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Welcome to the UK's Healthcare Law Service 
Robert Campbell & Company

Guest Experts’ Corner

Back to Experts' Corner


CRIMINAL PROSECUTION FOR REGULATORY OFFENCES UNDER
THE CARE STANDARDS ACT 2000: ONE STRIKE AND YOU'RE OUT?

By Michael Curtis 1 
Crown Office Chambers
2 Crown Office Row
Temple
London EC4Y 7HJ

SUMMARY

  1. Under the former regulatory regime contained in the regulations enacted under the Registered Homes Act 1984, providers could be prosecuted for a breach of a regulation only where the provider continued to infringe a regulation after the service of a statutory notice on him by the regulator. In effect, the offence consisted in the continuation of the breach. Given the reluctance in most cases of the previous regulators even to serve a statutory notice until a breach had occurred more than once, this resulted in a regime of ‘three strikes and you’re out’.
  2. The position under the Care Standards Act 2000 is different. Where the provider acts or fails to act in a way that breaches the terms of a regulation and where the breach is such that there is no action that it is practicable for the provider to take to comply with the relevant regulation, the regulator can prosecute the provider in respect of the original act or omission following the service by the regulator on the provider of the required statutory notice: ‘one strike and you’re out’.
  3. Many acts or omissions can be characterised as a breach of a number of different regulations. Whether there is action it is practicable for the provider to take to comply with the relevant regulation will often depend on precisely how the breach is characterised. The possibility of immediate prosecution is therefore likely to depend on precisely how the regulator chooses to characterise the breach.
  4. This change, which appears to have gone largely unnoticed, places a powerful weapon in the hands of the regulator, but one whose exercise will be susceptible to judicial review. The power is considered in more detail below. Attention will focus on the role of CSCI (‘The Commission’) under regulation 43 of the Care Standards Regulations 2001 (as amended). However, the same principles will apply to the similar power conferred on the Healthcare Commission by the Private & Voluntary Health Care (England) Regulations 2001.
  5. The regulations made under the Care Standards Act 2000

    The Regulations

  6. There are a number of sets of regulations. Each applies to a different form of establishment. The Care Standards Regulations 2001 apply to care homes. The Private & Voluntary Health Care (England) Regulations 2001 apply to healthcare establishments. The Children’s Homes Regulations apply to children’s homes.
  7. The relevant regulations are set out below.
  8. The Care Standards Regulations 2001 regulation 43 (as amended by SI 2002 No. 865) provides as follows (the emphasis is the author’s):
  9. (1) A contravention or failure to comply with any of the provisions of regulations 4, 5, 5A, 11, 12(1) to (4), 13(1) to (4) and (6) to (8), 14, 15, 16(1), (2)(a) to (j) and (l) to (n) and (3), 17 to 26 and 37 to 40 shall be an offence.

    (2) The Commission shall not bring proceedings against a person in respect of any contravention or failure to comply with those regulations unless-

    (a) subject to paragraph (4), he is a registered person;

    (b) notice has been given to him in accordance with paragraph (3);

    (c) the period specified in the notice, within which the registered person may make representations to the Commission, has expired; and

    (d) in a case where, in accordance with paragraph (3)(b), the notice specifies any action that is to be taken within a specified period, the period has expired and the action has not been taken within that period.

    (3) Where the Commission considers that the registered person has contravened or failed to comply with any of the provisions of the regulations mentioned in paragraph (1), it may serve a notice on the registered person specifying-

    (a) in what respect in its opinion the registered person has contravened or is contravening any of the regulations or has failed or is failing to comply with the requirements of any of the regulations;

    (b) where it is practicable for the registered person to take action for the purpose of complying with any of those regulations, the action which, in the opinion of the Commission, the registered person should take for that purpose;

    (c) the period, not exceeding three months, within which the registered person should take any action specified in accordance with sub-paragraph (b);

    (d) the period, not exceeding one month, within which the registered person may make representations to the Commission about the notice.

    (4) The Commission may bring proceedings against a person who was once, but no longer is, a registered person, in respect of a failure to comply with regulation 17 and for this purpose, references in paragraphs (2) and (3) to a registered person shall be taken to include such a person.

  10. The regulations that cover the provision of private and voluntary health care and the provision of children’s homes are in the same terms in all material respects.
  11. The Private & Voluntary Health Care (England) Regulations 2001 regulation 51 (as amended by SI 2002 No. 865) provide:
  12. (1) A contravention or failure to comply with any of the provisions of regulations 6, 7, 9, 14, 15, 16(1) to (4), 17 to 30 (17 to 32), 34 to 42 and 44 to 49 shall be an offence.

    (2) The Commission shall not bring proceedings against a person in respect of any contravention or failure to comply with those regulations unless-

    (a) subject to paragraph (4), he is a registered person;

    (b) notice has been given to him in accordance with paragraph (3);

    (c) the period specified in the notice, within which the registered person may make representations to the Commission, has expired; and

    (d) in a case where, in accordance with paragraph (3)(b), the notice specifies any action that is to be taken within a specified period, the period has expired and the action has not been taken within that period.

    (3) Where the Commission considers that the registered person has contravened or failed to comply with any of the provisions of the regulations mentioned in paragraph (1), it may serve a notice on the registered person specifying-

    (a) in what respect in its opinion the registered person has contravened or is contravening any of the regulations or has failed or is failing to comply with the requirements of any of the regulations;

    (b) where it is practicable for the registered person to take action for the purpose of complying with any of those regulations, the action which, in the opinion of the Commission, the registered person should take for that purpose;

    (c) the period, not exceeding three months, within which the registered person should take any action specified in accordance with sub-paragraph (b);

    (d) the period, not exceeding one month, within which the registered person may make representations to the Commission about the notice.

    .(4) The Commission may bring proceedings against a person who was once, but no longer is, a registered person, in respect of a failure to comply with regulation 21 and for this purpose, references in paragraphs (2) and (3) to a registered person shall be taken to include such a person.

  13. The Children’s Homes Regulations 2001 regulation 41 (as amended by SI 2002 No. 865) provides:
  14. (1) A contravention or failure to comply with the provisions of regulations 4 to 38 shall be an offence.

    (2) The Commission shall not bring proceedings against a person in respect of any contravention or failure to comply with those regulations unless-

    (a) subject to paragraph (4), he is a registered person;

    (b) notice has been given to him in accordance with paragraph (3);

    (c) the period specified in the notice, within which the registered person may make representations to the Commission, has expired; and

    (d) in a case where, in accordance with paragraph (3)(b), the notice specifies any action that is to be taken with a specified period, the period has expired and the action has not been taken within that period.

    (3) Where the Commission considers that the registered person has contravened or failed to comply with any of the provisions of the regulations mentioned in paragraph (1), it may serve a notice on the registered person specifying-

    (a) in what respect in its opinion the registered person has contravened or is contravening any of the regulations or has failed or is failing to comply with the requirements of any of the regulations;

    (b) where it is practicable for the registered person to take action for the purpose of complying with any of those regulations, the action which, in the opinion of the Commission, the registered person should take for that purpose;

    (c) the period, not exceeding three months, within which the registered person should take any action specified in accordance with sub-paragraph (b);

    (d) the period, not exceeding one month, within which the registered person may make representations to the Commission about the notice.

    (4) The Commission may bring proceedings against a person who was once, but no longer is, a registered person, in respect of a failure to comply with regulation 21 and for this purpose, references in paragraphs (2) and (3) to a registered person shall be taken to include such a person.

    What do the regulations mean?

  15. It is clear that where the Commission considers a registered person has committed an offence by a contravention of or failure to comply with the relevant regulations and where the Commission is considering bringing criminal proceedings against that person, the Commission must first serve a notice, which must contain the information set out in regulation 43(3).
  16. The difficult point of interpretation arises out of:
    1. The fact that the regulation employs two different terms: (1) a contravention of the regulations and (2) a failure to comply with the provisions of the regulations. Both terms are used in the alternative in paragraph (1), in the opening text of paragraph (2), in the opening text of paragraph (3), and in subparagraph (3)(a). However, only the second term (albeit in terms of ‘compliance’ rather than ‘failure to comply’) appears in sub-paragraph 3(b): "…for the purpose of complying with those regulations…".
    2. The provision in subparagraph (3)(b) that where it is practicable for the registered person to take action for the purpose of complying with any of those regulations, the notice must include the action which, in the opinion of the Commission, the registered person should take for that purpose.
    3. The provision in subparagraph (2)(d) that where the notice specifies the action the registered person must take for the purpose of complying with the regulations, and where the registered person takes the action within the period specified in the notice, the Commission may not bring proceedings against the registered person in respect of the contravention.

     

  17. This poses a number of questions:
    1. Question 1: What, if anything, turns on the use of the two different terms – contravening and failing to comply?
    2. Question 2: Where the registered person commits an offence by contravening a regulation or by failing to comply with it, and where it is practicable for him to take action for the purpose of complying with the regulation, must the Commission serve a notice which includes information about the action the registered person must take to comply with the regulation? And provided the provider takes the action, is it the case that the Commission will not be able to bring proceedings for the offence?
    3. Question 3: Where it is not practicable for the registered person to take action for the purpose of complying with the regulation, the Commission must still serve a notice but it does not have to include the information the registered person must take to comply with the regulation. Once the period for making representations has expired, can the Commission then prosecute for the original offence?
    4. Question 4: If the Commission can, what is the underlying rationale of a regulatory scheme that appears to treat continuing breaches more leniently than one-off breaches?

    Questions 1 and 2

  18. Questions 1 and 2 can be dealt with together.
  19. The starting point for the enquiry lies in the terms of the various regulations listed in 43(1).
  20. Some of them require that the registered person ‘shall’ do certain things. For example, regulation 4 provides that the registered person ‘shall provide’ a statement of purpose; regulation 5 provides that he ‘shall produce’ a service user’s guide; and regulation 12 provides that he ‘shall do a number of things in connection with the health and welfare of service users. These are only examples. Many of the regulations listed in 43(1) use the term ‘shall’ to impose requirements on the registered person.
  21. Other regulations prohibit the registered person from doing certain things by use of the term ‘shall not’. For example, regulation 19 (employment of staff), regulation 20 (restrictions on acting for service user) and regulation 23 (fitness of premises).
  22. However, all the regulations relate to the service provided by the registered person and the purpose of each of them is to secure the provision of proper and adequate care to each of the users of the service.
  23. When one considers the wide-ranging scope and nature of the regulations listed in 43(1) it is clear that the ways in which a registered person might infringe them are many and various. A registered person might breach them by taking a positive act – a commission – or by a failure to act – an omission.
  24. It is tempting to conclude that this was distinction the draftsman had in mind when he used the two terms ‘contravention’ and ‘failure to comply’, the former to denote a commission and the latter to denote an omission. Such a conclusion appears to be consistent with the language of paragraph (3)(b), which speaks of the registered person taking action for the purpose of complying with the regulations. This suggests that a ‘failure to comply’ is synonymous with an omission, which can be cured by positive action.
  25. However, this does not in fact seem to be the right conclusion. One can think of many ways in which a regulation can be broken by an act of commission but where there will still be positive action the registered person can take for the purpose of complying with the regulation. Similarly, one can think of many breaches that could be classified either as a commission or an omission, depending on how one looks at the matter. Assume, for example, that a member of staff administers the wrong medication to a service user because of an inaccuracy in the care plan or the medication chart for that particular service user. Is that to be regarded as a positive act that is deleterious to the health of the individual service user? Or is it to be regarded as an omission by the registered person to maintain an accurate care plan or medication chart? And whichever it is, could not positive action be taken to comply with the regulation by ensuring no repetition of the bad practice that resulted in the original breach?
  26. These questions seem to show that whether the original breach of the regulation lies in a positive act (a commission) or whether it lies in a failure to act (an omission), there may still be positive action it is practicable for the registered person to take to comply with the relevant regulation. It follows that the distinction between commissions and omissions was not the one the draftsman had in mind when he used the two terms contravention and failure to comply.
  27. Whether there is action it is practicable for the registered person to take for the purpose of complying with the regulation in question depends not on whether the breach results from a positive act of commission on the one hand or an omission on the other, but on whether the breach is ‘remediable’ by positive action.
  28. This, it seems, is the distinction the draftsman had in mind when he used the two terms ‘contravention’ and ‘failure to comply’ and when he used the expression ‘action for the purpose of complying’ in paragraph 3(b). What he had in mind was the distinction between remediable and irremediable breaches of the regulations.
  29. This conclusion is consistent with the overall shape of regulation 43. A breach does not occur in a vacuum. It results from an act or omission by the registered person. That is the act or omission the Commission will have to prove in order to secure a conviction for an offence.
  30. The language of regulation 43 must be read with this in mind. It is the particular facts of the specific breach in question that will determine how the Commission goes about specifying in the notice the respects in which the registered person has contravened/is contravening/has failed to comply/is failing to comply with ‘any of the regulations’ (paragraph (3)(a)).
  31. This will in turn determine whether it is practicable for the registered person to take action for the purpose of complying with ‘any of those regulations’: whether or not it is practicable for the registered person to take action to comply with the regulation in question will depend, it would seem, on the specific respect in which the Commission say it considers there has been an infringement. In short, the nature of the infringement of the regulation will determine whether it is practicable to do anything to comply with the regulation.
  32. Where the Commission complies with paragraph (3)(a) by specifying the infringement of the regulations in terms which would allow the registered person to take action for the purpose of complying with the regulation that has been breached, the Commission will necessarily have to set out that action in the notice to comply with 3(b), with the result that if the registered person takes the action the Commission will not be able to prosecute.
  33. It follows that the drafting of the first part of the notice (i.e. the part required by paragraph (3)(a)) is likely to be crucial.
  34. Question 3 (see 13.3 above)

  35. In general and subject to various exceptions it is permissible to have regard to the legislative history when seeking to construe an enactment. The legislative history will include any previous enactments and, in appropriate circumstances, committee reports and Hansard.
  36. The Parliamentary material is of little assistance.
  37. The 2002 (Miscellaneous Amendments) Regulations appear in the Annex to the Joint Committee on Statutory Instruments Twenty-Seventh Report in the list of statutory instruments on which the Committee felt no need to make any particular comment.
  38. The 2002 (Miscellaneous Amendments) Regulations appear in Annex 3a to the First Special Report of the Joint Committee on Statutory Instruments. The brief comment contained in Annex 3a refers only to those amending regulations whose purpose was to correct errors that had been made in the drafting of the original regulations. The amending regulations, which amended the relevant regulations where, do not receive any comment.
  39. The legislative history of Regulation 43 is more helpful.
  40. The Care Standards Act 2000 and the regulations made under it repealed and replaced the previous regime under the Registered Homes Act 1984.
  41. There were two sets of regulations made under the Registered Homes Act 1984: the Residential Care Homes Regulations (which applied to Part I Homes) and the Nursing Homes Regulations 1984 (which applied to Part II Homes).
  42. The Residential Care Homes Regulations 1984 (SI 1984 No. 1345) regulation 20 provided:
  43. (1) Subject to paragraph (3) of this regulation, where the registration authority consider that the person registered has contravened or failed to comply with regulation 6, 10, 11, 13, 14, 15, 16 or 19 of these regulations, the authority may serve a notice on the person registered specifying-

    (a) in what respect in their opinion the person registered has failed or is failing to comply with the requirements of that regulation;

    (b) what action, in the opinion of the registration authority, the person registered should take so as to comply with that regulation; and

    (c) the period, not exceeding three months, within which the person registered should take action.

    (2) Where notice has been given in accordance with paragraph (1) of this regulation and the period specified in the notice, beginning with the date of the notice, has expired, the person registered who contravenes or fails to comply with any provision of these regulations mentioned in the notice shall be guilty of an offence against these regulations.

    (3) The provisions of this regulation shall not apply where the registration authority has applied to a justice of the peace for an order under section 11 of the Act or while such an order is in force.

  44. The following are the salient features of the Residential Care Homes Regulations 1984:
    1. The Regulations impose duties upon registered persons.
    2. A contravention of or failure to comply with those regulations is not of itself an offence.
    3. Regulation 20 provides that where the registration authority considers that the registered person has failed to comply with any of the regulations listed in regulation 20, the authority may serve a notice on him.
    4. Where the period specified in the notice has expired, the person registered who contravenes or fails to comply with any provision of the regulations mentioned in the notice is guilty of an offence.
    5. The service of the notice and the expiry of the time limit contained in it are pre-conditions to a prosecution. The offence consists of the failure of the registered person to comply with the provisions of any regulation mentioned in the notice.
    6. In other words, a prosecution could only be brought in respect of breaches that occurred after a valid notice had been served and after the expiry of the period stated in that notice.
    7. The regulation does not say what happens if the registered person takes the action the notice says he must take. There are two possibilities. The first possibility is that where a person takes the action he has to take, but later breaches the same regulation again at a later date, the registration authority can immediately prosecute. The second possibility is that where the person takes the action he has to take, the notice is ‘spent’ in the sense that the registration authority must serve a further notice in the event of a further breach of the same regulation before being able to prosecute. In practice, in the author’s experience registration authorities more often took the latter course.
  45. The Nursing Homes and Mental Nursing Homes Regulations 1984 (SI 1984 No 1578) regulation 15 paragraphs (1) to (3) stated that any person who failed to comply with the regulations identified in those paragraphs should be guilty of an offence against the regulations. Paragraphs (4) and (5) provided:

(4) Subject to paragraph (5), the Secretary of State shall not bring proceedings against a person in respect of any failure referred to in paragraph (1) or (3) unless-

(a) he has served on that person a notice in writing specifying-

(i) the provision of these regulations with which that person, in the Secretary of State’s opinion, has failed or is failing to comply,

(ii) the respect in which, in the Secretary of State’s opinion, that person has failed or is failing to comply with that provision,

    1. the action which, in the Secretary of State’s opinion, should be taken by that person so as to comply with that provision, and
    2. the period within which such action should be taken; and

(b) the period referred to in sub-paragraph (a)(iv) of this paragraph has expired.

(5) Paragraph (4) shall not apply where, at the time proceedings relating to a home are brought-

(a) the Secretary of State has applied to a justice of the peace for an order under section 30(1) of the Act…; or

(b) such an order is in force.

  1. The following features should be noted:
    1. The scheme of the regulation is materially different from that in the Residential Homes regulations.
    2. A contravention of or failure to comply with the regulations listed in regulation 40 paragraphs (1) to (3) is an offence.
    3. Regulation 40 says the following conditions must be met before proceedings can be brought for an offence: first, the service of a regulation 40 notice; second, the expiry of the period referred to in the notice within which the person on whom the notice is served shall take the action which in the opinion of the Secretary of State is necessary to comply with the relevant provision.
    4. Regulation 40 does not make it a condition that proceedings may only be brought where the person on whom the notice is served has failed to take the specified action before the expiry of the period referred to in the notice. The requirement is that the period has expired, not that the registered person has failed to take the required action in the required period. This is a lacuna in the drafting of the regulation.
  2. The Care Standards Regulations 2001 regulation 43 in its original form (prior to being amended by SI 2002 No. 865) provided as follows (the later amended text is included in italics for convenience):
  3. (1) A contravention or failure to comply with any of the provisions of regulations 4, 5, 5A, 11, 12(1) to (4), 13(1) to (4) and (6) to (8), 14, 15, 16(1), (2)(a) to (j) and (l) to (n) and (3), 17 to 26 and 37 to 40 shall be an offence.

    (2) The Commission shall not bring proceedings against a person in respect of any contravention or failure to comply with those regulations unless-

    (a) subject to paragraph (4), he is a registered person;

    (b) notice has been given to him in accordance with paragraph (3);

    (c) the period specified in the notice has expired and (the period specified in the notice, within which the registered person may make representations to the Commission, has expired);

    (d) the person contravenes or fails to comply with any of the provisions of the regulations mentioned in the notice; (in a case where, in accordance with paragraph (3)(b), the notice specifies any action that is to be taken within a specified period, the period has expired and the action has not been taken within that period).

    (3) Where the Commission considers that the registered person has contravened or failed to comply with any of the provisions of the regulations mentioned in paragraph (1), it may serve a notice on the registered person specifying-

    (a) in what respect in its opinion the registered person has contravened or is contravening any of the regulations or has failed or is failing to comply with the requirements of any of the regulations;

    (b) what action, the opinion of the Commission, the registered person should take so as to comply with any of those regulations; and (where it is practicable for the registered person to take action for the purpose of complying with any of those regulations, the action which, in the opinion of the Commission, the registered person should take for that purpose);

    (c) the period, not exceeding three months, within which the registered person should take action. (the period, not exceeding three months, within which the registered person should take any action specified in accordance with sub-paragraph (b));

    ((d) the period, not exceeding one month, within which the registered person may make representations to the Commission about the notice.)

    (4) The Commission may bring proceedings against a person who was once, but no longer is, a registered person, in respect of a failure to comply with regulation 17 and for this purpose, references in paragraphs (2) and (3) to a registered person shall be taken to include such a person.

  4. The following features should be noted:
    1. Like the Nursing Homes Regulations and unlike the Residential Homes Regulations, a contravention or failure to comply with the provisions of the regulations listed in paragraph (1) is an offence.
    2. Apart from that, the scheme of the regulation is similar to the scheme of regulation 20 of the Residential Homes Regulations.
    3. This unhappy marriage of features from the two schemes resulted in the strange position that although paragraph (1) made a breach of the regulations an offence, the registered person could only be prosecuted where a notice was served and he then committed a further breach of the same regulation.
  5. The Private & Voluntary Health Care (England) Regulations 2001 regulation 51 (prior to amendment by SI 2002 No. 865) and the Children’s Homes Regulations 2001 regulation 41 (prior to amendment by SI 2002 No. 865) were in the same terms.
  6. When one considers regulation 43 against the background of the legislative history outlined above, the following features become apparent:
    1. The amended scheme more closely resembles the scheme in the Nursing Homes Regulations.
    2. However, the draftsman has taken the opportunity to limit place a limit on the circumstances in which the notice must set out ‘the action which, in the opinion of the Commission, the registered person should take’. Under the Nursing Homes Regulations, the notice had to contain the equivalent information in every case. Under the Care Homes Regulations, the notice need only do so where it is practicable for the registered person to take action for the purpose of complying with the regulations: paragraph 3(b).
    3. The draftsman has incorporated paragraph 3(b) into the list of conditions that must be satisfied before the Commission can prosecute. Where in accordance with paragraph 3(b) the notice sets out the action the registered person must take, the Commission cannot prosecute unless the action has not been taken in the period stated in the notice: see paragraph 43(2)(d).
    4. 43(2)(d) fills the ‘lacuna’ in the Nursing Homes Regulations by expressly providing that the Commission shall not bring a prosecution unless in a case where the notice specifies any action that is to be taken within a specified period, the period has expired and the action has not been taken within that period.
    5. The draftsman has introduced a right for the registered person to make representations to the Commission about the notice. He has done so not by expressly conferring such a right on the registered person but rather by requiring that the notice shall specify the period within which the registered person may make such representations. Regulation 43 does not expressly identify the purpose this provision is intended to serve nor does it specify what the representations may be about. In the absence of any indication about these matters, the proper construction of the regulation appears to be that the registered person may make whatever representations he wants that are relevant to any aspect of the notice.
  7. The draftsman of the amendments did not take the opportunity to say expressly whether, in circumstances where it is not practicable for the registered person to take action for the purpose of complying with the regulation in question, the Commission may bring proceedings against a person in respect of the original contravention or failure to comply with that regulation after service of a notice containing the information set out in 43(a) and (d) and after the expiry of the period set out in the notice within which the registered person may make representations.
  8. However, when one considers the terms of regulation 43 in the light of the legislative history outlined above, the answer appears clearly to be that in the circumstances set out in the previous paragraph, the Commission may bring proceedings.
  9. The draftsman has provided that the Commission cannot prosecute unless a number of conditions are satisfied. Where it is not practicable for the registered person to take action for the purpose of complying with the regulation in question, the only conditions that must be satisfied are those set out in sub-paragraphs (2)(a) and (d).
  10. The draftsman could have included a further condition by adding a sub-paragraph (2)(e) saying something to the effect that where paragraph (3)(b) does not apply, the Commission may not prosecute unless the registered person commits a further breach of the same regulation. Had he done so, then in such circumstances the regulation would have reflected the approach of the Residential Homes Regulations. However, the draftsman chose not to do so.
  11. The draftsman has included a right for the registered person to make representations and has provided that the Commission may not prosecute until the period within which the registered person may make representations has expired. The right to make representations is a familiar one. It can be found in the text of the Care Standards Act. In general terms, where the Commission proposes to take enforcement action under the terms of the Act, the registered person first has the right to make representations. The draftsman clearly intended that a registered person faced with a regulation 43 notice should have a similar right. This means that in a case where it is not practicable for the registered person to take action to comply with the regulation in question, regulation 43 gives him the opportunity to make representations to the Commission before the Commission takes proceedings.
  12. The procedure of allowing a person who is liable to prosecution to make representations to the prosecutor why he should not be prosecuted is an alien one. The Commission is clearly under a duty to act rationally when considering the representations and its decision will be susceptible to judicial review: see the authorities cited in The Judicial Review Handbook (3rd edition) para 5.2.10(D). It is to be expected that some providers may seek to challenge decisions to prosecute by way of judicial review.
  13. Question 4 (see 13.4 above)

  14. As noted above, it seems strange that the regulations treat a ‘one-off’ irremediable breach more harshly than a continuing breach: the latter can only be the subject of a prosecution after a provider has been given the opportunity to put things right and has failed to do so.
  15. It is useful to consider the contrasting provisions of the Health & Safety at Work legislation.
  16. The Robens Committee recommended that ‘Inspectors should have the power, without reference to the courts, to issue a formal improvement notice to an employer requiring him to remedy particular faults or institute a specified programme of work within a stated time limit.’ (Cmnd 5034, para 269). ‘The improvement notice would be the inspector’s main sanction. In addition, an alternative and stronger power should be available to the inspector for use where he considers the case for remedial action to be particularly serious. In such cases he would be able to issue a prohibition notice.’ (Cmnd 5034, para 276). These recommendations were implemented by the provisions of the Health & Safety At Work Act 1974. The relevant provisions are as follows.
  17. HSWA sections 2 to 9 impose a number of general duties on employers etc.
  18. HSWA section 33(1) provides:
  19. (1) It is an offence for a person-

    (a) to fail to discharge a duty to which he is subject by virtue of sections 2 to 7;

    (b) to contravene section 8 or 9…

  20. HSWA section 21 provides:
  21. If an inspector is of the opinion that a person-

    (a) is contravening one or more of the relevant statutory provisions; or

    (b) has contravened one or more of those provisions in circumstances that make it likely that the contravention will continue or be repeated,

    me may serve on him a notice (in this Part referred to as ‘an improvement notice’) stating that he is of that opinion, specifying the provision or provisions as to which he is of that opinion, giving particulars of the reasons why he is of that opinion, and requiring that person to remedy the contravention or, as the case may be, the matters occasioning it within such period (ending not earlier than the period within which an appeal against the notice can be brought under section 24) as may be specified in the notice.

  22. HSWA section 24 provides that a person on whom an improvement notice is served may appeal to an employment tribunal, which may either cancel or affirm the notice.
  23. HSWA section 53(1) provides:
    1. In this Part, unless the context otherwise requires-

‘the relevant statutory provisions’ means-

(a) the provisions of this Part and of any health and safety regulations; and

(b) the existing statutory provisions.

  1. HSWA section 33(1)(g) provides that it is an offence for a person to contravene any requirement of an improvement notice.
  2. In summary the scheme under the Health & Safety at Work Act is as follows:
    1. HSWA creates a number of substantive offences, including the offences of failing to comply with sections 2 to 9.
    2. Failure to comply with e.g. sections 2 to 9 also entitles the HSE to serve an improvement notice.
    3. It is not a precondition to a prosecution for a substantive offence under e.g. sections 2 to 9 that the HSE first serves an improvement notice.
    4. Where an employer fails to comply e.g. with sections 2 to 9 the HSE can either prosecute for the substantive offence or serve an improvement notice or do both simultaneously.
    5. Where the HSE serves an improvement notice, the person on whom it is served can appeal against it to an employment tribunal, which may either affirm or cancel it.
    6. Where the person fails to appeal against an improvement notice or his appeal is unsuccessful and where he fails to comply with the requirements of the notice, he commits an offence independent of and in addition to the substantive offences elsewhere in the Act (including those referred to above).
    7. In summary, there are two interlinked but independent enforcement procedures.
  3. The contrast between the two statutory regimes highlights the more flexible powers the HSE inspectors have at their disposal to respond to offences. Although the contrast does not directly assist in answering Question 4, it suggests that the draftsman of the Care Home Regulations intended to confer on the Commission a degree of flexibility in the case of irremediable breaches by conferring on the Commission the power to bring a prosecution in respect of the original act and omission following the service of a statutory notice and the consideration of any representations the provider chooses to make.
  4. CONCLUSIONS

  5. The regulations appear to have given the Commission a novel power in respect of ‘irremediable’ breaches. The power is constrained by the right of the provider to make representations and its exercise will be susceptible to judicial review. It can be expected that where the Commission seeks to exercise the power by bringing a prosecution, providers may in the first instance seek a judicial review of the decision to prosecute.

Michael Curtis,

June 2005.

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