National Health Service (Wales) Act 2006
- (4) For the purposes of this section sums which in the hands of a Special Health Authority cease to be trust funds and become applicable by the Special Health Authority otherwise than as trustee must be treated, on their becoming so applicable, as having been received by the Special Health Authority otherwise than as trustee.
- (5) Of the sums received by a Special Health Authority under section 169 so much only as accrues to the Special Health Authority after defraying any expenses incurred in obtaining them must be disregarded under subsection (3).
- (6) Subject to subsection (3), the Welsh Ministers may by directions determine—
- (a) whether specified sums must, or must not, be treated for the purposes of this section as received under this Act by a specified Special Health Authority,
- (b) whether specified expenditure must, or must not, be treated for those purposes as expenditure within subsection (1) of a specified Special Health Authority, or
- (c) the extent to which, and the circumstances in which, sums received by a Special Health Authority under section 171 but not yet spent must be treated for the purposes of this section as part of the expenditure of the Special Health Authority and to which financial year's expenditure they must be attributed.
- (7) “Specified” means of a description specified in the directions.
Resource limits for Special Health Authorities
173
- (1) Each Special Health Authority must ensure that the use of its resources in a financial year does not exceed the amount specified for it in relation to that year by the Welsh Ministers.
- (2) For the purpose of subsection (1) the Welsh Ministers may give directions—
- (a) specifying uses of resources which must, or must not, be taken into account,
- (b) making provision for determining to which Special Health Authority certain uses of resources must be attributed,
- (c) specifying descriptions of resources which must, or must not, be taken into account.
- (3) The Welsh Ministers may give such directions to a Special Health Authority as appear to be requisite to secure that it complies with the duty under subsection (1).
- (4) Subsections (3) to (5) of section 172 apply in relation to the duty under subsection (1) of this section as they apply in relation to the duties under subsections (1) and (2) of that section; and for that purpose references to the defraying of expenditure and the receipt of sums are references to the incurring of liabilities and the acquisition of assets.
- (5) Where the Welsh Ministers have specified an amount under this section in respect of a financial year, they may vary the amount by a later specification.
- (6) In this section a reference to the use of resources is a reference to their expenditure, consumption or reduction in value.
Local Health Boards
Public funding of Local Health Boards
174
- (1) The Welsh Ministers must, in respect of each financial year, pay to each Local Health Board—
- (a) sums equal to its general ophthalmic . . . services expenditure, and
- (b) sums not exceeding the amount allotted by the Welsh Ministers to the Local Health Board for that year towards meeting the Local Health Board's main expenditure in that year.
- (2) In determining the amount to be allotted for any year to a Local Health Board under subsection (1)(b) (or in varying the amount under subsection (9)), the Welsh Ministers may take into account, in whatever way they consider appropriate—
- (a) the Local Health Board's general ophthalmic . . . services expenditure, and
- (b) expenditure which would have been the Local Health Board's general ophthalmic . . . services expenditure but for an order under section 180(2) (special arrangements as to payment of remuneration),
during any period the Welsh Ministers consider appropriate (or such elements of that expenditure as they consider appropriate).
- (3) Where the Welsh Ministers have made an initial determination of the amount (“the initial amount”) to be allotted for any year to a Local Health Board under subsection (1)(b), they may increase the initial amount by a further sum if it appears to them that over a period notified to the Local Health Board—
- (a) it satisfied any objectives notified to it as objectives to be met in performing its functions, or
- (b) it performed well against any criteria notified to it as criteria relevant to the satisfactory performance of its functions (whether or not the method of measuring its performance against those criteria was also notified to it).
- (4) “Notified” means specified or referred to in a notice given to the Local Health Board by the Welsh Ministers.
- (5) In making any increase under subsection (3), the Welsh Ministers may (whether by directions under subsection (10) or otherwise) impose any conditions they consider appropriate on the application or retention by the Local Health Board of the sum in question.
- (6) Subsection (7) applies where—
- (a) the Welsh Ministers have, under subsection (3), increased by any sum the amount to be allotted for any year to a Local Health Board,
- (b) the Welsh Ministers have notified the Local Health Board of the allotment, and
- (c) it subsequently appears to the Welsh Ministers that the Local Health Board has failed (wholly or in part) to satisfy any conditions imposed in making that increase.
- (7) Where this subsection applies, the Welsh Ministers may reduce—
- (a) the allotment made to the Local Health Board for that year, or
- (b) when the Welsh Ministers have made an initial determination of the amount (“the initial amount”) to be allotted for any subsequent year to the Local Health Board under subsection (1)(b), the initial amount,
by an amount not exceeding the sum mentioned in subsection (6)(a).
- (8) An amount is allotted to a Local Health Board for a year under this section when the Local Health Board is notified by the Welsh Ministers that the amount is allotted to it for that year.
- (9) The Welsh Ministers may make an allotment under this section increasing or reducing (subject to subsection (7)) an allotment previously so made; and the reference to a determination in subsection (3) includes a determination made with a view to increasing or reducing an allotment previously so made.
- (10) The Welsh Ministers may give directions to a Local Health Board with respect to—
- (a) the application of sums paid to it under this section, or
- (b) the payment of sums by it to the Welsh Ministers in respect of charges or other sums referable to the valuation or disposal of assets.
- (11) Sums falling to be paid to Local Health Boards under this section are payable subject to such conditions as to records, certificates or otherwise as the Welsh Ministers may determine.
- (12) “General ophthalmic . . . services expenditure” and “main expenditure” are defined in Schedule 8.
Financial duties of Local Health Boards
175
- (1) Each Local Health Board must, in respect of each three-year accounting period, perform its functions so as to secure that its expenditure which is attributable to the performance by it of its functions in that period (not including its general ophthalmic services expenditure) does not exceed the aggregate of—
- (a) the amount allotted to it for each financial year in that period under section 174(1)(b),
- (b) any sums received by it in each financial year in that period under any other provision of this Act, and
- (c) any sums received by it in each financial year in that period otherwise than under this Act for the purpose of enabling it to defray any such expenditure,
by an amount that is more than is determined in writing by the Welsh Ministers.
- (2) The Welsh Ministers must give directions to a Local Health Board requiring it—
- (a) to prepare a plan which sets out its strategy for securing that it complies with the duty under subsection (1) while improving—
- (i) the health of the people for whom it is responsible, and
- (ii) the provision of health care to such people;
- (b) to do such other things as appear to be requisite to secure that it complies with that duty.
- (2A) A Local Health Board does not comply with a direction given to it under subsection (2)(a) unless the plan prepared in accordance with that direction has been submitted to and approved by the Welsh Ministers.
- (3) To the extent to which—
- (a) any expenditure is defrayed by a Local Health Board as trustee or on behalf of a Local Health Board by special trustees, or
- (b) any sums are received by a Local Health Board as trustee or under section 169,
that expenditure and, subject to subsection (5) those sums, must be disregarded for the purposes of this section.
- (4) For the purposes of this section sums which, in the hands of a Local Health Board, cease to be trust funds and become applicable by the Local Health Board otherwise than as trustee must be treated, on their becoming so applicable, as having been received by the Local Health Board otherwise than as trustee.
- (5) Of the sums received by a Local Health Board under section 169 so much only as accrues to the Local Health Board after defraying any expenses incurred in obtaining them must be disregarded under subsection (3).
- (6) Subject to subsection (3), the Welsh Ministers may by directions determine—
- (a) whether specified sums must, or must not, be treated for the purposes of this section as received under this Act by a specified Local Health Board,
- (b) whether specified expenditure must, or must not, be treated for those purposes as expenditure within subsection (1) of a specified Local Health Board, or
- (c) the extent to which, and the circumstances in which, sums received by a Local Health Board under section 174 but not yet spent must be treated for the purposes of this section as part of the expenditure of the Local Health Board and to which financial year's expenditure they must be attributed.
- (6A) The Welsh Ministers must, in relation to each three-year accounting period, report to the National Assembly for Wales before the end of the financial year following that period on whether each Local Health Board has complied with the duty under subsection (1).
- (7) “Specified” means of a description specified in the directions.
- (8) Three-year accounting period” means a period of three years which begins with the first day of a financial year, so that the first begins with 1 April 2014 and ends with 31 March 2017 and the second begins with 1 April 2015 and ends with 31 March 2018 (and so on).
Resource limits for Local Health Boards
176
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Further provision about the expenditure of Local Health Boards
177
Schedule 8 makes further provision about the expenditure of Local Health Boards.
Accounts and audit
Accounts and audit
178
Schedule 9 makes provision about the accounts of certain health service bodies and the auditing of such accounts.
Allowances and remuneration
Allowances for members of certain bodies
179
- (1) The Welsh Ministers may pay to members of any body specified by them in an order as a body formed for the purpose of performing a function connected with the provision of services under this Act, such travelling and other allowances, including compensation for loss of remunerative time, as they may determine.
- (2) Payments under this section are subject to such conditions as to records, certificates, or otherwise as the Welsh Ministers may determine.
Special arrangement as to payment of remuneration
180
- (1) Subsection (2) applies where the Welsh Ministers consider it appropriate for remuneration in respect of—
- (a) primary medical services or primary dental services,
- (b) general ophthalmic services, or
- (c) pharmaceutical services,
to be paid by a particular body.
- (2) Where this subsection applies, and the functions of the body do not include the function of paying the remuneration, the Welsh Ministers may by order confer that function on that body.
- (3) Any sums required to enable a body to pay the remuneration must, if apart from this section there is no provision authorising the payment of the sums by the Welsh Ministers or out of money provided by Parliament, be paid by them.
- (4) If the Welsh Ministers by order so provide with respect to remuneration in respect of such pharmaceutical services or such local pharmaceutical services as may be specified in the order—
- (a) an NHS trust determined in accordance with the order has the function of paying sums so determined to a Local Health Board so determined in respect of the whole or any part of that remuneration, and
- (b) subsection (3) does not apply with respect to the whole or that part of the remuneration.
Payments for certain medical examinations
181
- (1) Where a medical practitioner carries out a medical examination of any person with a view to an application for his admission to hospital for assessment or treatment being made under Part 2 of the Mental Health Act 1983 (c. 20) the Welsh Ministers must pay to that medical practitioner—
- (a) reasonable remuneration in respect of that examination and in respect of any recommendation or report made by him with regard to the person examined, and
- (b) the amount of any expenses reasonably incurred by him in connection with the examination or the making of any such recommendation or report.
- (2) No payment may be made under this section to a medical practitioner—
- (a) in respect of an examination carried out in the provision of primary medical services for that person, or
- (b) in respect of an examination carried out or any recommendation or report made as part of his duty as an officer of ... an NHS trust, Special Health Authority, NHS foundation trust or Local Health Board.
- (3) This section applies only in a case where it is intended, when the medical examination of the person in question is carried out, that if he is admitted to hospital in pursuance of an application mentioned in subsection (1), the whole cost of his maintenance and treatment will be defrayed out of moneys provided by Parliament.
Part 12 — Public involvement and scrutiny
Chapter 1 — Community Health Councils
Community Health Councils
182
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chapter 2 — Public involvement and consultation
Public involvement and consultation
183
- (1) Each Local Health Board must make arrangements with a view to securing, as respects health services for which it is responsible, that persons to whom those services are being or may be provided are, directly or through representatives, involved in and consulted on—
- (a) the planning of the provision of those services,
- (b) the development and consideration of proposals for changes in the way those services are provided, and
- (c) decisions to be made by the Local Health Board affecting the operation of those services.
- (2) For the purposes of this section a Local Health Board is responsible for health services—
- (a) if it provides or will provide those services to individuals, or
- (b) if another person provides, or will provide, those services to individuals—
- (i) at the Local Health Board's direction,
- (ii) on its behalf, or
- (iii) in accordance with an agreement or arrangements made by the Local Health Board with that other person,
and references in this section to the provision of services include references to the provision of services jointly with another person.
Chapter 3 — Overview and scrutiny committees
Functions of overview and scrutiny committees
184
- (1) This section applies to any local authority, except that it applies to the council of a district only where the district is comprised in an area for which there is no county council.
- (2) Regulations may, in relation to an overview and scrutiny committee of an authority to which this section applies, make provision—
- (a) as to matters relating to the health service in the authority's area which the committee may review and scrutinise,
- (b) as to matters relating to the health service in the authority's area on which the committee may make reports and recommendations to local NHS bodies , direct payment service providers or the Welsh Ministers,
- (c) as to matters on which local NHS bodies or direct payment service providers must consult the committee in accordance with the regulations (including provision as to circumstances in which the Welsh Ministers or the Independent Regulator of NHS Foundation Trusts may require consultation on those matters in accordance with the regulations),
- (d) as to information which local NHS bodies or direct payment service providers must provide to the committee,
- (e) as to information which may not be disclosed by a local NHS body or a direct payment service provider to the committee,
- (f) requiring any officer of a local NHS body or a direct payment service provider to attend before the committee to answer questions.
- (3) For the purposes of subsection (2), “local NHS body”, in relation to an overview and scrutiny committee, means an NHS body other than a Special Health Authority which is prescribed for those purposes in relation to the committee.
- (3A) For the purposes of subsection (2) and section 186, “direct payment service provider in relation to an overview and scrutiny committee of a local authority means a person who provides services to any person residing in the authority’s area in respect of which direct payments have been made under section 10B(1), or under regulations made under section 10B(6).
- (4) “The health service” includes services provided in pursuance of arrangements under regulations under section 33 in relation to the exercise of health-related functions of a local authority.
Joint overview and scrutiny committees etc
185
- (1) In this section, “relevant functions”—
- (a) in relation to a local authority operating executive arrangements under Part 2 of the Local Government Act 2000 (c. 22) (“the 2000 Act”), are functions which are, or, but for regulations under this section, would be, exercisable under section 21(2)(f) of that Act by an overview and scrutiny committee of that authority, and
- (b) in relation to a local authority operating alternative arrangements under that Part, are any corresponding functions which are, or, but for regulations under this section, would be, exercisable by a committee of the authority falling within paragraph (b) of section 32(1) of that Act,
and references to an overview and scrutiny committee include references to a committee falling within that paragraph.
- (2) Regulations may make provision under which—
- (a) two or more local authorities may appoint a joint committee of those authorities (a “joint overview and scrutiny committee”) and arrange for relevant functions in relation to any (or all) of those authorities to be exercisable by the committee,
- (b) a local authority may arrange for relevant functions in relation to that authority to be exercisable by an overview and scrutiny committee of another local authority,
- (c) a county council for any area may arrange for one or more of the members of an overview and scrutiny committee of the council for a district comprised in that area to be appointed as—
- (i) a member of an overview and scrutiny committee of the county council or another local authority, for the purposes of relevant functions of the committee in relation to the county council, or
- (ii) a member of an overview and scrutiny committee of the county council, for the purposes of relevant functions of the committee in relation to another local authority.
- (3) The regulations may in particular—
- (a) provide for arrangements to be made only in specified circumstances, or subject to specified conditions or limitations,
- (b) in relation to joint overview and scrutiny committees, make provision applying, or corresponding to, any provision of—
- (i) section 21(4) and (6) to (17) of the 2000 Act, or
- (ia) section 21A(1)(a) or (b) or (2) of that Act,
- (ii) section 186 of, and Schedule 11 to, this Act, and Schedule 17 to the National Health Service Act 2006 (c. 41),
with or without modifications.
- (4) The regulations may require, or enable the Welsh Ministers to direct, a local authority—
- (a) to make arrangements of any description within subsection (2), and
- (b) to comply with such requirements in connection with the arrangements as may be specified in the regulations or as the Welsh Ministers may direct.
- (5) In section 184(2) and (3), references to an overview and scrutiny committee include references to a joint overview and scrutiny committee.
- (6) In subsection (2)(c), references to an overview and scrutiny committee of a county council include references to a joint overview and scrutiny committee of the council and another local authority.
- (7) Section 21(4) of the 2000 Act does not apply to the discharge of functions by virtue of arrangements under regulations under subsection (2).
- (8) Section 21(10) of the 2000 Act does not apply to persons who are members of an overview and scrutiny committee by virtue of arrangements under regulations under subsection (2)(c).
- (9) “Local authority” does not include the Common Council of the City of London.
Overview and scrutiny committees: exempt information
186
- (1) This section applies in relation to any item of business at a meeting of an overview and scrutiny committee which is an item relating to functions of the committee under section 21(2)(f) of the Local Government Act 2000 (c. 22).
- (2) In relation to any such item, information is exempt information for the purposes of section 100A(4) of the Local Government Act 1972 (c. 70) (exclusion of public from meetings to prevent disclosure of exempt information) if it falls within any of the descriptions of information specified in Schedule 11, or in Schedule 17 to the National Health Service Act 2006.
- (3) The Welsh Ministers may by order vary Schedule 11—
- (a) by adding any description or other provision in connection with a relevant body or services provided by, or under arrangements made by, a relevant body, ...
- (ab) by adding any description or other provision in connection with a direct payment service provider or services provided by, or under arrangements made by, a direct payment service provider, or
- (b) by deleting or varying any description or other provision specified or contained in that Schedule.
- (4) The Welsh Ministers may exercise the power conferred by subsection (3) by amending any Part of Schedule 11, with or without amendment of any other Part.
- (5) In this section and Schedule 11 “relevant body” means a body in respect of which overview and scrutiny committees exercise functions under regulations under section 184.
Part 13 — Miscellaneous
Independent advocacy services
Independent advocacy services
187
- (1) The Welsh Ministers must arrange, to such extent as they consider necessary to meet all reasonable requirements, for the provision of independent advocacy services.
- (2) “Independent advocacy services”are services providing assistance (by way of representation or otherwise) to individuals making or intending to make—
- (a) a complaint under a procedure operated by a direct payment service provider, health service body , independent provider or independent palliative care provider,
- (b) a complaint under section 113(1) or (2) of the Health and Social Care (Community Health and Standards) Act 2003 (c. 43),
- (c) a complaint to the Health Service Commissioner for England ...,
- (ca) a complaint to the Public Services Ombudsman for Wales which relates to a direct payment service provider, health service body , family health service provider in Wales, independent provider or independent palliative care provider,
- (d) a complaint of a prescribed description which relates to the provision of services as part of the health service and—
- (i) is made under a procedure of a prescribed description, or
- (ii) gives rise, or may give rise, to proceedings of a prescribed description.
- (3) In subsection (2)—
- “direct payment service provider means a person who provides services to any person in respect of which direct payments have been made under section 10B(1), or under regulations made under section 10B(6),
- “family health service provider in Wales” has the same meaning as it has in the Public Services Ombudsman (Wales) Act 2019 (see, in particular, section 78 of that Act),
- “health service body” means—in relation to England, a body which, under section 2(1) of the Health Service Commissioners Act 1993 (c. 46), is subject to investigation by the Health Service Commissioner for England,in relation to Wales, a Welsh health service body (within the meaning of the Public Services Ombudsman (Wales) Act 2019),
- “independent palliative care provider” means a person who is an independent palliative care provider (within the meaning given by section 64 of the Public Services Ombudsman (Wales) Act 2019),
- “independent provider” means—in relation to England, a person who, under section 2B(1) of the Health Service Commissioners Act 1993, is subject to investigation by the Health Service Commissioner for England,in relation to Wales, a person who is an independent provider in Wales (within the meaning of the Public Services Ombudsman (Wales) Act 2019.
- (4) The Welsh Ministers may make such other arrangements as they consider appropriate for the provision of assistance to individuals in connection with complaints relating to the provision of services as part of the health service.
- (5) In making arrangements under this section the Welsh Ministers must have regard to the principle that the provision of services under the arrangements should, so far as practicable, be independent of any person who is—
- (a) the subject of a relevant complaint, or
- (b) involved in investigating or adjudicating on such a complaint.
- (6) The Welsh Ministers may make payments to any person in pursuance of arrangements under this section.
Joint working with the prison service
Joint working with the prison service
188
- (1) The Welsh Ministers may by regulations make provision for or in connection with enabling prescribed NHS bodies (on the one hand) and the prison service (on the other) to enter into prescribed arrangements in relation to the exercise of—
- (a) prescribed functions of the NHS bodies, and
- (b) prescribed health-related functions of the prison service,
if the arrangements are likely to lead to an improvement in the way in which those functions are exercised in relation to securing and maintaining the health of prisoners.
- (2) The arrangements which may be prescribed include arrangements—
- (a) for or in connection with the establishment and maintenance of a fund—
- (i) which is made up of contributions by one or more NHS bodies and by the prison service, and
- (ii) out of which payments may be made towards expenditure incurred in the exercise of both prescribed functions of the NHS body or bodies and prescribed health-related functions of the prison service,
- (b) for or in connection with the exercise by an NHS body on behalf of the prison service of prescribed health-related functions of the prison service in conjunction with the exercise by the NHS body of prescribed functions of the NHS body,
- (c) for or in connection with the exercise by the prison service on behalf of an NHS body of prescribed functions of the NHS body in conjunction with the exercise by the prison service of prescribed health-related functions of the prison service,
- (d) as to the provision of staff, goods or services in connection with any arrangements mentioned in paragraph (a), (b) or (c),
- (e) as to the making of payments by the prison service to an NHS body in connection with any arrangements mentioned in paragraph (b),
- (f) as to the making of payments by an NHS body to the prison service in connection with any arrangements mentioned in paragraph (c).
- (3) Any arrangements made by virtue of this section do not affect the liability of NHS bodies, or of the prison service, for the exercise of any of their functions.
- (4) “The prison service” means the Minister of the Crown exercising functions in relation to prisons (within the meaning of the Prison Act 1952 (c. 52)); and “Minister of the Crown” has the same meaning as in the Ministers of the Crown Act 1975.
Advisory committees
Welsh Ministers' standing advisory committees
189
- (1) The Welsh Ministers may by order establish standing advisory committees for the purpose of advising them on such of the services provided under this Act as may be specified in the order.
- (2) A standing advisory committee consists of persons appointed by the Welsh Ministers after consultation with such representative organisations as they recognise for the purpose.
- (3) A standing advisory committee must advise the Welsh Ministers—
- (a) on such matters relating to the services with which the committee is concerned as it considers appropriate, and
- (b) on any questions referred to it by the Welsh Ministers relating to those services.
- (4) Schedule 13 makes further provision about standing advisory committees.
Advisory committees for Wales
190
- (1) Where the Welsh Ministers are satisfied that a committee formed for Wales is representative of any category of persons mentioned in subsection (2), they must recognise the committee.
- (2) The categories are—
- (a) medical practitioners,
- (b) dental practitioners,
- (c) nurses and midwives,
- (d) registered pharmacists, or
- (e) optometrists.
- (3) A committee recognised under this section is called the Welsh Medical Committee, the Welsh Dental Committee, the Welsh Nursing and Midwifery Committee, the Welsh Pharmaceutical Committee or the Welsh Optical Committee.
- (4) The duty of the Welsh Ministers under subsection (1) is subject to paragraph 1 of Schedule 14.
- (5) Schedule 14 to this Act makes further provision about committees recognised under this section.
Emergency powers
Emergency powers
191
- (1) The Welsh Ministers may give directions under this section if they consider that by reason of an emergency it is necessary to do so in order to ensure that a service falling to be provided under or by virtue of this Act is provided.
- (2) Directions under this section may direct that, during the period specified by the directions, a function conferred on any body or person under or by virtue of this Act is to the exclusion of or concurrently with that body or person to be performed by another body or person.
- (3) The powers conferred on the Welsh Ministers by this section are in addition to any other powers exercisable by the Welsh Ministers.
Local social services authorities
Local social service authorities
192
- (1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
- (2) A local social services authority which provides premises, furniture or equipment for any of the purposes of this Act may permit the use of the premises, furniture or equipment by—
- (a) any other local social services authority,
- (b) any of the bodies established under this Act, or
- (c) a local authority (as defined in section 579(1) of the Education Act 1996) for the purposes of the exercise of any education functions (as defined in that section).
- (3) The permission may be on such terms (including terms with respect to the services of any staff employed by the authority giving permission) as may be agreed.
- (4) A local social services authority may provide (or improve or furnish) residential accommodation for officers—
- (a) employed by it for the purposes of any of its functions as a local social services authority, ...
- (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
- (5) In this section ... “equipment” includes any machinery, apparatus or appliance, whether fixed or not, and any vehicle.
Supplies by the Welsh Ministers
Supplies not readily obtainable
193
- (1) Where the Welsh Ministers have acquired—
- (a) supplies of human blood for the purposes of any service under this Act,
- (b) any part of a human body for the purpose of, or in the course of providing, any such service, or
- (c) supplies of any other substances or preparations not readily obtainable,
they may arrange to make such supplies or that part available (on such terms, including terms as to charges, as they consider appropriate) to any person.
- (2) The Welsh Ministers may exercise the powers conferred by subsection (1) only if, and to the extent that, they are satisfied that anything which they propose to do or allow under those powers—
- (a) will not to a significant extent interfere with the performance by them of any duty imposed on them by this Act to provide accommodation or services of any kind, and
- (b) will not to a significant extent operate to the disadvantage of persons seeking or afforded admission or access to accommodation or services at health service hospitals (whether as resident or non-resident patients) otherwise than as private patients.
- (3) “Health service hospital” includes such a hospital within the meaning of section 275 of the National Health Service Act 2006 (c. 41).
Community services
Power of Local Health Boards to make payments towards expenditure on community services
194
- (1) A Local Health Board may make payments to—
- (a) a local social services authority in Wales towards expenditure incurred or to be incurred by it in connection with any of its functions which are social services functions for the purposes of the Social Services and Well-being (Wales) Act 2014 (anaw 4),
- (aa) a local social services authority in England towards expenditure incurred or to be incurred by it in connection with any social services functions (within the meaning of the Local Authority Social Services Act 1970 (c. 42)), other than functions under section 3 of the Disabled Persons (Employment) Act 1958 (c. 33),
- (b) a district council, or a Welsh county council or county borough council, towards expenditure incurred or to be incurred by it in connection with its functions under Part 2 of Schedule 9 to the Health and Social Services and Social Security Adjudications Act 1983 (c. 41) (meals and recreation for old people),
- (c) a local authority (as defined in section 579(1) of the Education Act 1996), towards expenditure incurred or to be incurred by it in connection with its functions under the Education Acts (within the meaning of that Act), in so far as it performs those functions for the benefit of disabled persons,
- (d) a local housing authority within the meaning of the Housing Act 1985 (c. 68), towards expenditure incurred or to be incurred by it in connection with its functions under Part 2 of that Act (provision of housing), or
- (e) any of the bodies mentioned in subsection (2), in respect of expenditure incurred or to be incurred by it in connection with the provision of housing accommodation.
- (2) The bodies are—
- (a) a registered social landlord within the meaning of the Housing Act 1985 (see section 5(4) and (5) of that Act),
- (ab) a private registered provider of social housing,
- (b) the Homes and Communities Agency,
- (c) a new town development corporation,
- (d) an urban development corporation established under the Local Government, Planning and Land Act 1980 (c. 65),
- (e) the Regulator of Social Housing.
- (3) A Local Health Board may make payments to a local authority towards expenditure incurred or to be incurred by the authority in connection with the performance of any of the authority's functions which, in the opinion of the Local Health Board—
- (a) have an effect on the health of any individuals,
- (b) have an effect on, or are affected by, any NHS functions, or
- (c) are connected with any NHS functions.
- (4) “NHS functions” means functions exercised by an NHS body.
- (5) A payment under this section may be made in respect of expenditure of a capital or of a revenue nature or in respect of both kinds of expenditure.
- (6) The Welsh Ministers may by directions prescribe conditions relating to payments under this section or section 195.
- (7) The conditions include, in particular, conditions requiring, in such circumstances as may be specified—
- (a) repayment of the whole or part of a payment under this section, or
- (b) in respect of property acquired with a payment under this section, payment of an amount representing the whole or part of an increase in the value of the property which has occurred since its acquisition.
- (8) No payment may be made under this section in respect of any expenditure unless the conditions relating to it conform with the conditions prescribed under subsection (6) for payments of that description.
- (9) “A disabled person”is a person who has a physical or mental impairment which has a substantial and long-term adverse effect on his ability to carry out normal day-to-day activities or who has such other disability as may be prescribed.
Payments in respect of voluntary organisations under section 194
195
- (1) This section applies where the expenditure in respect of which a payment under section 194 is proposed to be made is expenditure in connection with services to be provided by a voluntary organisation.
- (2) Where this section applies, the Local Health Board may make payments to the voluntary organisation towards the expenditure incurred or to be incurred by the organisation in connection with the provision of those services, instead of or in addition to making payments under section 194(1) or (3).
- (3) Where this section applies—
- (a) a body falling within any of paragraphs (a) to (d) of section 194(1) which has received payments under the paragraph, and
- (b) a local authority which has received payments under section 194(3),
may make out of the sums paid to it payments to the voluntary organisation towards expenditure incurred or to be incurred by the organisation in connection with the provision of those services.
- (4) No payment may be made under subsection (2) or (3) except subject to conditions which conform with the conditions prescribed for payments of that description under section 194(6).
Power of Welsh Ministers to make payments towards expenditure on community services in Wales
196
- (1) The Welsh Ministers may make payments—
- (a) to an authority in Wales of a description mentioned in paragraph (a), (b), (c) or (d) of section 194(2), for the purpose mentioned in the paragraph,
- (b) to any body mentioned in subsection (2), in respect of expenditure incurred or to be incurred by the body in connection with the provision of housing accommodation in Wales.
- (2) The bodies are—
- (a) a registered social landlord within the meaning of the Housing Act 1985 (c. 68) (see section 5(4) and (5) of that Act),
- (b) the Homes and Communities Agency,
- (c) a new town development corporation,
- (d) an urban development corporation established under the Local Government, Planning and Land Act 1980 (c. 65).
- (3) The Welsh Ministers may make payments to a voluntary organisation towards expenditure incurred or to be incurred by the organisation in connection with the provision of services for which the Welsh Ministers could make payments under subsection (1).
- (4) A payment under this section may be made in respect of expenditure of a capital or of a revenue nature or in respect of both kinds of expenditure.
- (5) Conditions may be attached to a payment under this section.
- (6) The conditions that may be attached include, in particular, conditions requiring, in such circumstances as may be specified—
- (a) repayment of the whole or part of a payment under this section, or
- (b) in respect of property acquired with a payment under this section, payment of an amount representing the whole or part of an increase in the value of the property which has occurred since its acquisition.
Universities
University clinical teaching and research
197
- (1) The Welsh Ministers must exercise their functions under this Act so as to secure that there are made available such facilities as they consider are reasonably required by any university which has a medical or dental school, in connection with—
- (a) clinical teaching, and
- (b) research connected with clinical medicine or clinical dentistry.
- (2) Regulations may provide for any functions—
- (a) exercisable by NHS England, an integrated care board, ... ... Special Health Authority or Local Health Board,
- (b) in relation to the provision of facilities such as are mentioned in subsection (1),
to be exercisable by the body jointly with one or more NHS body other than an NHS foundation trust.
Use of facilities in private practice
Permission for use of facilities in private practice
198
- (1) A person to whom this section applies who wishes to use any relevant health service accommodation or facilities for the purpose of providing medical, dental, pharmaceutical, ophthalmic or chiropody services to non-resident private patients may apply in writing to the Welsh Ministers for permission under this section.
- (2) Any application for permission under this section must specify—
- (a) which of the relevant health service accommodation or facilities the applicant wishes to use for the purpose of providing services to such patients, and
- (b) which of the kinds of services mentioned in subsection (1) he wishes the permission to cover.
- (3) On receiving an application under this section the Welsh Ministers—
- (a) must consider whether anything for which permission is sought would interfere with the giving of full and proper attention to persons seeking or afforded access otherwise than as private patients to any services provided under this Act, and
- (b) must grant the permission applied for unless in the opinion of the Welsh Ministers anything for which permission is sought would so interfere.
- (4) Any grant of permission under this section is on such terms (including terms as to the payment of charges for the use of the relevant health service accommodation or facilities pursuant to the permission) as the Welsh Ministers may from time to time determine.
- (5) The persons to whom this section applies are—
- (a) medical practitioners or optometrists who provide services under Part 6,
- (b) medical practitioners, registered pharmacists or other persons who provide services under Chapter 1 of Part 7,
- (c) chiropodists who provide services under this Act at premises where services are provided under Part 6 or Chapter 1 of Part 7,
- (d) persons providing primary medical services or primary dental services under a general medical services contract or a general dental services contract or in accordance with section 50 arrangements or section 64 arrangements.
- (6) “Relevant health service accommodation or facilities”, in relation to a person to whom this section applies, means—
- (a) any accommodation or facilities available at premises provided by the Welsh Ministers by virtue of this Act, being accommodation or facilities which that person is authorised to use for purposes of this Act, or
- (b) in the case of a person to whom this section applies by virtue of subsection (5)(c), accommodation or facilities which that person is authorised to use for purposes of this Act at premises where services are provided under Part 6 or Chapter 1 of Part 7.
Health service development
Persons displaced by health service development
199
- (1) Subsection (2) applies—
- (a) where the carrying out of a scheme for the provision by the Welsh Ministers in pursuance of this Act of hospital accommodation or other facilities will involve the displacement from any premises of persons living in the premises, and
- (b) in so far as it appears to the Welsh Ministers that there is no other residential accommodation suitable for the reasonable requirements of those persons available on reasonable terms.
- (2) The Welsh Ministers may make arrangements with one or more of the bodies mentioned in subsection (3) for securing the provision, in advance of the displacement, of residential accommodation which becomes necessary as the carrying out of the scheme proceeds.
- (3) The bodies are—
- (a) a local housing authority (within the meaning of the Housing Act 1985 (c. 68)),
- (b) a housing association or housing trust (within the meaning of the Housing Associations Act 1985 (c. 69)),
- (c) a development corporation established under the New Towns Act 1981 (c. 64),
- (d) the Homes and Communities Agency.
- (4) Arrangements under subsection (2) may include provision for the making of payments by the Welsh Ministers to the body with whom the arrangements are made.
Registration of information, etc
Special notices of births and deaths
200
- (1) The requirements of this section with respect to the notification of births and deaths are in addition to, and not in substitution for, the requirements of any Act relating to the registration of births and deaths.
- (2) Each registrar of births and deaths must furnish, to the Local Health Board the area of which includes the whole or part of the registrar's sub-district, such particulars of each birth and death which occurred in the area of the Local Health Board as are entered in a register of births or deaths kept for that sub-district.
- (3) Regulations may provide as to the manner in which and the times at which particulars must be furnished under subsection (2).
- (4) In the case of each child born—
- (a) the child's father, if at the time of the birth he is residing on the premises where the birth takes place, and
- (b) any person in attendance upon the mother at the time of, or within six hours after, the birth,
must give notice of the birth to the Local Health Board for the area in which the birth takes place.
- (5) Subsection (4) applies to any child which is born after the expiry of the twenty-fourth week of pregnancy whether alive or dead.
- (6) Notice under subsection (4) must be given either—
- (a) by posting within 36 hours after the birth a prepaid letter or postcard addressed to the Local Health Board at its offices and containing the required information, or
- (b) by delivering within that period at the offices of the Local Health Board a written notice containing the required information.
- (7) A Local Health Board must, upon application to it, supply without charge to any medical practitioner or midwife residing or practising within its area prepaid addressed envelopes together with the forms of notice.
- (8) Any person who fails to give notice of a birth in accordance with subsection (4) is liable on summary conviction to a fine not exceeding level 1 on the standard scale, unless he satisfies the court that he believed, and had reasonable grounds for believing, that notice had been duly given by some other person.
- (9) Proceedings in respect of an offence under subsection (8) must not, without the Attorney-General's written consent, be taken by any person other than a party aggrieved or the Local Health Board concerned.
- (10) A registrar of births and deaths must, for the purpose of obtaining information concerning births which have occurred in his sub-district, have access at all reasonable times to—
- (a) notices of births received by a Local Health Board under this section, or
- (b) any book in which those notices may be recorded.
Provision of information by Registrar General
201
- (1) The Registrar General may provide to any of the following persons any information to which this section applies.
- (a) the Welsh Ministers,
- (b) a Special Health Authority which has functions that are exercisable in relation to Wales,
- (c) a Local Health Board,
- (d) an NHS trust established under section 18, and
- (e) such other persons as the Welsh Ministers may specify in a direction.
- (2) Any information provided under subsection (1) must be provided in such form as appears to the Registrar General appropriate for the purpose of assisting the person to whom the information is provided in the performance of functions exercisable by the person in relation to the health service.
- (3) This section applies to any information—
- (a) entered in any register kept under the Births and Deaths Registration Act 1953 (c. 20),
- (b) entered in the Adopted Children Register maintained by the Registrar General under the Adoption and Children Act 2002 (c. 38), or
- (c) which is kept by the Registrar General under any other enactment and relates to any birth or death.
- (4) “Enactment” includes an enactment contained in subordinate legislation.
Part 14 — Supplementary
Territorial limit of exercise of functions
202
The functions of the Welsh Ministers under this Act are exercisable only in relation to Wales.
Orders, regulations and directions
203
- (1) This section does not apply to Part 10 (as to which, see section 157).
- (2) Subject to subsection (3), any power under this Act to make an order or regulations is exercisable by statutory instrument.
- (3) Subsection (2) does not apply to an order under—
- (a) section 26(2),
- (b) section 159(4),
- (c) paragraph 20, 21, 22 or 24 of Schedule 2,
- (d) paragraph 9, 27 or 29 of Schedule 3, or
- (e) paragraph 2 of Schedule 12.
- (4) Subject to subsections (5) to (7), a statutory instrument made by virtue of this Act is subject to annulment in pursuance of a resolution of the National Assembly for Wales.
- (5) Subsection (4) does not apply to a statutory instrument containing an order under—
- (a) section 18,
- (b) Schedule 3, or
- (c) paragraph 1(1) of Schedule 4.
- (6) A statutory instrument containing regulations under section 10A(1), section 10C(1) (direct payments), section 25B(3)(c) or an order under section 141(4) may not be made unless a draft of the instrument has been laid before, and approved by resolution of, the National Assembly for Wales.
- (6A) A statutory instrument containing the first regulations under section 82A (pharmaceutical needs assessments) or the first regulations under section 10B(6) (direct payments by Local Health Boards) may not be made unless a draft of the instrument has been laid before, and approved by resolution of, the National Assembly for Wales.
- (7) If a statutory instrument made by virtue of this Act, which is subject to annulment in pursuance of a resolution of the National Assembly for Wales—
- (a) contains subordinate legislation made by a Minister of the Crown or government department (whether or not jointly with the Welsh Ministers, the First Minister or the Counsel General),
- (b) contains subordinate legislation relating to an English border area, or
- (c) contains subordinate legislation relating to a cross-border body (and not relating only to the exercise of functions, or the carrying on of activities, by the body in or with respect to Wales or a part of Wales),
the statutory instrument is subject also to annulment in pursuance of a resolution of either House of Parliament.
- (8) In subsection (7), “English border area” and “cross-border body” have the meaning given by the Government of Wales Act 2006 (c. 32).
- (9) Any power under this Act to make orders, regulations or schemes, and any power to give directions—
- (a) may be exercised either in relation to all cases to which the power extends, or in relation to those cases subject to specified exceptions, or in relation to any specified cases or classes of case,
- (b) may be exercised so as to make, as respects the cases in relation to which it is exercised—
- (i) the full provision to which the power extends or any less provision (whether by way of exception or otherwise),
- (ii) the same provision for all cases in relation to which the power is exercised, or different provision for different cases or different classes of case, or different provision as respects the same case or class of case for different purposes of this Act,
- (iii) any such provision either unconditionally or subject to any specified condition, and
- (c) may, in particular, make different provision for different areas.
- (10) Any such power includes power—
- (a) to make such incidental, supplementary, consequential, saving or transitional provision (including, in the case of a power to make an order or regulations, provision amending, repealing or revoking enactments) as the person or body exercising the power considers to be expedient, and
- (b) to provide for a person to exercise a discretion in dealing with any matter.
Further provision about orders and directions under this Act
204
- (1) Where under or by virtue of any provision of this Act—
- (a) an order may be made, or
- (b) directions may be given,
that provision includes power to vary or revoke the order or directions by subsequent order or by subsequent directions.
- (2) Subsection (1) does not affect section 14(b) of the Interpretation Act 1978 (c. 30).
- (3) A direction under this Act by the Welsh Ministers must be given—
- (a) (subject to paragraphs (b) and (c)), by an instrument in writing,
- (b) in the case of a direction under—
- (i) section 12(1)(a),
- (ii) section 24 about a function under section 4, 145 or 146, or
- (iii) section 147(2),
by regulations,
- (c) in the case of—
- (i) any other direction under section 12,
- (ii) any other direction under section 24, or
- (iii) a direction under section 13, 19, 23, 45, 52(4), 60 or 66(4),
by regulations or an instrument in writing.
- (4) Subsection (3) does not apply to a direction under section 46 (as to which, see that section).
Supplementary regulatory powers
205
Regulations may provide for—
- (a) prescribing the forms and manner of service of notices and other documents,
- (b) prescribing the manner in which documents may be executed or proved,
- (c) exempting judges and justices of the peace from disqualification by their liability to rates.
Interpretation
206
- (1) In this Act (except where the context otherwise requires)—
- ...
- “dental practitioner” means a person registered in the dentists register under the Dentists Act 1984 (c. 24),
- “facilities” includes the provision of (or the use of) premises, goods, materials, vehicles, plant or apparatus,
- ...
- “financial year” means a period of 12 months ending with 31st March in any year,
- “functions” includes powers and duties,
- “goods” include accommodation,
- “the health service” means the health service continued under section 1(1) and under section 1(1) of the National Health Service Act 2006 (c. 41),
- “health service hospital” means a hospital vested in the Welsh Ministers for the purposes of their functions under this Act or vested in an NHS trust,
- “hospital” means—any institution for the reception and treatment of persons suffering from illness,any maternity home, andany institution for the reception and treatment of persons during convalescence or persons requiring medical rehabilitation,and includes clinics, dispensaries and out-patient departments maintained in connection with any such home or institution, and “hospital accommodation” must be construed accordingly,
- “illness” includes any disorder or disability of the mind and any injury or disability requiring medical or dental treatment or nursing,
- “integrated care board” means a body established under section 14Z25 of the National Health Service Act 2006,
- “local authority” means a county council, a county borough council, a district council, a London borough council, and the Common Council of the City of London,
- ...
- “local pharmaceutical services” means such services as are prescribed under section 92(7) or paragraph 1(7) of Schedule 7,
- “local social services authority” means the council of a non-metropolitan county, of a county borough or of a metropolitan district or London borough, or the Common Council of the City of London,
- “medical” includes surgical,
- “medical practitioner” means a registered medical practitioner within the meaning of Schedule 1 to the Interpretation Act 1978 (c. 30),
- “medicine” includes such chemical re-agents as are included in a list approved by the Welsh Ministers for the purposes of section 80,
- “modifications” includes additions, omissions and amendments,
- “NHS body” means— a Special Health Authority,an NHS trust,an NHS foundation trust,a Local Health Board, NHS England, and an integrated care board.
- “NHS trust” includes an NHS trust established under the National Health Service Act 2006 ...,
- “officer” includes servant,
- “optometrist” means a person registered in the register of optometrists maintained under section 7 of the Opticians Act 1989 (c. 44) ... or a body corporate registered in the register of bodies corporate maintained under section 9 of that Act carrying on business as an optometrist,
- “patient” includes a woman who is pregnant or breast-feeding or who has recently given birth,
- “prescribed” means prescribed by regulations made by the Welsh Ministers,
- ...
- “property” includes rights,
- “registered pharmacist” means a person registered as a pharmacist in Part 1 or 4 of the register maintained under article 19 of the Pharmacy Order 2010,
- ...
- “regulations” means regulations made by the Welsh Ministers,
- “Special Health Authority” includes a Special Health Authority established under the National Health Service Act 2006 (c. 41),
- ...
- “university” includes a university college,
- “voluntary organisation” means a body the activities of which are carried on otherwise than for profit, but does not include any public or local authority.
- (2) In this Act (except where the context otherwise requires) any reference to a body established under this Act or the National Health Service Act 2006 (c. 00) includes a reference to a body continued in existence by virtue of this Act or that Act.
- (3) Any reference in this Act to the purposes of a hospital is a reference to its general purposes and to any specific purpose.
Index of defined expressions
207
In this Act the following expressions are defined or otherwise explained by the provisions indicated—
Commencement
208
- (1) Subject to this section, this Act comes into force on 1st March 2007.
- (2) In this section—
- (a) “the 1977 Act” means the National Health Service Act 1977 (c. 49), and
- (b) “the 2006 Act” means the Health Act 2006 (c. 28).
- (3) Subsection (4) applies to—
- (a) subsections (1) and (2) of section 40 of the Health and Social Care Act 2001 (c. 15) and section 28J of, and Schedule 8A to, the 1977 Act as inserted by those subsections (see section 102 of, and Schedule 7 to, this Act),
- (b) subsection (7) of section 45 of the Nationality, Immigration and Asylum Act 2002 (c. 41) and paragraph 2(2B) of Schedule 8 to the 1977 Act as substituted by that subsection (see paragraph 2(7) of Schedule 15 to this Act),
- (c) paragraph 3 of the Schedule to the Smoking, Health and Social Care (Scotland) Act 2005 (Consequential Modifications) (England, Wales and Northern Ireland) Order 2006 (S.I. 2006/1056) and section 41B(2) and (6)(b) of the 1977 Act as amended by that paragraph (see section 82 of this Act),
- (d) sub-paragraphs (a) and (b) of paragraph 5 of that Schedule and section 4A(1) and (3) of the National Health Service and Community Care Act 1990 (c. 19) as amended by those sub-paragraphs (see section 9 of this Act),
- (e) sub-paragraph (c) of paragraph 5 of that Schedule and section 4A(4) of the National Health Service and Community Care Act 1990 (c. 19) as added by that sub-paragraph (see section 9 of this Act),
- (f) section 34 of the 2006 Act, and section 42B of the 1977 Act as inserted by that section (see section 85 of this Act),
- (g) section 35 of the 2006 Act, and subsections (2B) and (2C) of section 42 of the 1977 Act as inserted by that section (see section 83 of this Act),
- (h) subsection (1) of section 36 of the 2006 Act, and section 43(2) of the 1977 Act as substituted by that subsection (see section 86 of this Act),
- (i) subsection (2) of section 42 of the 2006 Act, and paragraph 2A(1)(b) of Schedule 12 to the 1977 Act as substituted by that subsection (see section 129 of this Act),
- (j) sections 44 to 55 of the 2006 Act, and sections 76 to 78 of that Act so far as relating to those sections (see Part 10 of this Act),
- (k) section 56 of, and paragraph 24(a) of Schedule 8 to, that Act and—
- (i) section 98 of the 1977 Act as substituted by section 56 of that Act, and
- (ii) Schedule 12B to the 1977 Act as inserted by that section,
(see section 178 of, and Schedule 9 to, this Act),
- (l) paragraphs 7(2) and (3), 29 and 46 of Schedule 8 to, the 2006 Act (which relate to primary ophthalmic services) and—
- (i) the 1977 Act,
- (ii) section 4A of the National Health Service and Community Care Act 1990, and
- (iii) Schedule 1 to the Health and Social Care Act 2001 (c. 15),
to the extent that a provision mentioned in any of sub-paragraphs (i) to (iii), as amended by any of those provisions of the 2006 Act, relates to primary ophthalmic services,
- (m) paragraphs 10, 12(b), 13(3) and (4), 14, 18, 19, 21(a) and 24(b) of Schedule 8 to the 2006 Act (which relate to the substitution of “optometrist” for “ophthalmic optician”) and any provision of the 1977 Act as amended by such a provision.
- (4) To the extent that—
- (a) this Act re-enacts a provision to which this subsection applies, and
- (b) the provision has not come into force before the commencement of this Act,
the re-enactment by this Act of the provision does not come into force until the provision which is re-enacted comes into force; and the re-enactment comes into force immediately after, and to the extent that, the provision which is re-enacted comes into force.
- (5) Accordingly, the re-enactment by this Act of the provision does not affect any power to bring the provision into force.
Short title, extent and application
209
- (1) This Act may be cited as the National Health Service (Wales) Act 2006.
- (2) This Act extends to England and Wales only.
- (3) The Secretary of State may by order provide that this Act, in its application to the Isles of Scilly, has effect with such modifications as may be specified in the order.
- (4) An order under subsection (3) has effect as if made under the National Health Service Act 2006 (c. 41) (and accordingly, sections 272 and 273 of that Act apply to any such order).
SCHEDULE 1
Medical inspection of pupils
1
The Welsh Ministers must provide for the medical inspection at appropriate intervals of pupils in attendance at schools maintained by local authorities and for the medical treatment of such pupils.
2
- (1) The Welsh Ministers may, by arrangement with any local authority, provide for any medical inspection or treatment of—
- (a) senior pupils in attendance at any educational establishment, other than a school, which is maintained by the authority and at which full-time further education is provided, or
- (b) any child or young person who, in pursuance of section 19 or 19A or 319 of the Education Act 1996 (c. 56), section 53 of the Additional Learning Needs and Education Tribunal (Wales) Act 2018 or section 61 of the Children and Families Act 2014 (c. 6) is receiving primary or secondary education otherwise than at a school.
- (2) The Welsh Ministers may, by arrangement with the proprietor of any educational establishment which is not maintained by a local authority, provide for any medical inspection or treatment of junior or senior pupils in attendance at the establishment.
- (3) Sub-paragraphs (1) and (2) do not affect the Welsh Ministers' powers apart from those sub-paragraphs.
3
An arrangement under paragraph 2(2) may provide for payments by the proprietor in question.
4
A local authority may not make an arrangement under paragraph 2(1)(a) unless the governing body of the educational establishment agrees to the arrangement.
5
- (1) Sub-paragraph (2) applies to—
- (a) each local authority, in respect of the schools which it maintains (other than foundation or voluntary schools), and
- (b) each governing body of a foundation or voluntary school, in respect of the school.
- (2) The local authority or governing body must make available to the Welsh Ministers such accommodation as is appropriate for the purpose of assisting them to make provision under paragraph 1 in relation to the pupils in attendance at the schools or school in question.
6
In paragraphs 1 to 5 any expression to which a meaning is given for the purposes of the Education Act 1996 (c. 56) or the School Standards and Framework Act 1998 (c. 31) has that meaning.
7
Any charge made under regulations under this Act in respect of the supply of drugs, medicines or appliances must be disregarded for the purposes of paragraphs 1 and 2.
Contraceptive services
8
The Welsh Ministers must arrange, to such extent as they consider necessary to meet all reasonable requirements, for—
- (a) the giving of advice on contraception,
- (b) the medical examination of persons seeking advice on contraception,
- (c) the treatment of such persons, and
- (d) the supply of contraceptive substances and appliances.
Provision of vehicles for disabled persons
9
The Welsh Ministers may provide vehicles (including wheelchairs) for persons appearing to them to be persons who have a physical impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.
10
- (1) Sub-paragraphs (2) and (3) apply in respect of—
- (a) a vehicle provided under paragraph 9, and
- (b) a vehicle belonging to a person mentioned in that paragraph.
- (2) The Welsh Ministers may—
- (a) adapt the vehicle to make it suitable for the circumstances of the person in question,
- (b) maintain and repair the vehicle,
- (c) take out insurance policies relating to the vehicle and pay any duty with which the vehicle is chargeable under the Vehicle Excise and Registration Act 1994 (c. 22),
- (d) provide a structure in which the vehicle may be kept, and provide all material and execute all works necessary to erect the structure.
- (3) The Welsh Ministers may make payments by way of grant towards costs incurred by a person mentioned in paragraph 9 in respect of any matter mentioned in sub-paragraph (4) in relation to the vehicle.
- (4) The matters are—
- (a) the taking of action referred to in sub-paragraph (2),
- (b) the purchase of fuel for the purposes of the vehicle, so far as the cost of the purchase is attributable to duties of excise payable in respect of the fuel, and
- (c) the taking of instruction in the driving of the vehicle.
- (5) The powers under sub-paragraph (2) and sub-paragraph (3) may be exercised on such terms and subject to such conditions as the Welsh Ministers may determine.
11
Regulations may provide for any incidental or supplementary matter for which it appears to the Welsh Ministers necessary or expedient to provide in connection with—
- (a) the taking of action under paragraph 10(2), or
- (b) the making of any payment under paragraph 10(3).
Provision of a microbiological service by the Welsh Ministers
12
- (1) The Welsh Ministers may—
- (a) provide a microbiological service for the control of the spread of infectious diseases, and
- (b) carry on such other activities as in their opinion can conveniently be carried on in conjunction with that service.
- (2) The service may include the provision of laboratories.
- (3) Charges may be made for services or materials supplied.
- (4) A power under this paragraph may be exercised both for the purposes of the health service and for other purposes.
Powers of the Welsh Ministers in relation to research
13
- (1) The Welsh Ministers may conduct research, or may assist any person to conduct research, into—
- (a) any matters relating to the causation, prevention, diagnosis or treatment of illness, and
- (b) any such other matters connected with any service provided under this Act as the Welsh Ministers consider appropriate.
- (2) Assistance may be given by grants or otherwise.
SCHEDULE 2
Part 1 — Constitution and membership
Status
1
Each Local Health Board is a body corporate.
2
- (1) A Local Health Board must not be regarded as the servant or agent of the Crown or as enjoying any status, immunity or privilege of the Crown.
- (2) A Local Health Board's property must not be regarded as property of, or property held on behalf of, the Crown.
Membership
3
The members of a Local Health Board are—
- (a) a chairman appointed by the Welsh Ministers,
- (b) if the Welsh Ministers consider it appropriate, a vice-chairman appointed by them,
- (c) officers of the Local Health Board, and
- (d) a number of persons who are not officers of the Local Health Board.
4
- (1) Regulations may make provision about—
- (a) the appointment of the chairman, vice-chairman and other members of a Local Health Board (including any conditions to be fulfilled for appointment),
- (b) the tenure of office of the chairman, vice-chairman and other members of a Local Health Board (including the circumstances in which they cease to hold office or may be removed or suspended from office),
- (c) how many persons may be appointed as members of a Local Health Board and how many of those members may be officers (a minimum and maximum number may be specified for both purposes),
- (d) the appointment and constitution of any committees of a Local Health Board (which may include or consist of persons who are not members of the Local Health Board),
- (e) the appointment and tenure of office of the members of any committees of a Local Health Board,
- (f) the procedure to be followed by a Local Health Board, and by any committee of the Board, in the exercise of its functions,
- (g) the circumstances in which a person who is not an officer of the Local Health Board must be treated as if he were such an officer.
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