Law

Health and Care Act 2022

United Kingdom · statute

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In force since 2025-07-07, as the publisher states.

Copy read on 2026-11-08. The page it was read from

Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.

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Contents: 201 provisions
  1. Title and introductory text
  2. 1 NHS Commissioning Board renamed NHS England
  3. 2 Power to require commissioning of specialised services
  4. 3 Spending on mental health
  5. 4 NHS England mandate: general
  6. 5 NHS England mandate: cancer outcome targets
  7. 6 Duties as to reducing inequalities
  8. 7 Duties in respect of research: business plan and annual report etc
  9. 8 NHS England: wider effect of decisions
  10. 9 NHS England: duties in relation to climate change etc
  11. 10 Public involvement: carers and representatives
  12. 11 Information about inequalities
  13. 12 Support and assistance by NHS England
  14. 13 Exercise of functions relating to provision of services
  15. 14 Preparation of consolidated accounts for providers
  16. 15 Funding for service integration
  17. 16 Payments in respect of quality
  18. 17 Secondments to NHS England
  19. 18 Role of integrated care boards
  20. 19 Establishment of integrated care boards
  21. 20 People for whom integrated care boards have responsibility
  22. 21 Commissioning hospital and other health services
  23. 22 Commissioning primary care services etc
  24. 24 Commissioning arrangements: conferral of discretions
  25. 25 General functions
  26. 26 Integrated care partnerships and strategies
  27. 27 NHS England’s financial responsibilities
  28. 29 Financial responsibilities of integrated care boards and their partners
  29. 31 Care Quality Commission reviews etc of integrated care system
  30. 32 Integrated care system: further amendments
  31. 33 Abolition of Monitor and transfer of functions to NHS England
  32. 34 Exercise by NHS England of new regulatory functions
  33. 35 Modification of standard licence conditions
  34. 36 Abolition of NHS Trust Development Authority
  35. 37 Merger of bodies: consequential amendment
  36. 38 Transfer schemes in connection with abolished bodies
  37. 39 Transfer schemes under section 38: taxation
  38. 40 Duties in respect of research
  39. 41 Report on assessing and meeting workforce needs
  40. 42 Arrangements for exercise of public health functions
  41. 43 Power of direction: public health functions
  42. 44 Power of direction: investigation functions
  43. 45 General power to direct NHS England
  44. 46 Reconfiguration of services: intervention powers
  45. 47 Review into NHS supply chains
  46. 48 NHS trusts in England
  47. 49 Removal of power to appoint trust funds and trustees
  48. 50 Sections 48 and 49: consequential amendments
  49. 51 Licensing of NHS trusts
  50. 52 NHS trusts: wider effect of decisions
  51. 53 NHS trusts: duties in relation to climate change
  52. 54 Oversight and support of NHS trusts
  53. 55 Directions to NHS trusts
  54. 56 Recommendations about restructuring of NHS trusts
  55. 57 Intervention in NHS trusts
  56. 58 NHS trusts: conversion to NHS foundation trusts and dissolution
  57. 59 Appointment of chair of NHS trusts
  58. 60 Financial objectives for NHS trusts
  59. 61 Licensing of NHS foundation trusts
  60. 62 Capital spending limits for NHS foundation trusts
  61. 63 Accounts, reports and forward plans
  62. 64 NHS foundation trusts: joint exercise of functions
  63. 65 NHS foundation trusts: mergers, acquisitions and separations
  64. 66 Transfers on dissolution of NHS foundation trusts
  65. 67 NHS foundation trusts: wider effect of decisions
  66. 68 NHS foundation trusts: duties in relation to climate change
  67. 69 Transfer schemes between trusts
  68. 70 Trust special administrators
  69. 71 Joint working and delegation arrangements
  70. 72 References to functions: treatment of delegation arrangements etc
  71. 73 Repeal of duties to promote autonomy
  72. 74 Guidance about joint appointments
  73. 75 Co-operation by NHS bodies etc
  74. 76 Wider effect of decisions: licensing of health care providers
  75. 77 The NHS payment scheme
  76. 78 Regulations as to patient choice
  77. 79 Procurement regulations
  78. 80 Procurement and patient choice: consequential amendments etc
  79. 81 Eradicating slavery and human trafficking in supply chains
  80. 82 Duty to provide assistance to the CMA
  81. 83 Mergers of providers: removal of CMA powers
  82. 84 Removal of functions relating to competition etc
  83. 85 Removal of CMA’s involvement in licensing etc
  84. 86 Special Health Authorities: removal of 3 year limit
  85. 87 Tidying up etc provisions about accounts of certain NHS bodies
  86. 88 Meaning of “health” in NHS Act 2006
  87. 89 Repeal of spent powers to make transfer schemes etc
  88. 90 Abolition of Local Education and Training Boards
  89. 91 Hospital patients with care and support needs: repeals etc
  90. 92 Information about payments etc to persons in the health care sector
  91. 93 Regulations under section 92: enforcement
  92. 94 Regulations under section 92: consent
  93. 95 Information standards
  94. 97 General duties of the Health and Social Care Information Centre etc
  95. 99 Collection of information about adult social care
  96. 100 Enforcement of duties against private providers
  97. 101 Medicine information systems
  98. 102 Relevant bodies and Special Health Authorities
  99. 103 Power to transfer functions between bodies
  100. 104 Power to provide for exercise of functions of Secretary of State
  101. 105 Scope of powers
  102. 106 Transfer schemes in connection with regulations
  103. 107 Transfer schemes: taxation
  104. 108 Consent and consultation
  105. 109 Establishment of the HSSIB
  106. 110 Investigation of incidents with safety implications
  107. 111 Deciding which incidents to investigate
  108. 112 Criteria, principles and processes
  109. 113 Final reports
  110. 114 Interim reports
  111. 115 Draft reports
  112. 116 Response to reports
  113. 117 Admissibility of reports
  114. 118 Powers of entry, inspection and seizure
  115. 119 Powers to require information etc
  116. 120 Voluntary provision of information etc
  117. 121 Offences relating to investigations
  118. 122 Prohibition on disclosure of HSSIB material
  119. 123 Exceptions to prohibition on disclosure
  120. 124 Offences of unlawful disclosure
  121. 125 Restriction of statutory powers requiring disclosure
  122. 126 Co-operation
  123. 127 Assistance of NHS bodies
  124. 128 Investigations relating to Wales and Northern Ireland
  125. 129 Failure to exercise functions
  126. 130 Review
  127. 131 Offences by bodies corporate
  128. 132 Offences by partnerships
  129. 133 Obligations of confidence etc
  130. 134 Consequential amendments relating to Part 4
  131. 135 Interpretation of Part 4
  132. 136 Offence of virginity testing: England and Wales
  133. 137 Offence of offering to carry out virginity testing: England and Wales
  134. 138 Offence of aiding or abetting etc a person to carry out virginity testing: England and Wales
  135. 139 Virginity testing offences in England and Wales: penalties
  136. 140 Offence of virginity testing: Scotland
  137. 141 Offence of offering to carry out virginity testing: Scotland
  138. 142 Offence of aiding or abetting etc a person to carry out virginity testing: Scotland
  139. 143 Virginity testing offences in Scotland: penalties and supplementary
  140. 144 Offence of virginity testing: Northern Ireland
  141. 145 Offence of offering to carry out virginity testing: Northern Ireland
  142. 146 Offence of aiding or abetting etc a person to carry out virginity testing: Northern Ireland
  143. 147 Virginity testing offences in Northern Ireland: penalties
  144. 148 Offence of carrying out hymenoplasty: England and Wales
  145. 149 Offence of offering to carry out hymenoplasty: England and Wales
  146. 150 Offence of aiding or abetting etc a person to carry out hymenoplasty: England and Wales
  147. 151 Hymenoplasty offences in England and Wales: penalties
  148. 152 Offence of carrying out hymenoplasty: Scotland
  149. 153 Offence of offering to carry out hymenoplasty: Scotland
  150. 154 Offence of aiding or abetting etc a person to carry out hymenoplasty: Scotland
  151. 155 Hymenoplasty offences in Scotland: penalties and supplementary
  152. 156 Offence of carrying out hymenoplasty: Northern Ireland
  153. 157 Offence of offering to carry out hymenoplasty: Northern Ireland
  154. 158 Offence of aiding or abetting etc a person to carry out hymenoplasty: Northern Ireland
  155. 159 Hymenoplasty offences in Northern Ireland: penalties
  156. 160 Consequential amendments relating to Part 5
  157. 161 Pharmaceutical services: remuneration in respect of vaccines etc
  158. 162 International healthcare arrangements
  159. 163 Regulation of local authority functions relating to adult social care
  160. 164 Default powers of Secretary of State in relation to adult social care
  161. 165 Care Quality Commission’s powers in relation to local authority failings
  162. 167 Provision of social care services: financial assistance
  163. 168 Regulation of health care and associated professions
  164. 169 Medical examiners
  165. 170 Commercial dealings in organs for transplantation: extra-territorial offences
  166. 171 Storage of gametes and embryos
  167. 172 Advertising of less healthy food and drink
  168. 173 Hospital food standards
  169. 174 Food information for consumers: power to amend retained EU law
  170. 175 Fluoridation of water supplies
  171. 176 Fluoridation of water supplies: transitional provision
  172. 177 Review into disputes relating to treatment of critically ill children
  173. 178 Early medical termination of pregnancy
  174. 179 Child safeguarding etc in health and care: policy about information sharing
  175. 180 Licensing of cosmetic procedures
  176. 181 Mandatory training on learning disability and autism
  177. 182 Power to make consequential provision
  178. 183 Regulations
  179. 184 Financial provision
  180. 185 Extent
  181. 186 Commencement
  182. 187 Short title
  183. SCHEDULE 1 Renaming of NHS Commissioning Board
  184. SCHEDULE 2 Integrated care boards: constitution etc
  185. SCHEDULE 3 Conferral of primary care functions on integrated care boards etc
  186. SCHEDULE 4 Integrated care system: minor and consequential amendments
  187. SCHEDULE 5 Abolition of Monitor and transfer of its functions
  188. SCHEDULE 6 Intervention powers over the reconfiguration of NHS services
  189. SCHEDULE 7 NHS trusts in England and removal of power to appoint trustees: consequential amendments
  190. SCHEDULE 8 Trust special administrators: NHS trusts and NHS foundation trusts
  191. SCHEDULE 9 References to functions: treatment of delegation arrangements etc
  192. SCHEDULE 10 The NHS payment scheme
  193. SCHEDULE 11 Patient choice: undertakings by integrated care boards
  194. SCHEDULE 12 Removal of functions relating to competition etc
  195. SCHEDULE 13 The Health Services Safety Investigations Body
  196. SCHEDULE 14 Prohibition on disclosure of HSSIB material: exceptions
  197. SCHEDULE 15 Consequential amendments relating to Part 4
  198. SCHEDULE 16 Virginity testing and hymenoplasty: consequential amendments
  199. SCHEDULE 17 Storage of gametes and embryos
  200. SCHEDULE 18 Advertising of less healthy food and drink
  201. SCHEDULE 19 Licensing of cosmetic procedures

Proposed changes to this act

No one has proposed a change to this act yet.

201 provisions

SCHEDULE 19 Licensing of cosmetic procedures

Section 180 Introduction 1 This Schedule is about the provision that may be made by regulations under section 180. Grant of licence 2 The regulations may— (a) require a local authority not to grant a licence unless satisfied as to a matter specified in the regulations; (b) require a local authority to have regard, in deciding whether to grant a licence, to a matter specified in the regulations. 3 The regulations may make provision requiring a local authority not to grant a premises licence unless the premises have been inspected in accordance with the regulations. Licence conditions 4 (1) The regulations may make provision for the grant of a licence subject to conditions. (2) Provision of the kind mentioned in sub-paragraph (1) may— (a) enable a local authority to attach conditions to a licence; (b) require a local authority to attach to a licence a condition specified in the regulations. Duration of licence etc 5 (1) The regulations may make provision about the duration, renewal, variation, suspension or revocation of licences. (2) The provision that may be made under sub-paragraph (1) includes provision conferring power on a court by which a person is convicted of an offence under the regulations to vary, suspend or revoke a licence. Reviews and appeals 6 The regulations may make provision for— (a) the review of decisions under the regulations; (b) appeals against decisions under the regulations. Offences 7 (1) The regulations may create offences in relation to— (a) the breach of a prohibition imposed by virtue of section 180(1); (b) the breach of a condition attached to a licence; (c) the provision of false or misleading information to a local authority in connection with anything done under the regulations. (2) The regulations must provide for any such offence to be punishable on summary conviction with a fine or a fine not exceeding an amount specified, or determined in accordance with, the regulations. Financial penalties 8 (1) The regulations may confer power on a local authority to impose a financial penalty in relation to— (a) the breach of a prohibition imposed by virtue of section 180(1); (b) the breach of a condition attached to a licence. (2) The amount of the financial penalty is to be specified in, or determined in accordance with, the regulations. (3) If the regulations confer power to impose a financial penalty in respect of conduct for which a criminal offence is created under the regulations, they must provide that a person is not liable to such a penalty in respect of conduct for which the person has been convicted of the offence. (4) If the regulations confer power to impose a financial penalty they must include provision— (a) requiring the local authority, before imposing a financial penalty on a person, to give the person written notice (a “notice of intent”) of the proposed financial penalty; (b) ensuring that the person is given an opportunity to make representations about the proposed financial penalty; (c) requiring the local authority, after the period for making representations, to decide whether to impose the financial penalty; (d) requiring the local authority, if it decides to impose the financial penalty, to give the person notice in writing (a “final notice”) imposing the penalty; (e) enabling a person on whom a financial penalty is imposed to appeal to a court or tribunal in accordance with the regulations; (f) as to the powers of the court or tribunal on such an appeal. (5) The provision that may be made by the regulations by virtue of sub-paragraph (1) includes provision— (a) enabling a notice of intent or final notice to be withdrawn or amended; (b) requiring the local authority to withdraw a final notice in circumstances specified in the regulations; (c) for a financial penalty to be increased by an amount specified in or determined in accordance with the regulations in the event of late payment; (d) as to how financial penalties are recoverable. Enforcement 9 The regulations may confer on a local authority the function of enforcing the regulations in its area. Fees 10 The regulations may include provision for fees in relation to the carrying out of functions of a local authority under or in connection with the regulations (including the cost of its enforcement functions under the regulations). Guidance 11 The regulations may require a local authority, in carrying out functions under the regulations, to have regard to guidance published by the Secretary of State. Interpretation 12 (1) In this Schedule— “grant”, in relation to a licence, includes vary or renew; “licence” means a personal licence or premises licence; “personal licence” has the meaning given by section 180(2); “premises licence” has the meaning given by section 180(2). (2) Nothing in this Schedule is to be read as limiting the scope of the power to make regulations under section 180.

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