Local Government and Public Involvement in Health Bill

The use of the power to direct raises constitutional as well as practical issues. It has always been understood that directions would be issued only where bodies had failed in their duty in such a way that there was no other way out. Directions have been seen as instruments of last resort, in cases of failure. They have also been used to secure administrative arrangements, such as ensuring that accounts are written in accordance with Treasury rules. They have been increasingly used—sometimes not very successfully—for issuing policy directions, which again have tended to be general rather than particular. Is there a relevant precedent for the use of the power to direct as it is included in this Bill?