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Health and Social Care (Community Health and Standards) Bill


Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 4 — NHS health care: functions of National Assembly for Wales

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 64    Power to require documents and information etc

     (1)    The CHAI may at any time require any person specified in subsection (2) to

provide it with any information, documents, records (including personal

records) or other items—

           (a)           which relates or relate to—

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                  (i)                 the provision of health care by or for an NHS body, or

                  (ii)                the discharge of any of the functions of an NHS body; and

           (b)           which the CHAI considers it necessary or expedient to have for the

purposes of this Chapter.

     (2)    The persons referred to in subsection (1) are—

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           (a)           the NHS body;

           (b)           any person providing health care for, or exercising functions of, the

NHS body;

           (c)           a local authority.

     (3)    The power in subsection (1) to require the provision of records includes, in

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relation to records kept by means of a computer, power to require the

provision of the records in legible form.

     (4)    Any person who without reasonable excuse fails to comply with any

requirement imposed by virtue of this section is guilty of an offence and liable

on summary conviction to a fine not exceeding level 4 on the standard scale.

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 65    Power to require explanation

     (1)    The Secretary of State may by regulations make provision requiring prescribed

persons to provide to the CHAI, or to persons authorised by it, an explanation

of—

           (a)           any documents, records or items inspected, copied or provided under

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sections 62 to 64,

           (b)           any information provided under those sections, or

           (c)           any matters which are the subject of the exercise of any functions of the

CHAI under this Chapter,

            in circumstances where the CHAI considers the explanation necessary or

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expedient for the purposes of this Chapter.

     (2)    Regulations under subsection (1) may require explanations to be provided at

such times and places as may be prescribed.

     (3)    Any person who without reasonable excuse fails to comply with any

requirement imposed by virtue of this section is guilty of an offence and liable

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on summary conviction to a fine not exceeding level 4 on the standard scale.

Chapter 4

NHS health care: functions of National Assembly for Wales

Reviews and investigations

 66     Reviews and investigations relating to Wales

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     (1)    The Assembly has the function of conducting—

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 4 — NHS health care: functions of National Assembly for Wales

    25

 

           (a)           reviews of, and investigations into, the provision of health care by a

Welsh NHS body;

           (b)           reviews of, and investigations into, the provision of health care for a

Welsh NHS body, otherwise than by an NHS foundation trust;

           (c)           reviews into the arrangements made by Welsh NHS bodies for the

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purpose of discharging their functions under section 40.

     (2)    In exercising its functions under subsection (1) in relation to any health care the

Assembly shall be concerned in particular with —

           (a)           the availability of, and access to, the health care;

           (b)           the quality and effectiveness of the health care;

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           (c)           the financial or other management of the health care and the economy

and efficiency of its provision;

           (d)           the need to safeguard and promote the rights and welfare of children;

and

           (e)           the effectiveness of measures taken for the purpose specified in

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paragraph (d) by the body in question and any person who provides,

or is to provide, health care for that body,

            and must take into account the standards set out in statements published

under section 42.

     (3)    For the purposes of subsection (1) the Assembly may, subject to this Part,

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conduct an inspection of—

           (a)           any Welsh NHS body;

           (b)           any other person, other than an NHS foundation trust, who provides,

or is to provide, health care for a Welsh NHS body (in Wales or

elsewhere).

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     (4)    Where the Assembly conducts a review under this section it must publish such

report as it considers appropriate.

 67     Reporting to Secretary of State

     (1)    The Assembly must report to the Secretary of State where, after conducting a

review or investigation under section 66, it is of the view that—

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           (a)           there are significant failings in relation to the provision of health care

by or for an English NHS body or cross-border SHA; or

           (b)           there are significant failings in the running of an English NHS body or

cross-border SHA;

           (c)           there are significant failings in the running of any body, or the practice

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of any individual, providing health care for an English NHS body or

cross-border SHA.

     (2)    A report under subsection (1) may include a recommendation that, with a view

to remedying the failings, the Secretary of State take special measures in

relation to—

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           (a)           the English NHS body or cross-border SHA; and

           (b)           in a case falling within paragraph (c) of subsection (1), any person,

other than a Welsh NHS body, referred to in that paragraph.

     (3)    A report under this section must give the Assembly’s reasons for its view and

for any recommendation made.

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Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 4 — NHS health care: functions of National Assembly for Wales

    26

 

Ancillary powers

 68    Right of entry

     (1)    A person authorised to do so by the Assembly may, if the Assembly considers

it necessary or expedient for the purposes of this Chapter, at any reasonable

time enter and inspect any—

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           (a)           premises owned or controlled by a Welsh NHS body;

           (b)           any other premises used, or proposed to be used, for any purpose

connected with—

                  (i)                 the provision of health care by or for a Welsh NHS body; or

                  (ii)                the discharge of any of the functions of a Welsh NHS body.

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     (2)    A person who proposes to exercise any power of entry or inspection conferred

by this section must if so required produce some duly authenticated document

showing his authority to exercise the power.

 69    Right of entry: supplementary

     (1)    A person authorised by virtue of section 68 to enter and inspect premises may,

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if he considers it necessary or expedient for the purposes of this Chapter—

           (a)           inspect and take copies of any documents or records (including

personal records);

           (b)           inspect any other item and remove it from the premises; and

           (c)           interview in private—

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                  (i)                 any person working at the premises;

                  (ii)                any person receiving health care there who consents to be

interviewed.

     (2)    The power in subsection (1)(a) includes—

           (a)           power to require any person holding or accountable for documents or

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records kept on the premises to produce them; and

           (b)           in relation to records which are kept by means of a computer, power to

require the records to be produced in a form in which they are legible

and can be taken away.

     (3)    A person authorised by virtue of subsection (1)(a) to inspect any records is

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entitled to have access to, and to check the operation of, any computer and any

associated apparatus or material which is or has been in use in connection with

the records in question.

     (4)    A person authorised by virtue of section 68 to enter any premises may—

           (a)           require any person to afford him such facilities and assistance with

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respect to matters within the person’s control as are necessary to enable

him to exercise his powers under section 68 or this section; and

           (b)           take such measurements and photographs and make such recordings

as he considers necessary to enable him to exercise those powers.

     (5)    Any person who without reasonable excuse—

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           (a)           obstructs the exercise of any power conferred by section 68 or this

section, or

           (b)           fails to comply with any requirement of section 68 or this section,

            is guilty of an offence and liable on summary conviction to a fine not exceeding

level 4 on the standard scale.

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Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 4 — NHS health care: functions of National Assembly for Wales

    27

 

 70    Power to require documents and information

     (1)    The Assembly may at any time require any person specified in subsection (2)

to provide it with any information, documents, records (including personal

records) or other items—

           (a)           which relates or relate to—

5

                  (i)                 the provision of health care by or for a Welsh NHS body; or

                  (ii)                the discharge of any of the functions of a Welsh NHS body; and

           (b)           which the Assembly considers it necessary or expedient to have for the

purposes of this Chapter.

     (2)    The persons referred to in subsection (1) are—

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           (a)           the Welsh NHS body;

           (b)           any person providing health care for, or exercising functions of, the

Welsh NHS body;

           (c)           a local authority in Wales.

     (3)    The power in subsection (1) to require the provision of records includes, in

15

relation to records kept by means of a computer, power to require the

provision of the records in legible form.

     (4)    Any person who without reasonable excuse fails to comply with any

requirement imposed by virtue of this section is guilty of an offence and liable

on summary conviction to a fine not exceeding level 4 on the standard scale.

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 71    Power to require explanation

     (1)    The Assembly may by regulations make provision requiring prescribed

persons to provide to the Assembly, or to persons authorised by it, an

explanation of—

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           (a)           any documents, records or items inspected, copied or provided under

sections 68 to 70,

           (b)           any information provided under those sections, or

           (c)           any matters which are the subject of the exercise of any function of the

Assembly under section 66, and

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            in circumstances where the Assembly considers the explanation necessary or

expedient for the purposes of this Chapter.

     (2)    Regulations under subsection (1) may require explanations to be provided at

such times and places as may be prescribed.

     (3)    Any person who without reasonable excuse fails to comply with any

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requirement imposed by virtue of this section is guilty of an offence and liable

on summary conviction to a fine not exceeding level 4 on the standard scale.

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 5 — Social services: functions of CSCI

    28

 

Chapter 5

Social services: functions of CSCI

Provision of social services

 72    Introductory

     (1)    The CSCI has the general function of encouraging improvement in the

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provision of English local authority social services.

     (2)    In exercising its functions under sections 73 to 77 in relation to the provision of

such services the CSCI shall be concerned in particular with—

           (a)           the availability of, and access to, the services;

           (b)           the quality and effectiveness of the services;

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           (c)           the management of the services;

           (d)           the economy and efficiency of their provision and their value for

money;

           (e)           the need to safeguard and promote the rights and welfare of children;

and

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           (f)           the effectiveness of measures taken by local authorities for the purpose

specified in paragraph (e).

 73    Information and advice

     (1)    The CSCI is to keep the Secretary of State informed about the provision of

English local authority social services.

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     (2)    The CSCI may at any time give advice to the Secretary of State on any matter

connected with the provision of English local authority social services.

     (3)    The CSCI may in particular under subsection (2) give advice to the Secretary of

State on any changes which it thinks should be made, for the purpose of

securing improvement in the quality of services provided by local authorities

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in England in the exercise of the functions referred to in section 43(3)(a) and (b)

of the Care Standards Act 2000 (c. 14) (adoption and fostering functions).

     (4)    When requested to do so by the Secretary of State, the CSCI must give him

advice or information on such matters connected with the provision of English

local authority social services as may be specified in the request.

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     (5)    The CSCI may give advice to the Secretary of State or any local authority in

England about the establishment or conduct of any inquiry held, or to be held,

by the Secretary of State or the authority in relation to the provision of English

local authority social services.

 74    Review of studies and research

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     (1)    The CSCI may review—

           (a)           studies and research undertaken by others in relation to the provision

of English local authority social services;

           (b)           the methods used in such studies and research; and

           (c)           the validity of the conclusions drawn from such studies and research.

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Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 5 — Social services: functions of CSCI

    29

 

     (2)    Where the CSCI conducts a review under this section it must publish such

report as it thinks appropriate.

 75    Annual reviews and investigations

     (1)    In each financial year the CSCI must conduct a review of the English local

authority social services which are provided by, or pursuant to arrangements

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made by, each local authority in England.

     (2)    After conducting a review under subsection (1) in respect of a local authority

the CSCI must award a performance rating to that authority.

     (3)    The CSCI is to exercise its function under this section by reference to criteria

from time to time devised by it and approved by the Secretary of State.

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     (4)    The CSCI must publish the criteria devised and approved from time to time

under subsection (3).

     (5)    In exercising its function under this section the CSCI must take into account

guidance issued to local authorities under section 7 of the Local Authority

Social Services Act 1970 (c. 42).

15

     (6)    In exercising its function under this section in relation to the functions referred

to in section 43(3)(a) and (b) of the Care Standards Act 2000 (c. 14) (adoption

and fostering functions), the CSCI must take into account the standards

prepared and published from time to time under section 23 of that Act.

     (7)    For the purposes of this section, the CSCI may carry out an inspection of—

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           (a)           the local authority being reviewed;

           (b)           any person providing an English local authority social service pursuant

to arrangements made by the authority.

 76    Other reviews and investigations

     (1)    The CSCI has the function of conducting other reviews of, and investigations

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into, the provision of English local authority social services.

     (2)    The CSCI may in particular under this section conduct—

           (a)           a review of the overall provision of English local authority social

services;

           (b)           a review of the provision of any English local authority social service of

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a particular description; or

           (c)           a review of, or investigation into, the provision of any English local

authority social service by a particular person or persons.

     (3)    If the Secretary of State so requests, the CSCI must conduct a review under this

section in relation to—

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           (a)           the provision by such local authority in England of such services as

may be specified in the request; and

           (b)           the provision pursuant to arrangements made by such local authority

in England of such services as may be so specified.

     (4)    In exercising its functions under this section the CSCI must take into account

40

guidance issued to local authorities under section 7 of the Local Authority

Social Services Act 1970.

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 5 — Social services: functions of CSCI

    30

 

     (5)    In exercising its function under this section in relation to the functions referred

to in section 43(3)(a) and (b) of the Care Standards Act 2000 (c. 14) (adoption

and fostering functions), the CSCI must take into account the standards

prepared and published from time to time under section 23 of that Act.

     (6)    For the purposes of this section, the CSCI may carry out an inspection of—

5

           (a)           any local authority in England;

           (b)           any other person providing an English local authority social service.

     (7)    Where the CSCI conducts a review or investigation under this section, it must

publish such report as it thinks appropriate.

 77    Failings

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     (1)    This section applies where the CSCI conducts—

           (a)           a review under section 75; or

           (b)           a review or investigation under section 76.

     (2)    If under section 75 the CSCI awards the lowest performance rating to a local

authority, the CSCI must—

15

           (a)           inform the Secretary of State of that fact; and

           (b)           recommend any special measures which it considers the Secretary of

State should take.

     (3)    If (in a case where subsection (2) does not apply) the CSCI considers that a local

authority in England is failing to discharge any of its social services functions

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to an acceptable standard, it must—

           (a)           inform the Secretary of State of that fact; and

           (b)           recommend any special measures which it considers the Secretary of

State should take.

     (4)    However, in a case falling within subsection (3), if the CSCI considers that the

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failure is not substantial, it may instead—

           (a)           give the local authority a notice under subsection (5); and

           (b)           inform the Secretary of State that it has done so.

     (5)    A notice under this subsection is a notice which specifies—

           (a)           the respects in which the CSCI considers that the local authority is

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failing;

           (b)           the action which the CSCI considers the authority should take to

remedy the failure; and

           (c)           the time by which such action must be taken.

     (6)    Where under subsection (2)(b) or (3)(b) the CSCI has recommended that the

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Secretary of State take special measures in relation to a local authority, the

CSCI must, if the Secretary of State so requests—

           (a)           undertake a further review under section 76 in relation to the authority;

and

           (b)           include in its report under subsection (5) of that section a report on such

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matters as the Secretary of State may specify.

 

 

 
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