acthub.beta

Health Act 2009

Health Act 2009

2009 c. 21

An Act to make provision about The NHS Constitution; to make provision about health care (including provision about the National Health Service and health bodies); to make provision for the control of the promotion and sale of tobacco products; to make provision about the investigation of complaints about privately arranged or funded adult social care; and for connected purposes.

Enacted[12th November 2009]
Be it enacted by the Queen's most Excellent Majesty, by and with the advice and consent of the Lords Spiritual and Temporal, and Commons, in this present Parliament assembled, and by the authority of the same, as follows:—

Part 1 Quality and delivery of health services in England

Chapter 1 NHS Constitution

I181 NHS Constitution

1 In this Chapter the “NHS Constitution” means—
a the document entitled “The NHS Constitution” published by the Secretary of State on 21 January 2009, or
b any revised version of that document published under section 3 or 4.
2 In this Chapter the “Handbook” means—
a the document entitled “The Handbook to the NHS Constitution” published by the Secretary of State on 21 January 2009, or
b any revised version of that document published under section 5.

I192 Duty to have regard to NHS Constitution

C3C41 Each of the bodies listed in subsection (2) must, in performing its health service functions, have regard to the NHS Constitution.
F82 The bodies are—
F12a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F14b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ca NHS England;
cb integrated care boards;
cc local authorities (within the meaning of section 2B of the National Health Service Act 2006);
c National Health Service trusts;
d Special Health Authorities;
da the National Institute for Health and Care Excellence;
F49db . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e NHS foundation trusts;
F43f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g the Care Quality Commission.
F50h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i the Health Services Safety Investigations Body.
3 In subsection (1) a “health service function” means any function under an enactment which is a function concerned with, or connected to, the provision, commissioning or regulation of health services.
4 Each person who—
za provides health services under arrangements made by NHS England or an integrated care board under or by virtue of section 3, 3A, 3B or 4 of, or Schedule 1 to, the National Health Service Act 2006,
a provides health services under a contract, agreement or arrangements made under or by virtue of an enactment listed in subsection (6), F18...
b provides or assists in providing health services under arrangements under section 12(1) of the National Health Service Act 2006 (c. 41), or
c provides health services under arrangements made by a local authority for the purposes of its functions under or by virtue of section 2B or 6C(1) of, or Schedule 1 to, that Act.
must, in doing so, have regard to the NHS Constitution.
5 Each person who—
a in pursuance of a contract, agreement or arrangements as mentioned in subsection (4)(za), (a), (b) or (c), makes arrangements (“sub-contracting arrangements”) for another person to provide or assist in providing health services, or
b provides or assists in providing health services under sub-contracting arrangements,
must, in doing so, have regard to the NHS Constitution.
6 The enactments referred to in subsection (4)(a) are the following provisions of the National Health Service Act 2006—
a section 83(2)(b) (arrangements made by PCTs for provision of primary medical services);
b section 84(1) (general medical services contracts);
c section 92 (other arrangements for the provision of primary medical services);
d section 100(1) (general dental services contracts);
e section 107(1) (other arrangements for the provision of primary dental services);
f section 117(1) (general ophthalmic services contracts);
g section 126(1) (pharmaceutical services);
h section 127(1) (additional pharmaceutical services);
i Schedule 12 (local pharmaceutical services schemes).
7 In this Chapter “health services” means health services provided in England for the purposes of the health service continued under section 1(1) of the National Health Service Act 2006.
8 References in this section to the provision of services include references to the provision of services jointly with another person.

I203 Availability and review of NHS Constitution

1 The Secretary of State must ensure that the NHS Constitution continues to be available to patients, staff and members of the public.
2 At least once in any period of 10 years the Secretary of State must carry out a review of the NHS Constitution (referred to in this Chapter as a “10 year review”).
3 The following must be consulted about the NHS Constitution on a 10 year review—
a patients and bodies or other persons representing patients,
b staff and bodies or other persons representing staff,
c carers,
F24d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e members of the public,
f the bodies and persons listed in section 2(2), (4) and (5), and
g such other persons as the Secretary of State considers appropriate.
4 The first 10 year review must be completed not later than 5 July 2018.
5 The guiding principles may not be revised as a result of a 10 year review, except in accordance with regulations made by the Secretary of State setting out the revision to be made.
6 The Secretary of State must publish the NHS Constitution after any revision made as a result of a 10 year review.
7 In this Chapter—
  • carers” means persons who, as relatives or friends, care for other persons to whom health services are being provided;
  • the guiding principles” means—
    1. the 7 principles described in the NHS Constitution published on 21 January 2009 as “the principles that guide the NHS”, or
    2. any revised version of those principles set out in the NHS Constitution published under this section or section 4;
  • patients” means persons to whom health services are being provided;
  • staff” means—
    1. persons employed by a body listed in section 2(2) or otherwise working for such a body (whether as or on behalf of a contractor, as a volunteer or otherwise) in, or in connection with, the provision, commissioning or regulation of health services;
    2. persons employed by a person listed in subsection (4) or (5) of section 2 or otherwise working for such a person (whether as or on behalf of a contractor, as a volunteer or otherwise) in, or in connection with, the provision of health services or assistance or the making of arrangements as mentioned in the subsection in question.
F268 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I214 Other revisions of NHS Constitution

1 This section applies to any revision of the NHS Constitution made other than as a result of a 10 year review (including any such revision which revises the guiding principles).
2 Before any revision the Secretary of State must undertake appropriate consultation about the proposed revision.
3 The persons consulted must include such patients, staff, members of the public and other persons as appear to the Secretary of State to be affected by the proposed revision.
4 The guiding principles may not be revised, except in accordance with regulations made by the Secretary of State setting out the revision to be made.
5 The Secretary of State must publish the NHS Constitution after any revision.

I225 Availability, review and revision of Handbook

1 The Secretary of State must ensure that the Handbook continues to be available to patients, staff and members of the public.
2 At least once in any period of 3 years the Secretary of State must carry out a review of the Handbook.
3 The first review must be completed not later than 5 July 2012.
4 The Secretary of State must publish the Handbook after any revision (whether made as a result of a review under this section or otherwise).

I236 Report on effect of NHS Constitution

1 The Secretary of State must publish a report every 3 years on how the NHS Constitution has affected patients, staff, carers and members of the public, since the last report was produced under this subsection.
2 The first report must be published not later than 5 July 2012.
3 The Secretary of State must lay before Parliament a copy of each report under subsection (1).

I247 Regulations under section 3 or 4

1 The power to make regulations under section 3 or 4 is exercisable by statutory instrument.
2 A statutory instrument containing regulations under either of those sections is subject to annulment in pursuance of a resolution of either House of Parliament.

Chapter 2 Quality accounts

I1I588 Duty of providers to publish information

C11 Each of the bodies listed in subsection (2) must, in accordance with regulations made by the Secretary of State, publish in respect of each reporting period a document containing prescribed information relevant to the quality of—
a any relevant health services that the body provides;
b any relevant health services that, under arrangements made by the body, are provided by a person not listed in subsection (2) or (3);
c any services that are provided in England and for the provision of which the body provides assistance or support under section 124(1) of the National Health Service Act 2006 (c. 41) (primary ophthalmic services).
2 The bodies are—
F29a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b National Health Service trusts all or most of whose hospitals, establishments and facilities are in England;
c Special Health Authorities;
d NHS foundation trusts.
C23 Each person who—
a provides health services as mentioned in section 2(4)(za) or (a), or
b in pursuance of a contract, agreement or arrangements as mentioned in section 2(4)(za) or (a), makes arrangements for another person to provide health services,
must, in accordance with regulations made by the Secretary of State, publish in respect of each reporting period a document containing prescribed information relevant to the quality of those services.
4 References in this section to the provision of services include references to the provision of services jointly with another person.
5 The Secretary of State may by regulations provide that subsection (1) or (3) does not apply to prescribed bodies, persons or services, or to bodies, persons or services of a prescribed description.
6 In this section—
  • health services ” has the same meaning as in Chapter 1;
  • relevant health services ” means health services the provision of which is arranged by NHS England or an integrated care board under or by virtue of section 3, 3A, 3B or 4 of, or Schedule 1 to, the National Health Service Act 2006 or under or by virtue of Parts 4 to 7 of that Act.

I29 Supplementary provision about the duty

1 In this section “the provider” means the body or person required to publish a document under section 8.
2 For the purposes of that section a reporting period is—
a the period of 12 months beginning with 1 April 2009, and
b each subsequent period of 12 months.
3 If the Care Quality Commission or NHS England notifies the provider of an error or omission in a document published under that section, the provider must within 21 days of the notification republish the document correcting the error or omission and including a statement explaining the correction.
4 A copy of any document published under that section must be sent by the provider to the Secretary of State in any form specified by the Secretary of State for the purpose of enabling the Secretary of State to make the document available to the public.
I675 Regulations under subsection (1) or (3) of section 8 may in particular make provision—
a as to the form of a document published under that section and its contents in addition to the prescribed information;
b imposing duties on the provider for the purpose of ensuring the accuracy of information;
c as to how and when a document must be published and when a copy must be sent under subsection (4);
d requiring the provider to have regard to guidance issued by the Secretary of State.
6 The provider must at the request of any person provide to that person a copy of any document published by the provider under section 8 relating to a reporting period ending not more than 2 years before the request.
7 While subsection (1) or (3) of section 8 applies to the provider, the provider must keep affixed, in a conspicuous place at each of the premises at which the provider provides services to which that subsection applies, a notice stating how the most recent document published by the provider under that section may be obtained.
8 Subsection (7) does not apply if—
a the provider does not have control of the premises, or
b the services are provided by means such that the persons receiving them do not do so at the premises.
9 In subsection (7) “premises” includes a vehicle or moveable structure.

I3I5910 Regulations under section 8

1 The power to make regulations under section 8 is exercisable by statutory instrument.
2 A statutory instrument containing regulations under section 8 is subject to annulment in pursuance of a resolution of either House of Parliament.
3 The power to make regulations under section 8—
a may be exercised so as to make the full provision to which the power extends or any less provision (whether by way of exception or otherwise);
b may be exercised so as to make the same provision for all cases in relation to which the power is exercised, or different provision for different cases;
c may be exercised so as to make any such provision unconditionally or subject to any specified condition.

Chapter 3 Direct payments

I2511 Direct payments for health care

In Part 1 of the National Health Service Act 2006 (c. 41), after section 12 insert—

I2612 Jurisdiction of Health Service Commissioner

1 The Health Service Commissioners Act 1993 (c. 46) is amended as follows.
2 In section 2B (independent providers subject to investigation) after subsection (1) insert—
3 In subsection (5) of that section after “subsection (1)” insert “ or (1A) ”.
4 In section 3(1C) (complaints against independent providers) after “(of whatever kind)” insert “ , or has undertaken to provide direct payment services, ”.
5 In section 7(2) (contractual or commercial transactions) after paragraph (a) insert—
.
6 In section 14 (reports by the Commissioner), in subsection (2C)(e) after “independent provider” insert “ (in a case within section 2B(1)) ”.
7 In section 19 (interpretation) after the definition of “the Court” insert—
.

I2713 Direct payments: minor and consequential amendments

Schedule 1 (which makes minor and consequential amendments relating to direct payments, including in the case of section 117 of the Mental Health Act 1983 (c. 20), social care direct payments) has effect.

Chapter 4 Innovation

14 Innovation prizes

1 The Secretary of State may make payments as prizes to promote innovation in the provision of health services in England.
2 A prize may relate to—
a work at any stage of innovation (including research);
b work done at any time (including work before the commencement of this section).
3 The Secretary of State may establish a committee to give advice about the exercise of the power conferred by subsection (1), and may pay remuneration, allowances and expenses to members.

Part 2  Powers in relation to health bodies

Chapter 1 Powers in relation to failing NHS bodies in England

De-authorisation of NHS foundation trusts

F615 De-authorisation of NHS foundation trusts

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Trust special administrators

I5416 Trust special administrators: NHS trusts and NHS foundation trusts

After section 65 of the National Health Service Act 2006 (c. 41) insert—

I5517 Trust special administrators: Primary Care Trusts

After section 65O of the National Health Service Act 2006 (c. 41) (inserted by section 16) insert—

Consequential amendments

I5618 Trust special administrators: consequential amendments

1 The National Health Service Act 2006 (c. 41) is amended as follows.
F92 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F93 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F94 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F95 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F96 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 In section 242 (public involvement and consultation), at the end insert—
8 In section 272 (orders, regulations, rules and directions)—
a in subsection (4), for “and (6)” substitute “ , (6) and (6A) ”;
b in subsection (5), after paragraph (a) insert—
;
c after subsection (6) insert—
9 In section 275(1) (interpretation), in the definition of “NHS trust”, at the end insert “ and, subject to Schedule 8A, a body that becomes a National Health Service trust by virtue of an order made under section 52D(1) or 65E(1), ”.
10 In paragraph 28(3) of Schedule 4 (NHS trusts established under section 25), after “as a matter of urgency” insert “ or where the order is made following the publication of a final report under section 65I(3) ”.
F3111 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 In section 206(1) of the National Health Service (Wales) Act 2006 (c. 42) (interpretation), in the definition of “NHS trust”, at the end insert “ (including a body that becomes a National Health Service trust by virtue of an order made under section 52D(1) or 65E(1) of that Act) ”.

Chapter 2 Suspension

I52I6619 NHS and other health appointments: suspension

Schedule 3 (which amends enactments to provide for powers of suspension in relation to chairs, vice-chairs and other members of NHS bodies and other bodies concerned with health) has effect.

Part 3  Miscellaneous

Tobacco

I4I133I149I14020 Prohibition of advertising: exclusion for specialist tobacconists

In section 6 of the Tobacco Advertising and Promotion Act 2002 (c. 36) (specialist tobacconists), before subsection (1) insert—

I5I91I113I125I141I150I13421 Prohibition of tobacco displays etc

After section 7 of the Tobacco Advertising and Promotion Act 2002 (developments in technology) insert—

I6I86I8922 Power to prohibit sales from vending machines

1 After section 3 of the Children and Young Persons (Protection from Tobacco) Act 1991 (c. 23) (sale of unpackaged cigarettes) insert—
2 In section 12D(1) of the Children and Young Persons Act 1933 (c. 12) (restricted premises orders and restricted sales orders: interpretation)—
a omit “or” at the end of paragraph (a);
b after paragraph (b) insert

I7I9023 Power to prohibit sales from vending machines: Northern Ireland

After article 4 of the Children and Young Persons (Protection from Tobacco) (Northern Ireland) Order 1991 (S.I. 1991/2872 (N.I. 25)) (sale of unpackaged cigarettes) insert—

I8I92I114I126I142I147I13524 Tobacco: minor and consequential amendments

Schedule 4 (which makes minor and consequential amendments relating to the advertising and promotion of tobacco products) has effect.

Pharmaceutical services in England

I69I6825 Pharmaceutical needs assessments

After section 128 of the National Health Service Act 2006 (c. 41) insert—

I10526 New arrangements for entry to pharmaceutical list

1 Section 129 of the National Health Service Act 2006 (regulations as to pharmaceutical services) is amended as follows.
2 In subsection (2)(c), for the words from “may be granted” to “specified in the application,” substitute “ must be granted if the Primary Care Trust is satisfied as mentioned in subsection (2A), and may otherwise be granted only if the Primary Care Trust is satisfied as mentioned in subsection (2B), ”.
3 After subsection (2) insert—
4 After subsection (3) insert—
5 In subsection (4)—
a for the words from “include” to “subsection (5) for” substitute “ make provision for the Primary Care Trust to take into account prescribed matters in ”;
b omit paragraph (a);
c in paragraph (b), for “they” substitute “ two or more applications referred to in subsection (2)(c)(i) or (ii) ”;
d in paragraph (c), for “subsection (2)(c)” substitute “ subsection (2A) or (2B) ”.
6 After subsection (4) insert—
7 In subsection (6), before paragraph (a) insert—
.
8 After subsection (10) insert—

I10627 Pharmaceutical lists: minor amendment

In section 129(6) of the National Health Service Act 2006 (c. 41) (regulations as to pharmaceutical services), in paragraph (d), for “such an application” substitute “ an application to a Primary Care Trust ”.

I10728 Breach of terms of arrangements: notices and penalties

In Part 7 of the National Health Service Act 2006, before Chapter 6 (disqualification) insert—

I10829 LPS schemes: powers of Primary Care Trusts and Strategic Health Authorities

1 The National Health Service Act 2006 is amended as follows.
2 In section 15 (Strategic Health Authorities' directions), in subsection (2), after “section 107 arrangements” insert “ or LPS schemes ”.
3 In section 16 (section 92 arrangements and section 107 arrangements)—
a in subsection (1), after “section 107 arrangements” insert “ and LPS schemes ”;
b in the heading, after “section 107 arrangements” insert “ and LPS schemes ”.
F324 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Schedule 12 (LPS schemes) is amended as follows.
6 Paragraph 1 is amended as follows.
F337 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 In sub-paragraph (2)—
F34a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b in paragraph (b), for “Primary Care Trust),” substitute “ commissioning body). ”;
F35c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 After sub-paragraph (2) insert—
F3610 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 In sub-paragraph (6), for “and an NHS foundation trust” substitute “ , an NHS foundation trust and a Primary Care Trust ”.
F3712 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 Paragraph 3 is amended as follows.
14 In sub-paragraph (2), for “Primary Care Trusts” substitute “ the commissioning body ”.
F3815 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pharmaceutical services in Wales

30 Pharmaceutical lists: minor amendment

In section 83(6) of the National Health Service (Wales) Act 2006 (c. 42) (regulations as to pharmaceutical services), in paragraph (d), for “such an application” substitute “ an application to a Local Health Board ”.

31 Breach of terms of arrangements: notices and penalties

1 In Part 8 of the National Health Service (Wales) Act 2006, before Chapter 2 (disqualification) insert—
I1542 In section 107(9) of that Act, after “included in” insert “ an ophthalmic list or ”.

32 LPS schemes: powers of Local Health Boards

1 Schedule 7 to the National Health Service (Wales) Act 2006 (c. 42) (LPS schemes) is amended as follows.
2 In paragraph 1, in sub-paragraph (2)—
a in paragraph (a), after “Local Health Board” insert “ (the “commissioning body” )
b in paragraph (b), for “Local Health Board),” substitute “ commissioning body). ”;
c omit paragraph (c) and the word “and” immediately before it.
3 After sub-paragraph (2) insert—
4 In sub-paragraph (6), for “and an NHS foundation trust” substitute “ , an NHS foundation trust and a Local Health Board ”.
5 In paragraph 3(2), for “Local Health Boards” substitute “ the commissioning body ”.

Private patient income

F433 Private patient income of mental health foundation trusts

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Optical appliances

34 Payments in respect of costs of optical appliances

Section 180(2)(c) of the National Health Service Act 2006 (payments in respect of costs of optical appliances for persons aged 60 or over) is omitted.

Adult social care

I7035 Investigation of complaints about privately arranged or funded adult social care

Schedule 5 (which inserts a new Part 3A into the Local Government Act 1974 (c. 7) to give the Commission for Local Administration in England powers to investigate complaints about privately arranged or funded adult social care and which makes consequential amendments) has effect.

Disclosure of information

I5336 Disclosure of information by Her Majesty's Revenue and Customs

1 This section applies to information held by Her Majesty's Revenue and Customs for the purposes of functions relating to income tax.
2 Information to which this section applies may be disclosed by Her Majesty's Revenue and Customs to the persons listed in subsection (3) for use for the purposes of functions in connection with the analysis or dissemination of information relating to the income or expenses of dental practitioners or general medical practitioners.
3 The persons are—
a the Secretary of State;
aa NHS England;
b the Welsh Ministers;
c the Scottish Ministers;
d the Department of Health, Social Services and Public Safety in Northern Ireland;
e persons providing services to or exercising functions on behalf of any of those persons.
4 Information may be disclosed under this section only in the form of a summary or collection of information so framed as not to enable information relating to a particular person to be ascertained from it.
5 In this section—
  • dental practitioner” means a person registered in the dentists register under the Dentists Act 1984 (c. 24);
  • general medical practitioner” means a person registered in the General Practitioner Register kept by the General Medical Council.

Part 4  General

37 Power to make transitional and consequential provision etc

1 The Secretary of State may by order make—
a such transitional or transitory provisions or savings as the Secretary of State considers appropriate in connection with the coming into force of any provision of this Act;
b such supplementary, incidental or consequential provision as the Secretary of State considers appropriate for the purposes of, in consequence of, or for giving full effect to, any provision of this Act.
2 Subsection (1)(a) does not apply to—
a section 19 and Schedule 3, so far as they relate to amendments of the National Health Service (Wales) Act 2006 (c. 42);
b sections 20 to 24 and Schedule 4, so far as they relate to Wales or Northern Ireland;
c sections 30 to 32.
3 The Welsh Ministers may by order make such transitional or transitory provisions or savings as the Welsh Ministers consider appropriate in connection with the coming into force of—
a section 19 and Schedule 3, so far as they relate to amendments of the National Health Service (Wales) Act 2006;
b sections 20 to 24 and Schedule 4, so far as they relate to Wales;
c sections 30 to 32.
4 The Department of Health, Social Services and Public Safety in Northern Ireland may by order make such transitional or transitory provisions or savings as the Department considers appropriate in connection with the coming into force of sections 20 to 24 and Schedule 4, so far as they relate to Northern Ireland.
5 An order under this section may amend, repeal, revoke or otherwise modify any enactment.
6 An order under this section may, in particular, provide for any provision of this Act which comes into force before another such provision has come into force to have effect, until that other provision has come into force, with such modifications as are specified in the order.
7 The power to make an order under subsection (1) or (3) is exercisable by statutory instrument.
8 The power to make an order under subsection (4) is exercisable by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979 (S.I. 1979/1573 (N.I. 12)).
9 A statutory instrument containing an order under subsection (1)—
a if it amends or repeals an enactment contained in an Act of Parliament, may not be made unless a draft of the instrument has been laid before and approved by a resolution of each House of Parliament;
b in any other case, is subject to annulment in pursuance of a resolution of either House of Parliament.
10 A statutory instrument containing an order under subsection (3) is subject to annulment in pursuance of a resolution of the National Assembly for Wales.
11 A statutory rule containing an order under subsection (4) is subject to negative resolution within the meaning of section 41(6) of the Interpretation Act (Northern Ireland) 1954 (c. 33 (N.I.)).
12 In this section “enactment” means an enactment contained in, or in an instrument made under—
a an Act of Parliament,
b a Measure or Act of the National Assembly for Wales, or
c Northern Ireland legislation.

I9I88I101I109I11138 Repeals and revocations

Schedule 6 (repeals and revocations) has effect.

39 Extent

1 Subject to the following provisions, this Act extends to England and Wales only.
2 Any amendment, repeal or revocation made by this Act has the same extent as the enactment amended, repealed or revoked.
3 The following extend to England and Wales, Scotland and Northern Ireland—
a section 36;
b this section and sections 37, 40 and 41;
c paragraph 19 of Schedule 3 (and section 19 so far as it relates to that paragraph);
d paragraphs 4(6) and 9(4) of Schedule 4 (and section 24 so far as it relates to those provisions).

40 Commencement

1 Subject to the following provisions, this Act comes into force on such day as the Secretary of State may by order made by statutory instrument appoint.
2 Subject to subsections (5) to (7), the following come into force on such day as the Welsh Ministers may by order made by statutory instrument appoint—
a section 19 and Schedule 3, so far as they relate to amendments of the National Health Service (Wales) Act 2006 (c. 42);
b sections 20 to 24 and Schedule 4, so far as they relate to Wales;
c sections 30 to 32.
3 Subject to subsections (5) to (7), sections 20 to 24 and Schedule 4, so far as they relate to Northern Ireland, come into force on such day as the Department of Health, Social Services and Public Safety in Northern Ireland may appoint by order made by statutory rule for the purposes of the Statutory Rules (Northern Ireland) Order 1979 (S.I. 1979/1573 (N.I. 12)).
4 Different days may be appointed under subsections (1) to (3) for different purposes or different areas.
5 The following come into force on the day on which this Act is passed—
a paragraph 9(2) and (4) of Schedule 4;
b a repeal or revocation made by Schedule 6 connected to the repeal made by paragraph 9(2) of Schedule 4;
c this section and sections 37, 39 and 41.
6 The following come into force, for the purposes of making regulations, on the day on which this Act is passed—
a sections 8, 9(5) and 10;
b sections 20 to 23;
c paragraphs 11 and 12 of Schedule 4.
7 The following come into force at the end of the period of 2 months beginning with the day on which this Act is passed—
a section 34;
b paragraphs 1, 4(3), (4) and (6), 5, 6(3), 7(2) and 9(3) of Schedule 4;
c paragraph 13 of that Schedule for the purposes of sections 8, 9 and 11 of the Tobacco Advertising and Promotion Act 2002 (c. 36).
8 Where any particular provision or provisions of a Schedule come into force in accordance with subsection (5), (6) or (7), the section introducing the Schedule also comes into force in accordance with that subsection so far as relating to the particular provision or provisions.
9 The Secretary of State must not make an order under subsection (1) which relates to amendments to the Medicines Act 1968 (c. 67) made by Schedule 3 unless the Secretary of State first consults the Department of Health, Social Services and Public Safety in Northern Ireland.
10 The Secretary of State must not make an order under subsection (1) which relates to amendments to the Health Protection Agency Act 2004 (c. 17) made by Schedule 3 unless the Secretary of State first consults—
a the Welsh Ministers,
b the Scottish Ministers, and
c the Department of Health, Social Services and Public Safety in Northern Ireland.
11 The Secretary of State must not make an order under subsection (1) which relates to amendments made to Human Tissue Act 2004 (c. 30) by Schedule 3 unless the Secretary of State first consults—
a the Welsh Ministers, and
b the Department of Health, Social Services and Public Safety in Northern Ireland.
12 The Secretary of State must not make an order under subsection (1) which relates to amendments made by Schedule 3 to Schedule 6 or 19 to the National Health Service Act 2006 (c. 41) unless the Secretary of State first consults the Welsh Ministers.
13 The Welsh Ministers must not make an order under subsection (2)(a) unless they first consult the Secretary of State.

41 Short title

This Act may be cited as the Health Act 2009.

Schedules

Schedule 1 

Direct payments: minor and consequential amendments

Section 13

National Assistance Act 1948 (c. 29)

I281In section 24 of the National Assistance Act 1948 (authority liable for provision of accommodation), after subsection (6A) insert—

Health Services and Public Health Act 1968 (c. 46)

I292In section 63(2)(bb) of the Health Services and Public Health Act 1968 (provision of instruction for certain persons), after “pilot scheme” insert “ established under section 134(1) of the National Health Service Act 2006 or under section 92(1) of the National Health Service (Wales) Act 2006 ”.

Mental Health Act 1983 (c. 20)

I303In section 117 of the Mental Health Act 1983 (after-care), after subsection (2B) insert—

Disabled Persons (Services, Consultation and Representation) Act 1986 (c. 33)

I314In section 2 of the Disabled Persons (Services, Consultation and Representation) Act 1986 (rights of authorised representatives of disabled persons), in subsection (5), after paragraph (a) insert—
.

Health and Social Care (Community Health and Standards) Act 2003 (c. 43)

I325
1 In section 45 of the Health and Social Care (Community Health and Standards) Act 2003 (quality in health care), after subsection (3) insert—
2 This paragraph has effect until the amendments made by paragraphs 37 and 38 of Schedule 5 to the Health and Social Care Act 2008 (c. 14) come fully into force.

National Health Service Act 2006 (c. 41)

I336The National Health Service Act 2006 is amended as follows.
I347In the following provisions, after “pilot scheme” insert “ established under section 134(1) of this Act ”
a section 80(5)(d);
b section 80(7)(d);
c section 173(1)(b);
d section 234(1)(b).
I358In section 134 (pilot schemes for local pharmaceutical services), in subsection (2) for “Act” substitute “ Part ”.
I369In section 246(3) (power to amend in relation to exempt information for purposes of overview and scrutiny committees), before “or” at the end of paragraph (a) insert “ or services in respect of which direct payments under section 12A(1), or under regulations under section 12A(4), are made by a relevant body, ”.
I3710In section 272(6) (instruments not to be made unless laid in draft and approved by resolution of each House), before paragraph (a) insert—
.
I3811In section 276 (index of defined expressions) omit the entry for “pilot scheme”.

Safeguarding Vulnerable Groups Act 2006 (c. 47)

I3912The Safeguarding Vulnerable Groups Act 2006 is amended as follows.
I4013In section 6 (regulated activity providers), after subsection (8B) insert—
F314. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F315. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I57Schedule 2 

De-authorised NHS foundation trusts

Section 15(2)

After Schedule 8 to the National Health Service Act 2006 (c. 41) insert—

Schedule 3 

NHS and other health appointments: suspension

Section 19

Part 1  Amendments of enactments

Medicines Act 1968 (c. 67)

I411
1 In Schedule 1A to the Medicines Act 1968 (provisions relating to Commission on Human Medicine and Committees), paragraph 6 is amended as follows.
2 At the beginning, insert “ (1) ”.
3 At the end insert—

Licensing (Alcohol Education and Research) Act 1981 (c. 28)

F12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Human Fertilisation and Embryology Act 1990 (c. 37)

I423
1 Schedule 1 to the Human Fertilisation and Embryology Act 1990 (the Human Fertilisation and Embryology Authority: supplementary provision) is amended as follows.
2 In paragraph 5(1), after “this paragraph” insert “ and paragraphs 5A and 5B ”.
3 After paragraph 5 insert—

Health Protection Agency Act 2004 (c. 17)

I434Schedule 1 to the Health Protection Agency Act 2004 (the Health Protection Agency) is amended as follows.
I445
1 Paragraph 1 is amended as follows.
2 After sub-paragraph (3) insert—
3 After sub-paragraph (5) insert—
4 In sub-paragraph (7), after “sub-paragraph” insert “ (5A) or ”.
I456In paragraph 29, after sub-paragraph (2) insert—

Human Tissue Act 2004 (c. 30)

I467In Schedule 2 to the Human Tissue Act 2004 (the Human Tissue Authority) after paragraph 9 insert—

Health Act 2006 (c. 28)

F58. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

National Health Service Act 2006 (c. 41)

I479The National Health Service Act 2006 is amended as follows.
I4810In Schedule 2 (Strategic Health Authorities), for paragraph 9(d) substitute—
.
I4911In Schedule 6 (Special Health Authorities), for paragraph 5(d) substitute—
.
F712. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F213. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

National Health Service (Wales) Act 2006 (c. 42)

I6414The National Health Service (Wales) Act 2006 is amended as follows.
I6115In Schedule 5 (Special Health Authorities established under section 22), for paragraph 5(d) substitute—
.
I6216
1 Schedule 10 (further provision about community health councils) is amended as follows.
2 In paragraph 2(a), omit the words from “(including” to the end.
3 After paragraph 2 insert—
I6317
1 Schedule 13 (further provision about standing advisory committees) is amended as follows.
2 In paragraph 1(b), after “office” insert “ (including removal or suspension from office) ”.
3 After paragraph 5 insert—

Part 2  Supplementary

Cross-border bodies

I50I6018
1 In relation to a cross-border body—
a functions exercisable by the Secretary of State under the National Health Service Act 2006 (c. 41) by virtue of paragraph 11 or 13 are exercisable by the Welsh Ministers concurrently with the Secretary of State, and
b functions exercisable by the Welsh Ministers under the National Health Service (Wales) Act 2006 (c. 42) by virtue of paragraph 15 or 17 are exercisable by the Secretary of State concurrently with the Welsh Ministers.
2 In sub-paragraph (1) “cross-border body” has the same meaning as in the Government of Wales Act 2006 (c. 32).

Transitional provision

I51I6519The amendments made by this Schedule apply in relation to a person appointed at any time (including a time before the coming into force of those amendments).

Schedule 4 

Tobacco: minor and consequential amendments

Section 24

Children and Young Persons (Protection from Tobacco) Act 1991 (c. 23)

1In section 5(3)(a) of the Children and Young Persons (Protection from Tobacco) Act 1991 (enforcement action by local authorities in England and Wales), after “district” insert “ , county borough ”.

Tobacco Advertising and Promotion Act 2002 (c. 36)

I99I104I124I132I143I148I1362The Tobacco Advertising and Promotion Act 2002 is amended as follows.
I137I144I1513
1 Section 6 (exclusion from advertising offence for specialist tobacconists) is amended as follows.
2 In subsection (1), at the end of paragraph (a), insert “ in Scotland ”.
3 In subsection (4), after “ “premises” in subsections” insert “ (A1), ”.
I104
I146I152I1391 Section 8 (displays) is amended as follows.
I153I145I1382 In subsection (1), after “causes to be displayed” insert “ in Scotland ”.
3 After subsection (1) insert—
4 For subsection (2) substitute—
I153I145I1385 In the heading, at the end insert “ : Scotland ”.
6 In relation to a time before section 21 of this Act comes fully into force the references to Scotland in subsection (1A) inserted into section 8 of the 2002 Act by sub-paragraph (3) are to be read as references to the United Kingdom.
5
1 Section 9 (prohibition of free distributions) is amended as follows.
2 After subsection (1) insert—
3 After subsection (5) insert—
I116
I94I115I1281 Section 11 (brandsharing) is amended as follows.
I93I116I1272 In subsection (3), after “3,” insert “ 3A, 7A, 7C, 7D, ”.
3 After subsection (4) insert—
I127
I1171 Section 13 (enforcement) is amended as follows.
2 In subsection (1)(a), after “Wales, a” insert “ local ”.
I1183 In subsection (3), after “Wales” insert “ , Northern Ireland ”.
I1184 Omit subsection (4).
I955 In subsection (5), after “proceedings” insert
.
I95I1026 After subsection (5) insert—
8
I103I1191 Section 14 (powers of entry etc.) is amended as follows.
I1202 Omit subsection (11).
I1033 In subsection (12)—
a omit “or” at the end of paragraph (a),
b after paragraph (a) insert—
, and
c after “(as the case may be)” insert “ the Welsh Ministers or ”.
I139
1 Section 16 (penalties) is amended as follows.
2 Subsection (1A) (limitation of penalty for certain offences relating to information society services) ceases to have effect.
3 In subsection (2)(a), for “level 5 on the standard scale” substitute “ the statutory maximum ”.
4 Sub-paragraph (2) does not apply to offences committed before the coming into force of that sub-paragraph.
I96I121I12910In section 17(1) (defences: burden of proof) after “6(1),” insert “ 7B(5) and (7), ”.
I14I97I122I13011
1 Section 19 (regulations) is amended as follows.
2 In subsection (1), after “Powers” insert “ of the Secretary of State, the Welsh Ministers and the Scottish Ministers ”.
3 After subsection (1) insert—
4 For subsections (3) to (5) substitute—
I15I98I123I13112In section 21(1) (interpretation), for the definition of “appropriate Minister” substitute—
.
I1613In the Schedule (information society service providers), in paragraph 1, in the definition of “relevant offence”, for “or 9” substitute “ , 7D, 8, 9 or 11 ”.

Schedule 5 

Investigation of complaints about privately arranged or funded adult social care

Section 35

Part 1  New Part 3A for the Local Government Act 1974

I711The Local Government Act 1974 (c. 7) is amended as follows.
I722After Part 3 (local government administration) insert—
I733After Schedule 5 (matters not subject to investigation) insert—

Part 2  Minor and consequential amendments

Local Government Act 1974 (c. 7)

I744Part 3 of the Local Government Act 1974 is amended as follows.
I755
1 Section 23 (the Commission for Local Administration) is amended as follows.
2 In subsection (1), after “this Part” insert “ and Part 3A ”.
3 In subsection (11), after “functions” insert “ (other than those under Part 3A of this Act) ”.
I766In section 23A(1) (annual reports for representatives etc.), after “functions” insert “ (other than those under Part 3A of this Act) ”.
I777In section 26D(1)(a) (matters coming to attention of Local Commissioner), after “this Part” insert “ or Part 3A ”.
I788
1 Section 29 (investigations under Part 3: further provisions) is amended as follows.
2 For subsection (5) substitute—
3 In subsection (6A), after “under this” insert “ Part of this ”.
I799In section 30(1) (reports on investigations under Part 3), after “matter” insert “ under this Part of this Act ”.
I8010In section 32(2) (law of defamation), after paragraph (a) insert—
.
I8111
1 Section 33ZA (collaborative working between Local Commissioners and Other Commissioners) is amended as follows.
2 In subsection (1), after “under this” (in both places where it occurs) insert “ Part of this ”.
3 In subsection (3)—
a after “his jurisdiction” insert “ by virtue of this Part ”,
b after “under this” insert “ Part of this ”.
4 In subsection (4), after “under this” insert “ Part of this ”.
I8212In Schedule 4 (the Commission), in paragraph 1, after sub-paragraph (2) insert—

Health Service Commissioners Act 1993 (c. 46)

I8313In section 18(1)(c) of the Health Service Commissioners Act 1993 (consultations during investigations), after “Part III” insert “ or 3A ”.

Freedom of Information Act 2000 (c. 36)

I8414In section 76 of the Freedom of Information Act 2000 (disclosure of information between Commissioner and ombudsmen), in the Table, in the second column, after “Part III” insert “ or Part 3A ”.

Scottish Public Services Ombudsman Act 2002 (2002 asp 11)

I8515In section 21(1)(d) of the Scottish Public Services Ombudsman Act 2002 (consultation and cooperation with other Commissioners and Ombudsmen), after “Part III” insert “ or 3A ”.

I17I87I100I110I112 Schedule 6 

Repeals and revocations

Section 38

TitleExtent of repeal or revocation
Children and Young Persons Act 1933 (c. 12)In section 12D(1), the word “or” at the end of paragraph (a).
Health Service Commissioners Act 1993 (c. 46)In Schedule 2, paragraph 3.
Tobacco Advertising and Promotion Act 2002 (c. 36)Section 13(4).

In section 14—
  1. subsection (11);
  2. in subsection (12), the word “or” at the end of paragraph (a).

Section 16(1A).
Public Services Ombudsman (Wales) Act 2005 (c. 10)In Schedule 6, paragraph 12(3).
National Health Service Act 2006 (c. 41)In section 129(4), paragraph (a).
In section 129(6)(d), the words “in pursuance of such an application”.
Section 180(2)(c).
In section 276, the entry for “pilot scheme”.
In Schedule 12, paragraph 1(2)(c).
National Health Service (Wales) Act 2006 (c. 42)F40. . .
In Schedule 7, paragraph 1(2)(c).
In Schedule 10, in paragraph 2(a), the words from “(including” to the end.
Safeguarding Vulnerable Groups Act 2006 (c. 47)In section 59(1), the word “or” at the end of paragraph (i).
Tobacco Advertising and Promotion Act 2002 etc (Amendment) Regulations 2006 (S.I. 2006/2369)Regulation 7.

Footnotes

  1. I1
    S. 8 partly in force; s. 8 in force for specified purposes at Royal Assent see s. 40(6)(a)
  2. I2
    S. 9 partly in force; s. 9(5) in force for specified purposes at Royal Assent see s. 40(6)(a)
  3. I3
    S. 10 partly in force; s. 10 in force for specified purposes at Royal Assent see s. 40(6)(a)
  4. I4
    S. 20 partly in force; s. 20 in force for specified purposes at Royal Assent see s. 40(6)(b)
  5. I5
    S. 21 partly in force; s. 21 in force for specified purposes at Royal Assent see s. 40(6)(b)
  6. I6
    S. 22 partly in force; s. 22 in force for specified purposes at Royal Assent see s. 40(6)(b)
  7. I7
    S. 23 partly in force; s. 23 in force for specified purposes at Royal Assent see s. 40(6)(b)
  8. I8
    S. 24 partly in force; s. 24 in force for specified purposes at Royal Assent and in force for further specified purposes at 12.1.2010 see s. 40(5)(a)(6)(c)(7)(b)(c)(8)
  9. I9
    S. 38 partly in force; s. 38 in force for specified purposes at Royal Assent see s. 40(5)(b)(8)
  10. I10
    Sch. 4 para. 4 partly in force; Sch. 4 para.4(3)(4)(6) in force at 12.1.2010 see s. 40(7)(b)
  11. I11
    Sch. 4 para. 6 partly in force; Sch. 4 para. 6(3) in force at 12.1.2010 see s. 40(7)(b)
  12. I12
    Sch. 4 para. 7 partly in force; Sch. 4 para. 7(2) in force at 12.1.2010 see s. 40(7)(b)
  13. I13
    Sch. 4 para. 9 partly in force; Sch. 4 para. 9(2)(4) in force at Royal Assent and Sch. 4 para. 9(3) in force at 12.1.2010 see s. 40(5)(a)(7)(b)
  14. I14
    Sch. 4 para. 11 partly in force; Sch. 4 para. 11 in force for specified purposes at Royal Assent see s. 40(6)(c)
  15. I15
    Sch. 4 para. 12 partly in force; Sch. 4 para. 12 in force for specified purposes at Royal Assent see s. 40(6)(c)
  16. I16
    Sch. 4 para. 13 partly in force; Sch. 4 para. 13 in force for specified purposes on 12.1.2010 see s. 40(7)(c)
  17. I17
    Sch. 6 partly in force; Sch. 6 in force for specified purposes at Royal Assent see s. 40(5)(b)
  18. I18
    S. 1 in force at 19.1.2010 by S.I. 2010/30, art. 2(a)
  19. I19
    S. 2 in force at 19.1.2010 by S.I. 2010/30, art. 2(a)
  20. I20
    S. 3 in force at 19.1.2010 by S.I. 2010/30, art. 2(a)
  21. I21
    S. 4 in force at 19.1.2010 by S.I. 2010/30, art. 2(a)
  22. I22
    S. 5 in force at 19.1.2010 by S.I. 2010/30, art. 2(a)
  23. I23
    S. 6 in force at 19.1.2010 by S.I. 2010/30, art. 2(a)
  24. I24
    S. 7 in force at 19.1.2010 by S.I. 2010/30, art. 2(a)
  25. I25
    S. 11 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  26. I26
    S. 12 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  27. I27
    S. 13 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  28. I28
    Sch. 1 para. 1 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  29. I29
    Sch. 1 para. 2 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  30. I30
    Sch. 1 para. 3 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  31. I31
    Sch. 1 para. 4 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  32. I32
    Sch. 1 para. 5 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  33. I33
    Sch. 1 para. 6 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  34. I34
    Sch. 1 para. 7 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  35. I35
    Sch. 1 para. 8 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  36. I36
    Sch. 1 para. 9 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  37. I37
    Sch. 1 para. 10 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  38. I38
    Sch. 1 para. 11 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  39. I39
    Sch. 1 para. 12 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  40. I40
    Sch. 1 para. 13 in force at 19.1.2010 by S.I. 2010/30, art. 2(b)
  41. I41
    Sch. 3 para. 1 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  42. I42
    Sch. 3 para. 3 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  43. I43
    Sch. 3 para. 4 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  44. I44
    Sch. 3 para. 5 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  45. I45
    Sch. 3 para. 6 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  46. I46
    Sch. 3 para. 7 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  47. I47
    Sch. 3 para. 9 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  48. I48
    Sch. 3 para. 10 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  49. I49
    Sch. 3 para. 11 in force at 19.1.2010 by S.I. 2010/30, art. 2(d)
  50. I50
    Sch. 3 para. 18 in force at 19.1.2010 for specified purposes by S.I. 2010/30, art. 2(e)
  51. I51
    Sch. 3 para. 19 in force at 19.1.2010 for specified purposes by S.I. 2010/30, art. 2(e)
  52. I52
    S. 19 in force at 19.1.2010 for specified purposes by S.I. 2010/30, art. 2(f)
  53. I53
    S. 36 in force at 19.1.2010 by S.I. 2010/30, art. 2(h)
  54. I54
    S. 16 in force at 15.2.2010 by S.I. 2010/30, art. 3(a)
  55. I55
    S. 17 in force at 15.2.2010 by S.I. 2010/30, art. 3(a)
  56. I56
    S. 18 in force at 15.2.2010 for specified purposes by S.I. 2010/30, art. 3(b)
  57. I57
    Sch. 2 in force at 15.2.2010 for specified purposes by S.I. 2010/30, art. 3(c)
  58. C1
    S. 8(1) excluded (1.4.2010) by The National Health Service (Quality Accounts) Regulations 2010 (S.I. 2010/279), regs. 1(1), 2(1), 3(1)
  59. C2
    S. 8(3) excluded (1.4.2010) by The National Health Service (Quality Accounts) Regulations 2010 (S.I. 2010/279), regs. 1(1), 2(1), 3(1)
  60. I58
    S. 8 in force at 1.4.2010 in so far as not already in force by S.I. 2010/30, art. 4
  61. I59
    S. 10 in force at 1.4.2010 in so far as not already in force by S.I. 2010/30, art. 4
  62. I60
    Sch. 3 para. 18 in force at 1.4.2010 for specified purposes by S.I. 2010/930, art. 2(b)
  63. I61
    Sch. 3 para. 15 in force at 1.4.2010 by S.I. 2010/930, art. 2(a)
  64. I62
    Sch. 3 para. 16 in force at 1.4.2010 by S.I. 2010/930, art. 2(a)
  65. I63
    Sch. 3 para. 17 in force at 1.4.2010 by S.I. 2010/930, art. 2(a)
  66. I64
    Sch. 3 para. 14 in force at 1.4.2010 by S.I. 2010/930, art. 2(a)
  67. I65
    Sch. 3 para. 19 in force at 1.4.2010 for specified purposes by S.I. 2010/930, art. 2(b)
  68. I66
    S. 19 in force at 1.4.2010 for specified purposes by S.I. 2010/930, art. 2(c)
  69. I67
    S. 9 in force at 1.4.2010 in so far as not already in force by S.I. 2010/30, art. 4
  70. I68
    S. 25 in force at 24.5.2010 in so far as not already in force by S.I. 2010/779, art. 2
  71. I69
    S. 25 in force at 18.3.2010 for specified purposes by S.I. 2010/779, art. 2
  72. I70
    S. 35 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  73. I71
    Sch. 5 para. 1 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  74. I72
    Sch. 5 para. 2 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  75. I73
    Sch. 5 para. 3 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  76. I74
    Sch. 5 para. 4 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  77. I75
    Sch. 5 para. 5 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  78. I76
    Sch. 5 para. 6 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  79. I77
    Sch. 5 para. 7 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  80. I78
    Sch. 5 para. 8 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  81. I79
    Sch. 5 para. 9 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  82. I80
    Sch. 5 para. 10 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  83. I81
    Sch. 5 para. 11 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  84. I82
    Sch. 5 para. 12 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  85. I83
    Sch. 5 para. 13 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  86. I84
    Sch. 5 para. 14 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  87. I85
    Sch. 5 para. 15 in force at 1.10.2010 by S.I. 2010/1863, art. 2
  88. I86
    S. 22 in force at 1.10.2011 for E. in so far as not already in force by S.I. 2010/1068, art. 2(1)(a)
  89. I87
    Sch. 6 in force at 1.10.2011 for specified purposes by S.I. 2010/1068, art. 2(1)(b)
  90. I88
    S. 38 in force at 1.10.2011 for specified purposes by S.I. 2010/1068, art. 2(1)(b)
  91. I89
    S. 22 in force at 1.2.2012 for W. in so far as not already in force by S.I. 2011/2362, art. 2
  92. I90
    S. 23 in force at 1.3.2012 in so far as not already in force by S.R. 2012/68, art. 2
  93. I91
    S. 21 in force at 6.4.2012 for specified purposes for E. by S.I. 2010/1068, art. 2(1A)(a)
  94. I92
    S. 24 in force at 6.4.2012 for specified purposes for E. by S.I. 2010/1068, art. 2(1A)(b)
  95. I93
    Sch. 4 para. 6(2) in force at 6.4.2012 for E. by S.I. 2010/1068, art. 2(1A)(b)(i)
  96. I94
    Sch. 4 para. 6(1) in force at 6.4.2012 for specified purposes for E. by S.I. 2010/1068, art. 2(1A)(b)(i)
  97. I95
    Sch. 4 para. 7(5)(6) in force at 6.4.2012 for E. by S.I. 2010/1068, art. 2(1A)(b)(ii)
  98. I96
    Sch. 4 para. 10 in force at 6.4.2012 for E. by S.I. 2010/1068, art. 2(1A)(b)(iii)
  99. I97
    Sch. 4 para. 11 in force at 6.4.2012 for E. in so far as not already in force by S.I. 2010/1068, art. 2(1A)(b)(iv)
  100. I98
    Sch. 4 para. 12 in force at 6.4.2012 for E. in so far as not already in force by S.I. 2010/1068, art. 2(1A)(b)(iv)
  101. I99
    Sch. 4 para. 2 in force at 6.4.2012 for specified purposes for E. by S.I. 2010/1068, art. 2(1A)(b)(v)
  102. I100
    Sch. 6 in force at 6.4.2012 for specified purposes by S.I. 2010/1068, art. 2(1A)(c)
  103. I101
    S. 38 in force at 6.4.2012 for specified purposes by S.I. 2010/1068, art. 2(1A)(c)
  104. I102
    Sch. 4 para. 7(6) in force at 1.6.2012 for W. by S.I. 2012/1288, art. 2(1)(a)
  105. I103
    Sch. 4 para. 8(1)(3) in force at 1.6.2012 for W. by S.I. 2012/1288, art. 2(1)(b)
  106. I104
    Sch. 4 para. 2 in force at 1.6.2012 for specified purposes for W. by S.I. 2012/1288, art. 2(1)(c)
  107. F1
    Sch. 3 para. 2 omitted (1.7.2012) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 20 para. 3(b) (with Sch. 20 para. 4); S.I. 2012/1319, art. 2(3)
  108. F2
    Sch. 3 para. 13 omitted (1.7.2012) by virtue of Health and Social Care Act 2012 (c. 7), ss. 283(2), 306(4); S.I. 2012/1319, art. 2(3)
  109. I105
    S. 26 in force at 1.9.2012 by S.I. 2012/1902, art. 2(a)
  110. I106
    S. 27 in force at 1.9.2012 by S.I. 2012/1902, art. 2(b)
  111. I107
    S. 28 in force at 1.9.2012 by S.I. 2012/1902, art. 2(c)
  112. I108
    S. 29 in force at 1.9.2012 by S.I. 2012/1902, art. 2(d)
  113. I109
    S. 38 in force at 1.9.2012 for specified purposes by S.I. 2012/1902, art. 2(e)
  114. I110
    Sch. 6 in force at 1.9.2012 for specified purposes by S.I. 2012/1902, art. 2(f)
  115. F3
    Sch. 1 paras. 14, 15 repealed (10.9.2012 immediately after the coming into force of the Safeguarding Vulnerable Groups (Miscellaneous Amendments) Order 2012 (S.I. 2012/2157)) by Protection of Freedoms Act 2012 (c. 9), s. 120, Sch. 10 Pt. 5 (with s. 97); S.I. 2012/2234, art. 2(bb)
  116. F4
    S. 33 omitted (1.10.2012) by virtue of Health and Social Care Act 2012 (c. 7), ss. 165(3), 306(4); S.I. 2012/1831, art. 2(2)
  117. I111
    S. 38 in force at 31.10.2012 for specified purposes by S.I. 2012/2647, art. 2(a)
  118. I112
    Sch. 6 in force at 31.10.2012 for specified purposes by S.I. 2012/2647, art. 2(b)
  119. I113
    S. 21 in force at 31.10.2012 for specified purposes for N.I. by S.R. 2012/389, art. 2(1)(a)
  120. I114
    S. 24 in force at 31.10.2012 for specified purposes for N.I. by S.R. 2012/389, art. 2(1)(b)
  121. I115
    Sch. 4 para. 6(1) in force at 31.10.2012 for specified purposes for N.I. by S.R. 2012/389, art. 2(1)(b)(i)
  122. I116
    Sch. 4 para. 6(2) in force at 31.10.2012 for N.I. by S.R. 2012/389, art. 2(1)(b)(i)
  123. I117
    Sch. 4 para. 7(1) in force at 31.10.2012 for specified purposes for N.I. by S.R. 2012/389, art. 2(1)(b)(ii)
  124. I118
    Sch. 4 para. 7(3)(4) in force at 31.10.2012 for N.I. by S.R. 2012/389, art. 2(1)(b)(ii)
  125. I119
    Sch. 4 para. 8(1) in force at 31.10.2012 for specified purposes for N.I. by S.R. 2012/389, art. 2(1)(b)(iii)
  126. I120
    Sch. 4 para. 8(2) in force at 31.10.2012 for N.I. by S.R. 2012/389, art. 2(1)(b)(iii)
  127. I121
    Sch. 4 para. 10 in force at 31.10.2012 for N.I. by S.R. 2012/389, art. 2(1)(b)(iv)
  128. I122
    Sch. 4 para. 11 in force at 31.10.2012 for N.I. in so far as not already in force by S.R. 2012/389, art. 2(1)(b)(v)
  129. I123
    Sch. 4 para. 12 in force at 31.10.2012 for N.I. in so far as not already in force by S.R. 2012/389, art. 2(1)(b)(v)
  130. I124
    Sch. 4 para. 2 in force at 31.10.2012 for specified purposes for N.I. by S.R. 2012/389, art. 2(1)(b)(vi)
  131. F5
    Sch. 3 para. 8 omitted (31.10.2012) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 20 para. 7(d); S.I. 2012/1831, art. 2(3)
  132. F6
    S. 15 omitted (1.11.2012) by virtue of Health and Social Care Act 2012 (c. 7), ss. 173(5), 306(4); S.I. 2012/2657, art. 2(2)
  133. F7
    Sch. 3 para. 12 omitted (1.11.2012) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 13 para. 9(2); S.I. 2012/2657, art. 2(2)
  134. I125
    S. 21 in force at 3.12.2012 for specified purposes for W. by S.I. 2012/1288, art. 2(2)(a)
  135. I126
    S. 24 in force at 3.12.2012 for specified purposes for W. by S.I. 2012/1288, art. 2(2)(b)
  136. I127
    Sch. 4 para. 6(2) in force at 3.12.2012 for W. by S.I. 2012/1288, art. 2(2)(b)(i)
  137. I128
    Sch. 4 para. 6(1) in force at 3.12.2012 for specified purposes for W. by S.I. 2012/1288, art. 2(2)(b)(i)
  138. I129
    Sch. 4 para. 10 in force at 3.12.2012 for W. by S.I. 2012/1288, art. 2(2)(b)(ii)
  139. I130
    Sch. 4 para. 11 in force at 3.12.2012 for W. in so far as not already in force by S.I. 2012/1288, art. 2(2)(b)(iii)
  140. I131
    Sch. 4 para. 12 in force at 3.12.2012 for W. in so far as not already in force by S.I. 2012/1288, art. 2(2)(b)(iii)
  141. I132
    Sch. 4 para. 2 in force at 3.12.2012 for specified purposes for W. by S.I. 2012/1288, art. 2(2)(b)(iv)
  142. F8
    S. 2(2)(ca)-(cc) inserted (1.10.2012 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(3)(c); S.I. 2012/1831, art. 2(2); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  143. F9
    S. 18(2)-(6) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), ss. 173(2)(c), 306(4); S.I. 2013/671, art. 2(3)
  144. F10
    Words in Pt. 1 heading substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 174(a); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  145. F11
    Words in s. 2(1) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(2); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  146. F12
    S. 2(2)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(3)(a); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  147. F13
    S. 2(2)(da) inserted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 17 para. 13; S.I. 2013/160, art. 2(2) (with arts. 7-9)
  148. F14
    S. 2(2)(b) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(3)(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  149. F15
    Words in s. 2(3) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 174(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  150. F16
    Words in s. 2(3) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  151. F17
    Words in s. 2(4)(a)(b) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 174(b); S.I. 2013/160, art. 2(2) (with arts. 7-9); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  152. F18
    Word in s. 2(4)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(5)(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  153. F19
    S. 2(4)(za) inserted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(5)(a); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  154. F20
    S. 2(4)(c) and word inserted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(5)(c); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  155. F21
    Words in s. 2(5) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 175(6); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  156. F22
    Words in s. 2(5)(a)(b) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 174(b); S.I. 2013/160, art. 2(2) (with arts. 7-9); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  157. F23
    Words in s. 2(7) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 174(b); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  158. F24
    S. 3(3)(d) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 176(2); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  159. F25
    Words in s. 3(7) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 174(c); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  160. F26
    S. 3(8) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 176(3); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  161. F27
    Words in s. 8(1) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 177(2); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  162. F28
    S. 8(3)(a)(b) substituted for s. 8(3)(a)-(c) (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 177(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  163. F29
    S. 8(2)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 177(3); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  164. F30
    S. 8(6) substituted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 177(5); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  165. F31
    S. 18(11) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), ss. 173(2)(c), 306(4); S.I. 2013/671, art. 2(3)
  166. F32
    S. 29(4) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 4 para. 76(2) (with Sch. 4 para. 93(6)); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  167. F33
    S. 29(7) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 4 para. 93(5) (with Sch. 4 para. 93(6)); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  168. F34
    S. 29(8)(a) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 4 para. 93(5) (with Sch. 4 para. 93(6)); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  169. F35
    S. 29(8)(c) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 4 para. 93(5) (with Sch. 4 para. 93(6)); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  170. F36
    S. 29(10) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 4 para. 93(5) (with Sch. 4 para. 93(6)); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  171. F37
    S. 29(12) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 4 para. 93(5) (with Sch. 4 para. 93(6)); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  172. F38
    S. 29(15) omitted (1.4.2013) by virtue of Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 4 para. 93(5) (with Sch. 4 para. 93(6)); S.I. 2013/160, art. 2(2) (with arts. 7-9)
  173. F39
    S. 36(3)(aa) inserted (1.4.2013) by Health and Social Care Act 2012 (c. 7), s. 306(4), Sch. 5 para. 179; S.I. 2013/160, art. 2(2) (with arts. 7-9)
  174. I133
    S. 20 in force at 6.4.2015 for E. in so far as not already in force by S.I. 2010/1068, art. 2(2)(a)
  175. I134
    S. 21 in force at 6.4.2015 for specified purposes for E. by S.I. 2010/1068, art. 2(2)(b)
  176. I135
    S. 24 in force at 6.4.2015 for specified purposes for E. by S.I. 2010/1068, art. 2(2)(c)
  177. I136
    Sch. 4 para. 2 in force at 6.4.2015 for E. in so far as not already in force by S.I. 2010/1068, art. 2(2)(c)(i)
  178. I137
    Sch. 4 para. 3 in force at 6.4.2015 for E. by S.I. 2010/1068, art. 2(2)(c)(ii)
  179. I138
    Sch. 4 para. 4(2)(5) in force at 6.4.2015 for E. by S.I. 2010/1068, art. 2(2)(c)(iii)
  180. I139
    Sch. 4 para. 4(1) in force at 6.4.2015 for specified purposes for E. by S.I. 2010/1068, art. 2(2)(c)(iii)
  181. I140
    S. 20 in force at 6.4.2015 for W. in so far as not already in force by S.I. 2012/1288, art. 3(a)
  182. I141
    S. 21 in force at 6.4.2015 for specified purposes for W. by S.I. 2012/1288, art. 3(b)
  183. I142
    S. 24 in force at 6.4.2015 for specified purposes for W. by S.I. 2012/1288, art. 3(c)
  184. I143
    Sch. 4 para. 2 in force at 6.4.2015 for W. in so far as not already in force by S.I. 2012/1288, art. 3(c)(i)
  185. I144
    Sch. 4 para. 3 in force at 6.4.2015 for W. by S.I. 2012/1288, art. 3(c)(ii)
  186. I145
    Sch. 4 para. 4(2)(5) in force at 6.4.2015 for W. by S.I. 2012/1288, art. 3(c)(iii)
  187. I146
    Sch. 4 para. 4(1) in force at 6.4.2015 for specified purposes for W. by S.I. 2012/1288, art. 3(c)(iii)
  188. I147
    S. 24 in force at 6.4.2015 for specified purposes for N.I. by S.R. 2012/389, art. 2(2)(c)
  189. I148
    Sch. 4 para. 2 in force at 6.4.2015 for N.I. in so far as not already in force by S.R. 2012/389, art. 2(2)(c)(i)
  190. I149
    S. 20 in force at 6.4.2015 for N.I. in so far as not already in force by S.R. 2012/389, art. 2(2)(a)
  191. I150
    S. 21 in force at 6.4.2015 for specified purposes for N.I. by S.R. 2012/389, art. 2(2)(b)
  192. I151
    Sch. 4 para. 3 in force at 6.4.2015 for N.I. by S.R. 2012/389, art. 2(2)(c)(ii)
  193. I152
    Sch. 4 para. 4(1) in force at 6.4.2015 for specified purposes for N.I. by S.R. 2012/389, art. 2(2)(c)(iii)
  194. I153
    Sch. 4 para. 4(2)(5) in force at 6.4.2015 for N.I. by S.R. 2012/389, art. 2(2)(c)(iii)
  195. C3
    S. 2(1) applied (30.11.2017) by The Greater Manchester Combined Authority (Public Health Functions) Order 2017 (S.I. 2017/1180), arts. 1, 7(1)
  196. F40
    Words in Sch. 6 omitted (1.4.2019) by virtue of Public Health (Wales) Act 2017 (anaw 2), ss. 112(12), 126(2); S.I. 2019/829, art. 2
  197. F41
    S. 2(2)(cb) substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 4 para. 170(2); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
  198. F42
    Words in s. 2(4)(za) substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 4 para. 170(3); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
  199. F43
    S. 2(2)(f) omitted (1.7.2022) by virtue of Health and Care Act 2022 (c. 31), s. 186(6), Sch. 5 para. 42; S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
  200. F44
    Words in s. 2 substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 1 para. 1(1)(2); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
  201. F45
    Words in s. 8 substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 1 para. 1(1)(2); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
  202. F46
    Words in s. 8(6) substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 4 para. 171; S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
  203. F47
    Words in s. 9(3) substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 5 para. 43; S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
  204. F48
    Words in s. 36 substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 1 para. 1(1)(2); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
  205. F49
    S. 2(2)(db) omitted (1.2.2023) by virtue of The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 14 (with reg. 3)
  206. F50
    S. 2(2)(h) omitted (1.4.2023) by virtue of The Health Education England (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/368), reg. 1(2), Sch. 1 para. 10 (with reg. 7)
  207. I154
    S. 31(2) in force at 26.9.2023 by S.I. 2023/1039, art. 2
  208. F51
    S. 2(2)(i) inserted (1.10.2023) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 15 para. 9; S.I. 2023/1035, reg. 2(c)
  209. C4
    S. 2(1) applied (28.2.2024) by The East Midlands Combined County Authority Regulations 2024 (S.I. 2024/232), regs. 1(2), 25