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

SCHEDULES

SCHEDULE 5Health Education England

PART 3Finance and reports

Funding

19

(1)

The Secretary of State must pay HEE for each financial year sums not exceeding the amount the Secretary of State has allotted for that year towards meeting the expenditure that is attributable to HEE’s exercise of its functions in that year.

(2)

An amount is to be regarded as allotted when the Secretary of State notifies HEE accordingly.

(3)

The Secretary of State may make a new allotment under this paragraph increasing or decreasing the allotment previously made, but only if—

(a)

HEE agrees,

(b)

a parliamentary general election takes place, or

(c)

the Secretary of State considers that exceptional circumstances make a new allotment necessary.

(4)

The Secretary of State may give directions to HEE about the payment by it to the Secretary of State of sums in respect of charges or other amounts relating to the valuation or disposal of assets.

(5)

Sums payable to HEE under this paragraph are payable subject to such conditions as to records, certificates or otherwise as the Secretary of State may decide.

(6)

In this Part of this Schedule, “financial year” includes the period—

(a)

beginning with the day on which HEE is established, and

(b)

ending with the following 31 March or, if the period ending with that date is 3 months or less, ending with the 31 March following that date.

Financial duties: expenditure

20

(1)

HEE must ensure that total expenditure attributable to its exercise of its functions in each financial year (its “total spending”) does not exceed the aggregate of—

(a)

the amount allotted to it for that year under paragraph 19,

(b)

the income generated in that year from carrying out activities for the purposes of or in connection with the exercise of its functions, and

(c)

any other sums received by it in that year for the purpose of enabling it to meet such expenditure.

(2)

The Secretary of State may direct that spending of a specified description is, or is not, to be treated for the purposes of sub-paragraph (1) as part of HEE’s total spending.

(3)

The Secretary of State may by directions determine—

(a)

the extent to which, and circumstances in which, sums received by HEE under paragraph 19 but not yet spent are to be treated for the purposes of sub-paragraph (1) as part of HEE’s total spending, and

(b)

to which financial year those sums are to be attributed.

(4)

The Secretary of State may direct HEE to use specified banking facilities for specified purposes.

Financial duties: use of generated income

21

Where HEE generates income from carrying out activities for the purposes of or in connection with the exercise of its functions, it must ensure that the income is used for exercising its functions.

Financial duties: controls on total resource use

22

(1)

HEE must ensure that—

(a)

its use of capital resources in a financial year does not exceed the amount specified by the Secretary of State, and

(b)

its use of revenue resources in a financial year does not exceed the amount specified by the Secretary of State.

(2)

The Secretary of State may, in relation to a financial year, direct that for the purposes of this paragraph—

(a)

resources of a specified description are, or are not, to be treated as capital resources or revenue resources;

(b)

a specified use of capital resources or revenue resources is, or is not, to be taken into account.

(3)

An amount specified for the purposes of sub-paragraph (1)(a) or (b) may be varied only if—

(a)

HEE agrees,

(b)

a parliamentary general election takes place, or

(c)

the Secretary of State considers that exceptional circumstances make the variation necessary.

(4)

A reference to the use of capital resources or revenue resources is a reference to their expenditure, consumption or reduction in value.

Financial duties: additional controls on resource use

23

(1)

The Secretary of State may direct HEE to ensure that—

(a)

total capital resource use in a financial year which is attributable to specified matters does not exceed a specified amount,

(b)

total revenue resource use in a financial year which is attributable to specified matters does not exceed a specified amount, and

(c)

total revenue resource use in a financial year which is attributable to specified matters relating to administration does not exceed a specified amount.

(2)

The Secretary of State may give directions, in relation to a financial year, specifying uses of capital resources or revenue resources which are, or are not, to be taken into account for the purposes of sub-paragraph (1)(a), (b) or (c) (as the case may be).

(3)

The Secretary of State may not give a direction under sub-paragraph (1)(a) or (b) unless the direction is for the purpose of complying with a limit imposed by the Treasury.

Losses and liabilities etc

24

(1)

Section 265 of the Public Health Act 1875 (which relates to the protection of members and officers of certain authorities from personal liability) has effect as if there were included in the authorities referred to in that section a reference to HEE.

(2)

In its application to HEE as a result of sub-paragraph (1), section 265 of that Act has effect as if any reference in that section to that Act were a reference to this Act.

(3)

In section 71(2) of the National Health Service Act 2006 (schemes for meeting losses and liabilities etc of certain health service bodies: bodies eligible to participate), after paragraph (db) insert—

“(dc)

Health Education England,”.

Accounts

25

(1)

HEE must keep—

(a)

proper accounts, and

(b)

proper records relating to the accounts.

(2)

The Secretary of State may, with the approval of the Treasury, give directions to HEE about—

(a)

the content and form of its accounts, and

(b)

the methods and principles to be applied in the preparation of its accounts.

(3)

The reference in sub-paragraph (2) to accounts includes a reference to—

(a)

the accounts prepared under paragraph 26, and

(b)

such accounts as are prepared under paragraph 27.

(4)

The chief executive of HEE is to be its accounting officer.

Annual accounts

26

(1)

HEE must prepare consolidated annual accounts for each financial year.

(2)

The consolidated annual accounts must include—

(a)

the annual accounts of each LETB,

(b)

the annual accounts of each other committee of HEE, and

(c)

the annual accounts relating to the rest of HEE’s activities.

(3)

HEE must send copies of the consolidated annual accounts to—

(a)

the Secretary of State, and

(b)

the Comptroller and Auditor General,

within such period after the end of the financial year to which the accounts relate as the Secretary of State directs.

(4)

The Comptroller and Auditor General must—

(a)

examine, certify and report on the consolidated annual accounts, and

(b)

lay copies of them and the report on them before Parliament.

Interim accounts

27

(1)

The Secretary of State may, with the approval of the Treasury, direct HEE to prepare accounts in respect of such period or periods as are specified in the direction (“interim accounts”).

(2)

The interim accounts in respect of any period must include—

(a)

the accounts of each LETB in respect of that period, and

(b)

the accounts of each other committee of HEE in respect of that period.

(3)

HEE must send copies of any interim accounts to—

(a)

the Secretary of State, and

(b)

if the Secretary of State directs, the Comptroller and Auditor General,

within such period as the Secretary of State may direct.

(4)

The Comptroller and Auditor General must—

(a)

examine, certify and report on any interim accounts sent under sub-paragraph (3)(b),

(b)

if the Secretary of State directs, send a copy of the report on the accounts to the Secretary of State, and

(c)

if the Secretary of State directs, lay copies of the accounts and the report on them before Parliament.

Annual report

28

(1)

As soon as is feasible after the end of each financial year, HEE must prepare an annual report on how it has exercised its functions during the year.

(2)

The report must include, in particular, HEE’s assessment of—

(a)

the extent to which is has during the year—

(i)

achieved the objectives and reflected the priorities set by the Secretary of State for the purposes of section 100(1); and

(ii)

achieved the outcomes set by the Secretary of State for the purposes of section 100(2); and

(b)

how effectively it discharged its duties under this Act or under regulations under this Act.

(3)

HEE must—

(a)

lay a copy of the report before Parliament, and

(b)

send a copy of it to the Secretary of State.

(4)

HEE must provide the Secretary of State with such other reports and information relating to the exercise of its functions as the Secretary of State may request.