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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 7 — Functions under the Care Standards Act 2000

    40

 

           (3)           The CHAI shall make information about independent health services

provided in England available to the public.

           (4)           When asked to do so by the Secretary of State, the CHAI shall give him

advice or information on such matters relating to the provision in

England of independent health services as may be specified in his

5

request.

           (5)           The CHAI may at any time give advice to the Secretary of State on—

                  (a)                 any changes which the CHAI thinks should be made, for the

purpose of securing improvement in the quality of independent

health services provided in England, in the standards set out in

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statements under section 23;

                  (b)                 any other matter connected with the provision in England of

such services.

           (6)           In the exercise of its functions under this Act the CHAI must have

particular regard to the need to safeguard and promote the rights and

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welfare of children.

           (7)           The Secretary of State may by regulations confer additional functions

on the CHAI in relation to the provision in England of independent

health services.

           (8)           In this section “independent health services” means services of the kind

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provided by persons for whom the CHAI is the registration authority.”

 98    General functions of CSCI

In the Care Standards Act 2000 (c. 14), after section 5A (inserted by section 97

above) insert—

       “5B            General duties of Commission for Social Care Inspection

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           (1)           The Commission for Social Care Inspection (referred to in this Act as

“the CSCI”) shall have the general duty of keeping the Secretary of State

informed about—

                  (a)                 the provision in England of registered social care services; and

                  (b)                 in particular, the availability and quality of the services.

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           (2)           The CSCI shall have the general duty of encouraging improvement in

the quality of registered social care services provided in England.

           (3)           The CSCI shall make information about registered social care services

provided in England available to the public.

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

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advice or information on such matters relating to the provision in

England of registered social care services as may be specified in his

request.

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

                  (a)                 any changes which the CSCI thinks should be made, for the

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purpose of securing improvement in the quality of registered

social care services provided in England, in the standards set

out in statements under section 23;

                  (b)                 any other matter connected with the provision in England of

registered social care services.

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Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 7 — Functions under the Care Standards Act 2000

    41

 

           (6)           In the exercise of its functions under this Act the CSCI must have

particular regard to the need to safeguard and promote the rights and

welfare of children.

           (7)           The Secretary of State may by regulations confer additional functions

on the CSCI in relation to the provision in England of registered social

5

care services.

           (8)           In this section, “registered social care services” means services of the

kind provided by persons for whom the CSCI is the registration

authority.”

 99     Fees

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     (1)    The Care Standards Act 2000 (c. 14) is amended as follows.

     (2)    After section 113 insert—

       “113A   Fees payable under Part 2

           (1)           The CHAI and the CSCI may each from time to time make and publish

provision determining the amount of any fee payable to it under Part 2.

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           (2)           Provision under subsection (1) may include provision—

                  (a)                 for different amounts to be payable in different cases, or classes

of case;

                  (b)                 for different amounts to be payable by persons of different

descriptions.

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           (3)           Before the CHAI or the CSCI makes any provision under subsection (1)

it must consult such bodies as appear to it to be representative of the

persons liable to pay the fee.

           (4)           No provision may be made under subsection (1) without the consent of

the Secretary of State.

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           (5)           If the Secretary of State considers it necessary or desirable to do so, he

may by regulations make provision determining the amount of a fee

payable to the CHAI or the CSCI under Part 2 instead of the amount for

which provision is made under subsection (1).

           (6)           Before making any regulations under subsection (5) in respect of fees

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payable to the CHAI or the CSCI, the Secretary of State shall consult

that body and such other persons as appear to him to be appropriate.”

     (3)    In section 12 (applications for registration), in subsection (2), for “a fee of the

prescribed amount” substitute “a fee of the amount determined under section

113A, where the registration authority is the CHAI or the CSCI, or of the

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prescribed amount, where the registration authority is the Assembly.”

     (4)    In section 15 (other applications), in subsection (3) for “a fee of such amount as

may be prescribed” substitute “a fee of—

                  (a)                    the amount determined under section 113A, where the

registration authority is the CHAI or the CSCI; or

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                  (b)                    the prescribed amount, where the registration authority is the

Assembly.”

     (5)    In that section, in subsection (5)—

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 7 — Functions under the Care Standards Act 2000

    42

 

           (a)           for “subsection (3)” substitute “subsection (3)(b)”; and

           (b)           for “the registration authority” substitute “the Assembly”.

     (6)    In section 16 (regulations about registration), for subsection (3) substitute—

           “(3)              Persons registered under this Part must also pay to the registration

authority, at such time as may be prescribed, an annual fee—

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                  (a)                 of such amount as may be determined under section 113A,

where the registration authority is the CHAI or the CSCI; and

                  (b)                 of such amount as may be prescribed, where the registration

authority is the Assembly.”

     (7)    In section 22(7)(i) (fees in respect of notification of variation of corporate

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ownership etc), for the words from “of a fee” to the end substitute “, in respect

of any notification required to be made by virtue of paragraph (h), of a fee of—

                        (i)                           such amount as may be determined under section 113A,

where notification is made to the CHAI or the CSCI; or

                        (ii)                           the prescribed amount, where notification is made to the

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Assembly”.

Miscellaneous

 100   Meaning of “independent medical agency”

In section 2(5) of the Care Standards Act 2000 (c. 14) (an “independent medical

agency” does not include an independent clinic), after “clinic” insert “or an

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independent hospital”.

 101   Children’s homes providing secure accommodation

     (1)    In section 4 of the Care Standards Act 2000 (basic definitions), in subsection

(8)(a) (references to a description of establishment), after “children’s home”

insert “, a children’s home providing accommodation for the purpose of

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restricting liberty,”.

     (2)    In section 22 of that Act (regulations), in subsection (8) (regulations relating to

children’s homes)—

           (a)           omit paragraph (a), and

           (b)           in paragraph (b), for “mentioned in paragraph (a)” substitute “of

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restricting liberty”.

 102   Information and inspection

     (1)    Section 31 of the Care Standards Act 2000 (inspections by persons authorised

by registration authority) is amended as follows.

     (2)    After subsection (1), insert—

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           “(1A)              The power under subsection (1) to require the provision of information

includes—

                  (a)                 power to require the provision of copies of any documents or

records (including medical and other personal records); and

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

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require the provision of the records in legible form.”

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 8 — Other functions of CSCI

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     (3)    In subsection (3)—

           (a)           in paragraph (b), for “(other than medical records)” substitute

“(including medical and other personal records)”; and

           (b)           in paragraph (d), for “employed” substitute “working”.

     (4)    In subsection (6), omit “and inspect any medical records relating to his

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treatment in the establishment”.

 103   Assembly: duties relating to children

In section 8 of the Care Standards Act 2000 (c. 14) (general functions of the

Assembly), at the end insert—

           “(6)               The Assembly must have particular regard to the need to safeguard

10

and promote the rights and welfare of children in the exercise of—

                  (a)                 its functions exercisable by virtue of section 5(b) and

subsections (1) to (3) of this section; and

                  (b)                 any other functions exercisable by the Assembly corresponding

to functions exercisable by the CSCI in relation to England.”

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Chapter 8

Other functions of CSCI

 104   Boarding schools and colleges

The functions of the National Care Standards Commission under section 87 of

the Children Act 1989 (c. 41) (welfare of children accommodated in boarding

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schools and colleges) are transferred to the CSCI.

 105   Boarding schools and colleges: reports

In section 87 of the Children Act 1989, after subsection (9) insert—

           “(9A)                            The Commission and the National Assembly for Wales must each

publish such reports in relation to the exercise of its functions under

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this section as it considers appropriate.

           (9B)              The Commission and the National Assembly for Wales must each make

copies of any report published by it under this section available for

inspection at its offices by any person at any reasonable time.

           (9C)                            Any person who requests a copy of a report published under this

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section is entitled to have one on payment of such reasonable fee (if

any) as the Commission or the National Assembly for Wales (as the

case may be) considers appropriate.”

 106   Secure training centres

     (1)    The CSCI and the Secretary of State may make arrangements for the CSCI to

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conduct inspections of secure training centres in England.

     (2)    Inspections under this section shall be on such terms, including terms as to

payment of the CSCI, as the CSCI and Secretary of State may agree in the

arrangements.

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 9 — Complaints

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     (3)    In this section, “secure training centre” has the same meaning as in section

43(1)(d) of the Prison Act 1952 (c. 52).

Chapter 9

Complaints

Health care complaints

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 107   Complaints about health care: English and cross-border bodies

     (1)    The Secretary of State may by regulations make provision about the procedure

to be followed where a complaint is made to an English NHS body, or a cross-

border SHA, about—

           (a)           the exercise by the body of any of its functions;

10

           (b)           the provision by any person of health care for which the body is

responsible;

           (c)           the provision of services by the body or any other person in pursuance

of arrangements made by the body under section 31 of the Health Act

1999 (c. 8) in relation to the exercise of the health-related functions of a

15

local authority.

     (2)    Regulations under this section may in particular make provision—

           (a)           for circumstances in which a complaint need not be considered;

           (b)           about the procedure to be followed on the making of a complaint and

how it is to be considered;

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           (c)           for the person or body by whom a complaint is to be considered;

           (d)           requiring the production of information or documents to enable a

complaint to be considered;

           (e)           about the action to be taken as the result of a complaint;

           (f)           about the making of a report about a complaint;

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           (g)           for a complaint to be referred to another person or body.

     (3)    The provision that may be made under subsection (2)(a) includes in particular

provision for a complaint only to be considered if—

           (a)           it is made in the prescribed manner and within the prescribed period;

           (b)           it is made by a person of a prescribed description;

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           (c)           it is a complaint of a prescribed description.

     (4)    The provision that may be made under subsection (2)(c) includes in particular

provision for a complaint to be considered by —

           (a)           the NHS body to whom the complaint is made;

           (b)           any other NHS body;

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           (c)           the CHAI;

           (d)           an independent panel established in the prescribed manner.

     (5)    The provision that may be made under subsection (2)(g) includes in particular

provision for a complaint to be referred to—

           (a)           a Health Service Commissioner;

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           (b)           a professional regulatory body;

           (c)           the police;

           (d)           any person who may consider—

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 9 — Complaints

    45

 

                  (i)                 a complaint made under section 108, 109 or 110; or

                  (ii)                a representation made under section 24D or 26 of the Children

Act 1989 (c. 41).

     (6)    Provision under subsection (2)(g) may include provision enabling a complaint

referred to a Health Service Commissioner to be considered under the Health

5

Service Commissioners Act 1993 (c. 46).

     (7)    Regulations under this section may provide for different parts or aspects of a

complaint to be treated differently.

     (8)    Regulations under this section may also make provision—

           (a)           for any person or body in respect of whom a complaint is made to pay

10

to any person or body who considers the complaint under this section

a fee of such amount as may be specified in, or calculated or determined

under, the regulations; and

           (b)           for an independent panel to review the amount chargeable under

paragraph (a) in any particular case and, if the panel thinks fit, to

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substitute a lesser amount for that amount.

     (9)    Where regulations under this section make provision under subsection (2)(c) or

(g) they may also permit the disclosure of information relevant to a complaint

notwithstanding any obligation of confidence owed in respect of it.

 108   Complaints about health care: Welsh bodies

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     (1)    The Assembly shall by regulations make provision about the procedure to be

followed where a complaint is made to a Welsh NHS body about—

           (a)           the exercise by the body of any of its functions;

           (b)           the provision by any person of health care for which the body is

responsible;

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           (c)           the provision of services by the body or any other person in pursuance

of arrangements made by the body under section 31 of the Health Act

1999 (c. 8) in relation to the exercise of the health-related functions of a

local authority.

     (2)    Regulations under this section may in particular make provision—

30

           (a)           for circumstances in which a complaint need not be considered;

           (b)           about the procedure to be followed on the making of a complaint and

how it is to be considered;

           (c)           for the person or body by whom a complaint is to be considered;

           (d)           requiring the production of information or documents to enable a

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complaint to be considered;

           (e)           about the action to be taken as the result of a complaint;

           (f)           about the making of a report about a complaint;

           (g)           for a complaint to be referred to another person or body.

     (3)    The provision that may be made under subsection (2)(a) includes in particular

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provision for a complaint only to be considered if—

           (a)           it is made in the prescribed manner and within the prescribed period;

           (b)           it is made by a person of a prescribed description;

           (c)           it is a complaint of a prescribed description.

     (4)    The provision that may be made under subsection (2)(c) includes in particular

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provision for a complaint to be considered by —

 

 

Health and Social Care (Community Health and Standards) Bill
Part 2 — Standards
Chapter 9 — Complaints

    46

 

           (a)           the NHS body to whom the complaint is made;

           (b)           any other NHS body;

           (c)           the CHAI;

           (d)           an independent lay person;

           (e)           an independent panel established in the prescribed manner.

5

     (5)    The provision that may be made under subsection (2)(g) includes in particular

provision for a complaint to be referred to—

           (a)           a Health Service Commissioner;

           (b)           a professional regulatory body;

           (c)           the police;

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           (d)           any person who may consider—

                  (i)                 a complaint made under section 107, 109 or 110;

                  (ii)                a representation made under section 24D or 26 of the Children

Act 1989 (c. 41).

     (6)    Provision under subsection (2)(g) may include provision enabling a complaint

15

referred to a Health Service Commissioner to be considered under the Health

Service Commissioners Act 1993 (c. 46).

     (7)    Regulations under this section may provide for different parts or aspects of a

complaint to be treated differently.

     (8)    Regulations under this section may also make provision—

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           (a)           for any person or body in respect of whom a complaint is made to pay

to any person or body who considers the complaint under this section

a fee of such amount as may be specified in or determined under the

regulations;

           (b)           for an independent panel to review the amount chargeable under

25

paragraph (a) in any particular case and, if the panel thinks fit, to

substitute a lesser amount for that amount.

     (9)    Where regulations under this section make provision under subsection (2)(c) or

(g), they may also permit the disclosure of information relevant to a complaint

notwithstanding any obligation of confidence owed in respect of it.

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Social care complaints

 109   Complaints about social services: England

     (1)    The Secretary of State may by regulations make provision about the procedure

to be followed where a complaint is made to a local authority in England in

relation to—

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           (a)           the discharge by the authority of any of its social services functions;

           (b)           the provision of services by another person pursuant to arrangements

made by the authority in the discharge of those functions;

           (c)           the provision of services by the authority or any other person in

pursuance of arrangements made by the authority under section 31 of

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the Health Act 1999 (c. 8) in relation to the functions of an NHS body

(within the meaning of that section).

     (2)    Regulations under this section may in particular make provision—

           (a)           for circumstances in which a complaint need not be considered;

 

 

 
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