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Regulation of Health and Social Care Professionals Consultation

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Provisional Proposal 10-3: Appointments to the CHRE’s General Council<br />

should be made by the Government <strong>and</strong> by the devolved administrations.<br />

Appointments would be made in accordance with the st<strong>and</strong>ards for<br />

appointments to the health <strong>and</strong> social care regulators made by the CHRE.<br />

FUNCTIONS, POWERS AND DUTIES OF THE CHRE<br />

10.21 A major difference between the legal framework <strong>of</strong> the CHRE <strong>and</strong> that given to<br />

the health care regulators is that the CHRE’s legal framework does not consist <strong>of</strong><br />

statutory powers <strong>and</strong> functions which are detailed elsewhere in rules <strong>and</strong><br />

regulations. Instead the powers <strong>and</strong> functions <strong>of</strong> the CHRE are detailed in broad<br />

terms on the face <strong>of</strong> the NHS Reform <strong>and</strong> <strong>Health</strong> <strong>Care</strong> Pr<strong>of</strong>essions Act 2002. The<br />

only exception is in relation to complaints where the Secretary <strong>of</strong> State is given<br />

regulation making powers (see below).<br />

10.22 Section 25 <strong>of</strong> the NHS Reform <strong>and</strong> <strong>Health</strong> <strong>Care</strong> Pr<strong>of</strong>essions Act 2002 contains<br />

the general functions <strong>of</strong> the CHRE. These are to:<br />

(1) promote the interests <strong>of</strong> patients;<br />

(2) promote best practice in the performance <strong>of</strong> the regulators;<br />

(3) formulate principles relating to good pr<strong>of</strong>essional self-regulation; <strong>and</strong><br />

(4) promote co-operation between regulatory bodies; <strong>and</strong> between them, or<br />

any <strong>of</strong> them, <strong>and</strong> other bodies performing corresponding functions.<br />

10.23 This section also inserts a main objective <strong>of</strong> the CHRE in relation to the exercise<br />

<strong>of</strong> the functions 2, 3 <strong>and</strong> 4 listed above, which is “to promote the health, safety<br />

<strong>and</strong> well-being <strong>of</strong> patients <strong>and</strong> other members <strong>of</strong> the public”. Main objectives <strong>and</strong><br />

general functions are discussed in more detail in Part 3.<br />

10.24 CHRE’s general functions are accompanied by a number <strong>of</strong> general powers <strong>and</strong><br />

duties. With certain exceptions, the CHRE is empowered to do “anything which<br />

appears to it to be necessary or expedient for the purpose <strong>of</strong>, or in connection<br />

with, the performance <strong>of</strong> its functions”. This may include investigating <strong>and</strong><br />

reporting on how each health care regulator is performing its functions (including<br />

where a health care regulator is performing functions which correspond to<br />

another body) <strong>and</strong> recommending to a health care regulator that it changes the<br />

way it performs its functions. The CHRE also has a power to give directions to<br />

the health care regulators requiring rules to be made if it is desirable to do so for<br />

the protection <strong>of</strong> the public. 13<br />

10.25 An exception to this general power is in relation to individual cases in which there<br />

are, will be or have been proceedings (including where an allegation has been<br />

made which may give rise to such proceedings). 14 However, reports on the<br />

performance <strong>of</strong> the regulators can still be made <strong>and</strong> the CHRE’s power to refer a<br />

case to the higher courts still applies (see below). There is also an exception to<br />

the power as regards the Pharmaceutical Society <strong>of</strong> Northern Irel<strong>and</strong> in relation<br />

13 NHS Reform <strong>and</strong> <strong>Health</strong> <strong>Care</strong> Pr<strong>of</strong>essions Act 2002, ss 26 <strong>and</strong> 27.<br />

14 As above, s 26(3).<br />

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