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, SCHEDULE 4 is up to date with all changes known to be in force on or before 03 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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SCHEDULES

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

Section 75

PART 1After-care under the Mental Health Act 1983: direct payments

1

(1)

Sections 31 (adults with capacity to request direct payments), 32 (adults without capacity to request direct payments) and 33 (direct payments: further provision) apply in relation to section 117 of the Mental Health Act 1983 but as if the following modifications were made to those sections.

(2)

For subsection (1) of section 31, substitute—

“(1)

This section applies where an adult to whom section 117 of the Mental Health Act 1983 (after-care) applies requests the local authority to make payments to the adult or a person nominated by the adult that are equivalent to the cost of providing or arranging for the provision of after-care services for the adult under that section.”

(3)

In subsection (5) of that section—

(a)

in paragraph (a), for “meeting the adult’s needs” substitute
discharging its duty under section 117 of the Mental Health Act 1983
, and

(b)

in paragraph (b), for “to meet the adult’s needs” substitute
to discharge its duty under that section
.

(4)

In subsection (7) of that section, for “to meet the needs in question” substitute
to discharge its duty under section 117 of the Mental Health Act 1983
.

(5)

For subsection (1) of section 32, substitute—

“(1)

This section applies where—

(a)

an adult to whom section 117 of the Mental Health Act 1983 (after-care) applies lacks capacity to request the local authority to make payments equivalent to the cost of providing or arranging for the provision of after-care services for the adult under that section, and

(b)

an authorised person requests the local authority to make such payments to the authorised person.”

(6)

In subsection (4)(a) of that section, for “the adult’s needs for care and support” substitute
the provision to the adult of after-care services under section 117 of the Mental Health Act 1983
.

(7)

In subsection (6) of that section—

(a)

in paragraph (a), for “meeting the adult’s needs” substitute
discharging its duty under section 117 of the Mental Health Act 1983
, and

(b)

in paragraph (b), for “to meet the adult’s needs” substitute
to discharge its duty under that section
.

(8)

In subsection (7) of that section, for “the provision of the care and support” substitute
the provision of after-care services under section 117 of the Mental Health Act 1983
.

(9)

In subsection (9) of that section, for “to meet the needs in question” substitute
to discharge its duty under section 117 of the Mental Health Act 1983
.

(10)

In subsection (2)(a) of section 33, for “meet needs” substitute
discharge its duty under section 117 of the Mental Health Act 1983
.

(11)

For subsection (3) of that section, substitute—

“(3)

A direct payment is made on condition that it be used only to pay for arrangements under which after-care services for the adult are provided under section 117 of the Mental Health Act 1983.”

Annotations:
Commencement Information

I1Sch. 4 para. 1(1)-(9) in force at 1.4.2015 by S.I. 2015/993, art. 7(1)(b) (with transitional provisions in S.I. 2015/995)

I2Sch. 4 para. 1(10)(11) in force at 1.10.2014 for specified purposes by S.I. 2014/2473, art. 2(1)(z)

I3Sch. 4 para. 1(10)(11) in force at 1.4.2015 in so far as not already in force by S.I. 2015/993, art. 7(1)(b) (with transitional provisions in S.I. 2015/995)

PART 2Provision to be inserted in Social Services and Well-Being (Wales) Act 2014

“SCHEDULE A1Direct payments: after-care under the Mental Health Act 1983

General

1

Sections 50 (direct payments to meet an adult’s needs), 51 (direct payments to meet a child’s needs) and 53 (direct payments: further provision) apply in relation to section 117 of the Mental Health Act 1983 but as if the following modifications were made to those sections.

Modifications to section 50

2

For subsection (1) of section 50 substitute—

“(1)

Regulations may require or allow a local authority to make payments to an adult to whom section 117 of the Mental Health Act 1983 (after-care) applies that are equivalent to the cost of providing or arranging for the provision of after-care services for the adult under that section.”

3

In subsection (3) of that section—

(a)

in paragraph (a), for “who has needs for care and support (“A”)” substitute
in respect of the provision to the adult (“A”) of after-care services under section 117 of the Mental Health Act 1983
, and

(b)

in paragraph (c)(i), for “of meeting A’s needs” substitute
of discharging its duty towards A under section 117 of the Mental Health Act 1983
.

4

In subsection (4) of that section—

(a)

in paragraph (a), for “who has needs for care and support (“A”)” substitute
to whom section 117 of the Mental Health Act 1983 applies (“A”)
, and

(b)

in paragraph (d)(i), for “meeting A’s needs” substitute
discharging its duty towards A under section 117 of the Mental Health Act 1983
.

5

In subsection (5) of that section—

(a)

in paragraph (a), for “A’s needs for care and support” substitute
the provision to A of after-care services under section 117 of the Mental Health Act 1983
, and

(b)

in paragraph (b), for “towards the cost of meeting A’s needs for care and support” substitute
equivalent to the cost of providing or arranging the provision to A of after-care services under section 117 of the Mental Health Act 1983
.

6

In subsection (6)(b) of that section, for “A’s needs for care and support” substitute
the provision to A of after-care services under section 117 of the Mental Health Act 1983
.

Modifications to section 51

7

For subsection (1) of section 51 substitute—

“(1)

Regulations may require or allow a local authority to make payments to a person in respect of a child to whom section 117 of the Mental Health Act 1983 (after-care) applies that are equivalent to the cost of providing or arranging the provision of after-care services for the child under that section.”

8

In subsection (3)(a) and (b) of that section, for “who has needs for care and support” (in each place it occurs) substitute
to whom section 117 of the Mental Health Act 1983 applies
.

9

In subsection (5)(a) of that section, for “meeting the child’s needs” substitute
discharging its duty towards the child under section 117 of the Mental Health Act 1983
.

Modifications to section 53

10

In subsection (1) of section 53—

(a)

in the opening words, for “50, 51 or 52” substitute
50 or 51
,

(b)

omit paragraphs (a), (b) and (c),

(c)

in paragraph (i), for “a local authority’s duty or power to meet a person’s needs for care and support or a carer’s needs for support is displaced” substitute
a local authority’s duty under section 117 of the Mental Health Act 1983 (after-care) is discharged
, and

(d)

in paragraph (k), for “50 to 52” substitute
50 and 51
.

11

Omit subsections (2) to (8) of that section.

12

After subsection (8) of that section insert—

“(8A)

Regulations under sections 50 and 51 must specify that direct payments to meet the cost of providing or arranging for the provision of after-care services under section 117 of the Mental Health Act 1983 (after-care) must be made at a rate that the local authority estimates to be equivalent to the reasonable cost of securing the provision of those services to meet those needs.”

13

In subsection (9) of that section—

(a)

for “, 51 or 52” substitute
or 51
, and

(b)

for “care and support (or, in the case of a carer, support)” substitute
after-care services
.

14

In subsection (10) of that section, for “care and support (or, in the case of a carer, support) to meet needs” substitute
after-care services
.”