The Health and Social Care Act 2008 (Regulated Activities) (Amendment) Regulations 2026

Published: Fri 8th May 26

These Regulations, made by the Secretary of State, amend the 2014 Health and Social Care Act (Regulated Activities) Regulations by removing two specific exemptions from the definition of 'regulated activities' concerning the temporary treatment of disease, disorder, or injury provided at sporting grounds, gymnasiums, or during cultural events; consequently, such treatments will become subject to regulation by the Care Quality Commission, while an exception for incidental transport services during these events is retained, with amendments coming into force in phases starting September 2026 and fully by December 2027 across England and Wales.

Arguments For

  • Extending regulation by the Care Quality Commission (CQC) over medical treatment provided at sporting or cultural venues, ensuring a baseline standard of care and patient safety for attendees and participants.

  • Aligning the scope of regulated activities more closely with public health needs by removing specific exemptions for temporary treatment at sports grounds or gymnasiums.

  • Clarifying the regulatory boundary by explicitly retaining exceptions only for transport services incidental to these events, distinguishing transport from direct medical treatment.

Arguments Against

  • Potential administrative burden and increased regulatory compliance costs imposed on organizers of sporting and cultural events who previously relied on the exemptions for on-site first aid or temporary treatment.

  • Risk of over-regulation for minor, spontaneous first aid interventions traditionally managed by amateur first-aiders at community or grassroots sporting and cultural gatherings.

  • Implementation challenges related to the phased commencement dates (September 2026 vs. December 2027), requiring providers to track transitional arrangements for applications and appeals related to these changes.

STATUTORY INSTRUMENTS

2026 No. 495

PUBLIC HEALTH, ENGLAND

The Health and Social Care Act 2008 (Regulated Activities) (Amendment) Regulations 2026

Made - - - 29th April 2026 Coming into force in accordance with regulation 1(2) and (3)

The Secretary of State makes these Regulations in exercise of the powers conferred by sections 8(1), 161(3)(b)(ii) and (4) of the Health and Social Care Act 2008( 1 ).

A draft of these Regulations was laid before Parliament in accordance with section 162(3) of that Act and was approved by resolution of each House of Parliament.

Citation, interpretation, commencement and extent

  1. -(1) These Regulations may be cited as the Health and Social Care Act 2008 (Regulated Activities) (Amendment) Regulations 2026.
  • (2) This regulation comes into force on the day after the day on which these Regulations are made.
  • (3) Regulation 2 comes into force-
  1. (a) on 7th September 2026 for the purpose of exercising a function under Part 1 of the Health and Social Care Act 2008 with a view to-
  2. (i) making, granting, refusing or rejecting a relevant application, or
  3. (ii) conducting, considering, or disposing of an appeal against a decision made in respect of a relevant application;
  4. (b) on 6th December 2027 for remaining purposes.
  • (4) In paragraph (3), 'relevant application' means an application for-
  1. (a) registration under section 11 (applications for registration as a service provider) or 14 (applications for registration as a manager) of the Health and Social Care Act 2008, or
  2. (b) variation or removal of a condition for the time being in force in relation to an existing registration under section 19(1) (applications by registered persons).
  • (5) These Regulations extend to England and Wales.

( 1 ) 2008 c. 14.

Amendment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

  1. -(1) Schedule 1 (regulated activities) to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014( 2 ) is amended as follows.

(2) In paragraph 4 (treatment of disease, disorder or injury), in sub-paragraph (3), omit paragraphs (f) and (g).

(3) In paragraph 9 (transport services, triage and medical advice provided remotely), for subparagraph (3) substitute-

'(3) Transport services are excepted from sub-paragraph (1) if they are provided within the confines of a site or venue being used for-

  • (a) a sporting activity or event, or
  • (b) a cultural event.'.

Signed by authority of the Secretary of State for Health and Social Care

29th April 2026

Zubir Ahmed Parliamentary Under-Secretary of State Department of Health and Social Care

EXPLANATORY NOTE

(This note is not part of the Regulations)

These Regulations amend the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 ('the 2014 Regulations').

Regulation 2(2) omits two exceptions from the matters listed as 'regulated activities' by the 2014 Regulations. The first exception relates to the temporary treatment of disease or injury provided in a sports ground or gymnasium (including associated premises) for the sole benefit of those attending or participating in sporting activities and events. The second relates to such treatment when provided to those attending or participating in sporting or cultural events. The effect is that these matters will in future be listed as regulated activities and will accordingly be subject to regulation by the Care Quality Commission.

Regulation 2(3) retains a related exception from classification as a regulated activity (as contained in paragraph 9 of Schedule 1 to the 2014 Regulations) in respect of transport services provided during these activities and events.

Regulation 1(3) brings these amendments into force on 7th September 2026 for the purposes specified in sub-paragraph (a) of that regulation and for all remaining purposes on 6th December 2027.

A full impact assessment has not been produced by this instrument as no significant impact on the private, voluntary or public sector is foreseen.

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