnancy grant were a relevant benefit for the purposes of that Chapter; and the functions of the Northern Ireland Department under that Order are, in relation to that grant, exercisable by the Commissioners for Her Majesty's Revenue and Customs. 9 In subsections (5) and (8), “ the Northern Ireland Department ” means the Department for Social Development in Northern Ireland. Penalty: Northern Ireland 136 1 After section 107B of the Social Security Administration (Northern Ireland) Act 1992 (c. 8) insert— Health in pregnancy grant: civil penalty for fraud, etc. 107C Schedule 3A (health in pregnancy grant: civil penalty for fraud, etc.) has effect. 2 Before Schedule 4 to that Act, insert— SCHEDULE 3A Health in pregnancy grant: Civil penalty for fraud, etc. Penalty 1 1 This paragraph applies where a person fraudulently or negligently— a makes an incorrect statement or declaration in or in connection with a claim for health in pregnancy grant, or b gives incorrect information or evidence in response to a requirement imposed on the person by virtue of section 5. 2 The Commissioners for Her Majesty's Revenue and Customs may make a determination imposing a penalty on the person. 3 The amount of a penalty imposed under this paragraph— a is to be determined by the Commissioners, but b may not exceed the amount of the grant. 4 A penalty imposed under this paragraph becomes payable at the end of the period of 30 days beginning with the date on which the notice is given. 5 The Commissioners must give notice of a determination imposing a penalty under this paragraph to the person on whom it is imposed. 6 The notice must— a state the date on which the notice is given, b state the date on or before which payment is due in accordance with sub-paragraph (4), and c give details of the right to appeal under paragraph 2. Appeal 2 1 A person on whom a penalty is imposed under paragraph 1 may appeal to an appeal tribunal against the determination imposing it. 2 On an appeal under sub-paragraph (1), an appeal tribunal may— a set the determination aside, b confirm the determination, c reduce the amount of the penalty, or d increase the amount of it (but not so as to exceed the amount of the grant). 3 An appeal lies to a Commissioner from a decision of an appeal tribunal under sub-paragraph (2). 4 On an appeal under sub-paragraph (3), a Commissioner has a similar jurisdiction to that conferred on an appeal tribunal by sub-paragraph (2). 5 In sub-paragraphs (1) to (4), “ appeal tribunal ” has the same meaning as in Chapter 2 of Part 2 of the Social Security (Northern Ireland) Order 1998 (decisions, etc.). 6 The Commissioners for Her Majesty's Revenue and Customs may by regulations apply provision contained in that Order in relation to an appeal under this paragraph (with such modifications as are prescribed). Mitigation 3 The Commissioners for Her Majesty's Revenue and Customs may mitigate or entirely remit a penalty under this Schedule. Time limit 4 1 The Commissioners for Her Majesty's Revenue and Customs may make a determination imposing a penalty under paragraph 1 at any time before the end of the period of two years beginning with the relevant day. 2 In sub-paragraph (1), the “relevant day” is the day on which the statement or declaration, or information or evidence, referred to in paragraph 1(1) is made or given. Recovery 5 A penalty payable under this Schedule is to be treated for the purposes of Part 6 of the Taxes Management Act 1970 (collection and recovery) as if it were tax charged in an assessment and due and payable. Northern Ireland: health in pregnancy grant to be excepted matter 137 In Schedule 2 to the Northern Ireland Act 1998 (c. 47) (excepted matters), at the beginning of paragraph 10B insert “ Health in pregnancy grant, ” . General and supplementary General and supplementary 138 1 The Commissioners for Her Majesty's Revenue and Customs are responsible for the payment and management of health in pregnancy grant. 2 In section 115 of the Immigration and Asylum Act 1999 (c. 33) (exclusion from entitlement to benefits), in subsection (1), after paragraph (h), insert— ha health in pregnancy grant, . 3 In subsections (5) and (6) of that section, before “child benefit” insert “ health in pregnancy grant or ” . 4 In section 677(1) of the Income Tax (Earnings and Pensions) Act 2003 (c. 1) (benefits wholly exempt from income tax), in Part 1 of Table B, at the appropriate place insert— Health in pregnancy grant SSCBA 1992 Section 140A SSCB( NI )A 1992 Section 136A . Part 5 Miscellaneous Amendments relating to National Health Service Duty of Primary Care Trusts 139 After section 23 of the National Health Service Act 2006 (c. 41) insert— Arrangements for improving quality of health care 23A 1 Each Primary Care Trust must make arrangements to secure continuous improvement in the quality of health care provided by it and by other persons pursuant to arrangements made by it. 2 In discharging its duty under subsection (1) a Primary Care Trust must have regard to the standards set out in statements under section 45 of the Health and Social Care Act 2008. 3 “ Health care ” means— a services provided to individuals for or in connection with the prevention, diagnosis or treatment of illness, and b the promotion and protection of public health. Pharmaceutical services 140 Schedule 12 (which contains amendments of the National Health Service Act 2006 and the National Health Service (Wales) Act 2006 (c. 42) relating to expenditure in connection with the provision of pharmaceutical services) has effect. Remuneration for persons providing pharmaceutical services 141 1 In section 164 of the National Health Service Act 2006 (remuneration for persons providing pharmaceutical services)— a after subsection (4) insert— 4A An instrument of appointment— a must be contained in regulations if it provides for the appointment of a Primary Care Trust or other person as a determining authority in relation to the remuneration to be paid to persons who provide services under section 126, and b if paragraph (a) does not apply, may be contained in regulations. , and b in subsection (5), omit paragraph (b) and the word “and” immediately preceding it. 2 In section 88 of the National Health Service (Wales) Act 2006 (c. 42) (remuneration for persons providing pharmaceutical services)— a after subsection (4) insert— 4A An instrument of appointment— a must be contained in regulations if it provides for the appointment of a Local Health Board or other person as a determining authority in relation to the remuneration to be paid to persons who provide services under section 80, and b if paragraph (a) does not apply, may be contained in regulations. , and b in subsection (5), omit paragraph (b) and the word “and” immediately preceding it. Indemnity schemes in connection with provision of health services 142 1 Section 71 of the National Health Service Act 2006 (c. 41) (schemes for meeting losses and liabilities of health service bodies) is amended as follows. 2 In subsection (1), after “the bodies” (in each place) insert “ or other persons ” . 3 In subsection (2)— a after “The bodies” insert “ and other persons ” , b after paragraph (g) insert— h the Secretary of State, and i a body or other person (other than a body or other person within any of paragraphs (a) to (h)) providing, or arranging the provision of, health services whose provision is the subject of arrangements with a body or other person within any of paragraphs (a) to (h), , and c after “bodies which” insert “ , or other persons who, ” . 4 After subsection (2) insert— 2A In subsection (1)(b) “functions”— a in relation to the Secretary of State, means the Secretary of State's functions in connection with the health service; b in relation to a body or other person within paragraph (i) of subsection (2), means the body's or person's functions of providing, or arranging the provision of, health services whose provision is the subject of arrangements with a body or other person within any of paragraphs (a) to (h) of that subsection. 5 In subsection (3)— a in paragraph (b), after “body which” insert “ , or other person who, ” , and b in paragraph (c), after “Secretary of State” insert “ (whether or not a participator in the scheme and, if a participator, whether or not required to make payments as a participator) ” . 6 For subsection (5) substitute— 5 The Secretary of State may make a direction under subsection (4) in respect of a body only if the body is within any of paragraphs (a) to (d), (f) and (g) of subsection (2). 7 After subsection (8) insert— 9 In subsection (2)(i), the reference to a person providing health services does not include a person providing health services under a contract of employment. 10 In this section “ health services ” means services provided as part of the health service. Weighing and measuring of children Weighing and measuring of children: England 143 1 In Schedule 1 to the National Health Service Act 2006 (c. 41) (further provision about the Secretary of State and services under that Act) after paragraph 7 insert— Weighing and measuring of children 7A 1 The Secretary of State may, by arrangement with any local education authority, provide for the weighing and measuring of junior pupils in attendance at any school which is maintained by the authority. 2 The Secretary of State may, by arrangement with the proprietor of any school which is not maintained by a local education authority, provide for the weighing and measuring of junior pupils in attendance at that school. 3 The Secretary of State may, by arrangement with any person who is registered under Chapter 2 of Part 3 of the Childcare Act 2006 in respect of early years provision, provide for the weighing and measuring of young children for whom childcare is provided by that person. 4 In sub-paragraphs (1) and (2) any expression to which a meaning is given for the purposes of the Education Act 1996 or the School Standards and Framework Act 1998 has the same meaning as in that Act; and in sub-paragraph (3) any expression to which a meaning is given for the purposes of Part 3 of the Childcare Act 2006 has the same meaning as in that Part. 7B 1 The Secretary of State may by regulations— a authorise the disclosure by any person with whom arrangements under paragraph 7A are made, to any person carrying out the weighing or measuring, of prescribed information relating to the children concerned, b require any weighing and measuring provided for by the Secretary of State under paragraph 7A to be carried out in a prescribed manner and after compliance with any prescribed requirements, c make provision authorising any resulting information relating to a child, together with any advisory material authorised by or under the regulations, to be communicated in a prescribed manner to a person who is, or is treated by the regulations as being, a parent of the child, and d make other provision regulating the processing of information resulting from any weighing or measuring provided for by the Secretary of State under paragraph 7A. 2 Regulations made under sub-paragraph (1) may require any person exercising functions in relation to any weighing or measuring to which the regulations apply or in relation to information resulting from such weighing or measuring to have regard to any guidance given from time to time by the Secretary of State. 3 In sub-paragraph (1)(d), “ processing ”, in relation to information, has the same meaning as in the Data Protection Act 1998. 4 Regulations under this paragraph cannot include provision by virtue of section 272(8)(a) amending or repealing an Act. 2 Until the commencement of Chapter 2 of Part 3 of the Childcare Act 2006 (c. 21), the reference in paragraph 7A(3) of Schedule 1 to the National Health Service Act 2006 (c. 41) (as inserted by subsection (1) of this section) to a person registered under Chapter 2 of Part 3 of the Childcare Act 2006 in respect of early years provision is to be read as a reference to a person registered under Part 10A of the Children Act 1989 (c. 41) in respect of child minding or the provision of day care (within the meaning of that Part). Weighing and measuring of children: Wales 144 In Schedule 1 to the National Health Service (Wales) Act 2006 (c. 42) (further provision about the Welsh Ministers and services under that Act) after paragraph 7 insert— Weighing and measuring of children 7A 1 The Welsh Ministers may, by arrangement with any local authority , provide for the weighing and measuring of junior pupils in attendance at any school which is maintained by the authority. 2 The Welsh Ministers may, by arrangement with the proprietor of any school which is not maintained by a local authority , provide for the weighing and measuring of junior pupils in attendance at that school. 3 The Welsh Ministers may, by arrangement with any person who is registered under Part 10A of the Children Act 1989 (child minding and day care for children in Wales) in respect of child minding or the provision of day care, provide for the weighing and measuring of children looked after by that person. 4 In sub-paragraphs (1) and (2) any expression to which a meaning is given for the purposes of the Education Act 1996 or the School Standards and Framework Act 1998 has the same meaning as in that Act; and in sub-paragraph (3) any expression to which a meaning is given for the purposes of Part 10A of the Children Act 1989 has the same meaning as in that Part. 7B 1 The Welsh Ministers may by regulations— a authorise the disclosure by any person with whom arrangements under paragraph 7A are made, to any person carrying out the weighing or measuring, of prescribed information relating to the children concerned, b require any weighing and measuring provided for by the Welsh Ministers under paragraph 7A to be carried out in a prescribed manner and after compliance with any prescribed requirements, c make provision authorising any resulting information relating to a child, together with any advisory material authorised by or under the regulations, to be communicated in a prescribed manner to a person who is, or is treated by the regulations as being, a parent of the child, and d make other provision regulating the processing of information resulting from any weighing or measuring provided for by the Welsh Ministers under paragraph 7A. 2 Regulations made under sub-paragraph (1) may require any person exercising functions in relation to any weighing or measuring to which the regulations apply or in relation to information resulting from such weighing or measuring to have regard to any guidance given from time to time by the Welsh Ministers. 3 In sub-paragraph (1)(d), “ processing ”, in relation to information, has the same meaning as in the Data Protection Act 1998. 4 Regulations under this paragraph cannot include provision by virtue of section 203(10)(a) amending or repealing an Act. Social care Human Rights Act 1998: provision of certain social care to be public function 145 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Direct payments in lieu of provision of care services 146 1 Section 57 of the Health and Social Care Act 2001 (c. 15) (regulations may require or authorise direct payments to a person, with the person's consent, in respect of the person securing the provision to the person of certain care services) is amended as follows. 2 After subsection (1) insert— 1A Regulations may make provision for and in connection with requiring or authorising the responsible authority in the case of a person (“P”) of a prescribed description— a who falls within subsection (2)(a), and b who falls within subsection (5A) or is reasonably believed by the authority to fall within that subsection, to make, with the requisite consent, such payments as the authority may determine in accordance with the regulations to a suitable person other than P in respect of the other person's securing the provision for P of the service mentioned in subsection (2)(a). 1B In subsection (1A) “ the requisite consent ” means— a the consent of the other person; and b where the other person is not a surrogate of P but there is at least one person who is a surrogate of P, the consent also of a surrogate of P. 1C For the purposes of subsection (1A), a person (whether or not an individual) is “suitable” if— a that person is a representative of P; b that person is not a representative of P (or there is no-one who is a representative of P), but— i a surrogate of P, and ii the responsible authority, consider that person to be a suitable person to receive the payments for the purpose of securing provision for P of the service concerned; or c that person is not a representative of P (or there is no-one who is a representative of P), and there is no-one who is a surrogate of P, but the responsible authority considers that person to be a suitable person to receive the payments for that purpose. 3 In subsection (3) (provision which may be included in regulations under the section)— a in paragraph (a) (provision as to circumstances in which payments not to be made), after “to a person” insert “ or in respect of a person ” , b in paragraph (c)(i) (provision about determination of payee's means), after “the payee's means” insert “ in the case of direct payments under subsection (1) or, in the case of direct payments under subsection (1A), the means of the person (“ the beneficiary ”) in respect of whom the payments are required or authorised to be made ” , c in each of paragraphs (d) and (e)(ii) (provision as to conditions to be complied with by payee, and provision as to repayments by payee or otherwise), after “payee” insert “ in the case of direct payments under subsection (1), or by the payee or by the beneficiary in the case of direct payments under subsection (1A), ” and d after paragraph (h) insert— j as to matters to which the responsible authority must, or may, have regard when making a decision for the purposes of a provision of the regulations; k as to steps which the responsible authority must, or may, take before, or after, the authority makes a decision for the purposes of a provision of the regulations; l specifying circumstances in which a person who has fallen within subsection (5A) but no longer does so (whether because of fluctuating capacity, or regaining or gaining of capacity) is to be treated, or may be treated, as falling within subsection (5A) for purposes of this section or for purposes of regulations under this section. 4 In subsection (4)(b) (gross payments: condition that payee pays amounts by way of reimbursement), after “payee” insert “ in the case of direct payments under subsection (1), or the beneficiary in the case of direct payments under subsection (1A), ” . 5 In subsection (5) (payments made net on basis that payee will contribute to cost of service)— a in paragraph (a), after “the payee will himself” insert “ in the case of direct payments under subsection (1), or the beneficiary will in the case of direct payments under subsection (1A), ” and b in paragraph (b), after “payee” insert “ or (as the case may be) the beneficiary ” . 6 After subsection (5) insert— 5A A person falls within this subsection if the person lacks capacity, within the meaning of the Mental Capacity Act 2005, to consent to the making of direct payments. 5B In this section “ representative ”, in relation to a person, means such other person (whether or not an individual) as may be prescribed. 5C In this section “ surrogate ”, in relation to a person, means— a a deputy appointed for the person by the Court of Protection under section 16(2)(b) of the Mental Capacity Act 2005, or b a donee of a lasting power of attorney created by the person, whose powers, as deputy or donee, consist of or include such powers as may be prescribed. 7 After subsection (7) insert— 7A For the purposes of subsection (3)(d), the conditions that are to be taken to be conditions in relation to direct payments include, in particular, conditions in relation to— a the securing of the provision of the service concerned, b the provider of the service, c the person to whom payments are made in respect of the provision of the service, or d the provision of the service. 8 In section 64 of the Health and Social Care Act 2001 (c. 15) (regulations and orders), after subsection (4) insert— 4A A statutory instrument containing— a regulations made by the Welsh Ministers under section 57, or b regulations made by the Welsh Ministers under section 65 that make provision for the purposes of, in consequence of or for giving full effect to section 57, is subject to annulment in pursuance of a resolution of the National Assembly for Wales. Abolition of maintenance liability of relatives 147 1 The following provisions cease to have effect— a section 43 of the National Assistance Act 1948 (c. 29) (recovery from liable relative of local authority's costs of assistance), b in section 47(9) of that Act (liability of maintained person, or person's relatives, for expenditure incurred under section 47(8)), the words “or from any person who for the purposes of this Act is liable to maintain that person”, c in section 48(3) of that Act (liability of person in hospital etc., or person's relatives, for costs of protecting person's property), the words “, or from any person who for the purposes of this Act is liable to maintain him,”, d in section 51(1) of that Act (offence where person fails to maintain himself or any person he is liable to maintain), the words “or any person whom he is liable to maintain for the purposes of this Act”, e in paragraph 19(1) of Schedule 6 to that Act (which ended a saved liability to maintain a person where there was no liability to maintain that person for the purposes of that Act), the words “whom he is not liable to maintain for the purposes of this Act”, f paragraph 19(2) of that Schedule (which gave continuing effect to certain saved liabilities not ended by paragraph 19(1)), and g in section 46(5) of the Public Health (Control of Disease) Act 1984 (c. 22) (liability of person's estate, or person's relatives, for cost of burial or cremation under the section), the words “or from any person who for the purposes of the National Assistance Act 1948 was liable to maintain the deceased person immediately before his death”. 2 In section 29(4A)(c) of the National Assistance Act 1948 (c. 29) (which provides for section 43 to apply where accommodation in a hostel is provided under section 29(4)(c)), for “sections 32 and 43 of this Act shall apply as they apply” substitute “ section 32 shall apply as it applies ” . 3 In section 51(1) of that Act, for “, himself or any other person” substitute “ him ” . 4 In section 87(3) of the Social Work (Scotland) Act 1968 (c. 49) (provision of accommodation treated as being under Part 3 of the National Assistance Act 1948), for the words from “(as amended”, where first occurring, to “etc.)” substitute “ (as amended by any enactment within the meaning of the Scotland Act 1998 (c. 46)) of the said Act of 1948 ” . 5 In Schedule 1 to the Local Authority Social Services Act 1970 (c. 42) (definition of “social services functions” for purposes of the 1970 Act), in the entry relating to sections 43 to 45 of the National Assistance Act 1948, for “Sections 43 to” substitute “ Section ” . 6 The provisions of this section have effect subject to, and in accordance with, Schedule 13. Ordinary residence for certain purposes of National Assistance Act 1948 etc. 148 1 In section 24 of the National Assistance Act 1948 (authority liable for provision of accommodation) for subsections (6) and (7) substitute— 6 For the purposes of the provision of residential accommodation under this Part, a patient (“P”) for whom NHS accommodation is provided shall be deemed to be ordinarily resident in the area, if any, in which P was resident before the NHS accommodation was provided for P, whether or not P in fact continues to be ordinarily resident in that area. 6A In subsection (6) “ NHS accommodation ” means— a accommodation (at a hospital or elsewhere) provided under the National Health Service Act 2006 or the National Health Service (Wales) Act 2006, or b accommodation provided under section 117 of the Mental Health Act 1983 by a Primary Care Trust or Local Health Board, other than accommodation so provided jointly with a local authority. 2 In section 32 of that Act (adjustments between authority providing accommodation, etc., and authority of area of residence) for subsection (3) substitute— 3 Any question arising under this Part as to a person's ordinary residence shall be determined by the Secretary of State or by the Welsh Ministers. 4 The Secretary of State and the Welsh Ministers shall make and publish arrangements for determining which cases are to be dealt with by the Secretary of State and which are to be dealt with by the Welsh Ministers. 5 Those arrangements may include provision for the Secretary of State and the Welsh Ministers to agree, in relation to any question that has arisen, which of them is to deal with the case. 3 In section 2 of the Chronically Sick and Disabled Persons Act 1970 (c. 44) (provision of welfare services) after subsection (1) insert— 1A Subsections (3) to (5) of section 32 of the National Assistance Act 1948 (which relate to the determination of any question arising under Part 3 of that Act as to a person's ordinary residence) apply in relation to any question arising under this section as to a person's ordinary residence as they apply in relation to such a question arising under Part 3 of that Act. Financial assistance related to provision of health or social care services Power of Secretary of State to give financial assistance 149 1 The Secretary of State may give financial assistance to qualifying bodies which are engaged in— a the provision in England of health services ..., or b the provision to other persons of services that are connected with the provision in England by those other persons of health services ... 1A The Secretary of State may give financial assistance to bodies which are engaged in— a the provision in England of social care services, or b the provision to other persons of services that are connected with the provision in England by those other persons of social care services. 1B Assistance may be given to a body under subsection (1A) for the purposes of the provision of social care services only if those services are provided in England. 2 The Secretary of State may also give financial assistance to persons for the purposes of the establishment by them of qualifying bodies which satisfy any conditions prescribed for the purposes of this subsection and which are to be engaged in— a the provision in England of health services or of social care services, or b the provision to other persons of services that will be connected with the provision in England by those other persons of health services or of social care services. Qualifying bodies 150 1 A body is a qualifying body for the purposes of this group of sections if— a a reasonable person might consider that its activities are being carried on for the benefit of the community in England, b except in the case of a body of a prescribed kind, it satisfies prescribed conditions relating to the distribution of its profits, c it is carrying on a business, and d it satisfies such other conditions as may be prescribed. 2 Regulations may provide that— a a body may only be a qualifying body if it is of a prescribed kind; b activities of a prescribed description are to be treated as being, or as not being, activities which a reasonable person might consider are activities carried on for the benefit of the community in England. 3 “ Community ” includes a section of the community; and regulations may make provision about what does, does not or may constitute a section of the community. Forms of assistance under s. 149 151 1 Subject to subsection (3), financial assistance under section 149 may be given in any form. 2 Assistance may, in particular, be given by way of— a grants, b loans, c guarantees, or d in the case of assistance under section 149(1) or (1A) given to a company, purchasing share capital of the company. 3 Financial assistance under section 149(2) given to a company may not be given by way of purchasing share capital of the company. Terms on which assistance under s. 149 is given 152 1 Financial assistance under section 149 may be given on such terms as the Secretary of State considers appropriate. 2 The terms may, in particular, include provisions as to— a circumstances in which the assistance is to be repaid, or otherwise made good, to the Secretary of State, and the manner in which that is to be done; b the keeping, and making available for inspection, of accounts and other records. 3 The person receiving assistance under section 149 must comply with the terms on which it is given, and compliance may be enforced by the Secretary of State. Directions to certain NHS bodies 153 1 The Secretary of State may direct the following to exercise any functions of the Secretary of State in relation to financial assistance under section 149(1)— a a National Health Service trust all or most of whose hospitals, establishments and facilities are situated in England, or b a Special Health Authority performing functions only or mainly in respect of England. 2 The Secretary of State may direct any Special Health Authority to exercise any functions of the Secretary of State in relation to financial assistance under section 149 (1A) . 3 The Secretary of State may direct the following to exercise any functions of the Secretary of State in relation to financial assistance under section 149(2) so far as those functions relate to the establishment of bodies which are to be wholly or mainly engaged in the provision of health services or services connected to health services— a a National Health Service trust all or most of whose hospitals, establishments and facilities are situated in England, or b a Special Health Authority performing functions only or mainly in respect of England. 4 The Secretary of State may direct any Special Health Authority to exercise any functions of the Secretary of State in relation to financial assistance under section 149(2) so far as they are not functions to which subsection (3) above applies. 5 The Secretary of State may give directions to a body about the exercise of any functions that it is directed to exercise under any of subsections (1) to (4) . Arrangements with other third parties 154 1 The Secretary of State may make arrangements for— a financial assistance under section 149 (1) to be given, or b other functions relating to such assistance to be exercised, by a person other than a body mentioned in section 153(1) or an English local authority. 1A The Secretary of State may make arrangements for— a financial assistance under section 149 (1A) to be given, or b other functions relating to such assistance to be exercised, by a person other than a Special Health Authority (as to Special Health Authorities, see section 153(2)). 2 A person with whom the Secretary of State makes arrangements under subsection (1) or (1A) is referred to in this section as P. 3 Arrangements under subsection (1) or (1A) may provide for the functions concerned to be exercised by P— a either wholly or to such extent as may be specified in the arrangements, and b either generally or in such cases or circumstances as may be so specified. 4 Arrangements under subsection (1) or (1A) may make provision— a subject to section 151(3), as to the forms of financial assistance which may be given by P, and b as to the terms on which financial assistance may be given by P. 5 Arrangements under subsection (1) or (1A) may— a provide for the Secretary of State to make payments to P, and b make provision as to the circumstances in which any such payments are to be repaid to the Secretary of State. 6 In subsection (1) “ English local authority ” includes a non-metropolitan district council for an area for which there is a county council. Power to form company 155 The Secretary of State may form, or participate in forming, one or more companies with a view to making arrangements under section 154(1) or (1A) with the companies for financial assistance under section 149 to be given, or other functions relating to such assistance to be exercised, by the company. Interpretation of group of sections 156 1 In this section and sections 149 to 155 “ this group of sections ” means this section and those sections. 2 In this group of sections— “ company ” means a company as defined by section 1 of the Companies Act 2006 (c. 46); “ English local authority ” means— a county council in England, a metropolitan district council, a non-metropolitan district council for an area for which there is no county council, a London borough council, the Common Council of the City of London, or the Council of the Isles of Scilly; “ health services ” means services which must or may be provided for the purposes of the health service continued under section 1(1) of the National Health Service Act 2006 (c. 41) or services which are similar to such services; “ prescribed ” means prescribed by regulations; “ qualifying body ” has the meaning given by section 150; “ regulations ” means regulations made by the Secretary of State; “ social care services ” means services which an English local authority must or may provide or arrange to be provided under any of the following provisions— ... ... section 117 of the Mental Health Act 1983 (c. 20), and Part 1 of the Care Act 2014, ... or services which are similar to such services. National Information Governance Board for Health and Social Care National Information Governance Board for Health and Social Care 157 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 The Patient Information Advisory Group (as continued by section 252 of the National Health Service Act 2006 (c. 41)) is abolished. Duty to consult Board in relation to regulations about patient information 158 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Functions of Health Protection Agency in relation to biological substances Functions of Health Protection Agency in relation to biological substances 159 1 The National Biological Standards Board is abolished (and, accordingly, the Biological Standards Act 1975 (c. 4) ceases to have effect). 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Further amendments Minor and consequential amendments relating to Part 5 160 Schedule 14 (which contains further amendments related to the provisions of this Part) has effect. Part 6 General Orders, regulations and directions: general provisions 161 1 Orders and regulations made under this Act by the Secretary of State, the Treasury, the Privy Council or the Welsh Ministers are to be made by statutory instrument. 2 Regulations made by the Department of Health, Social Services and Public Safety in Northern Ireland under section 120 and orders made by that Department under section 170(3) are to be made by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979 (S.I. 1979/1573 (N.I. 12)). 3 Any power to make orders or regulations mentioned in subsection (1) or (2) and (subject to section 82(2A)) any power of the Secretary of State to give directions under this Act— a may be exercised either in relation to all cases to which the power extends, or in relation to all cases subject to specified exceptions, or in relation to any specified cases or classes of case, b may be exercised so as to make, as respects the cases in relation to which it is exercised— i the full provision to which the power extends or any less provision (whether by way of exception or otherwise), ii the same provision for all cases in relation to which the power is exercised, or different provision for different cases or different classes of case, or different provision as respects the same case or class of case for different purposes of this Act, iii any such provision either unconditionally or subject to any specified condition, and c may, in particular, be exercised so as to make different provision for different areas. 4 Any such power includes power— a to make such supplementary, incidental, consequential or transitional provision or savings as the person exercising the power considers to be appropriate, and b to provide for a person to exercise a discretion in dealing with any matter. Orders and regulations: Parliamentary control 162 1 Subject to subsection (2), a statutory instrument containing— a an order or regulations made by the Secretary of State under this Act, b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . is subject to annulment in pursuance of a resolution of either House of Parliament. 2 Subsection (1) does not apply to— a a statutory instrument to which subsection (3) or (4) applies, or b a statutory instrument containing an order made only under section 170(3) (commencement). 3 The Secretary of State may not make a statutory instrument containing (whether alone or with other provision)— a regulations under section 8(1) (regulated activities), b regulations under section 20 (regulation of regulated activities) which provide that a contravention of or failure to comply with a specified provision of the regulations is an offence punishable with a maximum fine exceeding level 4 on the standard scale, c regulations under section 43 (power to modify Chapter 2 of Part 1 in relation to newly regulated activities), c regulations under section 46B (13) (amendment of definition of relevant health care), d regulations under section 87(1)(b) (penalty notices: monetary amount of the penalty) which make provision for a penalty payable under a penalty notice to be of an amount which exceeds that equal to level 4 on the standard scale, e the first regulations made by the Secretary of State under section 120 (additional responsibilities of responsible officers), f regulations under section 124 (regulation of social care workers) or section 126 (education and training of approved mental health professionals), or g an order under section 167 which amends or repeals any provision of an Act of Parliament, unless a draft of the instrument has been laid before, and approved by a resolution of, each House of Parliament. 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Orders and regulations: control by National Assembly for Wales 163 1 Subject to subsection (2), a statutory instrument containing— a regulations made under this Act by the Welsh Ministers, or b an order under section 167(2) (transitional provision etc.) made by the Welsh Ministers, is subject to annulment in pursuance of a resolution of the National Assembly for Wales. 2 Subsection (1) does not apply to a statutory instrument to which subsection (3) applies. 3 The Welsh Ministers may not make a statutory instrument containing (whether alone or with other provision)— a the first regulations made by the Welsh Ministers under section 120 (additional responsibilities of responsible officers), ... b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . unless a draft of the instrument has been laid before, and approved by a resolution of, the National Assembly for Wales. Regulations: control by Northern Ireland Assembly 164 1 A statutory rule containing regulations made by the Department of Health, Social Services and Public Safety in Northern Ireland under section 120 (additional responsibilities of responsible officers), other than a statutory rule to which subsection (2) applies, is subject to negative resolution within the meaning of section 41(6) of the Interpretation Act (Northern Ireland) 1954 (c. 33 (N.I.)). 2 The Department of Health, Social Services and Public Safety in Northern Ireland may not make a statutory rule containing (whether alone or with other provision) the first regulations made by the Department under section 120 unless a draft of the statutory rule has been laid before, and approved by a resolution of, the Northern Ireland Assembly. Directions 165 1 Any power of the Secretary of State or the Privy Council to give directions under this Act includes power to vary or revoke the directions by subsequent directions. 2 Subject to subsection (3), a direction under this Act by the Secretary of State or the Privy Council must be given by an instrument in writing. 3 A direction under section 82 must be given by regulations or by an instrument in writing. Repeals 166 The enactments mentioned in Schedule 15 are repealed to the extent specified. Power to make transitional and consequential provision etc. 167 1 The Secretary of State may by order make— a such transitional or transitory provisions or savings as the Secretary of State considers appropriate in connection with the coming into force of any provision of this Act in relation to which the Secretary of State is the appropriate authority for the purposes of section 170(3), and b such supplementary, incidental or consequential provision as the Secretary of State considers appropriate for the purposes of, in consequence of, or for giving full effect to, any provision of this Act. 2 The Welsh Ministers may by order make such transitional or transitory provisions or savings as the Welsh Ministers consider appropriate in connection with the coming into force of any provision of this Act in relation to which the Welsh Ministers are the appropriate authority for the purposes of section 170(3). 3 An order under this section may amend, repeal, revoke or otherwise modify any enactment. 4 An order under this section may, in particular, provide for any provision of this Act which comes into force before another such provision has come into force to have effect, until that other provision has come into force, with such modifications as are specified in the order. 5 Before making an order under this section containing provision which would, if included in an Act of the Scottish Parliament, fall within the legislative competence of that Parliament, the Secretary of State must consult the Scottish Ministers. 6 The power under this section is not restricted by any other provision of this Act. 7 In this section “ enactment ” means an enactment contained in, or in an instrument made under— a an Act of Parliament, b an Act of the Scottish Parliament, c a Measure or Act of the National Assembly for Wales, or d Northern Ireland legislation. Financial provisions 168 1 There is to be paid out of money provided by Parliament— a any expenditure incurred by virtue of this Act by a Minister of the Crown or government department, and b any increase attributable to this Act in the sums payable under any other Act out of money so provided. 2 There are to be paid into the Consolidated Fund sums received by a Minister of the Crown or government department by virtue of this Act. Extent 169 1 Subject to the following provisions of this section, this Act extends to England and Wales only. 2 The following provisions extend to England and Wales, Scotland and Northern Ireland— a section 73 (arrangements between Care Quality Commission and Ministers), b section 97 (general interpretation of Part 1), c sections 98 to 119, 123, 127 and 128 and Schedules 6, 7, 8 and 10 (regulation of the health professions), d sections 137 and 138 (health in pregnancy grant), e section 145 (Human Rights Act 1998: provision of certain social care to be public function), f section 159 (functions of Health Protection Agency in relation to biological substances), and g sections 161, 162, 165, 167, 168, this section and sections 170 to 173 (general provisions). 3 The following provisions extend to England and Wales and Scotland only— a sections 131 to 133 (health in pregnancy grant: Great Britain), b the repeal effected by this Act in section 16(2)(a)(v) of the Maintenance Orders Act 1950 (c. 37), and c section 147(6), and Schedule 13, so far as relating to that repeal. 4 The following provisions extend to England and Wales and Northern Ireland only— a section 74 (arrangements between Care Quality Commission and Northern Ireland Ministers), and b section 120 (additional responsibilities of responsible officers: England and Wales and Northern Ireland) and section 122 (Crown application) so far as relating to that section. 5 The following provisions extend to Northern Ireland only— a sections 134 to 136 (health in pregnancy grant: Northern Ireland), and b section 164 (regulations: control by Northern Ireland Assembly). 6 The amendment, repeal or revocation by this Act of any enactment has the same extent as the enactment amended, revoked or repealed, but subject to subsection (7). 7 Subsection (6) does not apply to the repeals in Part 5 of Schedule 15; and accordingly those repeals, apart from the repeal mentioned in subsection (3)(b), extend to England and Wales only. Commencement 170 1 The following provisions come into force on the day on which this Act is passed— a the provisions of this Part, except section 166 and Schedule 15 (repeals), and b any other provision of this Act— i so far as is necessary for enabling the exercise on or after the day on which this Act is passed of any power to make orders or regulations that is conferred by the provision or by any amendment made by the provision, or ii so far as the provision, or any amendment made by the provision, defines any expression relevant to the exercise of any such power. 2 Subsection (1)(b) does not apply to section 111 or Schedule 8 (extension of powers under s. 60 of Health Act 1999). 3 Except as provided by subsection (1), the provisions of this Act come into force on such day as the appropriate authority (as determined by section 171) may by order appoint. 4 Different days may be appointed under subsection (3) for different purposes. The appropriate authority by whom commencement order is made 171 1 This section has effect to determine who is the appropriate authority for the purposes of section 170(3). 2 Except as provided by subsections (3) to (5), the appropriate authority is the Secretary of State. 3 In relation to sections 119, 120 and 122 (responsible officers), so far as they relate to Northern Ireland, the appropriate authority is the Department of Health, Social Services and Public Safety in Northern Ireland. 4 In relation to the following provisions— za . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a Part 3 (public health protection), including Schedule 11, and Part 3 of Schedule 15 so far as they relate to Wales (and section 166 so far as it relates to that Part of Schedule 15 in its application to Wales), b section 140 (pharmaceutical services), so far as relating to Part 2 of Schedule 12, together with that Part of that Schedule, c section 141(2) (remuneration for persons providing pharmaceutical services: appointment of determining authorities in relation to Wales), d section 144 (weighing and measuring of children: Wales), e subsections (1) to (7) of section 146 (direct payments in lieu of provision of care services), so far as they relate to Wales, f subsection (8) of that section, g section 147 (abolition of maintenance liability of relatives), Schedule 13 and Part 5 of Schedule 15, so far as they relate to local authorities in Wales (and section 166 so far as relating to Part 5 of Schedule 15 in its application to local authorities in Wales), h section 148 (ordinary residence for certain purposes of National Assistance Act 1948 (c. 29) etc.), so far as relating to Wales, and i the repeals in the National Health Service (Wales) Act 2006 (c. 42) in Part 4 of Schedule 15 (and section 166 so far as relating to those repeals), the appropriate authority is the Welsh Ministers. 5 In relation to Part 4 (health in pregnancy grant), the appropriate authority is the Treasury. Consultation in relation to commencement 172 1 Before making a commencement order relating to— a section 111 and Schedule 8 (extension of powers under section 60 of the Health Act 1999 (c. 8)) so far as relating to— i subsection (2A) of section 60 of the Health Act 1999, ii the repeal of paragraph 7(3) of Schedule 3 to that Act, iii the amendments of paragraphs 8 and 9 of Schedule 3 to that Act, so far as relating to a profession that is not a reserved profession for Scotland, or iv the meaning of “ enactment ” for the purposes of Schedule 3 to that Act, b section 112 (standard of proof in fitness to practise proceedings) so far as relating to a profession that is not a reserved profession for Scotland, or c section 116 (powers of Secretary of State and devolved administrations), so far as relating to the functions of the Scottish Ministers, the Secretary of State must consult the Scottish Ministers. 2 For the purposes of subsection (1)(a)(iii) and (b), a profession is a reserved profession for Scotland if it falls within Section G2 (health professions) of Part 2 of Schedule 5 to the Scotland Act 1998 (c. 46). 3 Before making a commencement order relating to— a paragraph 13, 14(a), (b)(i) or (c), 16, 17, 18, 19, 20, 22, 23, 24(b) or (c), 25, 26, 32 or 33 of Schedule 5, b section 95 so far as relating to those paragraphs, or c Part 1 of Schedule 15 so far as relating to those paragraphs (or section 166 so far as relating to that Part of that Schedule), the Secretary of State must consult the Welsh Ministers. 4 Before making a commencement order relating to section 148 (ordinary residence for certain purposes of National Assistance Act 1948 etc.) in relation to England, the Secretary of State must consult the Welsh Ministers; and, before making a commencement order relating to that section in relation to Wales, the Welsh Ministers must consult the Secretary of State. 5 Before making a commencement order relating to— a section 159 (functions of Health Protection Agency in relation to biological substances), or b Part 7 of Schedule 15 (or section 166 so far as relating to that Part of that Schedule), the Secretary of State must consult the Department of Health, Social Services and Public Safety in Northern Ireland. 6 In this section “ commencement order ” means an order under section 170(3). Short title 173 This Act may be cited as the Health and Social Care Act 2008.