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Health and Social Care (Community Health and Standards) Bill


Health and Social Care (Community Health and Standards) Bill
Part 4 — Dental Services

    82

 

                  (e)                 for power to direct that a charge is not payable in any particular

case;

                  (f)                 for the repayment of any charge (including provision as to the

persons by whom, and manner in which, repayments are to be

made).

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           (3)           Regulations under subsection (1) may provide for sums which would

otherwise be payable by a Primary Care Trust, Local Health Board or

Special Health Authority to persons providing relevant dental services

to be reduced by the amount of the charges authorised by the

regulations.

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           (4)           This section is subject to Schedule 12ZA.

           (5)           In this section and Schedule 12ZA “relevant dental services” means—

                  (a)                 dental treatment provided—

                        (i)                        under section 16CA(2) above (dental services provided

by a Primary Care Trust or Local Health Board);

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                        (ii)                       under a general dental services contract;

                        (iii)                      in accordance with section 28C arrangements; and

                  (b)                 the supply of dentures and other dental appliances—

                        (i)                        under this Act, or

                        (ii)                       in accordance with a pilot scheme under Part 1 of the

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National Health Service (Primary Care) Act 1997.

           (6)           Any reference in this section or Schedule 12ZA to the supply of an

appliance includes a reference to its repair, adjustment, refitting or

replacement and, in the case of dentures, to their being relined or

having additions made to them.”

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     (2)    After Schedule 12 to that Act insert—

“Schedule 12za

Dental charging: exemptions

General exemptions

        1              (1)             No charge is to be made under regulations under section 79(1) in

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respect of a relevant dental service provided for any person who at

the prescribed time—

                    (a)                   was under 18;

                    (b)                   was under 19 and receiving qualifying full-time education;

                    (c)                   was pregnant; or

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                    (d)                   had given birth to a child within the previous 12 months.

                       (2)             In sub-paragraph (1)(b), “qualifying full-time education” means full-

time instruction at a recognised educational establishment or by

other means accepted as comparable by the person or body making

the regulations.

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                       (3)             For the purposes of sub-paragraph (2)—

                    (a)                   “recognised educational establishment” means an

establishment recognised by the person or body making the

 

 

Health and Social Care (Community Health and Standards) Bill
Part 4 — Dental Services

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                    (a)                   regulations as being, or as comparable to, a school, college or

university; and

                    (b)                   regulations may prescribe the circumstances in which a

person is or is not to be treated as receiving full-time

instruction.

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                       (4)             In sub-paragraph (1)(d), “child” includes a still-born child (within

the meaning of the Births and Deaths Registration Act 1953).

                       (5)             This paragraph is subject to paragraph 3.

Repair and replacement

        2              (1)             No charge is to be made under regulations under section 79(1) in

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respect of the repair or replacement of any appliance.

                       (2)             This paragraph is subject to paragraph 3.

Exceptions to paragraphs 1 and 2

        3               Paragraphs 1 and 2 do not apply in relation to—

                    (a)                   the repair or replacement of any appliance of a prescribed

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description; or

                    (b)                   the repair or replacement of any appliance where it is

determined in the prescribed manner—

                           (i)                          in any case, that the repair or replacement was

necessitated by an act or omission of the person

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supplied; or

                           (ii)                         in a case where the person supplied was under the

age of 16, that the repair or replacement was

necessitated by an act or omission, occurring while

that person was under that age, of a person having

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charge of him.

Hospital patients

        4               No charge is to be made under regulations under section 79(1) in

respect of any appliance supplied to a patient for the time being

resident in a hospital.

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        5               Paragraph 4 does not apply where an appliance is supplied—

                    (a)                   under section 16CA(2) above;

                    (b)                   under a general dental services contract; or

                    (c)                   in accordance with section 28C arrangements.

Arrest of bleeding

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        6               No charge is to be made under regulations under section 79(1) in

respect of the arrest of bleeding.

Declarations and evidence

        7               Regulations may provide, with respect to any exemption under this

section, that it is to be a condition of the exemption that—

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                    (a)                   a declaration of the prescribed kind is made in the prescribed

form and manner; or

 

 

Health and Social Care (Community Health and Standards) Bill
Part 5 — Miscellaneous

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                    (b)                   a certificate or other evidence of the prescribed kind is

supplied in the prescribed form and manner.”

 166   Minor and consequential amendments

Schedule 10 (which contains minor and consequential amendments relating to

this Part) has effect.

5

Part 5

Miscellaneous

 167   Replacement of the Welfare Food Schemes

     (1)    In the Social Security Act 1988 (c. 7), for section 13 (schemes for the distribution

etc of welfare foods), substitute—

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       “13            Benefits under schemes for improving nutrition: pregnant women,

mothers and children

           (1)           Regulations may establish one or more schemes to provide benefits for

prescribed descriptions of—

                  (a)                 pregnant women,

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                  (b)                 mothers, and

                  (c)                 children,

                         with a view to helping and encouraging them to have access to, and to

incorporate in their diets, food of a prescribed description.

           (2)           Before establishing, or varying, a scheme the Secretary of State must

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consult the Scottish Ministers and the National Assembly for Wales

(“the Assembly”).

           (3)           A scheme may, in particular, specify requirements that must be

satisfied—

                  (a)                 before a person may become entitled to a benefit;

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                  (b)                 for a beneficiary to remain entitled to a continuing benefit.

           (4)           Requirements that may be specified include requiring a person

(including someone who has parental responsibility for a

beneficiary)—

                  (a)                 to be registered under the scheme;

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                  (b)                 to attend a hospital, clinic or doctor’s surgery determined in

accordance with the scheme;

                  (c)                 where the beneficiary is a child, to take the child to a hospital,

clinic or doctor’s surgery determined in accordance with the

scheme;

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                  (d)                 to allow herself, or a child of hers, to be examined by a doctor or

nurse;

                  (e)                 to allow a visit to her home by a health professional or other

prescribed description of person;

                  (f)                 to receive advice of a prescribed description about nutrition,

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diet or other matters relating to health.

           (5)           A scheme may also include provision—

 

 

Health and Social Care (Community Health and Standards) Bill
Part 5 — Miscellaneous

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                  (a)                 for a benefit to consist of food of a prescribed description being

provided by—

                        (i)                        a person who supplies, or arranges for the supply of,

food of that description for beneficiaries under the

scheme;

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                        (ii)                       a person providing a service (such as day care) for the

recipient of the benefit; or

                        (iii)                      a health service body;

                  (b)                 for the use of vouchers, or similar arrangements, in connection

with the provision of benefits;

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                  (c)                 that a person taking part in the scheme, otherwise than as a

beneficiary, must be registered under the scheme;

                  (d)                 for the payment by the Secretary of State of sums to persons

registered in accordance with a provision of a kind mentioned

in paragraph (c), in respect of things provided or done by them

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in accordance with the scheme;

                  (e)                 for the making of payments to such persons entitled to receive

benefits as may be determined by or under the scheme;

                  (f)                 for the delegation, in accordance with provisions of the scheme,

of prescribed functions under the scheme;

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                  (g)                 for the scheme, or prescribed provisions of the scheme, to be

administered on behalf of the Secretary of State by such health

service body, or other description of body, as may be

prescribed;

                  (h)                 requiring prescribed categories of persons to take reasonable

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steps to provide—

                        (i)                        to a person authorised for the purpose in accordance

with the scheme,

                        (ii)                       on production, if required, of evidence of his authority,

                                      such information or evidence as may be reasonably needed in

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connection with administering the scheme.

           (6)           Provision of a kind mentioned in subsection (5)(h) may, in particular—

                  (a)                 require information or evidence to be provided in a legible

form;

                  (b)                 authorise the taking of copies or making of extracts;

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                  (c)                 require an explanation by the information provider of anything

which he has provided;

                  (d)                 require an information provider to state, to the best of his

knowledge and belief, where information or evidence that he

has failed to provide is held.

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           (7)           The power to prescribe descriptions of food (conferred by subsection

(1)) and the power to prescribe descriptions of advice (conferred by

subsection (4)(f)) are to be exercised, in relation to the operation of a

scheme in Wales, by regulations made by the Assembly.

           (8)           The Secretary of State may give such directions—

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                  (a)                 to a body administering a scheme (or part of a scheme),

                  (b)                 in relation to matters relating to the operation of the scheme (or

that part of the scheme),

                         as he considers appropriate.

 

 

Health and Social Care (Community Health and Standards) Bill
Part 5 — Miscellaneous

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           (9)           The Assembly may, with the agreement of the Secretary of State, give

such directions—

                  (a)                 to a body administering a scheme (or part of a scheme),

                  (b)                 in relation to matters relating to the operation of the scheme (or

that part of the scheme) in Wales,

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                         as it considers appropriate.

           (10)          A scheme may direct that prescribed enactments relating to the

administration of benefit under the Social Security Administration Act

1992 (c.5) (including enactments relating to offences and criminal

proceedings) are to have effect for the purpose of administering the

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scheme subject to such modifications (if any) as may be prescribed.

           (11)          In this section—

                                  “benefit”, in relation to a scheme, means a benefit under the

scheme;

                                  “children” has such meaning as may be prescribed;

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                                  “clinic” includes such arrangements (if any) for examining

persons, treating patients or enabling advice or information to

be given to persons, as may be prescribed;

                                  “enactment” includes an Act of the Scottish Parliament and a

provision made under an enactment;

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                                  “food” includes vitamins, minerals and other dietary

supplements;

                                  “health service body” and “health service professional” have such

meaning as may be prescribed;

                                  “information provider” means the person who is required to

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provide information or, where that person is a body corporate,

any person who is, or at any time has been, an officer or

employee of the body corporate;

                                  “parental responsibility” has such meaning as may be prescribed;

                                  “pregnant” includes recently pregnant;

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                                  “prescribed” means prescribed by regulations;

                                  “regulations”, except in subsection (7), means regulations made by

the Secretary of State;

                                  “scheme” means a scheme made under this section.”

     (2)    In section 15A of that Act—

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           (a)           in subsection (2), after the first “instrument” insert “made by the

Secretary of State”; and

           (b)           omit subsection (3).

 168   Appointments to certain health and social care bodies

     (1)    This section applies to a body (however established) which has functions

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relating to—

           (a)           health;

           (b)           social care;

           (c)           the regulation of professions associated with health or social care.

     (2)    The Secretary of State may direct a Special Health Authority to exercise so

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much of the appointments function relating to a body to which this section

applies as is specified in the direction.

 

 

Health and Social Care (Community Health and Standards) Bill
Part 5 — Miscellaneous

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     (3)    If the Secretary of State gives a direction under subsection (2) the 1977 Act has

effect as if—

           (a)           the direction is a direction of the Secretary of State under section 16D of

that Act;

           (b)           the function is exercisable by the Special Health Authority under

5

section 16D.

     (4)    If the Secretary of State gives a direction under subsection (2) in respect of a

body which exercises functions in relation to any part of the United Kingdom

other than England and Wales subsection (5) applies—

           (a)           at the time the direction is given;

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           (b)           for the purposes of anything done by a Special Health Authority in

pursuance of the direction.

     (5)    Sections 11 and 16D of and (so far as relating to a Special Health Authority)

Schedule 5 to the 1977 Act and any other provision of that Act which relates to

the exercise of the function in pursuance of the direction must be taken to

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extend to any part of the United Kingdom in relation to which the body

exercises functions.

     (6)    The appointments function is any function exercisable by the Secretary of State

in relation to—

           (a)           the appointment of persons to be members of a body to which this

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section applies;

           (b)           the removal (whether permanently or otherwise) of such persons from

the membership of the body.

     (7)    For the purposes of this section it is immaterial that a body has functions

relating to matters other than those specified in subsection (1).

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     (8)    Schedule 11 amends certain enactments which provide for appointments to be

made to certain bodies by or on the advice of the Privy Council.

     (9)    If in the exercise of a power conferred by virtue of that Schedule the Privy

Council gives a direction corresponding to a direction given by the Secretary

of State under subsection (2) above, subsections (3) to (5) above apply for the

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purposes of the Privy Council’s direction as they apply for the purposes of a

direction given by the Secretary of State.

 169   Appointments to certain health and social care bodies: joint functions

     (1)    This section applies if (apart from section 168) the appointments function in

relation to a body is exercisable jointly or concurrently with a person who is not

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a Minister of the Crown.

     (2)    A requirement to exercise the function jointly or concurrently does not prevent

the Secretary of State from making a direction in relation to the body but he

must not do so unless he first consults the other person.

     (3)    If a direction is given as mentioned in subsection (2) so much of the functions

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of the Secretary of State and of the other person as are specified in the direction

is exercisable by the Special Health Authority acting alone.

     (4)    Subsections (2) and (3) do not apply if the other person is the Scottish Ministers

but that does not prevent the Secretary of State from giving a direction under

section 168 in relation to the exercise of any function he has.

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Health and Social Care (Community Health and Standards) Bill
Part 5 — Miscellaneous

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     (5)    Appointments function has the same meaning as in section 168.

 170   Validity of clearance for employment in certain NHS posts

     (1)    In section 7 of the Protection of Children Act 1999 (c. 14) (effect of inclusion of

person on lists relating to suitability for child care positions) after subsection

(3) there are inserted the following subsections—

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           “(3A)              This section does not apply in relation to an offer of relevant NHS

employment if each of the following paragraphs applies in respect of

the individual to whom the offer is made—

                  (a)                 at the time the offer is made he is employed by an NHS body;

                  (b)                 that NHS body has ascertained that he is not included in the list

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kept under section 1 above or (during the period that he is

employed by that body) another NHS body has ascertained that

he is not included in the list;

                  (c)                 subsection (1A) (inserted by paragraph 26(2) of Schedule 4 to

the Care Standards Act 2000) does not apply to him;

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                  (d)                 he accepts the offer and for so long as he is employed in the

employment to which the offer relates paragraph (c) applies.

           (3B)              Relevant NHS employment is employment in a child care position with

an NHS body.

           (3C)              Each of the following is an NHS body—

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                  (a)                 a National Health Service trust;

                  (b)                 a Strategic Health Authority;

                  (c)                 an NHS foundation trust;

                  (d)                 a Health Authority;

                  (e)                 a Local Health Board;

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                  (f)                 a Special Health Authority;

                  (g)                 a Primary Care Trust.”

     (2)    In section 89 of the Care Standards Act 2000 (c. 14) (effect of inclusion of person

on lists relating to suitability for care positions) after subsection (4) there are

inserted the following subsections—

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           “(4A)              This section does not apply in relation to an offer of relevant NHS

employment if each of the following paragraphs applies in respect of

the individual to whom the offer is made—

                  (a)                 at the time the offer is made he is employed by an NHS body;

                  (b)                 that NHS body has ascertained that he is not included in the list

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kept under section 81 above or (during the period that he is

employed by that body) another NHS body has ascertained that

he is not included in the list;

                  (c)                 subsection (2) does not apply to him;

                  (d)                 he accepts the offer and for so long as he is employed in the

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employment to which the offer relates paragraph (c) applies.

           (4B)              Relevant NHS employment is employment in a care position with an

NHS body.

           (4C)              Each of the following is an NHS body—

                  (a)                 a National Health Service trust;

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