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 4Health and social care

Integration fund

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

(1)

At the end of section 223B of the National Health Service Act 2006 (funding of the National Health Service Commissioning Board) insert—

“(6)

Where the mandate specifies objectives relating to service integration, the requirements that may be specified under section 13A(2)(b) include such requirements relating to the use by the Board of an amount of the sums paid to it under this section as the Secretary of State considers it necessary or expedient to impose.

(7)

The amount referred to in subsection (6)—

(a)

is to be determined in such manner as the Secretary of State considers appropriate, and

(b)

must be specified in the mandate.

(8)

The reference in subsection (6) to service integration is a reference to the integration of the provision of health services with the provision of health-related services or social care services, as referred to in sections 13N and 14Z1.”

(2)

After section 223G of that Act (meeting expenditure of clinical commissioning groups out of public funds) insert—

“223GAExpenditure on integration

(1)

Where the mandate includes a requirement in reliance on section 223B(6) (requirements relating to use by the Board of an amount paid to the Board where mandate specifies service integration objectives), the Board may direct a clinical commissioning group that an amount (a “designated amount”) of the sums paid to the group under section 223G is to be used for purposes relating to service integration.

(2)

The designated amount is to be determined—

(a)

where the mandate includes a requirement (in reliance on section 223B(6)) that designated amounts are to be determined by the Board in a manner specified in the mandate, in that manner;

(b)

in any other case, in such manner as the Board considers appropriate.

(3)

The conditions under section 223G(7) subject to which the payment of a designated amount is made must include a condition that the group transfers the amount into one or more funds (“pooled funds”) established under arrangements under section 75(2)(a) (“pooling arrangements”).

(4)

The conditions may also include—

(a)

conditions relating to the preparation and agreement by the group and each local authority and other clinical commissioning group that is party to the pooling arrangements of a plan for how to use the designated amount (a “spending plan”);

(b)

conditions relating to the approval of a spending plan by the Board;

(c)

conditions relating to the inclusion of performance objectives in a spending plan;

(d)

conditions relating to the meeting of any performance objectives included in a spending plan or specified by the Board.

(5)

Where a condition subject to which the payment of a designated amount is made is not met, the Board may—

(a)

withhold the payment (in so far as it has not been made);

(b)

recover the payment (in so far as it has been made);

(c)

direct the clinical commissioning group as to the use of the designated amount for purposes relating to service integration or for making payments under section 256.

(6)

Where the Board withholds or recovers a payment under subsection (5)(a) or (b)—

(a)

it may use the amount for purposes consistent with such objectives and requirements relating to service integration as are specified in the mandate, and

(b)

in so far as the exercise of the power under paragraph (a) involves making a payment to a different clinical commissioning group or some other person, the making of the payment is subject to such conditions as the Board may determine.

(7)

The requirements that may be specified in the mandate in reliance on section 223B(6) include requirements to consult the Secretary of State or other specified persons before exercising a power under subsection (5) or (6).

(8)

The power under subsection (5)(b) to recover a payment may be exercised in a financial year after the one in respect of which the payment was made.

(9)

The payments that may be made out of a pooled fund into which a designated amount is transferred include payments to a local authority which is not party to the pooling arrangements in question in connection with the exercise of its functions under Part 1 of the Housing Grants, Construction and Regeneration Act 1996 (disabilities facilities grants).

(10)

In exercising a power under this section, the Board must have regard to the extent to which there is a need for the provision of each of the following—

(a)

health services (see subsection (12)),

(b)

health-related services (within the meaning given in section 14Z1), and

(c)

social care services (within the meaning given in that section).

(11)

A reference in this section to service integration is a reference to the integration of the provision of health services with the provision of health-related services or social care services, as referred to in sections 13N and 14Z1.

(12)

“Health services” means services provided as part of the health service in England.”.

Information

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

(1)

Chapter 2 of Part 9 of the Health and Social Care Act 2012 (the Health and Social Care Information Centre) is amended as follows.

(2)

In section 253(1) (general duties), after paragraph (c) (but before the “and” after it) insert—

“(ca)

the need to respect and promote the privacy of recipients of health services and of adult social care in England,”.

(3)

In section 261 (other dissemination of information), after subsection (1) insert—

“(1A)

But the Information Centre may do so only if it considers that disseminating the information would be for the purposes of—

(a)

the provision of health care or adult social care, or

(b)

the promotion of health.”

(4)

After section 262 insert—

“262APublication and other dissemination: supplementary

In exercising any function under this Act of publishing or otherwise disseminating information, the Information Centre must have regard to any advice given to it by the committee appointed by the Health Research Authority under paragraph 8(1) of Schedule 7 to the Care Act 2014 (committee to advise in connection with information dissemination etc).”