Law

Health and Social Care (Community Health and Standards) Act 2003

United Kingdom · statute

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In force since 2023-04-01, 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: 211 provisions
  1. Title and introductory text
  2. 1 NHS foundation trusts
  3. 2 Independent Regulator of NHS Foundation Trusts
  4. 3 General duty of regulator
  5. 4 Applications by NHS trusts
  6. 5 Other applications
  7. 6 Authorisation of NHS foundation trusts
  8. 7 Effect of authorisation
  9. 8 Amendments of constitution
  10. 9 Variation of authorisation
  11. 10 Register of NHS foundation trusts
  12. 11 Power of Secretary of State to give financial assistance
  13. 12 Prudential borrowing code
  14. 13 Public dividend capital
  15. 14 Authorised services
  16. 15 Private health care
  17. 16 Protection of property
  18. 17 Financial powers
  19. 18 General powers
  20. 19 Information
  21. 20 Entry and inspection of premises
  22. 22 Trust funds and trustees
  23. 23 Failing NHS foundation trusts
  24. 24 Voluntary arrangements
  25. 25 Dissolution etc.
  26. 26 Sections 24 and 25: supplementary
  27. 27 Mergers
  28. 28 Section 27: supplementary
  29. 29 Co-operation between NHS bodies
  30. 30 Public involvement and consultation
  31. 31 Patients' Forums
  32. 32 Commission for Patient and Public Involvement in Health
  33. 33 Taxation
  34. 34 Other amendments relating to NHS foundation trusts
  35. 35 Conduct of elections
  36. 36 Offence
  37. 37 Representative membership
  38. 38 Audit
  39. 39 General duty of NHS foundation trusts
  40. 40 Interpretation of Part 1
  41. 41 The Commission for Healthcare Audit and Inspection
  42. 42 The Commission for Social Care Inspection
  43. 43 Transfer of property etc to CHAI and CSCI
  44. 44 Abolition of former regulatory bodies
  45. 45 Quality in health care
  46. 46 Standards set by Secretary of State
  47. 47 Standards set by Assembly
  48. 47A Code of practice relating to health care associated infections
  49. 47B Consultation etc.
  50. 47C Effect of code under section 47A
  51. 48 Introductory
  52. 49 National performance data
  53. 50 Annual reviews
  54. 51 Reviews: England and Wales
  55. 52 Reviews and investigations: England
  56. 53 Failings
  57. 53A Failings in connection with code under section 47A: improvement notices
  58. 53B Code of practice: action by CHAI following service of improvement notice
  59. 54 Functions relating to Secretary of State and Assembly
  60. 55 Reviews of data
  61. 56 Co-ordination of reviews
  62. 57 Studies as to economy, efficiency etc
  63. 58 Additional functions
  64. 59 Criteria
  65. 60 Provision of material
  66. 61 Co-operation between CHAI and the regulator
  67. 62 Fees
  68. 63 Fees: Wales
  69. 64 Reports and information
  70. 65 Co-operation between CHAI and the Audit Commission
  71. 66 Right of entry
  72. 67 Right of entry: supplementary
  73. 68 Power to require documents and information etc
  74. 69 Power to require explanation
  75. 69A Provision of information by Auditor General for Wales
  76. 70 Reviews and investigations relating to Wales
  77. 71 Reporting to Secretary of State and regulator
  78. 72 Right of entry
  79. 73 Right of entry: supplementary
  80. 74 Power to require documents and information
  81. 75 Power to require explanation
  82. 76 Introductory
  83. 77 Information and advice
  84. 78 Review of studies and research
  85. 79 Annual reviews
  86. 80 Other reviews and investigations
  87. 81 Failings
  88. 82 Studies as to economy, efficiency etc
  89. 83 Joint working with Audit Commission
  90. 84 Additional functions
  91. 85 Criteria
  92. 86 Fees
  93. 87 Reports and information
  94. 88 Right of entry
  95. 89 Right of entry: supplementary
  96. 90 Power to require information etc
  97. 91 Power to require explanation
  98. 102 Transfer of functions to CHAI and CSCI
  99. 103 General functions of CHAI
  100. 104 General functions of CSCI
  101. 105 Fees
  102. 106 Meaning of “independent medical agency”
  103. 107 Children’s homes providing secure accommodation
  104. 108 Information and inspection
  105. 109 Assembly: duties relating to children
  106. 110 Boarding schools and colleges
  107. 111 Boarding schools and colleges: reports
  108. 112 Secure training centres
  109. 113 Complaints about health care
  110. 114 Complaints about social services: England
  111. 115 Complaints regulations: supplementary
  112. 116 Further consideration of representations under the Children Act 1989
  113. 117 Representations relating to special guardianship support services
  114. 118 Complaints about handling of complaints
  115. 119 Complaints: data protection
  116. 120 Co-operation etc
  117. 121 Reviews and investigations
  118. 122 Joint annual reviews
  119. 123 Power to assist
  120. 124 Arrangements with Ministers etc: CHAI
  121. 125 Arrangements with Ministers etc: CSCI
  122. 126 Arrangements with the Isle of Man and Channel Islands: CHAI
  123. 127 Arrangements with the Isle of Man and Channel Islands: CSCI
  124. 128 Reports: CHAI
  125. 129 Reports: CSCI
  126. 130 Duty to have regard to government policy: CHAI
  127. 131 Duty to have regard to government policy: CSCI
  128. 132 Failure in discharge of functions: CHAI
  129. 133 Failure in discharge of functions: CSCI
  130. 134 Inquiries: CHAI
  131. 135 Inquiries: CSCI
  132. 136 Disclosure of information obtained by CHAI
  133. 137 Section 136: defence
  134. 138 Information obtained by CHAI: supplementary
  135. 139 Information obtained by CSCI: supplementary
  136. 140 Code of practice: CHAI
  137. 141 Code of practice: CSCI
  138. 142 Annual reports of Assembly
  139. 143 Use by Welsh Ministers of information
  140. 144 Inquiries: Wales
  141. 145 Co-operation between Assembly and CHAI
  142. 145A Duties in connection with the Auditor General for Wales
  143. 146 Offences by bodies corporate
  144. 147 Minor and consequential amendments
  145. 148 Interpretation of Part 2
  146. 150 Liability to pay NHS charges
  147. 151 Applications for certificates of NHS charges
  148. 152 Section 151: supplementary
  149. 153 Information contained in certificates
  150. 154 Payment of NHS charges
  151. 155 Recovery of NHS charges
  152. 156 Review of certificates
  153. 157 Appeal against a certificate or a waiver decision
  154. 158 Appeal tribunals
  155. 159 Appeal to Social Security Commissioner
  156. 160 Provision of information
  157. 161 Use of information held by the Secretary of State or the Scottish Ministers etc.
  158. 162 Payment of NHS charges to hospitals or ambulance trusts
  159. 163 Regulations governing lump sums, periodical payments etc
  160. 164 Liability of insurers
  161. 165 Power to apply Part 3 to treatment at non-health service hospitals
  162. 166 The Crown
  163. 167 Regulations
  164. 168 Interpretation of Part 3
  165. 169 Consequential and minor repeals
  166. 170 Provision of primary dental services
  167. 171 Dental public health
  168. 172 General dental services contracts
  169. 173 General dental services: transitional
  170. 174 Provision of primary medical services
  171. 175 General medical services contracts
  172. 176 General medical services: transitional
  173. 177 Arrangements under section 28C of the 1977 Act
  174. 178 Abolition of pilot schemes
  175. 179 Persons performing primary medical and dental services
  176. 180 Assistance and support
  177. 181 Abolition of Dental Practice Board
  178. 182 Special Health Authorities
  179. 183 Charges for dental services
  180. 184 Minor and consequential amendments
  181. 185 Replacement of the Welfare Food Schemes: Great Britain
  182. 186 Replacement of the Welfare Food Schemes: Northern Ireland
  183. 187 Appointments to certain health and social care bodies
  184. 188 Appointments to certain health and social care bodies: joint functions
  185. 189 Validity of clearance for employment in certain NHS posts
  186. 190 Abolition of Public Health Laboratory Service Board
  187. 192 Amendment of provision relating to reform of Welsh health authorities
  188. 193 Financial provisions
  189. 194 Interpretation
  190. 195 Orders and regulations
  191. 196 Repeals and revocations
  192. 197 Wales
  193. 198 Isles of Scilly
  194. 199 Commencement
  195. 200 Transitional or transitory provision and savings
  196. 201 Supplementary and consequential provision
  197. 202 Extent
  198. 203 Short title
  199. SCHEDULE 1 Constitution of public benefit corporations
  200. SCHEDULE 2 Independent Regulator of NHS Foundation Trusts
  201. SCHEDULE 3 Transfer of staff
  202. SCHEDULE 4 Amendments relating to NHS foundation trusts
  203. SCHEDULE 6 CHAI: supplementary
  204. SCHEDULE 7 CSCI: supplementary
  205. SCHEDULE 8 CHAI and CSCI: transfers of property and staff, etc
  206. SCHEDULE 9 Part 2: minor and consequential amendments
  207. SCHEDULE 10 Recovery of NHS charges: exempted payments
  208. SCHEDULE 11 Part 4: minor and consequential amendments
  209. SCHEDULE 12 Privy Council appointments
  210. SCHEDULE 13 Amendments consequential on the abolition of the Public Health Laboratory Service Board
  211. SCHEDULE 14 Repeals and revocations

Proposed changes to this act

No one has proposed a change to this act yet.

211 provisions

75 Power to require explanation

(1) The Assembly may by regulations make provision requiring prescribed persons to provide to the Assembly, or to persons authorised by it, an explanation of— (a) any documents, records or items inspected, copied or provided under sections 72 to 74, (b) any information provided under those sections, or (c) any matters which are the subject of the exercise of any function of the Assembly under section 70, and in circumstances where the Assembly considers the explanation necessary or expedient for the purposes of this Chapter. (2) Regulations under subsection (1) may require explanations to be provided at such times and places as may be specified by the Assembly. (3) Any person who without reasonable excuse fails to comply with any requirement imposed by virtue of this section is guilty of an offence and liable on summary conviction to a fine not exceeding level 4 on the standard scale.

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76 Introductory

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77 Information and advice

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78 Review of studies and research

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79 Annual reviews

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80 Other reviews and investigations

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81 Failings

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82 Studies as to economy, efficiency etc

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83 Joint working with Audit Commission

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84 Additional functions

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85 Criteria

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86 Fees

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87 Reports and information

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88 Right of entry

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89 Right of entry: supplementary

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90 Power to require information etc

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91 Power to require explanation

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102 Transfer of functions to CHAI and CSCI

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103 General functions of CHAI

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104 General functions of CSCI

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105 Fees

(1) The Care Standards Act 2000 (c. 14) is amended as follows. (2) After section 113 insert— Fees payable under Part 2 113A (1) The CHAI and the CSCI may each from time to time make and publish provision determining the amount of any fee payable to it under Part 2. (2) Provision under subsection (1) may include provision— (a) for different amounts to be payable in different cases, or classes of case; (b) for different amounts to be payable by persons of different descriptions. (3) Before the CHAI or the CSCI makes any provision under subsection (1) it must consult such bodies as appear to it to be representative of the persons liable to pay the fee. (4) No provision may be made under subsection (1) without the consent of the Secretary of State. (5) If the Secretary of State considers it necessary or desirable to do so, he may by regulations make provision determining the amount of a fee payable to the CHAI or the CSCI under Part 2 instead of the amount for which provision is made under subsection (1). (6) Before making any regulations under subsection (5) in respect of fees payable to the CHAI or the CSCI, the Secretary of State shall consult that body and such other persons as appear to him to be appropriate. (3) In section 12 (applications for registration), in subsection (2), for “a fee of the prescribed amount” substitute “ a fee of the amount determined under section 113A, where the registration authority is the CHAI or the CSCI, or of the prescribed amount, where the registration authority is the Assembly. ” (4) In section 15 (other applications), in subsection (3) for “a fee of such amount as may be prescribed” substitute a fee of— (a) the amount determined under section 113A, where the registration authority is the CHAI or the CSCI; or (b) the prescribed amount, where the registration authority is the Assembly. (5) In that section, in subsection (5)— (a) for “subsection (3)” substitute “ subsection (3)(b) ”; and (b) for “the registration authority” substitute “ the Assembly ”. (6) In section 16 (regulations about registration), for subsection (3) substitute— (3) Persons registered under this Part must also pay to the registration authority, at such time as may be prescribed, an annual fee— (a) of such amount as may be determined under section 113A, where the registration authority is the CHAI or the CSCI; and (b) of such amount as may be prescribed, where the registration authority is the Assembly. (7) In section 22(7)(i) (fees in respect of notification of variation of corporate ownership etc), for the words from “of a fee” to the end substitute , in respect of any notification required to be made by virtue of paragraph (h), of a fee of— (i) such amount as may be determined under section 113A, where notification is made to the CHAI or the CSCI; or (ii) the prescribed amount, where notification is made to the Assembly .

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106 Meaning of “independent medical agency”

In section 2(5) of the Care Standards Act 2000 (c. 14) (an “independent medical agency” does not include an independent clinic), after “clinic” insert “ or an independent hospital ”.

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107 Children’s homes providing secure accommodation

(1) In section 4 of the Care Standards Act 2000 (c. 14) (basic definitions), in subsection (8)(a) (references to a description of establishment), after “children’s home” insert “ , a children’s home providing accommodation for the purpose of restricting liberty, ”. (2) In section 22 of that Act (regulations), in subsection (8) (regulations relating to children’s homes)— (a) omit paragraph (a), and (b) in paragraph (b), for “mentioned in paragraph (a)” substitute “ of restricting liberty ”.

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108 Information and inspection

(1) Section 31 of the Care Standards Act 2000 (inspections by persons authorised by registration authority) is amended as follows. (2) After subsection (1), insert— (1A) The power under subsection (1) to require the provision of information includes— (a) power to require the provision of copies of any documents or records (including medical and other personal records); and (b) in relation to records kept by means of a computer, power to require the provision of the records in legible form. (3) In subsection (3)— (a) in paragraph (b), for “(other than medical records)” substitute “ (including medical and other personal records) ”; and (b) in paragraph (d), for “employed” substitute “ working ”. (4) In subsection (6), omit “and inspect any medical records relating to his treatment in the establishment”.

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109 Assembly: duties relating to children

In section 8 of the Care Standards Act 2000 (general functions of the Assembly), at the end insert— (6) The Assembly must have particular regard to the need to safeguard and promote the rights and welfare of children in the exercise of— (a) its functions exercisable by virtue of section 5(b) and subsections (1) to (3) of this section; and (b) any other functions exercisable by the Assembly corresponding to functions exercisable by the CSCI in relation to England.

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110 Boarding schools and colleges

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111 Boarding schools and colleges: reports

In section 87 of the Children Act 1989, after subsection (9) insert— (9A) Where the Commission or the National Assembly for Wales exercises the power conferred by subsection (5) in relation to a child, it must publish a report on whether the child’s welfare is adequately safeguarded and promoted while he is accommodated by the school or college. (9B) Where the Commission or the National Assembly for Wales publishes a report under this section, it must— (a) send a copy of the report to the school or college concerned; and (b) make copies of the report available for inspection at its offices by any person at any reasonable time. (9C) Any person who requests a copy of a report published under this section is entitled to have one on payment of such reasonable fee (if any) as the Commission or the National Assembly for Wales (as the case may be) considers appropriate.

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112 Secure training centres

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113 Complaints about health care

(1) The Secretary of State may by regulations make provision about the handling and consideration of complaints made under the regulations about— (a) the exercise of any of the functions of an English NHS body or a cross-border SHA (including any function that consists of exercising the function of another person); (b) the provision of health care by or for such a body; (c) the provision of services by such a body or any other person in pursuance of arrangements made by the body under ... section 33 of the National Health Service (Wales) Act 2006 in relation to the exercise of the health-related functions of a local authority. (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) The Assembly may by regulations make provision about the handling and consideration of complaints made under the regulations about— (a) the exercise of any of the functions of a Welsh NHS body; (b) the provision of health care by or for a Welsh NHS body; (c) the provision of services by a Welsh NHS body or any other person in pursuance of arrangements made by the body under section 31 of the Health Act 1999 in relation to the exercise of the health-related functions of a local authority. (d) the provision of redress by or for a Welsh NHS body under the NHS Redress (Wales) Measure 2008. (3) Regulations under this section may provide for a complaint to be considered by one or more of the following— (a) an NHS body; (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (c) an independent lay person; (d) an independent panel established under the regulations; (e) any other person or body. (4) Regulations under this section may make provision for a complaint or any matter raised by a complaint— (a) in the case of regulations under subsection (1), to be referred to a Health Service Commissioner for him to consider whether to investigate the complaint or matter under the Health Service Commissioners Act 1993 (c. 46) (and to be treated by him as a complaint duly referred to him under section 10 of that Act); (aa) in the case of regulations under subsection (2), to be referred to the Public Services Ombudsman for Wales for him to consider whether to investigate the complaint or matter under the Public Services Ombudsman (Wales) Act 2019 (and to be treated by him as a complaint duly referred to him under section 3(3) of that Act); (b) to be referred to any other person or body for him or it to consider whether to take any action otherwise than under the regulations.

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114 Complaints about social services: England

(1) The Secretary of State may by regulations make provision about the handling and consideration of complaints made under the regulations about— (a) the discharge by a local authority in England of any of its social services functions; (b) the provision of services by another person pursuant to arrangements made by such an authority in the discharge of those functions; (c) the provision of services by such an authority or any other person in pursuance of arrangements made by the authority under section 75 of the National Health Service Act 2006 or section 33 of the National Health Service (Wales) Act 2006 in relation to the functions of an NHS body (within the meaning of that section). (2) Regulations under this section may provide for a complaint to be considered by one or more of the following— (a) the local authority in respect of whose functions the complaint is made; (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (c) an independent panel established under the regulations; (d) any other person or body. (3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (5) Regulations under this section may provide for a complaint or any matter raised by a complaint— (a) ... to be referred to a Local Commissioner under Part 3 of the Local Government Act 1974 (c. 7) ... for him to consider whether to investigate the complaint or matter under that Part (and for the complaint to be treated as satisfying sections 26A and 26B of that Act); (b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (c) to be referred to any other person or body for him or it to consider whether to take any action otherwise than under the regulations. (6) Regulations under this section may not make provision about complaints capable of being considered as representations under section 24D or section 26 of the Children Act 1989 (c. 41).

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115 Complaints regulations: supplementary

(1) Regulations under subsection (1) or (2) of section 113 or under subsection (1) ... of section 114 (“the regulations”) may, without prejudice to the generality of the subsection under which they are made, make the following provision. (2) The regulations may make provision about— (a) the persons who may make a complaint; (b) the complaints which may, or may not, be made under the regulations; (c) the persons to whom complaints may be made; (d) complaints which need not be considered; (e) the period within which complaints must be made; (f) the procedure to be followed in making, handling and considering a complaint; (g) matters which are excluded from consideration; (h) the making of a report or recommendations about a complaint; (i) the action to be taken as a result of the complaint. (3) The regulations may require— (a) the making of a payment, in relation to the consideration of a complaint under the regulations, by any person or body in respect of whom the complaint is made; (b) any such payment to be— (i) made to such person or body as may be specified in the regulations; and (ii) of such amount as may be specified in, or calculated or determined under, the regulations; (c) an independent panel to review the amount chargeable under paragraph (a) in any particular case and, if the panel thinks fit, to substitute a lesser amount. (4) The regulations may require any person or body who handles or considers complaints under the regulations to make information available to the public about the procedures to be followed under the regulations. (5) The regulations may also— (a) provide for different parts or aspects of a complaint to be treated differently; (b) require the production of information or documents in order to enable a complaint to be properly considered; (c) authorise the disclosure of information or documents relevant to a complaint to a person or body— (i) who is considering a complaint under the regulations; or (ii) to whom a complaint has been referred; and any such disclosure may be authorised notwithstanding any rule of common law that would otherwise prohibit or restrict the disclosure. (6) The regulations may make provision about complaints which raise both matters falling to be considered under the regulations and matters falling to be considered under other statutory complaints procedures, including in particular provision for— (a) enabling such a complaint to be made under the regulations; and (b) securing that matters falling to be considered under other statutory complaints procedures are treated as if they had been raised in a complaint made under the appropriate procedures; and in this subsection “statutory complaints procedures” means procedures established by or under any enactment.

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116 Further consideration of representations under the Children Act 1989

(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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117 Representations relating to special guardianship support services

(1) In section 26 of the Children Act 1989 (c. 41) (representations), after subsection (3B) insert— (3C) The duty under subsection (3) extends to any representations (including complaints) which are made to the authority by— (a) a child with respect to whom a special guardianship order is in force, (b) a special guardian or a parent of such a child, (c) any other person the authority consider has a sufficient interest in the welfare of such a child to warrant his representations being considered by them, or (d) any person who has applied for an assessment under section 14F(3) or (4), about the discharge by the authority of such functions under section 14F as may be specified by the Secretary of State in regulations. (2) Section 14G of that Act (special guardianship support services: representations) shall cease to have effect.

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118 Complaints about handling of complaints

In section 3 of the Health Service Commissioners Act 1993 (c. 46) (remit of Commissioners), after subsection (1D) insert— (1E) Where a complaint is duly made to a Commissioner by or on behalf of a person that the person has sustained injustice or hardship in consequence of maladministration by any person or body in the exercise of any function under section 113 of the Health and Social Care (Community Health and Standards) Act 2003 (complaints about health care), the Commissioner may, subject to the provisions of this Act, investigate the alleged maladministration.

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119 Complaints: data protection

In section 31 of the Data Protection Act 1998 (c. 29) (regulatory activity) at the end insert— (6) Personal data processed for the purpose of the function of considering a complaint under section 113(1) or (2) or 114(1) or (3) of the Health and Social Care (Community Health and Standards) Act 2003, or section 24D, 26, 26ZA or 26ZB of the Children Act 1989, are exempt from the subject information provisions in any case to the extent to which the application of those provisions to the data would be likely to prejudice the proper discharge of that function.

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120 Co-operation etc

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121 Reviews and investigations

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122 Joint annual reviews

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123 Power to assist

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124 Arrangements with Ministers etc: CHAI

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