Statutory Instruments
1999 No. 2793 (C. 69)

NATIONAL HEALTH SERVICE, ENGLAND
NATIONAL HEALTH SERVICE, WALES
NATIONAL HEALTH SERVICE, SCOTLAND
NATIONAL HEALTH SERVICE, NORTHERN IRELAND
The Health Act 1999 (Commencement No. 5) Order 1999

Made
9th October 1999

The Secretary of State for Health, in exercise of the powers conferred upon him by section 67(1) and (2) of the Health Act 1999(1), and of all other powers enabling him in that behalf, hereby makes the following Order:

Citation and interpretation

1.—(1) This Order may be cited as the Health Act 1999 (Commencement No. 5) Order 1999.

(2) In this Order—

“the Act” means the Health Act 1999;

“the 1977 Act” means the National Health Service Act 1977(2).

(3) Subject to paragraphs (4) and (5), this Order extends to England.

(4) Article 2(1)(b) to (d) and (3)(a) extends also to Wales.

(5) Article 2(1)(c) and (d) extends also to Scotland and Northern Ireland.

Appointed days

2.—(1) 1st November 1999 is the day appointed for the coming into force of—

(a)to the extent there specified, each provision of the Act specified in column 1 of Schedule 1 to this Order;

(b)to the extent there specified, each provision of the Act specified in column 1 of Schedule 2 to this Order;

(c)section 25 of the Act;

(d)in Schedule 5 to the Act, the repeal related to section 62 of the National Health Service and Community Care Act 1990(3), and section 65(2) in so far as it relates to that repeal.

(2) 4th January 2000 is the day appointed for the coming into force of sections 18 and 20 of the Act, in so far as they are not already in force, and section 21 of the Act.

(3) 1st April 2000 is the day appointed for the coming into force of—

(a)each provision of the Act specified in column 1 of Schedule 3 to this Order;

(b)sections 9, 26 to 28, 29, in so far as it is not already in force, and 30 to 32 of the Act;

(c)the following paragraphs of Schedule 4 to the Act (amendments of enactments) and section 65(1) of the Act in so far as it relates to those paragraphs—

(i)paragraph 14, in so far as it is not already in force, and paragraph 4 in so far as it relates to that paragraph,

(ii)paragraph 72.

Signed by authority of the Secretary of State for Health

John Denham
Minister of State,
Department of Health
9th October 1999

Article 2(1)(a)

SCHEDULE 1PROVISIONS OF THE ACT COMING INTO FORCE ON 1ST NOVEMBER 1999 IN RELATION ONLY TO ENGLAND

(1)
(2)

Provisions of the Act
Subject matter

Section 18 (except in so far as it relates to Primary Care Trusts)
Duty of quality

Section 29(2)(a) and (3) and section 29(1) in so far as it relates to it

Payments by NHS bodies to local authorities

Section 39
Evasion of charges

Section 65(1) (in so far as it relates to the paragraphs of Schedule 4 specified below)Schedule 4—

paragraph 14(2) and (4)(b), and paragraphs 4 and 14(1) in so far as they relate to it

(4) paragraph 14(3) and (4)(a) and (e) only in so far as it relates to payments made under section 28A(2A) of the 1977 Act, and paragraphs 4 and 14(1) in so far as they relate to that paragraph

paragraph 36 and paragraph 4 in so far as it relates to that paragraph

Amendments of enactments

Article 2(1)(b)

SCHEDULE 2PROVISIONS OF THE ACT COMING INTO FORCE ON 1ST NOVEMBER 1999 IN RELATION TO ENGLAND AND WALES

(1)
(2)

Provisions of the Act
Subject matter

Section 19
The Commission for Health Improvement

Section 20 (except in so far as it relates to Primary Care Trusts)
Functions of the Commission

Section 23
Obtaining of information by the Commission

Section 24
Restrictions on disclosure of information by the Commission

Schedule 65(1) (in so far as it relates to the provisions of Schedule 4 specified below)

Schedule 65(2) (in so far as it relates to the provisions of Schedule 5 specified below)

Schedule 2
The Commission for Health Improvement

Schedule 4—

paragraph 76(a)(ii) and paragraph 74 in so far as it relates to it

paragraph 81(2)(b) and paragraphs 74 and 81(1) in so far as they relate to it

Amendments of enactments

In Schedule 5, the repeals related to section 15 of the Health Service Commissioners Act 1993(5)
Repeals

Article 2(3)(a)

SCHEDULE 3PROVISIONS OF THE ACT COMING INTO FORCE ON 1ST APRIL 2000 IN RELATION TO ENGLAND AND WALES

(1)
(2)

Provisions of the Act
Subject matter

Section 41
High security psychiatric services

Section 65(1) (in so far as it relates to the provisions of Schedule 4 specified below)

Section 65(2) (in so far as it relates to the provisions of Schedule 5 specified below)

Schedule 4—

paragraph 27(b) and paragraph 4 in so far as it relates to it

paragraph 38(2)(b) and (d), and paragraphs 4 and 38(1) in so far as they relate to it

paragraphs 65 to 69

Amendments of enactments

In Schedule 5, the repeals related to—

sections 91(4) and 128(1) (in so far as it relates to the definition of “special hospital”) of the 1977 Act

Repeals

the Mental Health Act 1983(6)

Explanatory Note

(This note is not part of the Order)
This Order brings into force further provisions of the Health Act 1999.
Provisions which are brought into force on 1st November 1999 in relation only to England relate to the duty of quality, payments by NHS bodies to local authorities, evasion of charges, and the Health Service Commissioners. Provisions which are brought into force on 1st November 1999 in relation to England and Wales relate to the Commission for Health Improvement. Section 25 (abolition of the Clinical Standards Advisory Group) and related provisions are brought into force on that date in relation to England, Wales, Scotland and Northern Ireland.
Sections 18 (duty of quality) and 20 (functions of the Commission for Health Improvement), in so far as they relate to Primary Care Trusts, and section 21 (arrangements between the Commission for Health Improvement and the Audit Commission) are brought into force in relation to England on 4th January 2000.
Provisions which are brought into force on 1st April 2000 in relation to England and Wales relate to high security psychiatric services. Provisions which are brought into force on that date in relation only to England relate to indemnity cover for services provided under Part II of the National Health Service Act 1977, and partnership between NHS bodies and local authorities (including plans for improving health, payments or arrangements between NHS bodies and local authorities, and the repeal of provisions relating to Joint Consultative Committees).
Note as to Earlier Commencement Orders

(This note is not part of the Order)
The following provisions of the Health Act 1999 have been, or are to be, brought into force by commencement order made before the date of this Order. In addition to the provisions listed below, various provisions of Part II of, and Schedules 4 and 5 to, the Act that extend only to Scotland have been brought into force on 1st October 1999 by the Health Act 1999 (Commencement No. 4) Order 1999, S.S.I. 1999/90 (C. 66).


Provision
Date of Commencement

S.I. No

s. 1 as to England
1.10.99
1999/2342

s. 2 as to England

(partially)
8.9.99
1999/2342

(remainder)
4.1.00
1999/2342

s. 3 as to England
1.4.00
1999/2342

s. 4 as to England

(partially)
1.9.99
1999/2342

(remainder)
1.4.00
1999/2342

s. 5 as to England (partially)
4.1.00
1999/2342

s. 6(1) as to England
4.1.00
1999/2342

s. 7 as to England
4.1.00
1999/2342

s. 8 as to England
1.9.99
1999/2342

s. 11 as to England
1.9.99
1999/2342

s. 12 as to England

(partially)
1.9.99
1999/2342

(remainder)
4.1.00
1999/2342

ss. 13 and 14 as to England
1.10.99
1999/2540

ss. 15 to 17 as to England
1.9.99
1999/2342

s. 33(1) to (6) (partially)
1.9.99
1999/2177

s. 34 (partially)
3.8.99
1999/2177

(remainder)
1.11.99
1999/2177

s. 36 (partially)
3.8.99
1999/2177

s. 37 (partially)
3.8.99
1999/2177

s. 37(1) to (9) (remainder)
1.11.99
1999/2177

s. 38 (partially)
3.8.99
1999/2177

(partially)
1.9.99
1999/2177

(partially)
1.11.99
1999/2177

ss. 42 to 44 as to England and Wales
1.10.99
1999/2540

s. 62
3.8.99
1999/2177

s. 63
3.8.99
1999/2177

s. 64
3.8.99
1999/2177

s. 65(1)

as to England (partially)
1.9.99
1999/2342

as to England (partially)
1.10.99
1999/2540

as to England and Wales (partially)
4.1.00
1999/2342

as to England and Wales (partially)
1.4.00
1999/2342

s.65(2) as to England (partially)
1.10.99
1999/2540

Schedule 1

as to England (partially)
8.9.99
1999/2342

as to England (partially)
4.1.00
1999/2342

as to England (remainder)
1.4.00
1999/2342

Schedule 4 (as to England unless otherwise specified)—

paragraphs 1 and 3
4.1.00
1999/2342

paragraph 4 (partially)
1.9.99
1999/2342

(partially)
4.1.00
1999/2342

(partially)
1.4.00
1999/2342

paragraph 5
4.1.00
1999/2342

paragraph 6
1.9.99
1999/2342

paragraph 7
4.1.00
1999/2342

paragraph 8 (partially)
1.10.99
1999/2540

paragraph 9 (partially)
1.9.99
1999/2342

(remainder)
4.1.00
1999/2342

paragraphs 10 and 11
4.1.00
1999/2342

paragraph 12 (partially)
1.9.99
1999/2342

(remainder)
4.1.00
1999/2342

paragraph 13
4.1.00
1999/2342

paragraph 15
1.10.99
1999/2540

paragraph 23
4.1.00
1999/2342

paragraph 24
1.9.99
1999/2342

paragraph 25
4.1.00
1999/2342

paragraph 26
1.9.99
1999/2342

paragraph 27 (partially)
1.10.99
1999/2549

(partially)
4.1.00
1999/2342

paragraphs 28 and 29
4.1.00
1999/2342

paragraph 30 (partially)
1.9.99
1999/2342

(remainder)
4.1.00
1999/2342

paragraph 31 (partially)
1.9.99
1999/2342

(remainder)
1.4.00
1999/2342

paragraph 32
1.9.99
1999/2342

paragraph 33
1.4.00
1999/2342

paragraph 34 (partially)
1.9.99
1999/2342

(remainder)
4.1.00
1999/2342

paragraph 35
1.4.00
1999/2342

paragraph 37 (partially)
1.9.99
1999/2342

(remainder)
4.1.00
1999/2342

paragraph 38 (partially)
1.9.99
1999/2342

(partially)
4.1.00
1999/2342

paragraph 39
1.9.99
1999/2342

paragraph 40
4.1.00
1999/2342

paragraph 71 (partially)
1.10.99
1999/2540

(remainder)
4.1.00
1999/2342

paragraph 73 as to England and Wales
1.4.00
1999/2342

paragraph 74 (partially)
1.9.99
1999/2342

as to England and Wales (partially)
4.1.00
1999/2342

as to England and Wales (partially)
1.4.00
1999/2342

paragraph 75
1.9.99
1999/2342

paragraph 76 (partially)
1.9.99
1999/2342

as to England and Wales (partially)
4.1.00
1999/2342

paragraphs 77, 78 and 79
4.1.00
1999/2342

paragraph 81 (partially)
4.1.00
1999/2342

paragraph 82 as to England and Wales
1.4.00
1999/2342

paragraph 83 (partially)
1.9.99
1999/2342

(partially)
1.10.99
1999/2540

(remainder)
4.1.00
1999/2342

paragraph 84
1.9.99
1999/2342

paragraph 85 (partially)
1.10.99
1999/2540

as to England and Wales (partially)
4.1.00
1999/2342

paragraph 86 as to England and Wales
1.4.00
1999/2342

paragraph 87
4.1.00
1999/2342

paragraph 88 (partially)
1.9.99
1999/2342

(partially)
1.10.99
1999/2540

(remainder)
4.1.00
1999/2342

paragraph 89
4.1.00
1999/2342

paragraph 90 (partially)
1.10.99
1999/2540

Schedule 5 as to England (partially)
1.10.99
1999/2540



(1)
1999 c. 8. The power of the Secretary of State under section 67 of the Act to appoint a day for the coming into force in relation to Wales of any of the provisions referred to in section 66(2) of the Act is exercisable instead by the National Assembly for Wales by virtue of that subsection.

(2)
1977 c. 49.

(3)
1990 c. 19. Section 62 was amended by article 7(7) of the Health and Personal Social Services (Northern Ireland Consequential Amendments) Order 1991 (S.I. 1991/195 (N.I.)), so as to extend the Clinical Standards Advisory Group’s functions to Northern Ireland.

(4)
Subsection (2A) is inserted by section 29(3) of the Health Act 1999 (c. 8), which is brought into force by article 2(1)(d) of this Order.

(5)
1993 c. 46. Section 15 was amended by section 11 of the Health Service Commissioners (Amendment) Act 1996 (c. 5).

(6)
1983 c. 20.