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

Miscellaneous

75After-care under the Mental Health Act 1983

(1)

In section 117 of the Mental Health Act 1983 (after-care), in subsection (2), after “to provide” insert “or arrange for the provision of”.

(2)

In subsection (2D) of that section, for the words from “as if” to the end substitute “as if the words “provide or” were omitted.”

(3)

In subsection (3) of that section, after “means the local social services authority” insert “—

(a)

if, immediately before being detained, the person concerned was ordinarily resident in England, for the area in England in which he was ordinarily resident;

(b)

if, immediately before being detained, the person concerned was ordinarily resident in Wales, for the area in Wales in which he was ordinarily resident; or

(c)

in any other case”.

(4)

After that subsection insert—

“(4)

Where there is a dispute about where a person was ordinarily resident for the purposes of subsection (3) above—

(a)

if the dispute is between local social services authorities in England, section 40 of the Care Act 2014 applies to the dispute as it applies to a dispute about where a person was ordinarily resident for the purposes of Part 1 of that Act;

(b)

if the dispute is between local social services authorities in Wales, section 195 of the Social Services and Well-being (Wales) Act 2014 applies to the dispute as it applies to a dispute about where a person was ordinarily resident for the purposes of that Act;

(c)

if the dispute is between a local social services authority in England and a local social services authority in Wales, it is to be determined by the Secretary of State or the Welsh Ministers.

(5)

The Secretary of State and the Welsh Ministers shall make and publish arrangements for determining which of them is to determine a dispute under subsection (4)(c); and the arrangements may, in particular, provide for the dispute to be determined by whichever of them they agree is to do so.”

(5)

After subsection (5) insert—

“(6)

In this section, “after-care services”, in relation to a person, means services which have both of the following purposes—

(a)

meeting a need arising from or related to the person’s mental disorder; and

(b)

reducing the risk of a deterioration of the person’s mental condition (and, accordingly, reducing the risk of the person requiring admission to a hospital again for treatment for mental disorder).”

(6)

After section 117 of that Act insert—

“117AAfter-care: preference for particular accommodation

(1)

The Secretary of State may by regulations provide that where—

(a)

the local social services authority under section 117 is, in discharging its duty under subsection (2) of that section, providing or arranging for the provision of accommodation for the person concerned;

(b)

the person concerned expresses a preference for particular accommodation; and

(c)

any prescribed conditions are met,

the local social services authority must provide or arrange for the provision of the person’s preferred accommodation.

(2)

Regulations under this section may provide for the person concerned, or a person of a prescribed description, to pay for some or all of the additional cost in prescribed cases.

(3)

In subsection (2), “additional cost” means the cost of providing or arranging for the provision of the person’s preferred accommodation less the amount that the local social services authority would expect to be the usual cost of providing or arranging for the provision of accommodation of that kind.

(4)

The power to make regulations under this section—

(a)

is exercisable only in relation to local social services authorities in England;

(b)

includes power to make different provision for different cases or areas.”

(7)

The ways in which a local authority may discharge its duty under section 117 of the Mental Health Act 1983 include by making direct payments; and for that purpose Part 1 of Schedule 4 (which includes modifications of the provisions of this Part relating to direct payments) has effect.

(8)

In section 53 of the Social Services and Well-being (Wales) Act 2014 (direct payments: further provision), at the end insert—

“(11)

The ways in which a local authority may discharge its duty under section 117 of the Mental Health Act 1983 include by making direct payments; and for that purpose Schedule A1 (which includes modifications of sections 50 and 51 and this section) has effect.”

(9)

Before Schedule 1 to that Act insert the Schedule A1 contained in Part 2 of Schedule 4 to this Act.

(10)

In section 194 of that Act (ordinary residence), after subsection (4) insert—

“(4A)

A person who is being provided with accommodation under section 117 of the Mental Health Act 1983 (after-care) is to be treated for the purposes of this Act as ordinarily resident in the area of the local authority, or the local authority in England, on which the duty to provide that person with services under that section is imposed.”

(11)

In consequence of subsections (7) to (9), in subsection (2C) of section 117 of the Mental Health Act 1983—

(a)

in paragraph (a), for “regulations under section 57 of the Health and Social Care Act 2001 or” substitute “—

(i)

sections 31 to 33 of the Care Act 2014 (as applied by Schedule 4 to that Act),

(ii)

sections 50, 51 and 53 of the Social Services and Well-being (Wales) Act 2014 (as applied by Schedule A1 to that Act), or

(iii)

regulations under”,

(b)

in paragraph (b), after “apart from” insert “those sections (as so applied) or”.

(12)

In the case of a person who, immediately before the commencement of subsections (3) and (4), is being provided with after-care services under section 117 of the Mental Health Act 1983, the amendments made by those subsections do not apply while those services are continuing to be provided to that person.

(13)

In section 145 of the Mental Health Act 1983 (interpretation), for the definition of “local social services authority” substitute—

““local social services authority” means—

(a)

an authority in England which is a local authority for the purposes of Part 1 of the Care Act 2014, or

(b)

an authority in Wales which is a local authority for the purposes of the Social Services and Well-being (Wales) Act 2014.”