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					<dc:identifier>http://www.legislation.gov.uk/ukpga/2022/31/section/74</dc:identifier><dc:title>Health and Care Act 2022</dc:title><dc:language>en</dc:language><dc:publisher>Statute Law Database</dc:publisher><dc:modified>2025-11-18</dc:modified><dc:contributor>Expert Participation</dc:contributor><dct:valid>2025-07-07</dct:valid>
					
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				</ukm:Metadata><Primary><Body DocumentURI="http://www.legislation.gov.uk/ukpga/2022/31/body" IdURI="http://www.legislation.gov.uk/id/ukpga/2022/31/body" NumberOfProvisions="322" NumberFormat="default" RestrictExtent="E+W+S+N.I." RestrictStartDate="2025-07-07"><Part DocumentURI="http://www.legislation.gov.uk/ukpga/2022/31/part/1" IdURI="http://www.legislation.gov.uk/id/ukpga/2022/31/part/1" NumberOfProvisions="201" id="part-1" RestrictExtent="E+W" RestrictStartDate="2024-01-31"><Number>PART 1</Number><Title>Health service in England: integration, collaboration and other changes</Title><Pblock DocumentURI="http://www.legislation.gov.uk/ukpga/2022/31/part/1/crossheading/collaborative-working" IdURI="http://www.legislation.gov.uk/id/ukpga/2022/31/part/1/crossheading/collaborative-working" NumberOfProvisions="5" id="part-1-crossheading-collaborative-working" RestrictExtent="E+W" RestrictStartDate="2022-07-01"><Title>Collaborative working</Title><P1group RestrictExtent="E+W" RestrictStartDate="2022-07-01"><Title>Guidance about joint appointments</Title><P1 DocumentURI="http://www.legislation.gov.uk/ukpga/2022/31/section/74" IdURI="http://www.legislation.gov.uk/id/ukpga/2022/31/section/74" id="section-74">
<Pnumber><CommentaryRef Ref="key-811437673c416911c97f79acd6f41416"/><CommentaryRef Ref="key-36c1d3292d7f57a1621f74c8e9a37a79"/>74</Pnumber>
<P1para>
<Text>After section 13U of the National Health Service Act 2006 insert—</Text>
<BlockAmendment Context="main" Format="double" TargetClass="primary" TargetSubClass="unknown">
<Pblock>
<Title>Joint appointments</Title>
<P1group>
<Title>Guidance about joint appointments</Title>
<P1>
<Pnumber>13UA</Pnumber>
<P1para>
<P2>
<Pnumber>1</Pnumber>
<P2para>
<Text>NHS England may publish guidance for a relevant NHS body about the making of a joint appointment to which this section applies.</Text>
</P2para>
</P2>
<P2>
<Pnumber>2</Pnumber>
<P2para>
<Text>A joint appointment to which this section applies is an appointment of a person to a position in—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>one or more relevant NHS commissioner and one or more relevant NHS provider,</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>one or more relevant NHS body and one or more local authority, or</Text>
</P3para>
</P3>
<P3>
<Pnumber>c</Pnumber>
<P3para>
<Text>one or more relevant NHS body and one or more combined authority.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>3</Pnumber>
<P2para>
<Text>A relevant NHS body must have regard to guidance published under this section.</Text>
</P2para>
</P2>
<P2>
<Pnumber>4</Pnumber>
<P2para>
<Text>NHS England must consult such persons as NHS England considers appropriate—</Text>
<P3>
<Pnumber>a</Pnumber>
<P3para>
<Text>before it first publishes guidance under this section, and</Text>
</P3para>
</P3>
<P3>
<Pnumber>b</Pnumber>
<P3para>
<Text>before it publishes any revised guidance containing changes that are, in the opinion of NHS England, significant.</Text>
</P3para>
</P3>
</P2para>
</P2>
<P2>
<Pnumber>5</Pnumber>
<P2para>
<Text>In this section—</Text>
<UnorderedList Class="Definition" Decoration="none">
<ListItem>
<Para>
<Text>“<Term>local authority</Term>” has the same meaning as in section 2B;</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“<Term>relevant NHS body</Term>” means—</Text>
<OrderedList Type="alpha" Decoration="parens">
<ListItem>
<Para>
<Text>a relevant NHS commissioner;</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>a relevant NHS provider;</Text>
</Para>
</ListItem>
</OrderedList>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“<Term>relevant NHS commissioner</Term>” means—</Text>
<OrderedList Type="alpha" Decoration="parens">
<ListItem>
<Para>
<Text>NHS England;</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>an integrated care board;</Text>
</Para>
</ListItem>
</OrderedList>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>“<Term>relevant NHS provider</Term>” means—</Text>
<OrderedList Type="alpha" Decoration="parens">
<ListItem>
<Para>
<Text>an NHS trust established under section 25;</Text>
</Para>
</ListItem>
<ListItem>
<Para>
<Text>an NHS foundation trust.</Text>
</Para>
</ListItem>
</OrderedList>
</Para>
</ListItem>
</UnorderedList>
</P2para>
</P2>
</P1para>
</P1>
</P1group>
</Pblock>
</BlockAmendment>
</P1para>
</P1></P1group></Pblock></Part></Body></Primary><Commentaries><Commentary id="key-36c1d3292d7f57a1621f74c8e9a37a79" Type="I"><Para><Text><CitationSubRef SectionRef="section-74" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/section/74" id="co2tmsj84-00995">S. 74</CitationSubRef> in force at 1.7.2022 by <Citation URI="http://www.legislation.gov.uk/id/uksi/2022/734" Class="UnitedKingdomStatutoryInstrument" Year="2022" Number="734" Title="The Health and Care Act 2022 (Commencement No. 2 and Transitional and Saving Provision) Regulations 2022" id="co2tmsj84-00996">S.I. 2022/734</Citation>, <CitationSubRef SectionRef="regulation-2-a" URI="http://www.legislation.gov.uk/id/uksi/2022/734/regulation/2/a" CitationRef="co2tmsj84-00996" id="co2tmsj84-00997">reg. 2(a)</CitationSubRef>, <CitationSubRef SectionRef="schedule" URI="http://www.legislation.gov.uk/id/uksi/2022/734/schedule" CitationRef="co2tmsj84-00996" Operative="true" id="co2tmsj84-00998">Sch.</CitationSubRef> (with <CitationSubRef SectionRef="regulation-13" URI="http://www.legislation.gov.uk/id/uksi/2022/734/regulation/13" CitationRef="co2tmsj84-00996" id="co2tmsj84-00999">regs. 13</CitationSubRef>, <CitationSubRef SectionRef="regulation-29" URI="http://www.legislation.gov.uk/id/uksi/2022/734/regulation/29" CitationRef="co2tmsj84-00996" id="co2tmsj84-01000">29</CitationSubRef>, <CitationSubRef SectionRef="regulation-30" URI="http://www.legislation.gov.uk/id/uksi/2022/734/regulation/30" CitationRef="co2tmsj84-00996" id="co2tmsj84-01001">30</CitationSubRef>)</Text></Para></Commentary><Commentary Type="I" id="key-811437673c416911c97f79acd6f41416"><Para><Text>S. 74 not in force at Royal Assent, see <CitationSubRef id="nbce6a6a91b338776" SectionRef="section-186-6" URI="http://www.legislation.gov.uk/id/ukpga/2022/31/section/186/6" Operative="true">s. 186(6)</CitationSubRef></Text></Para></Commentary></Commentaries></Legislation>