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National Health Service Act 2006, Part 12 is up to date with all changes known to be in force on or before 25 April 2024. There are changes that may be brought into force at a future date. Changes that have been made appear in the content and are referenced with annotations. Help about Changes to Legislation

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Part 12 E+WPublic involvement and scrutiny

Chapter 1E+WPatients' Forums

237Establishment of Patients' ForumsE+W

F1(1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F1(2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F2(3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F2(4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F2(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F2(6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F2(7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F2(8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F2(9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F3238Additional functions of PCT Patients' ForumsE+W

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F4239Entry and inspection of premisesE+W

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F5240Annual reportsE+W

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241Further provision about Patients' ForumsE+W

F6(1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F6(2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F7(3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F7(4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(5)The regulations may include provision applying, or corresponding to, any provision of Part 5A of the Local Government Act 1972 (c 70) (access to meetings and documents), with or without modifications.

Chapter 2E+WPublic involvement and consultation

242Public involvement and consultationE+W

[F8(1)This section applies to—

(a)relevant English bodies, and

(b)relevant Welsh bodies.

(1A)In this section—

  • relevant English body ” means—

    (a)

    F9...

    (b)

    F10...

    (c)

    an NHS trust that is not a relevant Welsh body, or

    (d)

    an NHS foundation trust;

  • relevant Welsh body ” means an NHS trust all or most of whose hospitals, establishments and facilities are in Wales.

(1B)Each relevant English body must make arrangements, as respects health services for which it is responsible, which secure that users of those services, whether directly or through representatives, are involved (whether by being consulted or provided with information, or in other ways) in—

(a)the planning of the provision of those services,

(b)the development and consideration of proposals for changes in the way those services are provided, and

(c)decisions to be made by that body affecting the operation of those services.

(1C)Subsection (1B)(b) applies to a proposal only if implementation of the proposal would have an impact on—

(a)the manner in which the services are delivered to users of those services, or

(b)the range of health services available to those users.

(1D)Subsection (1B)(c) applies to a decision only if implementation of the decision (if made) would have an impact on—

(a)the manner in which the services are delivered to users of those services, or

(b)the range of health services available to those users.

(1E)The reference in each of subsections (1C)(a) and (1D)(a) to the delivery of services is to their delivery at the point when they are received by users.

(1F)For the purposes of subsections (1B) to (1E), [F11

(a)health services” does not include pharmaceutical services or local pharmaceutical services, and

(b)]a person is a “user” of any health services if the person is someone to whom those services are being or may be provided.

(1G)A relevant English body must have regard to any guidance given by the Secretary of State as to the discharge of the body's duty under subsection (1B).

(1H)The guidance mentioned in subsection (1G) includes (in particular)—

(a)guidance given by the Secretary of State as to when, or how often, involvement under arrangements under subsection (1B) is to be carried out;

(b)guidance given by the Secretary of State as to the form to be taken by such involvement in any case specified by the guidance.]

(2)Each [F12relevant Welsh body] must make arrangements with a view to securing, as respects health services for which it is responsible, that persons to whom those services are being or may be provided are, directly or through representatives, involved in and consulted on—

(a)the planning of the provision of those services,

(b)the development and consideration of proposals for changes in the way those services are provided, and

(c)decisions to be made by that body affecting the operation of those services.

(3)For the purposes of this section a body is responsible for health services—

(a)if the body provides or will provide those services to individuals, or

(b)if another person provides, or will provide, those services to individuals—

(i)at that body's direction,

(ii)on its behalf, or

(iii)in accordance with an agreement or arrangements made by that body with that other person,

and references in this section to the provision of services include references to the provision of services jointly with another person.

F13(4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F13(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[F14(6)This section does not require a body to make arrangements in relation to matters to which a trust special administrator’s draft or final report under section 65F or 65I relates before—

(a)in a case where the administrator’s report relates to an NHS trust, NHS England and the Secretary of State have made their decisions under section 65K(1) and (2), or

(b)in a case where the administrator’s report relates to an NHS foundation trust, the Secretary of State is satisfied as mentioned in section 65KB(1) or 65KD(1) or makes a decision under section 65KD(9).]

F15242AStrategic Health Authorities: further duty to involve usersE+W

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Textual Amendments

F16242BDirections in cases where Strategic Health Authority arranges involvementE+W

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Textual Amendments

F17243The Commission for Patient and Public Involvement in HealthE+W

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F17S. 243 repealed (1.4.2008 for the purpose of the omission of s. 243(2)(d)(f)(i), 30.6.2008 in so far as not already in force) by Local Government and Public Involvement in Health Act 2007 (c. 28), ss. 232(1), 245(5), Sch. 18 Pt. 18; S.I. 2008/461, art. 2(3)(4)(a), Sch.

Chapter 3E+W[F18Review and scrutiny by local authorities]

Textual Amendments

F18Pt. 12 Ch. 3 title substituted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(8), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

244[F19Review and scrutiny by local authorities]E+W

(1)This section applies to any local authority, except that it applies to the council of a district only where the district is comprised in an area for which there is no county council.

(2)Regulations may, in relation to F20... an authority to which this section applies, make provision—

(a)as to matters relating to the health service in the authority's area which [F21the authority] may review and scrutinise,

(b)as to matters relating to the health service in the authority's area on which [F21the authority] may make reports and recommendations to [F22relevant NHS bodies or relevant health service providers], [F23or the Secretary of State],

(c)as to matters on which [F22relevant NHS bodies or relevant health service providers] must consult [F21the authority] in accordance with the regulations F24...,

(d)as to information which [F22relevant NHS bodies or relevant health service providers] must provide to [F21the authority],

(e)as to information which may not be disclosed by a [F25relevant NHS body or relevant health service provider] to [F21the authority],

(f)requiring [F26any member or employee of a relevant NHS body, or a relevant health service provider or member or employee of a relevant health service provider,] to attend before [F21the authority] to answer questions.

[F27(2ZA)If (by virtue of subsection (2)(c)) regulations make provision as to matters on which relevant NHS bodies or relevant health service providers must consult the authority, the regulations may also make provision—

(a)as to circumstances in which the authority may refer any of those matters to the Secretary of State F28... or [F29NHS England];

(b)conferring powers on the Secretary of State to give directions to [F29NHS England] in relation to a matter referred to the Secretary of State by virtue of regulations under paragraph (a);

(c)conferring powers on [F29NHS England] to give directions to [F30an integrated care board] in relation to a matter so referred;

(d)conferring powers on [F29NHS England] to give directions to [F31an integrated care board] in relation to a matter referred to [F29NHS England] by virtue of regulations under paragraph (a);

(e)conferring powers on the Secretary of State to give directions to [F29NHS England] as to the exercise of its powers by virtue of regulations under paragraph (c) or (d).

(2ZB)The powers that may be conferred under any of paragraphs (b) to (d) of subsection (2ZA) include powers to require the person to whom the direction is given—

(a)to consult (or consult further) with the authority on the matter in question;

(b)to determine the matter in a particular way;

(c)to take, or not to take, any other steps in relation to the matter.

(2ZC)If (by virtue of subsection (2ZA)(a)) regulations make provision for an authority to refer a matter to the Secretary of State F32... or [F29NHS England], the regulations may also provide for any provision of section 101 of the Local Government Act 1972—

(a)not to apply in relation to the discharge by the authority of that function, or

(b)to apply in relation to its discharge with such modifications as may be prescribed.

(2ZD)Any functions conferred on a local authority by regulations under this section are not to be the responsibility of an executive of the authority under executive arrangements (within the meaning of Part 1A of the Local Government Act 2000).

(2ZE)Regulations under this section may authorise a local authority to arrange for its functions under the regulations to be discharged by an overview and scrutiny committee of the authority.]

[F33(2A)In subsection (2)(d) and (e), references to information are to information relating to matters relating to the health service in the authority's area.]

[F34(3)For the purposes of subsections (2) and (2ZA)—

  • relevant NHS body”, in relation to an authority to which this section applies, means an NHS body, other than a Special Health Authority, which is prescribed for those purposes in relation to the authority;

  • relevant health service provider”, in relation to an authority to which this section applies, means a body or person which—

    (a)

    [F35provides services in pursuance of arrangements made by virtue of this Act,] and

    (b)

    is prescribed, or is of a description prescribed, for those purposes in relation to the authority.]

[F36(3A)In subsection (2)(f) “member”—

[F37(a)in relation to an integrated care board, includes a person who is not a member of the board but is a member of a committee or sub-committee of it;]

(b)in relation to a relevant health service provider which is a body corporate, includes a person who is not a member of the body but is a director of it;

(c)in relation to an NHS trust, means a director of the trust;

(d)in relation to an NHS foundation trust, means a director or governor of the trust.

F38(3B). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .]

(4)The health service” includes services provided in pursuance of arrangements under regulations under section 75 in relation to the exercise of health-related functions of a local authority.

[F39(5)In [F40this section and section 245] references to an overview and scrutiny committee include references to—

(a)an overview and scrutiny committee of a local authority operating executive arrangements under Part 1A of the Local Government Act 2000 (executive arrangements in England), and

(b)an overview and scrutiny committee appointed by a local authority under section 9JA of that Act (appointment of overview and scrutiny committees by committee system local authorities).]

Textual Amendments

F19S. 244 heading substituted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(7), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F20Words in s. 244(2) omitted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by virtue of Health and Social Care Act 2012 (c. 7), ss. 190(2)(a), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F21Words in s. 244(2) substituted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(2)(b), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F22Words in s. 244(2) substituted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(2)(c), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F24Words in s. 244(2)(c) omitted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by virtue of Health and Social Care Act 2012 (c. 7), ss. 190(2)(e), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F25Words in s. 244(2) substituted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(2)(d), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F26Words in s. 244(2)(f) substituted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(2)(f), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F27S. 244(2ZA)-(2ZE) inserted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(3), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F34S. 244(3) substituted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(4), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F36S. 244(3A)(3B) inserted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(5), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F40Words in s. 244(5) substituted (27.3.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 190(6), 306(1)(d)(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

Modifications etc. (not altering text)

245Joint overview and scrutiny committees etcE+W

(1)In this section, [F41relevant functions” means functions under regulations under section 244(2) to (2ZC).]

(2)Regulations may make provision under which—

(a)two or more local authorities may appoint a joint committee of those authorities (a “joint overview and scrutiny committee”) and arrange for relevant functions in relation to any (or all) of those authorities to be exercisable by the committee,

(b)a local authority may arrange for relevant functions in relation to that authority to be exercisable by an overview and scrutiny committee of another local authority,

(c)a county council for any area may arrange for one or more of the members of an overview and scrutiny committee of the council for a district comprised in that area to be appointed as—

(i)a member of an overview and scrutiny committee of the county council or another local authority, for the purposes of [F42relevant functions exercisable by the committee] in relation to the county council, or

(ii)a member of an overview and scrutiny committee of the county council, for the purposes of [F42relevant functions exercisable by the committee] in relation to another local authority.

(3)The regulations may in particular—

(a)provide for arrangements to be made only in specified circumstances, or subject to specified conditions or limitations,

(b)in relation to joint overview and scrutiny committees, make provision applying, or corresponding to, any provision of—

(i)[F43sections 9F(5), 9FA, 9FC to 9FG and 9FI] of the 2000 Act, or

F44(ia). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F44(ib). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(ii)section 246 of, and Schedule 17 to, this Act, and Schedule 11 to the National Health Service (Wales) Act 2006 (c. 42),

with or without modifications.

(4)The regulations may require, or enable the Secretary of State to direct, a local authority—

(a)to make arrangements of any description within subsection (2), and

(b)to comply with such requirements in connection with the arrangements as may be specified in the regulations or as the Secretary of State may direct.

[F45(4A)The regulations may provide that, where a relevant function in relation to a local authority is exercisable by a joint overview and scrutiny committee by virtue of arrangements under regulations under subsection (2)(a), the local authority may not discharge the function.]

F46(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(6)In subsection (2)(c), references to an overview and scrutiny committee of a county council include references to a joint overview and scrutiny committee of the council and another local authority.

(7)[F47Section 9F(5)] of the 2000 Act does not apply to the discharge of functions by virtue of arrangements under regulations under subsection (2).

(8)[F48Section 9FA(5)] of the 2000 Act does not apply to persons who are members of an overview and scrutiny committee by virtue of arrangements under regulations under subsection (2)(c).

F49(9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F41Words in s. 245(1) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), ss. 191(2), 306(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F42Words in s. 245(2)(c)(i)(ii) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), ss. 191(3), 306(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F43Words in s. 245(3)(b)(i) substituted (4.5.2012) by Localism Act 2011 (c. 20), s. 240(2), Sch. 3 para. 75(3)(a); S.I. 2012/1008, art. 4(b)

F47Words in s. 245(7) substituted (4.5.2012) by Localism Act 2011 (c. 20), s. 240(2), Sch. 3 para. 75(4); S.I. 2012/1008, art. 4(b)

F48Words in s. 245(8) substituted (4.5.2012) by Localism Act 2011 (c. 20), s. 240(2), Sch. 3 para. 75(5); S.I. 2012/1008, art. 4(b)

246 [F50Business relating to functions of local authorities by virtue of section 244]: exempt informationE+W

(1)This section applies in relation to any item of business at [F51a meeting of a local authority or a committee of a local authority which is an item relating to functions of the authority under regulations under section 244(2) to (2ZC).]

(2)In relation to any such item, information is exempt information for the purposes of section 100A(4) of the Local Government Act 1972 (c. 70) (exclusion of public from meetings to prevent disclosure of exempt information) if it falls within any of the descriptions of information specified in Schedule 17, or in Schedule 11 to the National Health Service (Wales) Act 2006.

(3)The Secretary of State may by order vary Schedule 17—

(a)by adding any description or other provision in connection with a relevant body or services provided by, or under arrangements made by, a relevant body, [F52or services in respect of which direct payments under section 12A(1), or under regulations under section 12A(4), are made by a relevant body,] or

(b)by deleting or varying any description or other provision specified or contained in that Schedule.

(4)The Secretary of State may exercise the power conferred by subsection (3) by amending any Part of Schedule 17, with or without amendment of any other Part.

(5)In this section and Schedule 17 “relevant body” means a body in respect of which [F53local authorities] exercise functions under regulations under section 244.

Textual Amendments

F50Words in s. 246 heading substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), ss. 191(9), 306(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F51Words in s. 246(1) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), ss. 191(7), 306(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

F52Words in s. 246(3)(a) inserted (19.1.2010) by Health Act 2009 (c. 21), s. 40(1), Sch. 1 para. 9; S.I. 2010/30, art. 2(b)

F53Words in s. 246(5) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), ss. 191(8), 306(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)

Modifications etc. (not altering text)

C2S. 246: power to apply conferred by 2007 c. 28, s. 123(5)(b)(iii) (as substituted (12.1.2010) by Local Democracy, Economic Development and Construction Act 2009 (c. 20), ss. 32(1), 148(2)(a)(ii))

247Application to the City of LondonE+W

[F54(1)This section applies to a committee of the Common Council appointed to exercise functions that the Council has under regulations under section 244(2) to (2ZC).]

(2)[F55Section 245(2)(b) and (c) applies] as if such a committee were an overview and scrutiny committee F56... .

(3)[F57Section 9F] of the Local Government Act 2000 applies as if such a committee were an overview and scrutiny committee and as if the Common Council were a local authority, but with the omission—

(a)of subsections (1) to [F58(4)],

F59(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F59(c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F59(d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[F60(3A)Section 9FA of the Local Government Act 2000 applies as if such a committee were an overview and scrutiny committee and as if the Common Council were a local authority, but with the omission—

(a)of subsection (3),

(b)in subsection (6), of paragraph (b), and

(c)in subsection (8)(a), of the reference to members of the executive.]

(4)In the provisions applied by [F61subsections (3) and (3A)], references to functions under any provision of [F62section 9F(2)] of the 2000 Act are, [F63in the case of a committee to which this section applies, references to functions under regulations under section 244(2) to (2ZC) which are exercisable by the committee.]

(5)The Common Council” means the Common Council of the City of London.

F64247AApplication to certain other local authorities without overview and scrutiny committeesE+W

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

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