{
  "url": "https://openlegislation.uk/national-health-service-direct-payments-regulations-2013/regulation-15",
  "json_url": "https://openlegislation.uk/national-health-service-direct-payments-regulations-2013/regulation-15.json",
  "legislation": "uksi/2013/1617",
  "legislation_title": "The National Health Service (Direct Payments) Regulations 2013",
  "legislation_url": "https://openlegislation.uk/national-health-service-direct-payments-regulations-2013",
  "path": "regulation/15",
  "kind": "regulation",
  "number": "15",
  "heading": "Repayment of direct payments",
  "text": "(1) A health body may require that part or all of a direct payment must be repaid to the health body, if satisfied that it is appropriate to require repayment having regard in particular to whether—\n(a) the care plan has changed substantially;\n(b) the patient’s circumstances have changed substantially;\n(c) a substantial proportion of the direct payments received by a patient, representative or nominee have not been used to secure services specified in the care plan and have accumulated;\n(d) the direct payments have been used otherwise than for a service specified in the care plan;\n(e) theft, fraud or another offence may have occurred in connection with the direct payments; or\n(f) the patient has died.\n(2) Where a health body decides under paragraph (1) that a sum must be repaid, the health body must give reasonable notice in writing to the patient and any representative or nominee, stating—\n(a) the reasons for the decision;\n(b) the amount to be repaid;\n(c) the time within which the sum must be repaid; and\n(d) the person who must repay.\n(3) In the case of a patient who has died, the notice mentioned in paragraph (2) must be given to the personal representatives of the patient.\n(4) On receipt of a notice under paragraph (2), a patient, personal representative, representative or nominee may require a health body to re-consider the decision, and may provide evidence or relevant information for the health body to consider as part of that deliberation.\n(5) A health body must inform the patient and any personal representative, representative or nominee in writing of the decision on a re-consideration, stating the reasons for the decision, the amount to be repaid, if any, the time within which any sum must be repaid and the person who must repay, if any.\n(6) A health body may not be required to undertake more than one re-consideration following a decision under paragraph (1).\n(7) A health body may waive any requirement pursuant to a decision under paragraph (1) or (4) for part or all of a direct payment to be repaid.",
  "extent": "E+W",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "I",
      "label": "I1",
      "text": "Reg. 15 in force at 1.8.2013, see reg. 1"
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/uksi/2013/1617/regulation/15",
    "retrieved_at": "2026-10-29T00:49:14.753528+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}