Legislation – Care Act 2014

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Introduction

PART 1
Care and support

1 Promoting individual well-being

2 Preventing needs for care and support

3 Promoting integration of care and support with health services etc.

4 Providing information and advice

5 Promoting diversity and quality in provision of services

6 Co-operating generally

7 Co-operating in specific cases

8 How to meet needs

9 Assessment of an adult’s needs for care and support

10 Assessment of a carer’s needs for support

11 Refusal of assessment

12 Assessments under sections 9 and 10: further provision

13 The eligibility criteria

14 Power of local authority to charge

15 Cap on care costs

16 Cap on care costs: annual adjustment

17 Assessment of financial resources

18 Duty to meet needs for care and support

19 Power to meet needs for care and support

20 Duty and power to meet a carer’s needs for support

21 Exception for persons subject to immigration control

22 Exception for provision of health services

23 Exception for provision of housing etc.

24 The steps for the local authority to take

25 Care and support plan, support plan

26 Personal budget

27 Review of care and support plan or of support plan

28 Independent personal budget

29 Care account

30 Cases where adult expresses preference for particular accommodation

31 Adults with capacity to request direct payments

32 Adults without capacity to request direct payments

33 Direct payments: further provision

34 Deferred payment agreements and loans

35 Deferred payment agreements and loans: further provision

36 Alternative financial arrangements

37 Notification, assessment, etc.

38 Case where assessments not complete on day of move

39 Where a person’s ordinary residence is

40 Disputes about ordinary residence or continuity of care

41 Financial adjustments between local authorities

42 Enquiry by local authority

43 Safeguarding Adults Boards

44 Safeguarding adults reviews

45 Supply of information

46 Abolition of local authority’s power to remove persons in need of care

47 Protecting property of adults being cared for away from home

48 Temporary duty on local authority

49 Section 48: cross-border cases

50 Temporary duty on local authority in Wales

51 Temporary duty on Health and Social Care trust in Northern Ireland

52 Sections 48 to 51: supplementary

53 Specifying criteria for application of market oversight regime

54 Determining whether criteria apply to care provider

55 Assessment of financial sustainability of care provider

56 Informing local authorities where failure of care provider likely

57 Sections 54 to 56: supplementary

58 Assessment of a child’s needs for care and support

59 Child’s needs assessment: requirements etc.

60 Assessment of a child’s carer’s needs for support

61 Child’s carer’s assessment: requirements etc.

62 Power to meet child’s carer’s needs for support

63 Assessment of a young carer’s needs for support

64 Young carer’s assessment: requirements etc.

65 Assessments under sections 58 to 64: further provision

66 Continuity of services under other legislation

67 Involvement in assessments, plans etc.

68 Safeguarding enquiries and reviews

69 Recovery of charges, interest etc.

70 Transfer of assets to avoid charges

71 Five-yearly review by Secretary of State

72 Part 1 appeals

72A Default power of Secretary of State

72B Default power of Secretary of State: supplementary

73 Human Rights Act 1998: provision of regulated care or support etc a public function

74 Discharge of hospital patients with care and support needs

75 After-care under the Mental Health Act 1983

76 Prisoners and persons in approved premises etc.

77 Registers of sight-impaired adults, disabled adults, etc.

78 Guidance, etc.

79 Delegation of local authority functions

80 Part 1: interpretation

PART 2
Care standards

81 Duty of candour

82 Warning notice

83 Imposition of licence conditions on NHS foundation trusts

84 Trust special administration: appointment of administrator

85 Trust special administration: objective, consultation and reports

86 Restriction on applications for variation or removal of conditions

87 Rights of appeal

88 Unitary board

89 Chief Inspectors

90 Independence of the Care Quality Commission

91 Reviews and performance assessments

92 Offence

93 Penalties

94 Offences by bodies

95 Training for persons working in regulated activity

PART 3
Health

CHAPTER 1 The Education and Training Functions of NHS England

Establishment

96 Health Education England

National functions

97 Planning education and training for health care workers etc.

98 Ensuring sufficient skilled health care workers for the health service

99 Quality improvement in education and training, etc.

100 Objectives, priorities and outcomes

101 Sections 98 and 100: matters to which NHS England must have regard

102 Advice

103 Local Education and Training Boards

104 LETBs: appointment etc.

105 LETBs: co-operation by providers of health services

106 Education and training plans

107 Commissioning education and training

Tariffs

108 Tariffs

CHAPTER 2 Health Research Authority

Establishment

109 The Health Research Authority

General functions

110 The HRA’s functions

Regulatory practice

111 Co-ordinating and promoting regulatory practice etc.

Research ethics committees

112 The HRA’s policy on research ethics committees

113 Approval of research

114 Recognition by the HRA

115 Establishment by the HRA

116 Membership of the United Kingdom Ethics Committee Authority

Patient information

117 Approval for processing confidential patient information

CHAPTER 3 Chapters 1 and 2: supplementary

Miscellaneous

118 Transfer orders

General

119 Chapters 1 and 2: interpretation and supplementary provision

CHAPTER 4 Trust special administration

120 Powers of administrator etc.

PART 4
Health and social care

121 Integration of care and support with health services : integration fund

122 The Health and Social Care Information Centre: restrictions on dissemination of information

PART 5
General

123 Power to make consequential provision

124 Power to make transitional provision

125 Regulations and orders

126 General interpretation

127 Commencement

128 Extent and application

129 Short title

SCHEDULES

SCHEDULE 1 Cross-border placements

SCHEDULE 2 Safeguarding Adults Boards

SCHEDULE 3 Discharge of hospital patients with care and support needs

SCHEDULE 4 Direct payments: after-care under the Mental Health Act 1983

SCHEDULE 5 Health Education England

SCHEDULE 6 Local Education and Training Boards

SCHEDULE 7 The Health Research Authority

SCHEDULE 8 Research ethics committees: amendments

Changes to legislation:

Care Act 2014, Cross Heading: Independent advocacy support is up to date with all changes known to be in force on or before 16 April 2026. 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 1Care and support

Independent advocacy support

67Involvement in assessments, plans etc.

(1)

This section applies where a local authority is required by a relevant provision to involve an individual in its exercise of a function.

(2)

The authority must, if the condition in subsection (4) is met, arrange for a person who is independent of the authority (an “independent advocate”) to be available to represent and support the individual for the purpose of facilitating the individual’s involvement; but see subsection (5).

(3)

The relevant provisions are—

(a)

section 9(5)(a) and (b) (carrying out needs assessment);

(b)

section 10(7)(a) (carrying out carer’s assessment);

(c)

section 25(3)(a) and (b) (preparing care and support plan);

(d)

section 25(4)(a) and (b) (preparing support plan);

(e)

section 27(2)(b)(i) and (ii) (revising care and support plan);

(f)

section 27(3)(b)(i) and (ii) (revising support plan);

(g)

section 59(2)(a) and (b) (carrying out child’s needs assessment);

(h)

section 61(3)(a) (carrying out child’s carer’s assessment);

(i)

section 64(3)(a) and (b) (carrying out young carer’s assessment).

(4)

The condition is that the local authority considers that, were an independent advocate not to be available, the individual would experience substantial difficulty in doing one or more of the following—

(a)

understanding relevant information;

(b)

retaining that information;

(c)

using or weighing that information as part of the process of being involved;

(d)

communicating the individual’s views, wishes or feelings (whether by talking, using sign language or any other means).

(5)

The duty under subsection (2) does not apply if the local authority is satisfied that there is a person—

(a)

who would be an appropriate person to represent and support the individual for the purpose of facilitating the individual’s involvement, and

(b)

who is not engaged in providing care or treatment for the individual in a professional capacity or for remuneration.

(6)

For the purposes of subsection (5), a person is not to be regarded as an appropriate person unless—

(a)

where the individual has capacity or is competent to consent to being represented and supported by that person, the individual does so consent, or

(b)

where the individual lacks capacity or is not competent so to consent, the local authority is satisfied that being represented and supported by that person would be in the individual’s best interests.

(7)

Regulations may make provision in connection with the making of arrangements under subsection (2); the regulations may in particular—

(a)

specify requirements that must be met for a person to be independent for the purposes of subsection (2);

(b)

specify matters to which a local authority must have regard in deciding whether an individual would experience substantial difficulty of the kind mentioned in subsection (4);

(c)

specify circumstances in which the exception in subsection (5) does not apply;

(d)

make provision as to the manner in which independent advocates are to perform their functions;

(e)

specify circumstances in which, if an assessment under this Part is combined with an assessment under this Part that relates to another person, each person may or must be represented and supported by the same independent advocate or by different independent advocates;

(f)

provide that an independent advocate may, in such circumstances or subject to such conditions as may be specified, examine and take copies of relevant records relating to the individual.

(8)

This section does not restrict the provision that may be made under any other provision of this Act.

(9)

Relevant record” means—

F1(a)

a health record (within the meaning given in section 205 of the Data Protection Act 2018),

(b)

a record of, or held by, a local authority and compiled in connection with a function under this Part or a social services function (within the meaning given in section 1A of the Local Authority Social Services Act 1970),

(c)

a record held by a person registered under Part 2 of the Care Standards Act 2000 F2, Chapter 2 of Part 1 of the Health and Social Care Act 2008 or Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016, or

(d)

a record of such other description as may be specified in the regulations.

68Safeguarding enquiries and reviews

(1)

This section applies where there is to be—

(a)

an enquiry under section 42(2),

(b)

a review under section 44(1) of a case in which condition 2 in section 44(3) is met or a review under section 44(4).

(2)

The relevant local authority must, if the condition in subsection (3) is met, arrange for a person who is independent of the authority (an “independent advocate”) to be available to represent and support the adult to whose case the enquiry or review relates for the purpose of facilitating his or her involvement in the enquiry or review; but see subsections (4) and (6).

(3)

The condition is that the local authority considers that, were an independent advocate not to be available, the individual would experience substantial difficulty in doing one or more of the following—

(a)

understanding relevant information;

(b)

retaining that information;

(c)

using or weighing that information as part of the process of being involved;

(d)

communicating the individual’s views, wishes or feelings (whether by talking, using sign language or any other means).

(4)

The duty under subsection (2) does not apply if the local authority is satisfied that there is a person—

(a)

who would be an appropriate person to represent and support the adult for the purpose of facilitating the adult’s involvement, and

(b)

who is not engaged in providing care or treatment for the adult in a professional capacity or for remuneration.

(5)

For the purposes of subsection (4), a person is not to be regarded as an appropriate person unless—

(a)

where the adult has capacity to consent to being represented and supported by that person, the adult does so consent, or

(b)

where the adult lacks capacity so to consent, the local authority is satisfied that being represented and supported by that person would be in the adult’s best interests.

(6)

If the enquiry or review needs to begin as a matter of urgency, it may do so even if the authority has not yet been able to comply with the duty under subsection (2) (and the authority continues to be subject to the duty).

(7)

Relevant local authority” means—

(a)

in a case within subsection (1)(a), the authority making the enquiry or causing it to be made;

(b)

in a case within subsection (1)(b), the authority which established the SAB arranging the review.

Annotations:
Commencement Information

I4S. 68 in force at 1.4.2015 by S.I. 2015/993, art. 2(q) (with transitional provisions in S.I. 2015/995)