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Statutory Rules of Northern Ireland


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STATUTORY RULES OF NORTHERN IRELAND


2005 No. 175

HEALTH AND PERSONAL SOCIAL SERVICES

The Nursing Agencies Regulations (Northern Ireland) 2005

  Made 25th March 2005 
  Coming into operation 1st April 2005 


ARRANGEMENT OF REGULATIONS


PART I

GENERAL
1. Citation and commencement
2. Interpretation
3. Excepted agencies
4. Statement of purpose
5. Service user's guide
6. Review of statement of purpose and service user's guide

PART II

REGISTERED PERSONS
7. Fitness of registered provider
8. Appointment of manager
9. Fitness of manager
10. Registered person - general requirements and training
11. Notification of offences

PART III

CONDUCT OF NURSING AGENCIES

CHAPTER 1

QUALITY OF SERVICE PROVISION
12. Fitness of nurses supplied by an agency
13. Notification of incidents
14. Staffing
15. Staff Handbook
16. Provision of information to service users
17. Disclosure of information
18. Records
19. Complaints
20. Review of quality of service provision

CHAPTER 2

PREMISES
21. Fitness of premises

CHAPTER 3

FINANCIAL MATTERS
22. Financial position

CHAPTER 4

NOTICES TO BE GIVEN TO THE REGULATION AND IMPROVEMENT AUTHORITY
23. Notice of absence
24. Notice of changes
25. Appointment of liquidators etc.
26. Death of registered person

PART IV

MISCELLANEOUS
27. Compliance with Regulations
28. Offences
29. Revocations

SCHEDULES

  Schedule 1. Information to be included in the statement of purpose

  Schedule 2. Information and documents required in respect of registered providers and managers of an agency and nurses responsible for selecting nurses for supply to service users

  Schedule 3. Information and documents required in respect of nurses to be supplied by an agency

  Schedule 4. Records to be maintained for inspection

The Department of Health, Social Services and Public Safety for Northern Ireland, in exercise of powers conferred on it by Articles 2(8)(h), 23(1), (2)(a) to (c), (f) to (j), (3), (4) and (7)(a) to (h) and (j), 25, 31(1), 32 and 48(2) of the Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003[
1] and of all other powers enabling it in that behalf, having consulted such persons as it considers appropriate, hereby makes the following Regulations:



PART I

GENERAL

Citation and commencement
     1. These Regulations may be cited as the Nursing Agencies Regulations (Northern Ireland) 2005 and shall come into operation on 1st April 2005.

Interpretation
    
2.  - (1) In these Regulations -

    (2) In these Regulations, references to the supply of a nurse mean -

    (3) In the definition of "service user" in paragraphs (1) and (2), the terms "employed" and "employment" include employment under a contract for services.

Excepted agencies
     3. For the purposes of the Order, an HSS trust which supplies nurses to work solely for other HSS trusts shall be excepted from being a nursing agency.

Statement of purpose
    
4.  - (1) The registered person shall compile in relation to the agency a written statement which shall consist of a statement as to the matters listed in Schedule 1.

    (2) The registered person shall supply a copy of the statement of purpose to the Regulation and Improvement Authority and shall make a copy of it available on request for inspection by every service user and any person acting on behalf of a service user.

    (3) Nothing in regulation 21 shall require or authorise the registered person to contravene, or not to comply with -

Service user's guide
    
5.  - (1) The registered person shall prepare a service user's guide which shall include -

    (2) The registered person shall make a copy of the service user's guide available on request by every service user and any person acting on behalf of a service user.

Review of statement of purpose and service user's guide
    
6. The registered person shall -



PART II

REGISTERED PERSONS

Fitness of registered provider
    
7.  - (1) A person shall not carry on an agency unless he is fit to do so.

    (2) A person is not fit to carry on an agency unless the person -

    (3) The requirements are that -

    (4) A person shall not carry on an agency if -

Appointment of manager
    
8.  - (1) The registered provider shall appoint an individual to manage the agency where -

    (2) Where the registered provider appoints a person to manage the agency, he shall forthwith give notice to the Regulation and Improvement Authority of -

Fitness of manager
    
9.  - (1) A person shall not manage an agency unless he is fit to do so.

    (2) A person is not fit to manage an agency unless -

Registered person - general requirements and training
    
10.  - (1) The registered provider and the registered manager shall, having regard to the size of the agency, its statement of purpose and the number and needs of the service users, carry on or (as the case may be) manage the agency with sufficient care, competence and skill.

    (2) If the registered provider is -

from time to time such training as is appropriate to ensure that he has the experience and skills necessary for carrying on the agency.

    (3) The registered manager shall undertake from time to time such training as is appropriate to ensure that he has -

Notification of offences
    
11. Where the registered person or the responsible individual is convicted of any criminal offence, whether in Northern Ireland or elsewhere, he shall forthwith give notice in writing to the Regulation and Improvement Authority of -



PART III

CONDUCT OF NURSING AGENCIES



CHAPTER 1

QUALITY OF SERVICE PROVISION

Fitness of nurses supplied by an agency
    
12.  - (1) The registered person shall ensure that no nurse is supplied by the agency unless -

    (2) The registered person shall ensure that the recruitment process for the supply of nurses is managed by a nurse, that selection of a nurse for supply is made by a nurse and that full and satisfactory information in respect of each of the matters listed in Schedule 2 is available in relation to the nurse carrying out the selection.

    (3) The registered person shall ensure that every nurse supplied by the agency acting as an employment business is instructed that when working for a service user he must at all times wear identification showing his name, signature, the name of the agency, contact number, a recent photograph and the expiry date of the card.

Notification of incidents
    
13. Where an agency acting as an employment business supplies a nurse to provide nursing care in the private residence of a service user or patient, the registered person shall notify the Regulation and Improvement Authority of any incident reported to the police not later than 24 hours after the registered person -

Staffing
    
14.  - (1) Where an agency is acting as an employment business, the registered person shall, having regard to the size of the agency, its statement of purpose and the number and needs of the service users, take all reasonable measures to ensure that there is at all times an appropriate number of suitably qualified, skilled and experienced persons employed for the purposes of the agency.

    (2) The registered person shall ensure that each employee of the agency -

    (3) The registered person shall -

    (4) The registered person shall provide to each nurse who is employed for the purposes of the agency a written statement of the terms and conditions on which he will be supplied to work for, and under the control of, a service user.

    (5) The statement of terms and conditions provided under paragraph (4) shall, in particular, specify the employment status of the nurse.

Staff handbook
    
15.  - (1) Where the agency is acting as an employment business, the registered person shall prepare a staff handbook and provide a copy to every member of staff.

    (2) The handbook prepared in accordance with paragraph (1) shall include a statement as to -

Provision of information to service users
    
16.  - (1) The registered person shall ensure that before a nurse is supplied, the service user is informed of -

    (2) Where the service user is also the patient, the registered person shall ensure that the information specified in paragraph (1) is, where appropriate, provided to the person acting on behalf of the patient.

Disclosure of information
    
17. The registered person shall ensure that any personal information about a patient for whom a nurse is supplied by the agency is not disclosed to any member of the agency's staff unless it is necessary to do so in order to provide an effective service to the patient.

Records
    
18. The registered person shall ensure that the records specified in Schedule 4 are maintained, are available at all times for inspection and that they are -

Complaints
    
19.  - (1) The registered person shall establish a procedure ("the complaints procedure") for considering complaints made to the registered person by a service user or a person acting on behalf of the service user.

    (2) The registered person shall supply a written copy of the complaints procedure to every service user and, upon request, to any person acting on behalf of a service user.

    (3) The written copy of the complaints procedure shall include -

    (4) The registered person shall ensure that every complaint made under the complaints procedure is fully investigated.

    (5) The registered person shall, within the period of 28 days beginning on and including the date on which the complaint is made, or such shorter period as may be reasonable in the circumstances, inform the person who made the complaint of the action (if any) that is to be taken in response.

    (6) The registered person shall maintain a record of each complaint, including details of the investigation made, the outcome and any action taken in consequence and the requirements of regulation 18 shall apply to that record.

    (7) The registered person shall supply to the Regulation and Improvement Authority annually a statement containing a summary of the complaints made during the preceding twelve months and the action taken in response.

    (8) The registered person shall ensure that any evidence of misconduct by a nurse is reported promptly and in writing to the Nursing and Midwifery Council[
5].

Review of quality of service provision
     20.  - (1) The registered person shall introduce and maintain a system for reviewing at appropriate intervals the quality of services provided by the agency.

    (2) The registered person shall supply to the Regulation and Improvement Authority a report in respect of any review conducted by him for the purposes of paragraph (1) and shall make a copy of the report available upon request for inspection by service users and persons acting on behalf of service users.

    (3) The system referred to in paragraph (1) shall provide for consultation with service users and persons acting on behalf of service users.

    (4) The registered manager shall ensure that the agency delivers services effectively on a daily basis and reports as required to the registered person.



CHAPTER 2

PREMISES

Fitness of premises
    
21.  - (1) The registered person shall not use premises for the purposes of an agency unless the premises are suitable for the purpose of achieving the aims and objectives of the agency set out in the statement of purpose.



CHAPTER 3

FINANCIAL MATTERS

Financial position
    
22.  - (1) The registered provider shall carry on the agency in such manner as is likely to ensure that the agency will be financially viable for the purpose of achieving the aims and objectives set out in the statement of purpose.

    (2) The registered person shall, if the Regulation and Improvement Authority so requests, provide the Regulation and Improvement Authority with such information and documents as it may require in order to consider the financial viability of the agency, including -



CHAPTER 4

NOTICES TO BE GIVEN TO THE REGULATION AND IMPROVEMENT AUTHORITY

Notice of absence
    
23.  - (1) Where -

proposes to be absent from the agency for a continuous period of 28 days or more, the registered person shall give notice in writing to the Regulation and Improvement Authority of the proposed absence.

    (2) Except in the case of an emergency, the notice referred to in paragraph (1) shall be given no later than one month before the proposed absence commences or within such shorter period as may be agreed with the Regulation and Improvement Authority and the notice shall specify -

    (3) Where the absence arises as a result of an emergency, the registered person shall give notice of the absence within one week of its occurrence specifying the matters set out in paragraph (2)(a) to (e).

    (4) Where -

has been absent from the agency for a continuous period of 28 days or more, and the Regulation and Improvement Authority has not been given notice of the absence, the registered person shall, without delay, give notice in writing to the Regulation and Improvement Authority of the absence, specifying the matters set out in paragraph (2)(a) to (e).

    (5) The registered person shall notify the Regulation and Improvement Authority of the return to duty of the registered provider or (as the case may be) the registered manager not later than 7 days after the date of his return.

Notice of changes
    
24. The registered person shall give notice in writing to the Regulation and Improvement Authority as soon as it is practicable to do so if any of the following events takes place or is proposed to take place -

Appointment of liquidators etc.
    
25.  - (1) Any person to whom paragraph (2) applies must -

    (2) This paragraph applies to any person appointed as -

Death of registered person
    
26.  - (1) If more than one person is registered in respect of an agency, and a registered person dies, the surviving registered person shall without delay notify the Regulation and Improvement Authority of the death in writing.

    (2) If only one person is registered in respect of an agency, and he dies his personal representatives must notify the Regulation and Improvement Authority in writing -

    (3) The personal representatives of the deceased registered provider may carry on the agency without being registered in respect of it -

    (4) The Regulation and Improvement Authority may extend the period specified in paragraph (3)(a) by such further period, not exceeding one year, as the Regulation and Improvement Authority shall determine, and shall notify any such determination to the personal representatives in writing.

    (5) The personal representatives shall appoint a person to take full-time day to day charge of the agency during any period in which, in accordance with paragraph (3), they carry on the agency without being registered in respect of it.



PART IV

MISCELLANEOUS

Compliance with Regulations
    
27. Where there is more than one registered person in respect of an agency, anything which is required under these Regulations to be done by the registered person shall, if done by one of the registered persons, not be required to be done by any of the other registered persons.

Offences
    
28.  - (1) A contravention of any of the provisions of regulations 4 to 6 and 11 to 24 shall be an offence.

    (2) The Regulation and Improvement Authority shall not bring proceedings against a person in respect of any contravention of those regulations unless -

    (3) Where the Regulation and Improvement Authority considers that the registered person has contravened any of the provisions of the regulations mentioned in paragraph (1), it may serve a notice on the registered person specifying -

    (4) The Regulation and Improvement Authority 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 18 and for this purpose, references in paragraphs (2) and (3) to a registered person shall be taken to include such a person.

Revocations
    
29. The Nursing Agency (Northern Ireland) Regulations 1986[6] are hereby revoked.



Sealed with the Official Seal of the Department of Health, Social Services and Public Safety on


25th March 2005.

L.S.


Noel McCann
A senior officer of the Department of Health, Social Services and Public Safety


SCHEDULE 1
Regulation 4


INFORMATION TO BE INCLUDED IN THE STATEMENT OF PURPOSE


     1. The aims and objectives of the agency.

     2. The nature of the services which the agency provides.

     3. The name and address of the registered provider and of any registered manager.

     4. The relevant qualifications and experience of the registered provider and any registered manager.

     5. The range of qualifications of nurses supplied by the agency, and the types of settings in which they are supplied to work.

     6. The complaints procedure established in accordance with regulation 19.

     7. Status, constitution and organisational structure, which identify the lines of accountability, specifies roles and responsibilities for areas of activity.

     8. A description of the nursing agency's underlying ethos and philosophy of care.



SCHEDULE 2
Regulations 7(3), 9(2) and 12(2)


INFORMATION AND DOCUMENTS REQUIRED IN RESPECT OF REGISTERED PROVIDERS AND MANAGERS OF AN AGENCY AND NURSES RESPONSIBLE FOR SELECTING NURSES FOR SUPPLY TO SERVICE USERS


     1. Proof of identity, including a recent photograph.

     2. Either -

including, where applicable, the matters specified in sections 113(3EA) and 115(6EA) of that Act[8] and section 113(3EC)(a) and (b) and section 115(6EB)(a) and (b) of that Act[9].

     3. Two written references, including a reference relating to the last period of employment of not less than three months duration.

     4. Where a person has previously worked in a position which involved work with children or vulnerable adults, verification of the reason why he ceased to work in that position, unless it is not reasonably practicable to obtain such verification.

     5. Documentary evidence of any relevant qualifications and training.

     6. A full employment history, together with a satisfactory written explanation of any gaps in employment.

     7. Details of health record.

     8. In respect of a manager to whom regulation 9(2) applies or a nurse to whom regulation 12(3) applies, confirmation of current registration with the Nursing and Midwifery Council[10], including details of the Parts of the register in which the nurse is registered.

     9. Details of any professional indemnity insurance.



SCHEDULE 3
Regulation 12(1)


INFORMATION AND DOCUMENTS REQUIRED IN RESPECT OF NURSES TO BE SUPPLIED BY AN AGENCY


     1. Name, address, date of birth and telephone number.

     2. Name, address and telephone number of next of kin.

     3. Proof of identity, including a recent photograph.

     4. Details of any criminal offences -

     5. Two written references relating to the person, including a reference from the person's present or most recent employer, if any.

     6. Where a nurse has previously worked in a position which involved work with children or vulnerable adults, verification of the reason why he ceased to work in that position, unless it is not reasonably practicable to obtain such verification.

     7. Documentary evidence of any relevant qualifications and training.

     8. A full employment history, together with a satisfactory written explanation of any gaps in employment and details of any current employment other than for the purposes of the agency.

     9. Details of health record, including immunisation status.

     10. Confirmation of current registration with the Nursing and Midwifery Council, including details of the Part of the register in which the nurse is registered.

     11. Details of any professional indemnity insurance.

     12. In the case of a midwife, evidence that the midwife has notified the local supervising authority's responsible midwifery officer of intention to practice, and that a supervisor of midwives has been identified for the individual midwife.

     13. Either -

including, where applicable, the matters specified in sections 113(3EA) and 115(6EA) of that Act and section 113(3EC)(a) and (b) and section 115(6EB)(a) and (b) of that Act.



SCHEDULE 4
Regulation 18


RECORDS TO BE MAINTAINED FOR INSPECTION


Records relating to supply of nurses
     1. Copies of all agreements between the agency and nurses supplied or to be supplied by the agency and evidence that a copy of any standard terms and conditions has been supplied by the agency to each nurse, including recruitment and selection records in respect of all nurses supplied by an agency.

     2. Copies of any statement given to a service user setting out the qualifications and relevant experience of a nurse supplied to that service user.

     3. An alphabetical index of service users, including the full name, address and telephone number of each of them and any serial numbers assigned to them.

     4. An alphabetical index of nurses supplied or available for supply by the agency, including any serial numbers assigned to them.

     5. Details of each supply of a nurse to a service user.

     6. Where the agency is acting as an employment business and a nurse is supplied to provide nursing care in the private residence of a service user or patient, details of -

Records relating to training and development of staff
     7. All training and professional development activities completed by staff.

     8. Annual staff appraisals.

Other records
     9. All information provided to the Regulation and Improvement Authority for the purposes of registration in relation to the agency.

     10. Details of every allegation of abuse -

who is employed by the agency, including details of the investigations made, the outcome and any action taken in consequence.



EXPLANATORY NOTE

(This note is not part of the Regulations)


These Regulations are made under the Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003 ("the Order"), and apply in relation to nursing agencies in Northern Ireland only. Part II of the Order establishes, in relation to Northern Ireland, the Health and Personal Social Services Regulation and Improvement Authority ("the Regulation and Improvement Authority") and Part III provides for the registration and inspection of establishments and agencies, including nursing agencies, by the Regulation and Improvement Authority. It also provides powers to make regulations governing the conduct of establishments and agencies.

By regulation 4, each agency must prepare a statement of purpose in relation to the matters set out in Schedule 1 and a service user's guide to the agency (regulation 5). The agency must be carried on in a manner which is consistent with the statement of purpose.

Regulations 7 to 11 make provision about the fitness of the persons carrying on and managing an agency and require satisfactory information to be obtained in relation to the matters specified in Schedule 2. Where the provider is an organisation, it must nominate a responsible individual in respect of whom this information must be available (regulation 7). Regulation 8 prescribes the circumstances where a manager must be appointed in respect of the agency, and regulation 9 makes provision concerning the fitness of the manager. Regulation 10 imposes general requirements in relation to the proper conduct of the agency, and the need for appropriate training.

Part III makes provision in relation to the conduct of agencies, in particular about the quality of services to be provided by an agency. Regulation 12 makes provision about the fitness of all nurses supplied by an agency. Regulation 13 requires the registered person to notify the Regulation and Improvement Authority of any incident reported to the police where the agency is acting as an employment business. In addition, provision is made as to staffing (regulation 14), the provision of information to service users (regulation 16), disclosure of information (regulation 17), record keeping (regulation 18 and Schedule 4) and complaints (regulation 19). Provision is also made about the suitability of premises (regulation 21) and the financial management of the agency (regulation 22). Regulations 23 to 26 deal with the giving of notices to the Regulation and Improvement Authority.

Part IV deals with miscellaneous matters. In particular, regulation 28 provides for offences. It shall be an offence on the part of the registered person to breach Regulations 4 to 6 and 11 to 24. However, no prosecution may be brought unless the Regulation and Improvement Authority has given notice which sets out in what respect it is alleged he is not complying with a regulation, and what action (if any), and by when, the Regulation and Improvement Authority considers is necessary in order to comply with the regulation.


Notes:

[1] S.I. 2003/431 (N.I. 9)back

[2] S.I. 2002 (c. 17)back

[3] S.I. 2002/253back

[4] 2001 c. 3 (N.I.)back

[5] The Nursing and Midwifery Council was established by Article 3 of the Nursing and Midwifery Order 2001 (S.I. 2002/253)back

[6] S.R. 1986 No. 338back

[7] 1997 c. 50. A position is within section 115(3) if it involves regularly caring for, training, supervising or being in sole charge of persons aged under 18. A position is within section 115(4) if it is of a kind specified in regulations and involves regularly caring for, training, supervising or being in sole charge of persons aged 18 or overback

[8] Sections 113(3EA) and 115(6EA) are inserted by the Protection of Vulnerable Adults (Northern Ireland) Order 2003 (S.I. 2003/417 ((N.I. 4))back

[9] Sections 113(3EC) and 115(6EB) are added by the Protection of Children and Vulnerable Adults (Northern Ireland) Order 2003back

[10] The register is maintained pursuant to paragraph 10 of Schedule 2 to the Nursing and Midwifery Order 2001 (S.I. 2002/253)back

[11] 1978 No. 1908 (N.I. 27)back

[12] S.R 1979 No. 195back



ISBN 0 337 95985 4


 © Crown copyright 2005

Prepared 4 May 2005


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