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National Health Service Act 2006
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- Deddfau Cyhoeddus Cyffredinol y Deyrnas Unedig
- 2006 c. 41
- Part 2
- CHAPTER A1
- Secretary of State's mandate...
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- Dangos Graddfa Ddaearyddol(e.e. Lloegr, Cymru, Yr Alban aca Gogledd Iwerddon)
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Changes over time for: Cross Heading: Secretary of State's mandate to NHS England
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Changes to legislation:
National Health Service Act 2006, Cross Heading: Secretary of State's mandate to NHS England is up to date with all changes known to be in force on or before 02 June 2024. There are changes that may be brought into force at a future date. Changes that have been made appear in the content and are referenced with annotations.
Changes to Legislation
Revised legislation carried on this site may not be fully up to date. Changes and effects are recorded by our editorial team in lists which can be found in the ‘Changes to Legislation’ area. Where those effects have yet to be applied to the text of the legislation by the editorial team they are also listed alongside the legislation in the affected provisions. Use the ‘more’ link to open the changes and effects relevant to the provision you are viewing.
Changes and effects yet to be applied to the whole Act associated Parts and Chapters:
Whole provisions yet to be inserted into this Act (including any effects on those provisions):
- s. 3B(1)(aa) inserted by 2022 c. 31 Sch. 3 para. 2(b)
- s. 3B(1)(za) inserted by 2022 c. 31 Sch. 3 para. 2(a)
- s. 13G(4) words omitted by virtue of 2012 c. 7, Sch. 14 para. 4A (as inserted) by 2014 c. 23 s. 120(18)(a)
- s. 35(3A)(3B) inserted by 2012 c. 7 s. 159(4)
- s. 35(3A) words substituted by 2022 c. 31 Sch. 5 para. 12(4) (This amendment not applied to legislation.gov.uk. The insertion of s. 35(3A) by 2012 c. 7 s.159(4) not yet in force.)
- s. 40(4)-(4B) substituted for s. 40(4) by 2012 c. 7 Sch. 14 para. 5
- s. 42(1A) inserted by 2012 c. 7 Sch. 14 para. 6
- s. 65F(2A)-(2F) inserted by 2012 c. 7 Sch. 14 para. 15(4) (This amendment is itself amended before it comes into force by 2014 c. 23, ss. 85(15), 120(18)(b)(c), 127(1); S.I. 2014/1714, art. 3(2)(b)(c))
- s. 65H(10A) inserted by 2012 c. 7 Sch. 14 para. 17(4)
- s. 65H(10A) omitted by 2022 c. 31 Sch. 8 para. 7(7) (This amendment not applied to legislation.gov.uk. 2012 c. 7 Sch. 14 revoked at 1.7.2022 by 2022 c. 31, s. 186(6), Sch. 7 para. 13 before the insertion of s. 65H(10A) could come into effect.)
- s. 82A-83A and cross-heading substituted for s. 83 and cross-heading by 2022 c. 31 Sch. 3 para. 3
- s. 84(4)-(4B) substituted for s. 84(4) by 2022 c. 31 Sch. 3 para. 4(4)
- s. 92(5A) inserted by 2022 c. 31 Sch. 3 para. 9(4)
- s. 94(3)(ca)(cb) substituted for s. 94(3)(ca) by 2022 c. 31 Sch. 3 para. 11(3)
- s. 98A 98B substituted for s. 98A by 2022 c. 31 Sch. 3 para. 14
- s. 98BC-99B and cross-heading substituted for s. 99 and cross-heading by 2022 c. 31 Sch. 3 para. 15
- s. 100(3A)(3B) inserted by 2022 c. 31 Sch. 3 para. 16(4)
- s. 109(3)(ca)(cb) substituted for s. 109(3)(ca) by 2022 c. 31 Sch. 3 para. 23(3)
- s. 112(1)(za) inserted by 2022 c. 31 Sch. 3 para. 24(2)(b)
- s. 114A 114B substituted for s. 114A by 2022 c. 31 Sch. 3 para. 26
- s. 114C and cross-heading inserted by 2022 c. 31 Sch. 3 para. 27
- s. 116A 116B and cross-heading inserted by 2022 c. 31 Sch. 3 para. 30
- s. 117(4)(4A) substituted for s. 117(4) by 2022 c. 31 Sch. 3 para. 31(4)
- s. 125A 125B substituted for s. 125A by 2022 c. 31 Sch. 3 para. 39
- s. 223C(1)(c)(d) inserted by 2022 c. 31 s. 28
- s. 223LA inserted by 2022 c. 31 s. 30(3)
- Sch. 15 para. 4(1)(b) and word omitted by 2012 c. 7 Sch. 14 para. 39(3)
[F1Secretary of State's mandate to [F2NHS England]E+W
Textual Amendments
F1Pt. 2 Ch. A1 inserted (27.3.2012 for specified purposes, 1.10.2012 for specified purposes, 1.2.2013 for specified purposes, 1.4.2013 in so far as not already in force) by Health and Social Care Act 2012 (c. 7), ss. 23(1), 306(1)(d)(4); S.I. 2012/1831, art. 2(2) (with art. 4); S.I. 2012/2657, art. 2(4); S.I. 2013/160, art. 2(2) (with arts. 7-9)
F2Words in Act substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 1 para. 1(1)(2); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
13AMandate to [F3NHS England]E+W
(1)F4... The Secretary of State must publish and lay before Parliament a document to be known as “the mandate”.
(2)The Secretary of State must specify in the mandate—
(a)the objectives that the Secretary of State considers [F2NHS England] should seek to achieve in the exercise of its functions F5..., and
(b)any requirements that the Secretary of State considers it necessary to impose on [F2NHS England] for the purpose of ensuring that it achieves those objectives.
[F6(2A)The objectives specified by the Secretary of State under subsection (2)(a) for NHS England must include objectives relating to outcomes for cancer patients, and those objectives are to be treated by NHS England as having priority over any other objectives relating specifically to cancer.]
F7(3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F8(4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(5)The Secretary of State may also specify in the mandate the matters by reference to which the Secretary of State proposes to assess [F2NHS England’s] performanceF9....
(6)The Secretary of State may not specify in the mandate an objective or requirement about the exercise of [F2NHS England’s] functions in relation to only one [F10integrated care board].
[F11(6A)The Secretary of State may revise the mandate.
(6B)If the Secretary of State revises the mandate, the Secretary of State must publish and lay before Parliament the mandate as revised.]
(7)[F2NHS England] must—
(a)seek to achieve the objectives specified in the mandate, and
(b)comply with any requirements so specified.
(8)Before specifying any objectives or requirements in the mandate, the Secretary of State must consult—
(a)[F2NHS England],
(b)the Healthwatch England committee of the Care Quality Commission, and
(c)such other persons as the Secretary of State considers appropriate.
(9)Requirements included in the mandate have effect only if regulations so provide.
Textual Amendments
F3Words in s. 13A heading substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 1 para. 8; S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
F4Words in s. 13A(1) omitted (1.7.2022) by virtue of Health and Care Act 2022 (c. 31), ss. 4(2)(a), 186(6); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
F5Words in s. 13A(2)(a) omitted (1.7.2022) by virtue of Health and Care Act 2022 (c. 31), ss. 4(2)(b), 186(6); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
F6S. 13A(2A) inserted (14.6.2023) by Health and Care Act 2022 (c. 31), ss. 5(2), 186(6); S.I. 2023/648, reg. 2
F7S. 13A(3) omitted (1.7.2022) by virtue of Health and Care Act 2022 (c. 31), ss. 4(2)(c), 186(6); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
F8S. 13A(4) omitted (1.7.2022) by virtue of Health and Care Act 2022 (c. 31), ss. 4(2)(c), 186(6); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
F9Words in s. 13A(5) omitted (1.7.2022) by virtue of Health and Care Act 2022 (c. 31), ss. 4(2)(d), 186(6); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
F10Words in s. 13A(6) substituted (1.7.2022) by Health and Care Act 2022 (c. 31), s. 186(6), Sch. 4 para. 96; S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
F11S. 13A(6A)(6B) inserted (1.7.2022) by Health and Care Act 2022 (c. 31), ss. 4(2)(e), 186(6); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
13B[F12Review of NHS England’s performance in implementing the mandate]E+W
(1)The Secretary of State must keep [F2NHS England’s] performance in achieving any objectives or requirements specified in the mandate under review.
F13(2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F13(3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F13(4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F13(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .]
Textual Amendments
F12S. 13B heading substituted (1.7.2022) by Health and Care Act 2022 (c. 31), ss. 4(3)(a), 186(6); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
F13S. 13B(2)-(5) omitted (1.7.2022) by virtue of Health and Care Act 2022 (c. 31), ss. 4(3)(b), 186(6); S.I. 2022/734, reg. 2(a), Sch. (with regs. 13, 29, 30)
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