OpenLegislation

National Health Service and Community Care Act 1990 in England

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 Repealed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  67. 61AHealth service bodies: stamp duty land tax Repealed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 Repealed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