Part 1: Health Service in England: Integration, Collaboration and Other Changes NHS Trusts Section 55: Directions to NHS trusts
This section inserts a new section 27B into the NHS Act 2006 which gives NHS England the power to give directions to NHS Trusts established under section 25 of the NHS Act 2006 on the exercise of their functions. The TDA previously had this power under direction from the Secretary of State as set out in the 2016 Directions.
	Under subsection (2), this section gives NHS England the equivalent power to direct NHS Trusts as is held by Secretary of State under section 8 of the NHS Act 2006. If an NHS England direction under this subsection conflicts with a Secretary of State direction under section 8 or paragraph 25(3) of Schedule 4 of the NHS Act 2006, NHS England’s direction under this section would have no effect.
	The manner in which NHS England shall provide directions to NHS Trusts are included in the amended section 273(3) of the NHS Act 2006.
	Subsection (3) of the section amends section 73 of the NHS Act 2006 (directions and regulations under Part 2), at subsection (2), to reflect the insertion of new section 27B.
	Subsection (4)(a) amends paragraph 20(2) of Schedule 4 to the NHS Act 2006, which limits the circumstances in which NHS trusts can generate additional income. The amendment expands the list of limitations to allow NHS England to specify in directions given under the new power in section 27B circumstances in which NHS trusts much seek NHS England’s consent to exercise certain functions in order to generate additional income.
	Subsection (4)(b) amends paragraph 25 of Schedule 4 to the NHS Act 2006, to ensure that any directions given by NHS England under the new section 27B of that Act are added to the things NHS trusts must have regard to in respect of staff employment including staff pay, allowances, terms and conditions.