Part 2

Powers in relation to health bodies
Chapter 1

Powers in relation to failing NHS bodies in England

De-authorisation of NHS foundation trusts

De-authorisation of NHS foundation trusts
15
1
In the National Health Service Act 2006 (c. 41) after section 52 insert—

Application of sections 52B to 52E
52A
1
Sections 52B to 52E apply to—
a
an NHS foundation trust authorised under section 35 on an application under section 33;
b
an NHS foundation trust established under section 56 to which subsection (2) applies.
2
This subsection applies to an NHS foundation trust if—
a
at least one of the trusts on whose application the NHS foundation trust was established was an NHS foundation trust within subsection (1)(a), or was an NHS trust all or most of whose hospitals, establishments and facilities were in England, or
b
the NHS foundation trust is the result of a succession of mergers under section 56, any of which involved an NHS foundation trust within subsection (1)(a) or an NHS trust all or most of whose hospitals, establishments and facilities were in England.

De-authorisation: regulator’s notice
52B
1
The regulator may give the Secretary of State a notice under this section if it is satisfied that—
a
an NHS foundation trust to which this section applies is contravening or failing to comply with, or has contravened or failed to comply with, any term of its authorisation or any requirement imposed on it under any enactment, and
b
the seriousness of the contravention or failure, or, if there has been more than one, of any of them taken together, is such that it would justify the Secretary of State making an order under section 52D.
2
The notice must be in writing.
3
With the notice the regulator must give the Secretary of State a report stating the reasons why it is satisfied as mentioned in subsection (1).
4
Before giving a notice under this section, the regulator must consult first the Secretary of State (unless the notice follows a request by the Secretary of State under section 52E) and then—
a
the trust,
b
any Strategic Health Authority in whose area the trust has hospitals, establishments or facilities, and
c
any other person to which the trust provides goods or services under this Act and which the regulator considers it appropriate to consult.

Grounds for de-authorisation notice
52C
1
In determining under section 52B(1)(b) whether the making of an order would be justified, and in determining whether to give a notice under that section, the regulator must consider these matters (among others)—
a
the health and safety of patients;
b
the quality of the provision by the trust of goods and services;
c
the financial position of the trust;
d
the way it is being run.
2
The regulator must publish guidance as to the matters (including those mentioned in subsection (1)) that it proposes to consider in making those determinations.
3
Before publishing any guidance under this section, including any revised guidance, the regulator must consult—
a
the Secretary of State,
b
each NHS foundation trust to which this section applies,
c
each NHS trust intending to make an application to become an NHS foundation trust, and
d
such other persons as the regulator considers appropriate.

De-authorisation
52D
1
If the regulator gives notice under section 52B in relation to a trust, the Secretary of State must make an order for it to cease to be an NHS foundation trust.
2
An order made under subsection (1) must specify the date when it is to take effect, which must be within the period of 5 working days beginning with the day on which it is made.
3
On an order under subsection (1) taking effect in relation to a body, it ceases to be an NHS foundation trust and a public benefit corporation and becomes a National Health Service trust.
4
The order must specify, in relation to the trust, the matters mentioned in paragraph 5(1)(a) to (c) of Schedule 4 and, where the trust has a significant teaching commitment, the matters mentioned in paragraph 5(1)(d).
5
The order may provide for any provision under subsection (4) specifying the number of executive directors and non-executive directors to take effect at the end of a period specified in the order.
6
Schedule 8A makes further provision about trusts in respect of which an order is made under subsection (1).
7
If it appears to the Secretary of State to be necessary in order to comply with provision made under subsection (4), or made by regulations under paragraph 4 of Schedule 4, the Secretary of State may by order—
a
terminate the office of any executive or non-executive director of the trust;
b
appoint a person to be an executive or non-executive director of the trust.
8
Within seven days after the day on which the Secretary of State makes an order under subsection (1) the regulator must publish its report under section 52B(3).
9
In this section “working day” means any day which is not Saturday, Sunday, Christmas Day, Good Friday or a day which is a bank holiday in England and Wales under the Banking and Financial Dealings Act 1971.

Secretary of State’s request
52E
1
If it appears to the Secretary of State that there are grounds for the regulator to be satisfied as mentioned in section 52B(1), the Secretary of State may request the regulator in writing to consider exercising its power to give a notice under that section.
2
A request under this section must—
a
specify the NHS foundation trust to which it relates, and
b
state the grounds relied on by the Secretary of State.
3
The Secretary of State must lay before Parliament any request under this section.
4
If within the required period the regulator does not give a notice under section 52B in response to a request under this section, it must, within that period, publish its reasons for not doing so with a statement as to how it has complied with section 52C(1).
5
The required period is—
a
14 days beginning with the day after the regulator receives the request, or
b
any longer period specified in the request.
6
The Secretary of State may by order extend or further extend the required period.
2
Schedule 2 (which inserts Schedule 8A to the National Health Service Act 2006, which makes provision about de-authorised NHS foundation trusts) has effect.