OpenLegislation

National Health Service and Community Care Act 1990

1990 c. 19 · Enacted 29 June 1990 · Extends to United Kingdom

Not fully up to date. 22 changes made by later legislation have not yet been written into this text, which is revised to 1 July 2022.

See the changes not yet applied
ProvisionChangeMade by
Sch. 9 para. 19(2) (24)repealedPublic Appointments and Public Bodies etc. (Scotland) Act 2003 sch. 4 para. 11(b)
s. 29(3)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(19)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(21)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(22)(b)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(22)(d)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
s. 29(4)(a)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
s. 29(4)(c)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
s. 31-33repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 6repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(4)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(7)(a)(ii)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(11)-(14)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(16)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 19(17)repealedNational Health Service Reform (Scotland) Act 2004 sch. 2
Sch. 9 para. 4repealedPublic Health etc. (Scotland) Act 2008 Sch. 3 Pt. 1
s. 11(7)repealedHealth Act 2006 Sch. 9
s. 20(2)repealedHealth Act 2006 Sch. 9
Sch. 2 para. 24repealedHealth Act 2006 Sch. 9
s. 4A(1)(c) and wordaddedSmoking, Health and Social Care (Scotland) Act 2005 (Consequential Modifications) (England, Wales and Northern Ireland) 2006 Sch. para. 5(a)(ii)
s. 4A(1)(a)word omittedSmoking, Health and Social Care (Scotland) Act 2005 (Consequential Modifications) (England, Wales and Northern Ireland) 2006 Sch. para. 5(a)(i)
s. 4A(3)words omittedSmoking, Health and Social Care (Scotland) Act 2005 (Consequential Modifications) (England, Wales and Northern Ireland) 2006 Sch. para. 5(b)

An Act to make further provision about health authorities and other bodies constituted in accordance with the National Health Service Act 1977; to provide for the establishment of National Health Service trusts; to make further provision about the financing of the practices of medical practitioners; to amend Part VII of the Local Government (Scotland) Act 1973 and Part III of the Local Government Finance Act 1982; to amend the National Health Service Act 1977 and the National Health Service (Scotland) Act 1978; to amend Part VIII of the Mental Health (Scotland) Act 1984; to make further provision concerning the provision of accommodation and other welfare services by local authorities and the powers of the Secretary of State as respects the social services functions of such authorities; to make provision for and in connection with the establishment of a Clinical Standards Advisory Group; to repeal the Health Services Act 1976; and for connected purposes.

[29th June 1990]

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:—

Contents

  1. Part I: The National Health Service: England and Wales
  2. Local management
  3. 1Regional and District Health Authorities.
  4. 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  5. 3Primary and other functions of health authorities etc. and exercise of functions. Repealed
  6. 4NHS contracts. Repealed
  7. 4AProvision of certain services under NHS contracts.
  8. National Health Service trusts
  9. 5NHS trusts. Repealed
  10. 6Transfer of staff to NHS trusts. Repealed
  11. 7Supplementary provisions as to transfer of staff. Repealed
  12. 8Transfer of property, rights and liabilities to NHS trust. Repealed
  13. 9Originating capital debt of, and other financial provisions relating to NHS trusts. Repealed
  14. 10Financial obligations of NHS trusts. Repealed
  15. 11Trust funds and trustees for NHS trusts. Repealed
  16. Family Health Services Authorities
  17. 12Functions of Family Health Services Authorities. Repealed
  18. 13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  19. Fund-holding practices
  20. 14Section 14 Repealed
  21. 15Payments to recognised fund-holding practices.
  22. 16Section 16 Repealed
  23. 17Section 17 Repealed
  24. Indicative amounts
  25. 18Indicative amounts for doctors’ practices.
  26. Funding, audit and liabilities
  27. 19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  28. 20Extension of functions etc. of Audit Commission to cover the health service.
  29. 21Schemes for meeting losses and liabilities etc. of certain health service bodies. Repealed
  30. Further amendments of the principal Act
  31. 22The Medical Practices Committee. Repealed
  32. 23Distribution of general medical services. Repealed
  33. 24Limitations on right to be included on list of dental practitioners. Repealed
  34. 25Transfer to DHA of certain functions relating to private patients. Repealed
  35. Interpretation
  36. 26Interpretation of Part I. Repealed
  37. Part II: The National Health Service: Scotland
  38. Health Boards and other bodies
  39. 27Health Boards, the Common Services Agency and state hospitals.
  40. 28Special Health Boards.
  41. 29Scottish advisory bodies.
  42. 30NHS contracts.
  43. National Health Service trusts
  44. 31National Health Service trusts.
  45. 32Further provision relating to NHS trusts.
  46. 33Trust property of NHS trusts.
  47. Fund-holding practices
  48. 34Fund-holding practices.
  49. Indicative amounts
  50. 35Indicative amounts for doctors’ practices.
  51. Audit
  52. 36Accounts and audit of NHS trusts and fund-holding practices.
  53. Miscellaneous
  54. 37Relationship of Health Boards and medical practitioners.
  55. 38Scottish Medical Practices Committee.
  56. 39Distribution of general medical services.
  57. 40Limitations on right to be included on list of dental practitioners. Repealed
  58. 41Schemes for meeting losses and liabilities etc. of certain health service bodies.
  59. Part III: Community Care: England and Wales
  60. Provision of accommodation and welfare services
  61. 42Provision of accommodation and welfare services: agency arrangements.
  62. 43Exclusion of powers to provide accommodation in certain cases.
  63. 44Charges for accommodation provided by local authorities.
  64. 45Recovery of charges due to local authorities for accommodation.
  65. General provisions concerning community care services
  66. 46Local authority plans for community care services. Repealed
  67. 47Assessment of needs for community care services.
  68. 48Inspection of premises used for provision of community care services.
  69. 49Transfer of staff from health service to local authorities.
  70. 50Powers of the Secretary of State as respects social services functions of local authorities.
  71. Part IV: Community Care: Scotland
  72. 51Power of Secretary of State to give directions.
  73. 52Local authority plans for, and complaints in relation to, community care services in Scotland.
  74. 53Inspection of premises providing accommodation. Repealed
  75. 54Inquiries.
  76. 55Duty of local authority to make assessment of needs.
  77. 56Residential accommodation with nursing and provision of care and after-care.
  78. 57Exclusion of powers to provide accommodation in certain cases.
  79. 58Power of Secretary of State to make grants.
  80. Part V: Miscellaneous and General
  81. 59Parliamentary disqualification.
  82. 60Removal of Crown immunities.
  83. 61Health service bodies: taxation.
  84. 61AHealth service bodies: stamp duty land tax Repealed
  85. 62. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  86. 63Repeal of remaining provisions of Health Services Act 1976.
  87. 64Financial provisions.
  88. 65Regulations, orders and directions.
  89. 66Amendments and repeals.
  90. 67Short title, commencement and extent.
  91. Schedule 1: Health Authorities and Family Health Services Authorities
  92. Part I
  93. Regional health authorities
  94. 1Paragraph 1
  95. District health authorities
  96. 2Paragraph 2
  97. 3Paragraph 3
  98. Part II
  99. 4Paragraph 4
  100. 5Paragraph 5
  101. Part III: Amendments of Part III of Schedule 5 to the Principal Act
  102. 6Paragraph 6 Repealed
  103. 7Paragraph 7
  104. 8Paragraph 8 Repealed
  105. 9Paragraph 9 Repealed
  106. 10Paragraph 10 Repealed
  107. Schedule 2
  108. Part I: Orders Under Section 5(1)
  109. 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  110. 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  111. 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  112. 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  113. 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  114. Part II: Duties, Powers and Status
  115. Specific duties
  116. 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  117. 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  118. 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  119. 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  120. Specific powers
  121. 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  122. 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  123. 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  124. 13. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  125. 14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  126. 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  127. 15A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  128. General powers
  129. 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  130. 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  131. Status
  132. 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  133. Part III: Supplementary Provisions
  134. Re-imbursement for health services work carried out otherwise than under NHS contract
  135. 19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  136. 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  137. Supply of goods and services by local authorities
  138. 21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  139. Making of charges
  140. 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  141. Power to raise money by appeals etc.
  142. 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  143. Accounts and audit
  144. 24. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  145. Protection of members and officers
  146. 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  147. Compulsory acquisition
  148. 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  149. Use and development of consecrated land and burial grounds
  150. 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  151. Instruments etc.
  152. 28. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  153. Part IV: Dissolution
  154. 29. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  155. 30. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  156. 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  157. 32. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  158. Schedule 3
  159. Borrowing
  160. 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  161. Guarantees of borrowing
  162. 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  163. Limits on indebtedness
  164. 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  165. 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  166. Additional public dividend capital
  167. 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  168. 5ASupplementary payments Repealed
  169. Surplus funds
  170. 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  171. Investment
  172. 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  173. 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repealed
  174. Schedule 4
  175. 1Paragraph 1
  176. 2Paragraph 2
  177. 3Paragraph 3
  178. 4Paragraph 4
  179. 5Paragraph 5
  180. 6Paragraph 6
  181. 7Paragraph 7
  182. 8Paragraph 8
  183. 9Paragraph 9
  184. 10Paragraph 10
  185. 11Paragraph 11
  186. 12Paragraph 12
  187. 13Paragraph 13
  188. 14Paragraph 14
  189. 15Paragraph 15
  190. 16Paragraph 16
  191. 17Paragraph 17
  192. 18Paragraph 18
  193. 19Paragraph 19
  194. 20Paragraph 20
  195. 21Paragraph 21
  196. 22Paragraph 22
  197. 23Paragraph 23
  198. 24Paragraph 24
  199. Schedule 5: Health Boards, the Common Services Agency and State Hospitals
  200. Health Boards
  201. 1Paragraph 1
  202. 2Paragraph 2
  203. 3Paragraph 3
  204. 4Paragraph 4
  205. 5Paragraph 5
  206. 6Paragraph 6
  207. 7Paragraph 7
  208. Common Services Agency
  209. 8Paragraph 8
  210. 9Paragraph 9
  211. 10Paragraph 10
  212. 11Paragraph 11
  213. 12Paragraph 12
  214. State hospitals
  215. 13Paragraph 13 Repealed
  216. Schedule 6Schedules to be inserted after Schedule 7 to the National Health Service (Scotland) Act 1978
  217. Schedule 7: Amendments relating to Audit of Accounts of Scottish Health Service Bodies
  218. The Local Government (Scotland) Act 1973
  219. 1Paragraph 1
  220. 2Paragraph 2 Repealed
  221. 3Paragraph 3
  222. 4Paragraph 4 Repealed
  223. 5Paragraph 5 Repealed
  224. 6Paragraph 6 Repealed
  225. 7Paragraph 7
  226. 8Paragraph 8 Repealed
  227. 9Paragraph 9 Repealed
  228. 10Paragraph 10 Repealed
  229. 11Paragraph 11 Repealed
  230. 12Paragraph 12 Repealed
  231. 13Paragraph 13
  232. The National Health Service (Scotland) Act 1978
  233. 14Paragraph 14
  234. General amendment
  235. 15Paragraph 15
  236. Schedule 8: Provisions arising out of removal of Crown Immunities from Health Service Bodies
  237. Part I: Amendments Continuing Certain Statutory Exemptions
  238. The Employers’ Liability (Compulsory Insurance) Act 1969
  239. 1Paragraph 1
  240. The Vehicles (Excise) Act 1971
  241. 2Paragraph 2 Repealed
  242. The Copyright, Designs and Patents Act 1988
  243. 3Paragraph 3
  244. The Road Traffic Act 1988
  245. 4Paragraph 4
  246. Part II: Consequential Amendments
  247. The Acquisition of Land (Authorisation Procedure)(Scotland) Act 1947
  248. 5Paragraph 5
  249. The Town and Country Planning Act 1971
  250. 6Paragraph 6
  251. The Town and Country Planning (Scotland) Act 1972
  252. 7Paragraph 7 Repealed
  253. The Acquisition of Land Act 1981
  254. 8Paragraph 8
  255. The Value Added Tax Act 1983
  256. 9Paragraph 9 Repealed
  257. The Housing Act 1988
  258. 10Paragraph 10
  259. The Housing (Scotland) Act 1988
  260. 11Paragraph 11
  261. Part III: Transitional Provisions
  262. 12Paragraph 12
  263. The Building (Scotland) Act 1959
  264. 13Paragraph 13
  265. The Medicines Act 1968
  266. 14Paragraph 14
  267. The Fire Precautions Act 1971
  268. 15Paragraph 15 Repealed
  269. The Town and Country Planning Act 1971
  270. 16Paragraph 16
  271. The Town and Country Planning (Scotland) Act 1972
  272. 17Paragraph 17
  273. The Building Act 1984
  274. 18Paragraph 18
  275. The Housing Act 1988 and the Rent Act 1977
  276. 19Paragraph 19
  277. The Housing (Scotland) Act 1988 and the Rent (Scotland) Act 1984
  278. 20Paragraph 20
  279. Schedule 9: Minor and Consequential Amendments
  280. The Public Health (Scotland) Act 1897
  281. 1Paragraph 1 Repealed
  282. The Voluntary Hospitals (Paying Patients) Act 1936
  283. 2Paragraph 2
  284. The Nursing Homes Registration (Scotland) Act 1938
  285. 3Paragraph 3
  286. The Public Health (Scotland) Act 1945
  287. 4Paragraph 4
  288. The National Assistance Act 1948
  289. 5Paragraph 5
  290. The Public Records Act 1958
  291. 6Paragraph 6
  292. The Human Tissue Act 1961
  293. 7Paragraph 7 Repealed
  294. The Abortion Act 1967
  295. 8Paragraph 8
  296. The Leasehold Reform Act 1967
  297. 9Paragraph 9
  298. The Social Work (Scotland) Act 1968
  299. 10Paragraph 10
  300. The Local Authority Social Services Act 1970
  301. 11Paragraph 11
  302. The Chronically Sick and Disabled Persons Act 1970
  303. 12Paragraph 12
  304. The Local Government Act 1972
  305. 13Paragraph 13
  306. The Criminal Procedure (Scotland) Act 1975
  307. 14Paragraph 14
  308. The Child Benefit Act 1975
  309. 15Paragraph 15 Repealed
  310. The Children Act 1975
  311. 16Paragraph 16
  312. The Adoption Act 1976
  313. 17Paragraph 17 Repealed
  314. The National Health Service Act 1977
  315. 18Paragraph 18 Repealed
  316. The National Health Service (Scotland) Act 1978
  317. 19Paragraph 19
  318. The Employment Protection (Consolidation) Act 1978
  319. 20Paragraph 20 Repealed
  320. The Overseas Development and Co-operation Act 1980
  321. 21Paragraph 21 Repealed
  322. The Education Act 1981
  323. 22Paragraph 22 Repealed
  324. The Acquisition of Land Act 1981
  325. 23Paragraph 23
  326. The Mental Health Act 1983
  327. 24Paragraph 24
  328. The Health and Social Services and Social Security Adjudications Act 1983
  329. 25Paragraph 25
  330. The Public Health (Control of Disease) Act 1984
  331. 26Paragraph 26
  332. The Registered Homes Act 1984
  333. 27Paragraph 27 Repealed
  334. The Mental Health (Scotland) Act 1984
  335. 28Paragraph 28 Repealed
  336. The Hospital Complaints Procedure Act 1985
  337. 29Paragraph 29 Repealed
  338. The Disabled Persons (Services, Consultation and Representation) Act 1986
  339. 30Paragraph 30
  340. The Education (No. 2) Act 1986
  341. 31Paragraph 31 Repealed
  342. The AIDS (Control) Act 1987
  343. 32Paragraph 32
  344. The Community Health Councils (Access to Information) Act 1988
  345. 33Paragraph 33
  346. The Health and Medicines Act 1988
  347. 34Paragraph 34
  348. The Road Traffic Act 1988
  349. 35Paragraph 35
  350. The Children Act 1989
  351. 36Paragraph 36
  352. The Opticians Act 1989
  353. 37Paragraph 37
  354. Schedule 10Enactments Repealed