Office of Public Sector Information
PART 11 continued CHAPTER 6 continued
(1) Each Local Health Board must, in respect of each financial year, perform its functions so as to secure that its expenditure which is attributable to the performance by it of its functions in that year (not including its general ophthalmic and pharmaceutical services expenditure) does not exceed the aggregate of—
(a) the amount allotted to it for that year under section 174(1)(b),
(b) any sums received by it in that year under any provision of this Act (other than sums received by it under that section), and
(c) any sums received by it in that year otherwise than under this Act for the purpose of enabling it to defray any such expenditure.
(2) The Welsh Ministers may give such directions to a Local Health Board as appear to be requisite to secure that it complies with the duty under subsection (1).
(3) To the extent to which—
(a) any expenditure is defrayed by a Local Health Board as trustee or on behalf of a Local Health Board by special trustees, or
(b) any sums are received by a Local Health Board as trustee or under section 169,
that expenditure and, subject to subsection (5) those sums, must be disregarded for the purposes of this section.
(4) For the purposes of this section sums which, in the hands of a Local Health Board, cease to be trust funds and become applicable by the Local Health Board otherwise than as trustee must be treated, on their becoming so applicable, as having been received by the Local Health Board otherwise than as trustee.
(5) Of the sums received by a Local Health Board under section 169 so much only as accrues to the Local Health Board after defraying any expenses incurred in obtaining them must be disregarded under subsection (3).
(6) Subject to subsection (3), the Welsh Ministers may by directions determine—
(a) whether specified sums must, or must not, be treated for the purposes of this section as received under this Act by a specified Local Health Board,
(b) whether specified expenditure must, or must not, be treated for those purposes as expenditure within subsection (1) of a specified Local Health Board, or
(c) the extent to which, and the circumstances in which, sums received by a Local Health Board under section 174 but not yet spent must be treated for the purposes of this section as part of the expenditure of the Local Health Board and to which financial year’s expenditure they must be attributed.
(7) “Specified” means of a description specified in the directions.
(1) Each Local Health Board must ensure that the use of its resources in a financial year does not exceed the amount specified for it in relation to that year by the Welsh Ministers.
(2) For the purpose of subsection (1) no account may be taken of any use of resources for the purpose of a Local Health Board’s general ophthalmic and pharmaceutical services expenditure.
(3) But in specifying an amount for a Local Health Board under subsection (1) (or in varying the amount under subsection (5)), the Welsh Ministers may take into account (in whatever way they consider appropriate)—
(a) any such use of resources, and
(b) the use of any resources which would have been for the purpose of the Local Health Board’s general ophthalmic and pharmaceutical services expenditure but for an order under section 180(2) (special arrangements as to payment of remuneration),
during any period they consider appropriate (or such elements of such uses of resources as they consider appropriate).
(4) For the purpose of subsection (1) the Welsh Ministers may give directions—
(a) specifying uses of resources which must, or must not, be taken into account,
(b) making provision for determining to which Local Health Board certain uses of resources must be attributed,
(c) specifying descriptions of resources which must, or must not, be taken into account.
(5) Where the Welsh Ministers have specified an amount under this section in respect of a financial year, they may vary the amount by a later specification.
(6) Subsections (3) to (5) of section 175 apply in relation to the duty under subsection (1) of this section as they apply in relation to the duty under subsection (1) of that section; and for that purpose references to the defraying of expenditure and the receipt of sums are references to the incurring of liabilities and the acquisition of assets.
(7) The Welsh Ministers may give such directions to a Local Health Board as appear to be requisite to secure that it complies with the duty under subsection (1).
(8) In this section a reference to the use of resources is a reference to their expenditure, consumption or reduction in value.
Schedule 8 makes further provision about the expenditure of Local Health Boards.
Schedule 9 makes provision about the accounts of certain health service bodies and the auditing of such accounts.
(1) The Welsh Ministers may pay to members of any body specified by them in an order as a body formed for the purpose of performing a function connected with the provision of services under this Act, such travelling and other allowances, including compensation for loss of remunerative time, as they may determine.
(2) Payments under this section are subject to such conditions as to records, certificates, or otherwise as the Welsh Ministers may determine.
(1) Subsection (2) applies where the Welsh Ministers consider it appropriate for remuneration in respect of—
(a) primary medical services or primary dental services,
(b) general ophthalmic services, or
(c) pharmaceutical services,
to be paid by a particular body.
(2) Where this subsection applies, and the functions of the body do not include the function of paying the remuneration, the Welsh Ministers may by order confer that function on that body.
(3) Any sums required to enable a body to pay the remuneration must, if apart from this section there is no provision authorising the payment of the sums by the Welsh Ministers or out of money provided by Parliament, be paid by them.
(4) If the Welsh Ministers by order so provide with respect to remuneration in respect of such pharmaceutical services or such local pharmaceutical services as may be specified in the order—
(a) an NHS trust determined in accordance with the order has the function of paying sums so determined to a Local Health Board so determined in respect of the whole or any part of that remuneration, and
(b) subsection (3) does not apply with respect to the whole or that part of the remuneration.
(1) Where a medical practitioner carries out a medical examination of any person with a view to an application for his admission to hospital for assessment or treatment being made under Part 2 of the Mental Health Act 1983 (c. 20) the Welsh Ministers must pay to that medical practitioner—
(a) reasonable remuneration in respect of that examination and in respect of any recommendation or report made by him with regard to the person examined, and
(b) the amount of any expenses reasonably incurred by him in connection with the examination or the making of any such recommendation or report.
(2) No payment may be made under this section to a medical practitioner—
(a) in respect of an examination carried out in the provision of primary medical services for that person, or
(b) in respect of an examination carried out or any recommendation or report made as part of his duty as an officer of a Primary Care Trust, NHS trust, Special Health Authority, NHS foundation trust or Local Health Board.
(3) This section applies only in a case where it is intended, when the medical examination of the person in question is carried out, that if he is admitted to hospital in pursuance of an application mentioned in subsection (1), the whole cost of his maintenance and treatment will be defrayed out of moneys provided by Parliament.
National Health Service (Wales) Act 2006