Health and Social Care (Community Health and Standards) Act 2003

  1. Introduction

  2. Summary

  3. The Act

  4. Territorial Application: Wales

  5. Commentary on Sections

    1. Part 1 – Nhs Foundation Trusts

      1. Introductory

        1. Section 1: NHS foundation trusts

        2. Section 2: Independent Regulator of NHS foundation trusts

        3. Section 3: General duty of regulator

      2. Authorisation

        1. Section 4: Applications by NHS trusts

        2. Section 5: Other applications

        3. Section 6: Authorisation of NHS foundation trusts

        4. Section 7: Effect of authorisation

        5. Section 8: Amendments of constitution

        6. Section 9: Variation of authorisation

        7. Section 10: Register of NHS foundation trusts

      3. Financial matters

        1. Section 11: Power of Secretary of State to give financial assistance

        2. Section 12: Prudential borrowing code

        3. Section 13: Public dividend capital

      4. Functions

        1. Section 14: Authorised services

        2. Section 15: Private health care

        3. Section 16: Protection of property

        4. Section 17: Financial powers

        5. Section 18: General powers

        6. Section 19: Information

        7. Section 20: Entry and inspection of premises

        8. Section 21: Fees

        9. Section 22: Trust funds and trustees

      5. Failure

        1. Section 23: Failing NHS foundation trusts

        2. Section 24: Voluntary arrangements

        3. Section 25: Dissolution etc.

        4. Section 26: Sections 24 and 25: supplementary

      6. Mergers

        1. Section 27: Mergers

        2. Section 28: Section 27: supplementary

      7. Co-operation

        1. Section 29: Co-operation between NHS bodies

      8. Patient and public involvement

        1. Section 30: Public involvement and consultation

        2. Section 31: Patients’ Forums

        3. Section 32: Commission for Patient and Public Involvement in Health

      9. Miscellaneous

        1. Section 33: Taxation

        2. Section 34: Other amendments relating to NHS foundation trusts

        3. Section 35: Conduct of elections

        4. Section 36: Offence

        5. Section 37: Representative membership

        6. Section 38: Audit

        7. Section 39: General duty of NHS foundation trusts

      10. Supplementary

        1. Section 40: Interpretation of Part 1

    2. Part 2 –Standards

      1. Chapter 1 – Regulatory Bodies

        1. Sections 41 and 42: The Commission for Healthcare Audit and Inspection and the Commission for Social Care Inspection

          1. Reviews of NHS health care in England and Wales – overview

      2. Chapter 2 - Nhs Health Care: Introductory

        1. Section 45: Quality in health care

        2. Section 46: Standards set by Secretary of State

        3. Section 47: Standards set by the Assembly

      3. Chapter 3 - Nhs Health Care: Functions of Chai

        1. Healthcare provided by and for NHS bodies

          1. Section 48: Introductory

          2. Section 49: National Performance Data

          3. Section 50: Annual Reviews

          4. Section 51: Reviews: England and Wales

          5. Section 52: Reviews and Investigations: England

          6. Section 53: Failings

          7. Section 54: Functions relating to the Secretary of State and Assembly

          8. Section 55: Reviews of data

          9. Section 56: Co-ordination of reviews

        2. Other functions

          1. Section 57: Studies as to economy, efficiency etc

          2. Section 58: Additional functions

        3. Supplementary

          1. Section 59: Criteria

          2. Section 62: Fees and section 63:Fees: Wales

          3. Section 66: Right of entry

          4. Section 67: Right of entry: supplementary

          5. Section 68: Power to require documents and information

          6. Section 69: Power to require explanation

      4. Chapter 4 – Nhs Health Care: Functions of National Assembly for Wales

        1. Reviews and investigations

          1. Section 70: Reviews and investigations relating to Wales

          2. Section 71: Reporting to Secretary of State and the Regulator

        2. Ancillary powers

          1. Section 72: Right of entry, section 73: Right of entry: supplementary, section 74: Power to require documents and information and section 75: Power to require explanation

      5. Chapter 5 – Social Services: Functions of Csci

        1. Provision of social services

          1. Section 76: Introductory

          2. Section 77: Information and advice

          3. Section 78: Review of studies and research

          4. Section 79: Annual Reviews

          5. Section 80: Other reviews and investigations

          6. Section 81: Failings

        2. Other functions

          1. Section 82: Studies as to economy, efficiency etc.

          2. Section 83: Joint working with the Audit Commission

          3. Section 84: Additional functions

        3. Supplementary

          1. Section 85: Criteria

          2. Section 86: Fees and section 87: Reports and information

          3. Section 88: Right of entry

          4. Section 89: Right of entry: supplementary

          5. Section 90: Power to require information etc

          6. Section 91: Power to require explanation

      6. Chapter 6 – Social Services: Functions of National Assembly for Wales

        1. Provision of social services

          1. Section 92: General function

          2. Section 93: Reviews of studies and research

          3. Section 94: Reviews and investigations

          4. Section 95: Studies as to economy, efficiency etc

          5. Section 96: Additional Functions

          6. Section 97: General considerations

        2. Ancillary powers

          1. Section 98: Right of Entry, section 99: Right of entry: supplementary, section 100: Power to require information, section 101: Power to require explanation

      7. Chapter 7 – Functions under the Care Standards Act 2000

        1. Functions of CHAI and CSCI

          1. Section 102: Transfer of functions to CHAI and CSCI

          2. Section 105: Fees

        2. Miscellaneous

          1. Section 106: Meaning of “independent medical agency”

          2. Section 107: Children’s homes providing secure accommodation

          3. Section 108: Information and inspection

          4. Section 109: Assembly: duties relating to children

      8. Chapter 8 – Other Functions of Csci

        1. Section 110: Boarding schools and colleges

        2. Section 111: Boarding schools and colleges: reports

        3. Section 112: Secure training centres

      9. Chapter 9 - Complaints

        1. Section 113: Complaints about health care

        2. Section 114: Complaints about social services

        3. Section 115: Complaints regulations: supplementary

        4. Section 116: Further consideration of representations under the Children Act 1989

        5. Section 117: Representations relating to special guardianship support services

        6. Section 118: Complaints about handling of complaints

        7. Section 119: Complaints: data protection

      10. Chapter 10 – Supplementary and General

        1. Joint working

          1. Section 120: Co-operation etc

          2. Section 121: Reviews and investigations

          3. Section 122: Joint Annual Reviews

          4. Section 123: Power to assist

        2. Arrangements with public authorities

          1. Section 124: Arrangements with Ministers etc: CHAI

          2. Section 125: Arrangements with Ministers etc: CSCI

          3. Section 126: Arrangements with the Isle of Man and Channel Islands: CHAI

          4. Section 127: Arrangements with the Isle of Man and Channel Islands: CSCI

          5. Reports

            1. Section 128: Reports: CHAI

            2. Section 129: Reports: CSCI

        3. Relationship with Government

          1. Section 130: Duty to have regard to government policy: CHAI; and section 131: Duty to have regard to government policy: CSCI

          2. Section 132: Failure in discharge of functions: CHAI; and section 133: Failure in discharge of functions: CSCI

        4. Inquiries

          1. Section 134: Inquiries: CHAI

          2. Section 135: Inquiries: CSCI

        5. Information

          1. Section 136: Disclosure of information obtained by CHAI; and section 137: defence

          2. Section 138: Information obtained by CHAI: supplementary

          3. Section 139: Information obtained by CSCI: Supplementary

          4. Section 140: Code of Practice CHAI and section 141: Code of Practice CSCI

        6. Wales: Supplementary

          1. Section 142: Annual reports of Assembly

          2. Section 143: Use by the Assembly of information

          3. Section 144: Inquiries: Wales

          4. Section 145: Co-operation between Assembly and CHAI

        7. General

          1. Section 146: Offences by bodies corporate

          2. Section 147: Minor and consequential amendments

    3. Part 3 - Recovery of Nhs Charges

      1. NHS Charges

        1. Section 150: Liability to pay NHS charges

      2. Certificates of NHS charges

        1. Section 151: Applications for certificates of NHS charges, section 152: section 151: supplementary, and section 153: Information contained in certificates

      3. Recovery of NHS charges

        1. Section 154: Payment of NHS charges

        2. Section 155: Recovery of NHS charges

      4. Review and appeal

        1. Section 156: Review of certificates

        2. Sections 157 to 159: Appeal against a certificate or a waiver decision; Appeal tribunals; and Appeal to Social Security Commissioner

      5. Information

        1. Section 160: Provision of information

        2. Section 161: Use of information held by the Secretary of State or the Scottish Ministers etc.

      6. Payments to hospitals or ambulance trusts

        1. Section 162: Payment of NHS charges to hospitals or ambulance trusts

      7. Miscellaneous and general

        1. Section 163: Regulations governing lump sums, periodical payments etc.

        2. Section 164:  Liability of insurers

        3. Section 165: Power to apply Part 3 to treatment at non-health service hospitals

        4. Section 166: The Crown

    4. Part 4 – Dental and Medical Services

      1. Primary dental services

        1. Section 170: Provision of primary dental services

        2. Section 171: Dental public health

        3. Section 172: General dental services contracts

        4. Section 173: General dental services: transitional

      2. Primary Medical Services

        1. Section 174: Provision of Primary Medical Services

        2. Section 175: General Medical Services contracts

        3. Section 176: General medical services: transitional

      3. Primary dental and medical services: supplementary

        1. Section 177: Arrangements under section 28C of the NHS Act 1977

        2. Section 178: Abolition of pilot schemes

        3. Section 179: Persons performing primary medical and dental services

        4. Section 180: Assistance and support

      4. Dental services: miscellaneous

        1. Section 181: Abolition of Dental Practice Board

        2. Section 182: Special Health Authorities

        3. Section 183: Charges for dental services

      5. General

        1. Section 184: Minor and consequential amendments

    5. Part 5  - Miscellaneous

      1. Welfare Food Scheme

        1. Section 185: Replacement of the Welfare Food Schemes

        2. Section 186: Replacement of the Welfare Food Schemes: Northern Ireland

      2. Appointments and employment

        1. Section 187: Appointments to certain health and social care bodies

        2. Section 188: Appointments to certain health and social care bodies: joint functions

        3. Section 189: Validity of clearance for employment in certain NHS posts

      3. Public Health Laboratory Service

        1. Section 190: Abolition of the Public Health Laboratory Service Board

    6. Part 6 – Final Provisions

      1. Section 195: Orders and regulations

  6. Commencement

    1. Section 199: Commencement

  7. ANNEX A:OUTLINE OF THE EXISTING LAW RELATING TO THE NHS

  8. ANNEX B:CURRENT LAW RELATING TO SOCIAL CARE

  9. ANNEX C:TABLE OF EFFECTS OF THE ACT IN RELATION TO WALES

  10. ANNEX D:HANSARD REFERENCES