Health and Social Care Act 2012

PART 1The health service in England

1(1)For section 2 substitute—

“2General power

The Secretary of State, the Board or a clinical commissioning group may do anything which is calculated to facilitate, or is conducive or incidental to, the discharge of any function conferred on that person by this Act.”

(2)For the cross-heading preceding section 2 substitute “General power”.

2(1)Section 6 (performance of functions outside England) is amended as follows.

(2)For subsection (1) substitute—

“(1)Where the Secretary of State has a duty or power to provide anything under section 2A or 2B or Schedule 1, that thing may be provided outside England.”

(3)After subsection (1) insert—

“(1A)Where a clinical commissioning group or the Board has a duty or power to arrange for the provision of anything under section 3, 3A, 3B or 4 or Schedule 1, it may arrange for that thing to be provided outside England.”

(4)In subsection (2) for “The Secretary of State’s functions” substitute “The functions of the Secretary of State, the Board and clinical commissioning groups”.

3(1)Section 6A (reimbursement of cost of services provided in another EEA state) is amended as follows.

(2)In subsection (3)(b) after “Secretary of State” insert “, the Board”.

(3)In subsection (7) after “Secretary of State” insert “, the Board”.

(4)In subsection (8) in each of paragraphs (a) and (b)—

(a)after “Secretary of State” insert “, the Board”, and

(b)for “either of them” substitute “any of them”.

(5)In subsection (9), after “Secretary of State” (in the second place it occurs) insert “, the Board”.

(6)In subsection (11), in the definition of “responsible authority”—

(a)omit “Strategic Health Authority or”,

(b)omit “Primary Care Trust”,

(c)before “responsible under” insert “a local authority or clinical commissioning group”, and

(d)for “securing” substitute “arranging for”.

4(1)Section 6B (prior authorisation for the purposes of section 6A) is amended as follows.

(2)In subsection (2)(b) after “Secretary of State” insert “, the Board”.

(3)In subsection (5), in each of paragraphs (b) and (c) after “the Secretary of State” insert “, the Board”.

5(1)In section 8 (Secretary of State’s directions to health service bodies), in subsection (2)—

(a)omit paragraph (a), and

(b)omit paragraph (b).

(2)In the heading to that section after “to” insert “certain”.

(3)Before section 8 insert the following cross-heading “Directions to certain NHS bodies”.

6(1)Section 9 (NHS contracts) is amended as follows.

(2)In subsection (4)—

(a)before paragraph (a) insert—

“(za)the Board,

(zb)a clinical commissioning group,”,

(b)omit paragraph (a), and

(c)omit paragraph (b).

7In section 11 (arrangements to be treated as NHS contracts), in subsection (1)—

(a)after “under which” insert “the Board,”,

(b)omit “a Strategic Health Authority,” and

(c)omit “a Primary Care Trust”.

8(1)Section 12 (arrangements with other bodies) is amended as follows.

(2)In subsection (1) for “any service under this Act” substitute “anything which the Secretary of State has a duty or power to provide, or arrange for the provision of, under section 2A or 2B or Schedule 1”.

(3)For subsection (2) substitute—

“(2)The bodies with whom arrangements may be made under subsection (1) include—

(a)the Board,

(b)clinical commissioning groups,

(c)any other public authorities, and

(d)voluntary organisations.”

(4)For subsection (3) substitute—

“(3)The Secretary of State may make available any facilities provided by the Secretary of State under section 2A or 2B or Schedule 1 to any service provider or to any eligible voluntary organisation.

(3A)In subsection (3)—

• “eligible voluntary organisation” means a voluntary organisation eligible for assistance under section 64 or section 65 of the Health Services and Public Health Act 1968;

• “service provider” means a person or body with whom the Secretary of State has made an arrangement under subsection (1).”

(5)In subsection (4)—

(a)after paragraph (a) insert—

“(aa)the Board,

(ab)a clinical commissioning group,

(ac)a local authority,”,

(b)omit paragraph (b), and

(c)omit paragraph (c).

(6)After subsection (4) insert—

“(4A)In subsection (4), “local authority” has the same meaning as in section 2B.”

(7)For the cross-heading preceding section 12 substitute “Arrangements with other bodies”.

9After section 12 insert—

“12ZACommissioning arrangements by the Board or clinical commissioning groups

(1)This section applies in relation to arrangements made by the Board or a clinical commissioning group in the exercise of functions under section 3, 3A, 3B or 4 or Schedule 1.

(2)The arrangements may be made with any person or body (including public authorities and voluntary organisations).

(3)If the Board or a clinical commissioning group arranges for the provision of facilities by a service provider, it may also make arrangements for those facilities to be made available to another service provider or to an eligible voluntary organisation.

(4)The Board or a clinical commissioning group may make available any of its facilities to—

(a)a service provider, or

(b)an eligible voluntary organisation.

(5)Where facilities are made available under subsection (4) any of the following persons may make available the services of any employee of that person who is employed in connection with the facilities—

(a)the Secretary of State,

(b)the Board,

(c)a clinical commissioning group,

(d)a Special Health Authority, or

(e)a Local Health Board.

(6)Goods or materials may be made available under this section either temporarily or permanently.

(7)Any power to supply goods or materials under this section includes—

(a)a power to purchase or store them, and

(b)a power to arrange with third parties for the supply of goods or materials by those third parties.

(8)Powers under this section may be exercised on such terms as may be agreed, including terms as to the making of payments.

(9)In this section—

• “eligible voluntary organisation” means a voluntary organisation eligible for assistance under section 64 or section 65 of the Health Services and Public Health Act 1968;

• “service provider” means a person or body with whom the Board or a clinical commissioning group has made arrangements in the exercise of the functions mentioned in subsection (1).”

10(1)Section 12A (direct payments for health care) is amended as follows.

(2)In subsection (1) after “The Secretary of State” insert “, the Board, a clinical commissioning group or a local authority”.

(3)In subsection (2)—

(a)for paragraph (a) substitute—

“(a)anything that the Secretary of State or a local authority has a duty or power to provide or arrange under section 2A or 2B or Schedule 1;”,

(b)after that paragraph insert—

“(aa)anything that the Board or a clinical commissioning group may or must arrange for the provision of under this Act or any other enactment.”, and

(c)omit paragraphs (b) and (c).

(4)In subsection (4)—

(a)for “a Primary Care Trust” substitute “a clinical commissioning group”,

(b)for “the trust” substitute “the group”, and

(c)at the end insert “; and the references in this subsection to a clinical commissioning group are, so far as necessary for the purposes of regulations under subsection (2E) of that section, to be read as references to the Board.”

(5)In subsection (5), omit “or under regulations under subsection (4)”.

(6)After subsection (6) insert—

“(7)In this section and sections 12B to 12D, “local authority” has the same meaning as in section 2B.”

11(1)Section 12B (regulations about direct payments) is amended as follows.

(2)In subsection (2), in each of paragraphs (d), (g), (h) and (j), for “or the Primary Care Trust” substitute “, the Board, a clinical commissioning group or a local authority”.

(3)In subsection (4) —

(a)for “or the Primary Care Trust”, in the first place it occurs, substitute “, the Board, a clinical commissioning group or a local authority”, and

(b)for “or the Primary Care Trust”, in the second place it occurs, substitute “the Board, a clinical commissioning group or a local authority (as the case may be)”.

(4)In subsection (5)—

(a)in paragraph (a), after “the Secretary of State” insert “or a local authority or as arranged for by the Board or a clinical commissioning group (as the case may be)”, and

(b)in paragraph (b) for “a Primary Care Trust with respect to the provision of” substitute “the Board, a clinical commissioning group or a local authority with respect to the arrangement for the provision of”.

12In section 12D (arrangements with other bodies relating to direct payments)—

(a)in subsection (1) after “the Secretary of State” insert “, the Board, a clinical commissioning group or a local authority”, and

(b)in subsection (3) after “the Secretary of State” insert “, the Board, a clinical commissioning group or a local authority”.