Contents
Part 1 · Health and social care information
Chapter 1 · Digital care record
1Ministers to facilitate creation of records#
(1)The Scottish Ministers must exercise their powers under this Part so that every person who receives health care or a social service in Scotland can have a digital integrated care record.
(2)The purpose of a digital care record is to—
(a)enable Scottish health and social care information to be shared securely and efficiently amongst providers of health care and social services so that people’s experiences of health care and social services are as safe and seamless as possible, and
(b)ensure that people are, so far as practicable and consistent with data protection legislation, able to access their own Scottish health and social care information in a format accessible to them and exercise control over it.
(3)For the avoidance of doubt—
(a)fulfilling the duty imposed by subsection (1) is not the only purpose for which the Scottish Ministers may exercise their powers under this Part,
(b)in order to fulfil that duty, the Scottish Ministers may also exercise other functions.
(4)In this section—• “health care” means a service for or in connection with the prevention, diagnosis or treatment of illness,• “illness” is to be construed in accordance with section 108(1) of the National Health Service (Scotland) Act 1978,• “Scottish health and social care information” means information concerning, or connected with, the provision in Scotland of health care or a social service,• “social service” has the same meaning as it has in Part 5 of the Public Services Reform (Scotland) Act 2010 (see section 46(2) of that Act).
Part 2 · Reforms connected to delivery and regulation of care
Chapter 1 · Modifications to other enactments
Carers
9Adult carer support plan#
(1)The Carers (Scotland) Act 2016 is modified as follows.
(2)After section 6(5) (duty to prepare adult carer support plan) insert—“5A The Scottish Ministers must by regulations prescribe timescales for the preparation of adult carer support plans.”
(3)Section 7 is repealed.
(4)In section 41(1) (interpretation), the definition of “terminally ill” is repealed.
(5)In section 42(2) (regulations), paragraph (b) is repealed.
10Young carer statement#
(1)The Carers (Scotland) Act 2016 is modified as follows.
(2)After section 12(7) (duty to prepare young carer statement) insert—“7A The Scottish Ministers must by regulations prescribe timescales for the preparation of young carer statements.”
(3)Section 13 is repealed.
(4)In section 42(2) (regulations), paragraph (d) is repealed.
11Minor modifications in relation to carers#
(1)The Carers (Scotland) Act 2016 is modified by subsections (2) and (3).
(2)Sections 6(6) and 12(8) are repealed.
(3)In section 41(1), the definition of “named person” is repealed.
(4)The Social Care (Self-directed Support) (Scotland) Act 2013 is modified by subsection (5).
(5)In section 7(1), the words “an adult” in the first place where they occur are repealed.
13Promotion of support for carers#
(1)The Carers (Scotland) Act 2016 is modified as follows.
(2)After section 26 insert—“26A 1 A specified relevant body, in the exercise of its functions, must—a consider if a carer may be eligible to receive financial or other support from another relevant body, andb take such steps as it considers appropriate to promote take-up of that financial or other support to the carer.2 The Scottish Ministers must by regulations specify the relevant bodies to which subsection (1) applies.3 The Scottish Ministers may by regulations make further provision in relation to the duty under subsection (1), including—a a process for a relevant body to identify a carer’s eligibility to receive support,b a process for information to be shared between specified relevant bodies about a carer to promote take-up of financial or other support,c such other provision as the Scottish Ministers consider appropriate.4 Regulations under this section are subject to the affirmative procedure.”
Commissioning
16Reserving right to participate in procurement by type of organisation#
(1)The Public Contracts (Scotland) Regulations 2015 (S.S.I. 2015/446) are modified as follows.
(2)After regulation 76 insert—“76A 1 Contracting authorities may reserve to qualifying organisations the right to participate in procedures for the award of reservable contracts.2 Where a contracting authority exercises the power of reservation conferred by paragraph (1), the call for competition must make reference to this regulation.3 The power of reservation conferred by paragraph (1) is without prejudice to the power conferred by regulation 21.4 A reservable contract is a contract that—a is to be awarded in accordance with this Section,b is for the provision of a service, or more than one service, that constitutes, or is otherwise connected to, the provision of a service in pursuance of—i a function conferred by virtue of an enactment listed in the schedule of the Public Bodies (Joint Working) (Scotland) Act 2014, orii a function that is exercisable by a health board or a special health board constituted under section 2(1)(a) or, as the case may be, (b) of the National Health Service (Scotland) Act 1978, andc is exclusively for a service, or more than one service, covered by one of the following CPV codes: 75200000-8, 75231200-6, 75231240-8, 79611000-0, 79622000-0, 79624000-4, 79625000-1, a code in the range beginning with 85000000-9 and ending with 85323000-9, 98133100-5, 98133000-4, 98200000-5, 98500000-8 and a code in the range beginning with 98513000-2 and ending with 98514000-9.5 An organisation is a qualifying organisation if—a it is an organisation that exists solely to provide benefits for society or the environment,b it is neither—i established by an enactment, norii subject to control by a person established by an enactment,c its profits (if any) are not expended except by way of—i reinvestment with a view to providing the benefits for society or the environment that the organisation exists to provide, orii distribution to the community that the organisation exists to provide benefits to.6 For the purpose of paragraph (5)(b), an organisation is subject to the control of a person established by an enactment if a decisive influence over the strategic objectives and significant decisions of the organisation is exercised by—a a person established by an enactment,b a person that, by virtue of this paragraph, would itself be treated as subject to the control of a person established by an enactment,c more than one person described by sub-paragraph (a) or (b) acting jointly.7 The Scottish Ministers may by regulations change—a the CPV codes specified in paragraph (4)(c),b the meaning of qualifying organisation.8 The power conferred by paragraph (7) may be exercised to make different provision for different purposes.”
18Ethical commissioning guidance#
(1)The Public Bodies (Joint Working) (Scotland) Act 2014 is modified as follows.
(2)After section 53 insert—“53A 1 The Scottish Ministers must issue guidance under section 53 on ethical commissioning.2 In setting out what ethical commissioning entails, the guidance must address the fair treatment of workers (including workers recruited from overseas).3 Before issuing any guidance under section 53 on ethical commissioning, the Scottish Ministers must consult—a the persons mentioned in section 5(2), andb each integration joint monitoring committee.”
Care homes
14Visits to or by care home residents#
(1)The Public Services Reform (Scotland) Act 2010 is modified as follows.
(2)After section 78A insert—“78B 1 The Scottish Ministers must exercise the power under section 78(2) to impose a duty on providers of care home services for adults to—a identify for every resident of accommodation provided by the care home service at least one individual as an Essential Care Supporter, unless—i doing so would be contrary to the resident’s wishes, orii nobody can be identified who is able and willing to be the resident’s Essential Care Supporter, andb maintain a record of the Essential Care Supporters identified.2 The Scottish Ministers must set out in regulations under section 78(2)—a the criteria to be applied in determining who a resident’s Essential Care Supporter is, andb the consultative process with the resident and others by which that determination is to be made.3 The duty described by subsection (1) must be framed so that a provider of a care home service must have regard to the code published under section 78E in carrying out the duty.78C 1 The Scottish Ministers must exercise the power under section 78(2) to impose a duty on providers of care home services for adults to facilitate visits—a to residents of accommodation provided by the care home service (“internal visits”),b by residents of accommodation provided by the care home service (“external visits”).2 The duty must be framed so that a provider of a care home service may only suspend visits (specifically or generally) if the provider has reasonable cause to believe that it is essential to do so to prevent a serious risk to the life, health or wellbeing of—a in the case of internal visits, persons at the accommodation,b in the case of external visits (either or both)—i persons at the accommodation, orii persons at the place where the visit would take place, but for the suspension.3 The duty must also be framed so that, where a provider of a care home service has suspended visits due to a serious risk of a kind described in subsection (2), the provider must take all reasonable steps to eliminate or substantially mitigate the risk so that the suspension of visits can be lifted as soon as practicable.4 The duty must also be framed so that, even in cases where a provider of a care home service has reasonable cause to believe that suspending visits is essential to prevent a serious risk, the provider must continue to facilitate visits to or by a resident if—a either—i the provider has reasonable cause to believe that, before the suspension of visits is lifted, the resident will have—A died, orB undergone, or begun to undergo, a significant deterioration in physical or mental condition, orii the provider has reasonable cause to believe that—A the suspension of visits is causing, or is likely to cause, serious harm to the resident’s health or wellbeing, andB that harm outweighs the serious risk, andb the resident and the person visiting, or being visited by, the resident agree to take any action or precaution that the provider reasonably considers would mitigate the serious risk to any extent (other than a negligible one).5 The duty must also be framed so as to create a presumption that the suspension of visits to a resident by the resident’s Essential Care Supporter is likely to cause serious harm to the resident’s health or wellbeing.6 Subsection (4) does not preclude the duty from being framed so as to include other circumstances in which visits to or by a resident must continue to be facilitated.7 The duty must also be framed so that a provider of a care home service must have regard to the code published under section 78E in carrying out the duty.8 Facilitating external visits, as mentioned in subsection (1), does not entail a provider of a care home service—a taking, or accompanying, a resident somewhere outwith accommodation provided by the care home service, orb arranging or paying for someone else to do so.78D 1 The Scottish Ministers must exercise the power under section 78(2) to impose a duty on the providers of care home services for adults to—a review, following a valid request, its decision about the suspension of internal or external visits,b notify SCSWIS when the provider suspends internal or external visits.2 The duties described by subsection (1) must be framed—a to define what constitutes a valid request to a provider for the purposes of the duty,b so that a provider of a care home service must have regard to the code published under section 78E in carrying out the duties.3 Subsection (1)(b) does not preclude the duty from being framed so as to create exceptions to the requirement to notify SCSWIS in relation to the suspension of internal or external visits.4 In this section—a references to internal and external visits are to be construed in accordance with section 78C(1),b references to suspending them cover doing so specifically or generally.78E 1 The Scottish Ministers must prepare a code of practice providing guidance on fulfilling the duties imposed in accordance with sections 78B(1), 78C(1) and 78D(1).2 The code must provide that in fulfilling those duties the following are to be treated as paramount considerations—a the importance to residents of visits in—i promoting their dignity,ii promoting their physical and mental health and emotional wellbeing, andiii realising their human rights,b the importance of recognising and supporting the vital role that people who are not care home staff (for example close relatives and friends) play, alongside staff, in providing their loved ones with regular care (including companionship, personal support and advocacy).3 The code may—a provide guidance on how to—i implement an effective visiting policy,ii adapt personal care plans to include residents’ visiting preferences or requirements,iii communicate timeously in writing with those affected about any change to visiting arrangements including the reasons for the change,b set out what the Scottish Ministers consider constitutes best practice in—i facilitating visits,ii care home staff working collaboratively with residents and their friends and families to facilitate visits in the way that best supports residents’ needs,c give examples of—i the means which providers could use to eliminate or mitigate a serious risk of a kind described in section 78C(2),ii factors which may be taken into account in making an assessment about whether the harm caused to a resident in suspending visits outweighs the risk,d any other guidance relating to fulfilling the duties mentioned in subsection (1) that the Scottish Ministers consider appropriate.4 The Scottish Ministers must—a publish the code in a manner that is accessible to the public within the period of one year beginning with the day on which this section comes into force,b review and, if they consider it appropriate, prepare and publish a new version of the code in such manner as they consider appropriate by the end of each review period, andc take such steps as they consider appropriate to promote awareness of the code to providers of care home services for adults.5 In carrying out a review of the code, the Scottish Ministers must—a have particular regard to any representations that have been made to them about the most recent version of the code by—i providers of care home services for adults and their staff,ii the residents of accommodation provided by those services,iii those residents’ family, friends and other visitors, andb invite, and take into account, views from SCSWIS on—i whether, since the most recent version of the code was published—A any trends have emerged in the suspension of internal or external visits (see section 78C(1)),B it has identified any areas of concern, or examples of good practice, in relation to the discharge of the duties imposed in accordance with sections 78B(1), 78C(1) and 78D(1),C meaningful regard is being had to the code by the providers of adult care home services,ii what changes to the code would be appropriate.6 Before publishing any version of the code, the Scottish Ministers must consult—a SCSWIS,b Public Health Scotland,c such persons, or groups of persons, who they consider represent the interests of—i providers of care home services for adults,ii the residents of accommodation provided by such care home services, andiii the families of such residents.7 When the Scottish Ministers publish a version of the code, they must also publish an adaptation of that version of the code designed to be understood by people with learning difficulties or other conditions affecting how they process information.8 In this section, “review period” means the period of 5 years beginning with the day on which the latest version of the code was published.78F In sections 78B to 78E—• “care home service for adults” has the meaning given in section 82F,• “Essential Care Supporter”, in relation to a resident of accommodation provided by a care home service, means the individual recorded as the resident’s Essential Care Supporter in fulfilment of the duty imposed in accordance with section 78B(1),• “provider”, in relation to a care home service, is to be construed in accordance with the definition of “provide” in section 105.78G 1 The Scottish Ministers must prepare, and make publicly available, a report on the operation of the duties imposed on providers of care home services for adults in accordance with sections 78B(1), 78C(1) and 78D(1).2 The duty under subsection (1) must be fulfilled within 2 years of this section coming into force.”
Protection of adults at risk of harm
24Provision of information by and to health care services#
(1)The Adult Support and Protection (Scotland) Act 2007 is modified as follows.
(2)After section 5 insert—“5A 1 Where a relevant health care service knows or believes—a that a person is an adult at risk, andb that action needs to be taken (under this Part or otherwise) in order to protect that person from harm,the relevant health care service may report the facts and circumstances of the case to the council for the area in which it considers the person to be.2 A relevant health care service may, of its own accord, provide any information to a public body or office-holder listed in, or specified under, section 5(1) for the purpose of enabling or assisting a council in relation to its duty to make inquiries under section 4.3 The public bodies or office-holders listed in, or specified under, section 5(1) may, so far as consistent with the proper exercise of their functions, provide any information to a relevant health care service for the purpose of enabling or assisting a council in relation to its duty to make inquiries under section 4.4 For the purposes of this section, a “relevant health care service” means an undertaking which consists of or includes the provision of services by—a a doctor,b a dental practitioner,c a dental care professional,d a nurse,e a midwife,f a registered pharmacist,g a registered pharmacy technician,h an occupational therapist,i a paramedic,j an optometrist.5 In this section—• “dental practitioner” has the meaning given in section 108(1) of the National Health Service (Scotland) Act 1978,• “dental care professional” has the meaning given in section 10F(2B) of that Act,• “registered pharmacist” has the meaning given in section 108(1) of that Act,• “registered pharmacy technician” has the meaning given in section 10F(2B) of that Act,• “occupational therapist” means a person who is registered in the part of the register maintained by the Health and Care Professions Council under article 5 of the Health Professions Order 2001 (S.I. 2002/254) relating to occupational therapists,• “paramedic” means a person who is registered in the part of the register maintained by the Health and Care Professions Council under article 5 of the Health Professions Order 2001 relating to paramedics,• “optometrist” means a person registered in the register of optometrists maintained under section 7 of the Opticians Act 1989.6 The Scottish Ministers may by order modify subsections (4) and (5) so as to change or clarify the types of undertaking which are to be treated as a relevant health care service for the purposes of this section.”
(3)In section 44 (committee procedure), for subsection (2) substitute—“2 But those procedures must allow committee meetings to be attended by—a a representative of—i the Mental Welfare Commission for Scotland,ii the Public Guardian,iii SCSWIS (where it has not nominated a representative to be a member of the Committee), andb any other person as the Scottish Ministers may by order specify.”
(4)After section 45 insert—“45A 1 A relevant health care service may provide any information to an Adult Protection Committee which the Committee requests.2 A Committee may only request information under this section if it appears to it to be appropriate for the purpose of performing its functions.3 For the purposes of this section, a “relevant health care service” has the meaning given in section 5A(4).”
(5)In section 46 (biennial report), in paragraph (vi), for “public body or office-holder” substitute “person”.
(6)In section 78 (orders), in subsection (4), after “section” insert “5A or”.
Chapter 3 · Further Ministerial functions
Advancing sectoral bargaining
36Sectoral bargaining: guidance etc.#
(1)The Scottish Ministers must, no later than 2 years after this section comes into force, prepare and publish guidance for contracting authorities on sectoral bargaining in social care procurement.
(2)Guidance under subsection (1) must include information—
(a)on the process of sectoral bargaining,
(b)on aims in relation to contract conditions,
(c)to be included in contract notices,
(d)to be included in bid documents,
(e)on the required criteria for an award to be made,
(f)on the management of contracts, and
(g)on steps to be taken by contracting authorities to ensure contracted providers comply with collective agreements.
(3)Contracting authorities must have regard to any guidance published under this section.
(4)The Scottish Ministers must take whatever other steps they consider necessary to support compliance with collective agreements.
(5)The Scottish Ministers must lay a copy of any guidance published under this section before the Scottish Parliament.
(6)In this section, “sectoral bargaining” means the application to all contracted or commissioned social care services of the required pay and other conditions of employment that have been negotiated and agreed by employers and trade unions through the relevant national body established by employers associations and trade unions and recognised by the Scottish Government for that purpose.
Market monitoring
31Report on social care market#
(1)The Scottish Ministers must, by the end of each reporting period make publicly available a report on the state of the social care market in Scotland.
(2)A report under subsection (1) may, in particular, include information about—
(a)the composition of the market by reference to such factors such as the scale of the economic operators in the market and their status as for-profit bodies, public bodies or third sector bodies (as defined in section 37(1) of the Community Justice (Scotland) Act 2016),
(b)the level of profit being made by operators in the market,
(c)the tax status of the operators in the market.
(3)In this section—• “reporting period” means each period of 3 years beginning with 1 April on the year after the year that this section comes into force,• “social care market” means the market for the provision of social care services,• “social care services” are the following—(a) support services,(b) care home services,(c) adult placement services,(d) housing support services.
(4)The services listed in the definition of “social care services” in subsection (3) are to be construed in accordance with schedule 12 of the Public Services Reform (Scotland) Act 2010.
(5)The Scottish Ministers may, by regulations, modify this section so as to change the definition of “social care services”.
32Power to obtain information for the purposes of section 31#
(1)The Scottish Ministers may require a person to supply them with information that—
(a)is in the person’s control, and
(b)may be relevant to the Scottish Ministers’ function of reporting under section 31.
(2)A requirement under this section is imposed on a person when the Scottish Ministers give the person written notice specifying—
(a)the information the person is required to supply,
(b)the way in which the person is required to supply it,
(c)the time by which the person is to supply it.
(3)The Scottish Ministers may report the following matters to the Court of Session—
(a)a person has refused, or failed without reasonable excuse, to comply with a requirement imposed under subsection (1),
(b)the Scottish Ministers suspect a person has deliberately destroyed or altered information following the imposition of a requirement to supply it under subsection (1).
(4)After receiving a report under subsection (3), and hearing any evidence or representations on the matter, the Court may (either or both)—
(a)make any order for enforcement that it considers appropriate,
(b)deal with the matter as if it were a contempt of court.
Monitoring and promoting fair work
33Fair work strategy#
(1)The Scottish Ministers must prepare and publish a strategy for monitoring and promoting fair work in the care sector.
(2)A strategy under subsection (1) must set out—
(a)what constitutes fair work in the care sector,
(b)how the Scottish Ministers intend to monitor the extent to which fair work in the care sector is being achieved, including their plans and processes for—
(i)collecting and recording data, and requiring others to collect and record data, on the practices and arrangements in place in relation to fair work in the care sector,
(ii)analysing that data to assess the extent to which the practices and arrangements achieve, or contribute to achieving, fair work in the care sector,
(iii)reviewing that data to assess whether there is any improvement in the extent to which the practices and arrangements achieve, or contribute to achieving, fair work in the care sector, and
(iv)using that data in preparing and publishing a report under section 34(1),
(c)what action (if any) the Scottish Ministers intend to take to—
(i)promote fair work in the care sector where they identify a need to improve the extent to which the practices and arrangements in place achieve, or contribute to achieving, fair work in the care sector (for example, issuing guidance on what constitutes good practice), and
(ii)review the effect of any such action taken to promote fair work in the care sector.
(3)A strategy under subsection (1) may—
(a)include any other information the Scottish Ministers consider appropriate, and
(b)be in any form they consider appropriate and, in particular, may be part of another document.
(4)The Scottish Ministers must—
(a)prepare and publish the first version of the strategy under subsection (1) before the end of the period of 18 months beginning with the day on which this section comes into force, and
(b)before the end of each review period—
(i)review the strategy, and
(ii)if they consider it appropriate, prepare and publish a new version of the strategy under subsection (1).
(5)In preparing and reviewing the strategy, the Scottish Ministers must consult the persons mentioned in section 5(2) of the Public Bodies (Joint Working) (Scotland) Act 2014.
(6)For the purposes of subsection (5), it is immaterial that anything done by way of consultation was done before this section comes into force.
(7)In this section—• “fair work in the care sector” means fair work for individuals employed in the provision of a service provided in pursuance of—(a) a function conferred by virtue of an enactment listed in the schedule of the Public Bodies (Joint Working) (Scotland) Act 2014, or(b) a function that—(a) may be delegated by virtue of section 1(6) of that Act, or(b) must be delegated by virtue of section 1(8) of that Act,• “review period” means the period of 3 years beginning with the day on which the latest version of the strategy was published.
34Report on fair work#
(1)The Scottish Ministers must, as soon as reasonably practicable after the end of the reporting period, prepare and publish a report on fair work in the care sector.
(2)The report must include—
(a)an assessment of the extent to which fair work in the care sector, as set out in the strategy published under section 33(1), has been achieved during the reporting period,
(b)an assessment of whether there has been any improvement in the extent to which fair work in the care sector has been achieved during the reporting period, and
(c)if that assessment is that there has been little or no improvement in the extent to which fair work in the care sector has been achieved—
(i)why that is the case, and
(ii)what action (if any) the Scottish Ministers intend to take to promote, or further promote, fair work in the care sector before the end of the next reporting period.
(3)The report may include any other information the Scottish Ministers consider appropriate.
(4)In this section—• “fair work in the care sector” has the meaning given in section 33(7),• “reporting period” means—(a) the period of one year beginning with the day on which the first version of the strategy under section 33(1) was published, and(b) each subsequent period of one year.
Projecting care needs
30Report on projected care needs#
(1)A report on projected social care needs in Scotland over the applicable period must be prepared and made publicly available by the Scottish Ministers before the end of—
(a)2026,
(b)the year falling 5 years after the previous year in which this duty had to be fulfilled (the first of which is 2031).
(2)The “applicable period”, in relation to a report under subsection (1), is the period of 10 years beginning with the year after that in which the report is first due to be made publicly available in accordance with that subsection.
Part 3 · Final provisions
37Ancillary provision#
The Scottish Ministers may by regulations make any incidental, supplementary, consequential, transitional, transitory or saving provision they consider appropriate for the purposes of, or in connection with, or for giving full effect to this Act or any provision made under it.
38Regulation-making powers#
(1)A power to make regulations conferred by this Act includes the power to make different provision for different purposes and areas.
(2)Regulations under—
(a)any of the following provisions may modify any enactment other than this Act: sections 26, 27, 28(1) and 29,
(b)section 37 may modify any enactment including this Act.
(3)Regulations under any of the following provisions are subject to the negative procedure: sections 28(6)(d) and 35(4)(a)(ii).
(4)Regulations under any of the following provisions are subject to the affirmative procedure: sections 2, 4, 5, 26, 27, 28(1), 29 and 31.
(5)Regulations under section 37—
(a)are subject to the affirmative procedure if they add to, replace or omit any part of the text of an Act, but
(b)otherwise, are subject to the negative procedure.
Contains public sector information licensed under the Open Government Licence v3.0.