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

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

73 Human Rights Act 1998: provision of regulated care or support 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 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 Health Education 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 must have regard

102 Advice

Local functions

103 Local Education and Training Boards

104 : 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 ’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 etc: 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 etc. 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

PART 1Care and support

Provider failure

48Temporary duty on local authority

(1)

This section applies where a person registered under Chapter 2 of Part 1 of the Health and Social Care Act 2008 (a “registered care provider”) in respect of the carrying on of a regulated activity (within the meaning of that Part) becomes unable to carry on that activity because of business failure.

(2)

A local authority must for so long as it considers necessary (and in so far as it is not already required to do so) meet those of an adult’s needs for care and support and those of a carer’s needs for support which were, immediately before the registered care provider became unable to carry on the regulated activity, being met by the carrying on of that activity in the authority’s area by the provider.

(3)

A local authority is accordingly required to meet needs under subsection (2) regardless of—

(a)

whether the relevant adult is ordinarily resident in its area;

(b)

whether the authority has carried out a needs assessment, a carer’s assessment or a financial assessment;

(c)

whether any of the needs meet the eligibility criteria.

(4)

Where a local authority is meeting needs under subsection (2), it is not required to carry out a needs assessment, a carer’s assessment or a financial assessment or to determine whether any of the needs meet the eligibility criteria.

(5)

A local authority may make a charge for meeting needs under subsection (2) (except in so far as doing so involves the provision of information or advice); and a charge under this subsection may cover only the cost that the local authority incurs in meeting the needs to which the charge applies.

(6)

Subsection (5) does not apply if section 49 (cross-border cases) applies (see subsection (3) of that section).

(7)

If the relevant adult is not ordinarily resident in the area of the local authority which is required to meet needs under subsection (2), that authority—

(a)

must, in meeting needs under that subsection which were being met under arrangements made by another local authority, co-operate with that authority (in so far as it is not already required to do so by section 6);

(b)

must, in meeting needs under that subsection which were being met under arrangements all or part of the cost of which was paid for by another local authority by means of direct payments, co-operate with that authority (in so far as it is not already required to do so by section 6);

(c)

may recover from the other local authority mentioned in paragraph (a) or (b) (as the case may be) the cost it incurs in meeting those of the adult’s or carer’s needs referred to in the paragraph in question.

(8)

Any dispute between local authorities about the application of this section is to be determined under section 40 as if it were a dispute of the type mentioned in subsection (1) of that section.

(9)

“The relevant adult” means—

(a)

in a case involving an adult’s needs for care and support, that adult;

(b)

in a case involving a carer’s needs for support, the adult needing care.

49Section 48: cross-border cases

(1)

This section applies where, in a case within section 48, immediately before the registered care provider became unable to carry on the regulated activity, some or all of the adult’s needs for care and support or the carer’s needs for support were being met by the carrying on of that activity by the provider under arrangements made—

(a)

by a local authority in Wales discharging its duty under section 35 or 40, or exercising its power under section 36 or 45, of the Social Services and Well-being (Wales) Act 2014,

(b)

by a local authority in Scotland discharging its duty under section 12 or 13A of the Social Work (Scotland) Act 1968 or section 25 of the Mental Health (Care and Treatment) (Scotland) Act 2003, or

(c)

by a Health and Social Care trust under Article 15 of the Health and Personal Social Services (Northern Ireland) Order 1972 or section 2 of the Carers and Direct Payments Act (Northern Ireland) 2002.

(2)

This section also applies where, in a case within section 48—

(a)

immediately before the registered care provider became unable to carry on the regulated activity, some or all of the adult’s needs for care and support or the carer’s needs for support were being met by the carrying on of that activity by the provider, and

(b)

all or part of the cost of the accommodation or other services provided by the provider to meet those needs was paid for by means of direct payments made—

(i)

under section 50 or 52 of the Social Services and Well-being (Wales) Act 2014,

(ii)

as a result of a choice made by the adult pursuant to section 5 of the Social Care (Self-directed Support) (Scotland) Act 2013, or

(iii)

by virtue of section 8 of the Carers and Direct Payments Act (Northern Ireland) 2002.

(3)

The local authority which is required to meet needs under section 48(2)

(a)

must, in meeting needs under section 48(2) which were being met by the authority which made the arrangements referred to in subsection (1), co-operate with that authority;

(b)

must, in meeting needs under section 48(2) which were being met by the provision of accommodation or other services all or part of the cost of which was paid for by an authority by means of direct payments as referred to in subsection (2), co-operate with that authority;

(c)

may recover from the authority referred to in paragraph (a) or (b) (as the case may be) the cost it incurs in meeting those of the adult’s or carer’s needs referred to in the paragraph in question;

(d)

may recover from the adult or carer the cost it incurs in meeting those of the adult’s or carer’s needs other than those referred to in paragraph (a) or (b) (as the case may be).

(4)

Any dispute between a local authority and a local authority in Wales, a local authority in Scotland or a Health and Social Care trust about the application of section 48 or of this section is to be resolved in accordance with paragraph 5 of Schedule 1.

(5)

“Local authority in Wales” and “local authority in Scotland” each have the meaning given in paragraph 12 of Schedule 1.

(6)

The references in paragraphs (a) and (b) of subsection (3) to an authority are references to a local authority in Wales, a local authority in Scotland or a Health and Social Care trust (as the case may be).

50Temporary duty on local authority in Wales

(1)

This section applies where a person registered under Part 2 of the Care Standards Act 2000 in respect of an establishment or agency—

(a)

becomes unable to carry on or manage the establishment or agency because of business failure, and

(b)

immediately before becoming unable to do so, was providing an adult with accommodation or other services in Wales under arrangements made—

(i)

by a local authority meeting an adult’s needs for care and support or a carer’s needs for support under this Part,

(ii)

by a local authority in Scotland discharging its duty under section 12 or 13A of the Social Work (Scotland) Act 1968 or section 25 of the Mental Health (Care and Treatment) (Scotland) Act 2003, or

(iii)

by a Health and Social Care trust under Article 15 of the Health and Personal Social Services (Northern Ireland) Order 1972 or section 2 of the Carers and Direct Payments Act (Northern Ireland) 2002.

(2)

This section also applies where a person registered under Part 2 of the Care Standards Act 2000 in respect of an establishment or agency—

(a)

becomes unable to carry on or manage the establishment or agency because of business failure, and

(b)

immediately before becoming unable to do so, was providing an adult with accommodation or other services in Wales all or part of the cost of which was paid for by means of direct payments made—

(i)

under this Part of this Act,

(ii)

as a result of a choice made by the adult pursuant to section 5 of the Social Care (Self-directed Support) (Scotland) Act 2013, or

(iii)

by virtue of section 8 of the Carers and Direct Payments Act (Northern Ireland) 2002.

(3)

The local authority in Wales in whose area the accommodation is situated or the services were provided must for so long as it considers necessary meet those of the adult’s needs for care and support or the carer’s needs for support which were being met by the registered person by the provision of the accommodation or other services.

(4)

A local authority in Wales which is required to meet needs under subsection (3)

(a)

must, in meeting needs under that subsection which were being met by the authority which made the arrangements referred to in subsection (1)(b), co-operate with that authority;

(b)

must, in meeting needs under subsection (3) which were being met by the provision of accommodation or other services all or part of the cost of which was paid for by an authority by means of direct payments as referred to in subsection (2)(b), co-operate with that authority;

(c)

may recover from the authority referred to in paragraph (a) or (b) (as the case may be) the cost it incurs in meeting those of the adult’s or carer’s needs referred to in the paragraph in question.

(5)

Any dispute about the application of this section is to be resolved in accordance with paragraph 5 of Schedule 1.

(6)

“Local authority in Wales” and “local authority in Scotland” each have the meaning given in paragraph 12 of Schedule 1.

(7)

The references in paragraphs (a) and (b) of subsection (4) to an authority are references to a local authority, a local authority in Scotland or a Health and Social Care trust (as the case may be).

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

(1)

This section applies where a person registered under Part 3 of the Health and Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003 in respect of an establishment or agency—

(a)

becomes unable to carry on or manage the establishment or agency because of business failure, and

(b)

immediately before becoming unable to do so, was providing an adult with accommodation or other services in Northern Ireland under arrangements made—

(i)

by a local authority meeting an adult’s needs for care and support or a carer’s needs for support under this Part,

(ii)

by a local authority in Wales discharging its duty under section 35 or 40, or exercising its power under section 36 or 45, of the Social Services and Well-being (Wales) Act 2014, or

(iii)

by a local authority in Scotland discharging its duty under section 12 or 13A of the Social Work (Scotland) Act 1968 or section 25 of the Mental Health (Care and Treatment) (Scotland) Act 2003.

(2)

This section also applies where a person registered under Part 3 of the Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003 in respect of an establishment or agency—

(a)

becomes unable to carry on or manage the establishment or agency because of business failure, and

(b)

immediately before becoming unable to do so, was providing an adult with accommodation or other services in Northern Ireland, all or part of the cost of which was paid for by means of direct payments made—

(i)

under this Part of this Act,

(ii)

under section 50 or 52 of the Social Services and Well-being (Wales) Act 2014, or

(iii)

as a result of a choice made by the adult pursuant to section 5 of the Social Care (Self-directed Support) (Scotland) Act 2013.

(3)

The Health and Social Care trust in whose area the accommodation is situated or the services were provided must for so long as it considers necessary meet those of the adult’s needs for care and support or the carer’s needs for support which were being met by the registered person by the provision of the accommodation or other services.

(4)

A Health and Social Care trust which is required to meet needs under subsection (3)

(a)

must, in meeting needs under that subsection which were being met by the authority which made the arrangements referred to in subsection (1)(b), co-operate with that authority;

(b)

must, in meeting needs under subsection (3) which were being met by the provision of accommodation or other services all or part of the cost of which was paid for by an authority by means of direct payments as referred to in subsection (2)(b), co-operate with that authority;

(c)

may recover from the authority referred to in paragraph (a) or (b) (as the case may be) the cost it incurs in meeting those of the adult’s or carer’s needs referred to in the paragraph in question.

(5)

Any dispute about the application of this section is to be resolved in accordance with paragraph 5 of Schedule 1.

(6)

“Local authority in Wales” and “local authority in Scotland” each have the meaning given in paragraph 12 of Schedule 1.

(7)

The references in paragraphs (a) and (b) of subsection (4) to an authority are references to a local authority, a local authority in Wales or a local authority in Scotland (as the case may be).

52Sections 48 to 51: supplementary

(1)

An authority becomes subject to the duty under section 48(2), 50(3) or 51(3) as soon as it becomes aware of the business failure.

(2)

Section 8 (how to meet needs) applies to meeting needs under section 48(2) as it applies to meeting needs under section 18.

(3)

Section 34 of the Social Services and Well-being (Wales) Act 2014 (how to meet needs) applies to meeting needs under section 50(3) as it applies to meeting needs under section 35 of that Act.

(4)

In deciding how to meet an adult’s needs for care and support under section 48(2), 50(3) or 51(3), an authority must involve—

(a)

the adult,

(b)

any carer that the adult has, and

(c)

any person whom the adult asks the authority to involve or, where the adult lacks capacity to ask the authority to do that, any person who appears to the authority to be interested in the adult’s welfare.

(5)

In deciding how to meet a carer’s needs for support under section 48(2), 50(3) or 51(3), an authority must involve—

(a)

the carer, and

(b)

any person whom the carer asks the authority to involve.

(6)

In carrying out the duty under subsection (4)(a) or (5)(a), an authority must take all reasonable steps to reach agreement with the adult or carer about how it should meet the needs in question.

(7)

Sections 21 to 23 (exceptions to duty to meet needs) apply to meeting needs under section 48(2) as they apply to meeting needs under section 18.

(8)

Sections 46 to 49 of the Social Services and Well-being (Wales) Act 2014 (exceptions to, and restrictions on, duty to meet needs) apply to meeting needs under section 50(3) as they apply to meeting needs under section 35 of that Act.

(9)

Where an adult whose case comes within section 48 is being provided with NHS continuing healthcare under arrangements made by a clinical commissioning group no part of whose area is in the local authority’s area, the group is to be treated as a relevant partner of the authority for the purposes of sections 6 and 7.

(10)

NHS continuing healthcare” is to be construed in accordance with standing rules under section 6E of the National Health Service Act 2006.

(11)

Where a local authority considers it necessary to do so for the purpose of carrying out its duty under section 48(2), it may request the registered care provider, or such other person involved in the provider’s business as it considers appropriate, to provide it with specified information.

(12)

Regulations must make provision as to the interpretation for the purposes of sections 48, 50 and 51 and this section of references to business failure or to being unable to do something because of business failure; and the regulations may, in particular, specify circumstances in which a person is to be treated as unable to do something because of business failure.

(13)

Pending the commencement of Part 4 of the Social Services and Well-being (Wales) Act 2014—

(a)

a reference in section 49 or 51 to making arrangements to meet needs under section 35 or 36 of that Act is to be read as a reference to making arrangements or providing services under—

(i)

Part 3 of the National Assistance Act 1948,

(ii)

section 45 of the Health Services and Public Health Act 1968,

(iii)

section 117 of the Mental Health Act 1983, or

(iv)

Schedule 15 to the National Health Service (Wales) Act 2006;

(b)

a reference in section 49 or 51 to making arrangements to meet needs under section 40 or 45 of that Act is to be read as a reference to providing services as referred to in section 2 of the Carers and Disabled Children Act 2000;

(c)

a reference in section 49 or 51 to making direct payments under section 50 or 52 of that Act is to be read as a reference to making direct payments by virtue of section 57 of the Health and Social Care Act 2001;

(d)

subsection (8) is to be read as if there were substituted for it—

“(8)

Sections 21(1A) and (8) and 29(6) of the National Assistance Act 1948 apply to meeting needs under section 50(3) as they apply to the exercise of functions under sections 21 and 29 of that Act by a local authority in Wales (within the meaning given in paragraph 12 of Schedule 1).”

(14)

Pending the commencement of section 5 of the Social Care (Self-directed Support) (Scotland) Act 2013—

(a)

sections 49(2)(b)(ii) and 50(2)(b)(ii) are to be read as if there were substituted for each of them—

“(ii)

under section 12B of the Social Work (Scotland) Act 1968,”, and

(b)

section 51(2)(b)(iii) is to be read as if there were substituted for it—

“(iii)

under section 12B of the Social Work (Scotland) Act 1968.”.