Medical Act 1983
1983 CHAPTER 54
An Act to consolidate the Medical Acts 1956 to 1978 and certain related provisions, with amendments to give effect to recommendations of the Law Commission and the Scottish Law Commission.
[26th July 1983]
Be it enacted by the Queen’s most Excellent Majesty, by and with the advice and consent of the Lords Spiritual and Temporal, and Commons, in this present Parliament assembled, and by the authority of the same, as follows:—
Modifications etc. (not altering text)
Part IU.K. Preliminary
The General Medical CouncilU.K.
1 The General Medical Council.U.K.
(1)There shall continue to be a body corporate known as the General Medical Council (in this Act referred to as “the General Council”) having the functions assigned to them by this Act.
[(1A)The main objective of the General Council in exercising their functions is to protect, promote and maintain the health and safety of the public.]
(2)The General Council shall be constituted as provided by Her Majesty by Order in Council under this section subject to the provisions of Part I of Schedule 1 to this Act.
[(3)The General Council shall have the following committees—
(a)the Education Committee,
(b)one or more Interim Orders Panels,
(c)one or more [Registration Decisions Panels][Registration Panel],
(d)one or more Registration Appeals Panels,
(e)the Investigation Committee,
(f)one or more Fitness to Practise Panels,
constituted in accordance with Part III of Schedule 1 to this Act and having the functions assigned to them by or under this Act.
(3A)The committees of the General Council specified in paragraphs (a) to (f) of subsection (3) above are referred to in this Act as “the statutory committees”.]
(4)Schedule 1 to this Act shall have effect with respect to the General Council, its branch councils and committees, its proceedings, its officers and its accounts.
2 Registration of medical practitioners.U.K.
(1)There shall continue to be kept by the registrar of the General Council (in this Act referred to as “the Registrar”) [two registers] [a register] of medical practitioners registered under this Act containing the names of those registered and the qualifications they are entitled to have registered under this Act.
(2)The [two registers referred to are] [register referred to is] “the register of medical practitioners” consisting of [three lists], namely—
(a)the principal list,
(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c)the visiting overseas doctors list, and
(d)the visiting [EEA practitioners] list,
[and “the register of medical practitioners with limited registration”].
(3)Medical practitioners shall be registered as fully registered medical practitioners or provisionally [or with limited registration] as provided in Parts II and III of this Act and in the appropriate list of the register of medical practitioners [or in the register of medical practitioners with limited registration] as provided in Part IV of this Act.
Part IIU.K. Medical Education and Registration: Persons Qualifying in the United Kingdom and Elsewhere in the EEC.
3 Registration by virtue of primary United Kingdom or primary European qualifications.U.K.
(1)Subject to the provisions of this Act any person [whose fitness to practise is not impaired and] who—
[(a)holds one or more primary United Kingdom qualifications and has satisfactorily completed an acceptable programme for provisionally registered doctors; or]
(b)being a national of any EEA State, holds one or more primary European qualifications,
is entitled to be registered under this section as a fully registered medical practitioner.
(2)Any person who—
(a)is not a national of an EEA State; but
(b)is, by virtue of a right conferred by article 11 of Regulation (EEC) No. 1612/68, or any other enforceable Community right, entitled to be treated, for the purposes of access to the medical profession, no less favourably than a national of such a State,
shall be treated for the purposes of subsection (1)(b) above as if he were such a national.
(3)In this Act—
“the EEA Agreement” means the Agreement on the European Economic Area signed at Oporto on 2nd May 1992 as adjusted by the Protocol signed at Brussels on 17th March 1993 [and as amended, so far as relevant to this Act, by Decisions of the EEA Joint Committee Nos. 7/94 of 21st March 1994, 190/99 of 17th December 1999, 89/2000 of 27th October 2000[, 84/2002 of 25th June 2002 and by the Agreement on the participation of the Czech Republic, the Republic of Estonia, the Republic of Cyprus, the Republic of Latvia, the Republic of Lithuania, the Republic of Hungary, the Republic of Malta, the Republic of Poland, the Republic of Slovenia and the Slovak Republic signed at Luxembourg on 14th October 2003]] ;
“EEA State” means a State which is a contracting party to the EEA Agreement [or Switzerland].
Textual Amendments
Marginal Citations
4 Qualifying examinations and primary United Kingdom qualifications.U.K.
(1)Subject to the provisions of this Part of this Act, a qualifying examination for the purposes of this Part of this Act is an examination held by any of the bodies or combinations of bodies specified in subsection (2) below for the purpose of granting one or more primary United Kingdom qualifications.
(2)The bodies and combinations of bodies entitled to hold qualifying examinations are—
(a)any of the Universities of Oxford, Cambridge, London, Manchester, Birmingham, Liverpool, Leeds, Sheffield, Newcastle, Bristol, Nottingham, Southampton, Leicester, Wales, Glasgow, Aberdeen, Edinburgh, Dundee or the
[(aa)a combination of the University of Leicester and the University of Warwick;]
[(ab)the University of Warwick;
(ac)Cardiff University;
(ad)the University of East Anglia;
(ae)a combination of the University of Exeter and the University of Plymouth;]
(b)a combination of the Royal College of Physicians of London and the Royal College of Surgeons of England;
(c)a combination of the Royal College of Physicians of Edinburgh and the Royal College of Surgeons of Edinburgh and the Royal College of Physicians and Surgeons of Glasgow;
(d)the Society of Apothecaries of London;
(e)with the approval and under the directions of the Education Committee, a combination of any two or more of the bodies specified in paragraphs (b), (c) and (d) above.
(3)In this Act “primary United Kingdom qualification” means any of the following qualifications, namely—
(a)the degree of bachelor of medicine or bachelor of surgery granted by any university in the United Kingdom;
(b)licentiate of the Royal College of Physicians of London [or the Royal College of Surgeons of England] or the Royal College of Physicians of Edinburgh or the Royal College of Surgeons of Edinburgh or the Royal College (formerly Royal Faculty) of Physicians and Surgeons of Glasgow;
(c)membership of the Royal College of Surgeons of England [granted before the coming into force of section 1 of the Medical Qualifications (Amendment) Act 1991];
(d)licentiate in medicine and surgery of the Society of Apothecaries of London.
(4)Any two or more of the universities and other bodies specified in subsection (3) above may, with the approval and under the directions of the Education Committee, unite or co-operate in conducting examinations held for the purpose of granting primary United Kingdom qualifications.
(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 General functions of the Education Committee in relation to medical education in the United Kingdom.U.K.
(1)The Education Committee shall have the general function of promoting high standards of medical education and co-ordinating all stages of medical education.
(2)For the purpose of discharging that function the Education Committee shall—
(a)determine the extent of the knowledge and skill which is to be required for the granting of primary United Kingdom qualifications and secure that the instruction given in universities in the United Kingdom to persons studying for such qualifications is sufficient to equip them with knowledge and skill of that extent;
(b)determine the standard of proficiency which is to be required from candidates at qualifying examinations and secure the maintenance of that standard; and
[(c)discharge their functions under section 10A below in respect of programmes for provisionally registered doctors.]
[(2A)In making the determinations required by [subsection (2)(a) or (b) above or discharging their functions mentioned in subsection (2)(c) above,] the Education Committee shall secure that the requirements of article 23 of Directive 93/16/EEC are satisfied.
(2B)The requirements of that article are that any person who fulfils the conditions mentioned in section 3(1)(a) above—
(a)will have acquired—
(i)adequate knowledge of the sciences on which medicine is based and a good understanding of the scientific methods including the principles of measuring biological functions, the evaluation of scientifically established facts and the analysis of data,
(ii)sufficient understanding of the structure, functions and behaviour of healthy and sick persons, as well as relations between the state of health and physical and social surroundings of the human being,
(iii)adequate knowledge of clinical disciplines and practices, providing him with a coherent picture of mental and physical diseases, of medicine from the points of view of prophylaxis, diagnosis and therapy and of human reproduction, and
(iv)suitable clinical experience in hospitals under appropriate supervision; and
(b)will have undergone medical training comprising at least a six-year course, or 5,500 hours of theoretical and practical instruction, which—
(i)was given in a university or under the supervision of a university, and
(ii)was open only to persons holding qualifications adequate for admission to university for such training.]
[(3)Determinations of the Education Committee under subsection (2)(a) or (b) above shall be published in such manner as they see fit.
(3A)Such determinations—
(a)are binding on universities or other bodies concerned with medical education as regards the matters to which they relate; and
(b)accordingly, those universities or other bodies must act in accordance with them as regards the matters to which they relate.]
(4)In this Act—
“Directive 93/16/EEC” means Council Directive 93/16/EEC of 5 April 1993 to facilitate the free movement of doctors and the mutual recognition of their diplomas, certificates and other evidence of formal qualifications—
(a)
as adapted by paragraph 4(a) of Annex VII to the EEA Agreement, in which the primary medical qualifications awarded in EEA States are set out; and
(b)
[as amended by—
(i)
the Act annexed to the Treaty relating to the accession of the Kingdom of Norway, the Republic of Austria, the Republic of Finland and the Kingdom of Sweden to the European Union signed at Corfu on 24th June 1994, as adjusted by the Decision of the Council of the European Union of 1st January 1995 adjusting the instruments concerning the accession of new Member States to the European Union,
(iii)
the Agreement between the European Community and its Member States, of the one part, and the Swiss Confederation, of the other, on the free movement of persons, signed at Luxembourg on 21st June 1999;]
(iv)
[the Act annexed to the Treaty relating to the conditions of accession of the Czech Republic, the Republic of Estonia, the Republic of Cyprus, the Republic of Latvia, the Republic of Lithuania, the Republic of Hungary, the Republic of Malta, the Republic of Poland, the Republic of Slovenia and the Slovak Republic and the Adjustments to the Treaties on which the European Union is founded signed at Athens on 16th April 2003;]
“the prescribed knowledge and skill” means knowledge and skill of the extent for the time being determined under subsection (2)(a) above and [set out in determinations published] under subsection (3) above;
“the prescribed standard of proficiency” means the standard of proficiency for the time being determined under subsection (2)(b) above and [set out in determinations published] under subsection (3) above;
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6 Further powers of the Education Committee.U.K.
(1)A university or other body in the United Kingdom granting any primary United Kingdom qualification or any additional qualification for the time being registrable under section 16 below shall from time to time, when so required by the Education Committee, furnish the Committee with such information as the Committee may require as to—
(a)the courses of study and examinations to be gone through in order to obtain the qualification;
(b)the ages at which such courses of study and examinations are required to be gone through;
(c)the age at which the qualification is granted; and
(d)generally the requisites for obtaining the qualification.
(2)For the purpose of securing the maintenance of the prescribed standard of proficiency the Education Committee may appoint such number of inspectors as they may determine, and the inspectors shall attend, as the Committee may direct, all or any of the qualifying examinations held by any university or other body specified in section 4(3) above.
(3)Any person deputed for the purpose by the Education Committee may attend and be present at any examination held in the United Kingdom which has to be gone through in order to obtain a primary United Kingdom qualification or any additional qualification for the time being registrable under section 16 below.
(4)Inspectors appointed under subsection (2) above shall not interfere with the conduct of any examination, but it shall be their duty to report to the Education Committee their opinion as to the sufficiency of every examination which they attend, and any other matters relating to such examinations which the Committee may require them to report.
(5)The Education Committee shall forward a copy of every report of the inspectors to the body or each of the bodies who held the examination to which the report relates and shall also forward a copy of the report, together with any observations on it made by the said body or bodies, to the Privy Council.
7 Power to appoint visitors of medical schools.U.K.
(1)The Education Committee may appoint persons to visit, subject to any directions which the Privy Council may deem it expedient to give and to compliance with any conditions specified in any such directions, places where instruction is given to medical students under the direction of any university or other body specified in section 4(3) above.
(2)It shall be the duty of visitors appointed under subsection (1) above to report to the Education Committee as to the sufficiency of the instruction given in the places which they visit and as to any other matters relating to the instruction which may be specified by the Committee either generally or in any particular case; but no visitor shall interfere with the giving of any instruction.
(3)On the receipt of any report of a visitor under subsection (2) above the Education Committee shall send a copy of the report to the university or other body under whose direction the instruction is given, and on the receipt of the copy that body may, within such period of not less than one month as the Committee may have specified at the time they sent the copy of the report, make to the Committee observations on the report or objections to it.
(4)As soon as may be after the expiration of the period specified under subsection (3) above the Education Committee shall send a copy of the report and of any observations on it or objections to it duly made, together with the Committee’s comments on the report and on any such observations or objections, to the Privy Council.
8 Power to add further qualifying examinations.U.K.
(1)If it appears to the Education Committee that the standard of proficiency required from candidates at examinations held or to be held by [any university or other body, or any combination of bodies (including universities),] in the United Kingdom for the purpose of granting one or more primary United Kingdom qualifications does or will conform to the prescribed standard of proficiency, the Committee may represent to the Privy Council that it is expedient that those examinations should become qualifying examinations for the purposes of this Part of this Act.
(2)Her Majesty may by Order in Council give effect to any representations made to the Privy Council under subsection (1) above, and any such Order may make such amendments in section 4(2) above as are necessary for giving effect to the Order.
9 Powers of Privy Council where standards not maintained.U.K.
(1)If at any time it appears to the Education Committee that the course of study and examinations to be gone through in order to obtain a primary United Kingdom qualification are not such as to equip persons going through the course and examinations with the prescribed knowledge and skill, the Committee may make representations to that effect to the Privy Council.
(2)On any representations under subsection (1) above the Privy Council may, if they see fit, order that a qualification granted, after such time as may be specified in the order, in pursuance of the course of study and examinations to which the order relates shall not be a qualification registrable under section 16 below.
(3)Where an order is made under subsection (2) above, no person shall be entitled to be registered under this Part of this Act by virtue of any qualification specified in the order and granted after such time as may be so specified.
(4)If at any time it appears to the Education Committee that the standard of proficiency required from candidates at any qualifying examination does not conform to the prescribed standard of proficiency, the Committee shall make representations to that effect to the Privy Council.
(5)Where representations are made under subsection (4) above the Privy Council, if they think fit, after considering the representations and any objections to them made by any university or other body to which they relate, may by order declare that the examinations held by that university or body shall be deemed not to be qualifying examinations for the purposes of this Part of this Act.
(6)A qualification granted on the passing of an examination to which an order under subsection (5) above relates, and granted while the order is in force, shall not entitle the holder of the qualification to be registered under this Part of this Act.
(7)An order under this section—
(a)if made under subsection (2) above, may be revoked by Her Majesty with the advice of the Privy Council if it is made to appear to Her Majesty, upon further representations from the Education Committee or otherwise, that the university or other body to which the order relates has made effectual provision, to the satisfaction of the Committee, for the improvement of the course of study or examinations to which the order relates or the mode of conducting those examinations;
(b)if made under subsection (5) above, may be revoked by Her Majesty with the advice of the Privy Council if upon further representation from the Education Committee or from any university or other body to which the order relates it seems to Her Majesty expedient so to do;
but the revocation of an order made under subsection (2) above shall not entitle any person to be registered by virtue of a qualification granted before the revocation.
10 Experience required for full registration by virtue of primary United Kingdom qualifications.U.K.
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[10AProgrammes for provisionally registered doctorsU.K.
(1)For the purposes of this Act, “acceptable programme for provisionally registered doctors” means a programme that is for the time being recognised by the Education Committee as providing a provisionally registered person with an acceptable foundation for future practice as a fully registered medical practitioner.
(2)In connection with recognising programmes for provisionally registered doctors as mentioned in subsection (1) above, the Education Committee may determine—
(a)the duration of a programme for provisionally registered doctors, subject to any provision made in an order under subsection (3);
(b)the bodies that may provide, arrange for the provision of or be responsible for programmes for provisionally registered doctors and (where different) the bodies by whom a person is to be employed or engaged while he is participating in a programme for provisionally registered doctors;
(c)the content and standard of programmes for provisionally registered doctors;
(d)activities which a person is, or is not, to engage in as part of or while participating in a programme for provisionally registered doctors;
(e)the arrangements for certification that a person has satisfactorily completed a programme for provisionally registered doctors, including—
(i)determining the bodies that may certify that a person has satisfactorily completed a programme for provisionally registered doctors,
(ii)determining assessment arrangements and the standards required for certification, and
(iii)determining the form of the certificate of experience to be awarded on satisfactory completion of a programme for provisionally registered doctors; and
(f)arrangements for a person with a disability not to be disadvantaged unfairly by the disability when participating in a programme for provisionally registered doctors.
(3)The Privy Council may by order prescribe a minimum and a maximum period for the duration of a programme for provisionally registered doctors, and may prescribe different periods for different programmes.
(4)Determinations of the Education Committee under subsection (2) above shall be published in such manner as they see fit.
(5)Such determinations—
(a)are binding on bodies concerned with programmes for provisionally registered doctors as regards the matters to which they relate; and
(b)accordingly, those bodies must act in accordance with them as regards the matters to which they relate.
(6)The Privy Council—
(a)except where acting in accordance with a proposal made by the Education Committee, shall consult the Education Committee before making, varying or revoking any order under subsection (3) above; and
(b)shall, when making, varying or revoking any order under subsection (3) above, act in a manner which is consistent with the requirements of article 23 of Directive 93/16/EEC.
(7)For the purpose of—
(a)determining whether any programme for provisionally registered doctors should for the time being be recognised; or
(b)making any determination in connection with a body mentioned in subsection (2),
the Education Committee may appoint persons to consider programmes for provisionally registered doctors, to visit the bodies mentioned in subsection (2) and to report to the Education Committee on those programmes and those bodies.
(8)If the Education Committee have formed the provisional opinion—
(a)that a programme for provisionally registered doctors that has been recognised by them should no longer be recognised by them, they shall notify that opinion in writing to any body, mentioned in subsection (2), that is connected with that programme and shall allow that body a reasonable opportunity to respond before determining whether or not to end their recognition of that programme; or
(b)that a determination under subsection (2)(b) or (e)(i) should be revoked, they shall notify that opinion in writing to the body in respect of whom the determination was made and shall allow that body a reasonable opportunity to respond before determining whether or not to revoke that determination.]
11 Provisions supplementary to s. 10, etc.E+W+S
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12 Special provisions as to employment in health centres.U.K.
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13 Power to appoint visitors of approved hospitals.U.K.
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14 Alternative requirements as to experience in certain cases.U.K.
[(1)On an application made to them by a person to whom this section applies, the General Council may direct that, as an alternative to the satisfactory completion of an acceptable programme for provisionally registered doctors, it shall be sufficient for the applicant to satisfy the General Council that, in the course of or as an adjunct to practice in the United Kingdom or elsewhere, he has undergone medical training and acquired clinical experience, over a period acceptable to the General Council, which has provided him with a foundation for future practice as a fully registered medical practitioner which is at least as good as the foundation provided by an acceptable programme for provisionally registered doctors.]
(2)This section applies to any person who claims registration under section 3 above and—
(a)claims such registration by virtue of a qualification granted before 1st January 1953; or
(b)is the holder of a primary United Kingdom qualification and also of a qualification granted outside the United Kingdom which is recognised by the General Council for the purposes of this section as furnishing a sufficient guarantee of the possession of knowledge and skill corresponding with the prescribed knowledge and skill.
[(3)In giving directions under subsection (1) above in the case of applicants falling within paragraph (b) of subsection (2) above, the General Council shall have regard to the requirements of article 23 of Directive 93/16/EEC.]
[15 Provisional registration.U.K.
(1)This section shall have effect for enabling persons wishing to complete an acceptable programme for provisionally registered doctors to participate in such a programme.
(2)A person shall be entitled to be registered provisionally under this section if—
(a)he has not satisfactorily completed an acceptable programme for provisionally registered doctors; but
(b)apart from that he would be entitled to be registered under section 3 above.
(3)A person provisionally registered under this section shall be deemed to be registered under section 3 above as a fully registered medical practitioner so far as is necessary to enable him to participate in an acceptable programme for provisionally registered doctors but not further.]
[15AProvisional registration for EEA nationalsU.K.
(1)This section shall have effect for enabling a national of an EEA State to be employed for the purpose of enabling him to acquire the clinical experience under appropriate supervision which he needs in order to obtain a primary European qualification.
(2)A national of an EEA State who, but for the acquisition of suitable clinical experience, has completed the training required for a primary European qualification, shall be entitled to be registered provisionally under this section [if his fitness to practise is not impaired].
(3)Any person who—
(a)is not a national of an EEA State; but
(b)is, by virtue of a right conferred by article 11 of Regulation (EEC) No. 1612/68, or any other enforceable Community right, entitled to be treated, for the purposes of access to and the practice of the medical profession, no less favourably than a national of such a State,
shall be treated for the purposes of subsections (1) and (2) as if he were such a national.
(4)Subsection (3) of section 15 above shall apply for the purposes of this section as it applies for the purposes of that.
(5)For the purposes of subsection (2), a person has completed the training required for a primary European qualification, but for the acquisition of suitable clinical experience, where he has obtained a medical degree which guarantees that he has fulfilled the requirements of Article 23, paragraph 1(a), (b) and (c) of Directive 93/16/EEC.]
Textual Amendments
Marginal Citations
16 Registration of qualifications.U.K.
(1)A person registered under [section 3, 15 or 15A] above shall be entitled to have registered the primary United Kingdom qualification or qualifications or primary European qualification or qualifications which he holds when he is so registered and also—
(a)any other primary United Kingdom qualification or qualification specified in Schedule 2 to this Act which he obtains after registration;
(b)subject to subsection (3) below, any additional qualification which the Education Committee determine ought to be registrable by virtue of this paragraph which he holds when he is registered or obtains thereafter;
(c)any . . . qualification which is for the time being registrable by virtue of section 26(1)(b) below which he holds when he is registered or obtains thereafter.
(2)In this Act “additional qualification” means any qualification granted in [an EEA State] other than a primary United Kingdom qualification or a qualification specified in Schedule 2 to this Act.
(3)If the Education Committee determine that any such qualification as is mentioned in paragraph (b) of subsection (1) above ought not to be registrable by virtue of that paragraph if granted before or after a particular date, a person holding that qualification shall not be entitled to have it registered if it was granted to him before or, as the case may be, after that date.
[17 Primary qualifications obtained in other EEA States.U.K.
(1)A primary European qualification for the purposes of this Part of this Act is any of the following obtained in an EEA State other than the United Kingdom, namely—
(a)a European qualification listed in Schedule 2 to this Act which was obtained on or after the implementation date and is not evidence of training commenced before that date;
(b)subject to compliance with subsection (2) below, a qualification obtained before the implementation date, or on or after that date where training of which it is evidence commenced before that date;
(c)subject to compliance with subsection (3) below, a qualification not listed in Schedule 2 to this Act;
(d)subject to compliance with subsection (4) below, a qualification which is evidence of training commenced before 3rd October 1990 and undertaken on the territory of the former German Democratic Republic.
[(e)subject to compliance with subsection (4A) below, a qualification which—
(i)is evidence of training commenced before the date specified in column (a) of the table in that subsection and undertaken on the territory specified in the corresponding entry in column (b) of that table, or
(ii)was awarded by the state or former state specified in column (b) of the table in that subsection before the date specified in the corresponding entry in column (a).]
(2)For compliance with this subsection in the case of any qualification, either—
(a)it must be such that the Registrar is satisfied with respect to it (by means of a certificate of the medical authorities of the EEA State in which it was obtained or otherwise) that it accords with the standards laid down by Directive 93/16/EEC; or
(b)evidence of it must be accompanied by a certificate of the medical authorities of any EEA State that the holder has effectively and lawfully been engaged in actual medical practice for at least 3 consecutive years during the 5 years preceding the date of the certificate.
(3)For compliance with this subsection in the case of any qualification, evidence of it must be accompanied by a certificate of the medical authorities of the EEA State in which it was obtained to the effect that—
(a)it was awarded following training which satisfied the requirements of article 23 of Directive 93/16/EEC; and
(b)it is treated by that State as if it were a qualification listed in relation to that State in [Annex A to] that Directive.
(4)For compliance with this subsection in the case of any qualification—
(a)it must be such that the Registrar is satisfied with respect to it (by means of a certificate of the German medical authorities or otherwise) that the holder is entitled by virtue of it to engage in medical practice throughout the territory of Germany on the same conditions as the holder of a German qualification listed in Schedule 2 to this Act; and
(b)evidence of it must be accompanied by a certificate of the German medical authorities that the holder has effectively and lawfully been engaged in actual medical practice in Germany for at least 3 consecutive years during the 5 years preceding the date of the certificate.
[(4A)For compliance with this subsection in the case of any qualification—
(a)it must be such that the Registrar is satisfied with respect to it (by means of a certificate from the medical authorities of the EEA State specified in the appropriate row of column (c) of the table below) that that qualification has, on its territory, the same legal validity as regards access to and practice of the medical profession as the qualification listed in relation to that State in Schedule 2 to this Act; and
(b)evidence of it must be accompanied by a certificate from those authorities stating that the holder has effectively and lawfully been engaged in the activity in question on the territory of that State for at least 3 consecutive years during the 5 years preceding the date of issue of that certificate.
Column (a) | Column (b) | Column (c) |
---|
1st January 1993 | Former Czechoslovakia | Czech Republic |
1st January 1993 | Former Czechoslovakia | Slovakia |
20th August 1991 | Former Soviet Union | Estonia |
21st August 1991 | Former Soviet Union | Latvia |
11th March 1990 | Former Soviet Union | Lithuania |
25th June 1991 | Yugoslavia | Slovenia] |
(5)In subsections (2) to [(4A)] above, references to the medical authorities of an EEA State are references to the authorities and bodies designated in accordance with Directive 93/16/EEC.
(6)In this section “the implementation date” means—
(a)in the case of Greece, 1st January 1981;
(b)in the case of Spain and Portugal, 1st January 1986;
(c)in the case of Austria, Finland, Iceland, Norway and Sweden, 1st January 1994;
(d)in the case of Liechtenstein, 1st May 1995; ...
(da)in the case of Switzerland, 1st June 2002; ...
[(db)in the case of the Czech Republic, Estonia, Cyprus, Latvia, Lithuania, Hungary, Malta, Poland, Slovenia and Slovakia, 1st May 2004;]
(e)in the case of any other EEA State, 20th December 1976.]
18 Visiting EEC practitioners.U.K.
(1)If he complies with the requirements of this section it shall be lawful for a person who is a national of [any EEA State] and lawfully established in medical practice in [an EEA State] other than the United Kingdom on visiting the United Kingdom to render medical services there temporarily without first being registered under the foregoing provisions of this Part or under Part III of this Act.
(2)Such a person intending so to render services shall provide the Registrar with—
(a)a declaration in writing giving particulars of the services to be rendered and the period or periods in which he expects to render them; and
(b)a certificate or certificates issued by the competent authority or body and bearing a date not less recent than 12 months prior to the date on which it is provided, which shows—
(i)that he is lawfully practising medicine in [an EEA State]other than the United Kingdom, and
(ii)that he holds medical qualifications which [EEA States] are required by [Directive 93/16/EEC] to recognise;
and for the purposes of this subsection “the competent authority or body” means the authority or body designated by [the EEA State] concerned as competent for the purposes of [Article 17(3)] of that Directive.
(3)In an urgent case the [documents to be provided under] subsection (2) above may be provided after the services have been rendered, but where [they are so provided they shall] be provided as soon as possible thereafter and in any event not more than 15 days after the date on which the practitioner first rendered such services.
(4)Where a person complies with the requirements of subsection (2) above, the Registrar shall register him under this section in the register of medical practitioners as a visiting [EEA practitioner] for such period or periods as, having regard to the particulars given in the declaration referred to in subsection (2)(a) above, he considers appropriate.
(5)Registration of a person as a visiting [EEA practitioner] shall cease if—
(a)he becomes established in medical practice in the United Kingdom; or
(b)he renders, save in a case of urgency, medical services in the United Kingdom otherwise than in accordance with a declaration made by him under subsection (2)(a) above.
[(6)Any person who—
(a)is not a national of an EEA State; but
(b)is, by virtue of a right conferred by article 11 of Regulation (EEC) No. 1612/68, or any other enforceable Community right, entitled to be treated, for the purposes of access to the medical profession, no less favourably than a national of such a State,
shall be treated for the purposes of this section as if he were such a national.]
Part IIIU.K. Registration of Persons Qualifying Overseas
[19 Full registration of EEA nationals etc. by virtue of overseas primary qualifications etc.U.K.
(1)Where an exempt person satisfies the Registrar—
(a)that he holds[, or has passed all the qualifying examinations necessary for obtaining,] an acceptable overseas qualification other than a primary European qualification;
[(b)that, in the course of or as an adjunct to practice in the United Kingdom or elsewhere, he has undergone medical training and acquired clinical experience, over a period acceptable to the General Council, which has provided him with a foundation for future practice as a fully registered medical practitioner which is at least as good as the foundation provided by an acceptable programme for provisionally registered doctors; and]
(c)[that he is of good character,]
[that his fitness to practise is not impaired,]
that person shall, if the General Council think fit so to direct, be registered under this section as a fully registered medical practitioner.
(2)In this Act “exempt person” means a person who—
(a)is a national of an EEA State other than the United Kingdom;
(b)is a national of the United Kingdom who is exercising an enforceable Community right; or
(c)is not a national of an EEA State, but is, by virtue of a right conferred by article 11 of Regulation (EEC) No 1612/68, or any other enforceable Community right, entitled to be treated, for the purposes of access to the medical profession, no less favourably than a national of such a State.
(3)In determining an application by any person for registration under this section, the General Council shall take into account—
(a)if the applicant holds a qualification granted outside the European Economic Area which has been accepted by another EEA State as qualifying him to practise as a medical practitioner in that State, the acceptance of the qualification; and
(b)all medical qualifications, knowledge or experience, wherever acquired, which are relevant to the determination of his application.
(4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ]
20 Experience required for full registration by virtue of recognised overseas qualifications.U.K.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21 Provisional registration [of EEA nationals etc. with certain overseas qualifications].U.K.
[(1)The following provisions shall have effect for enabling persons wishing to satisfy the Registrar of the matters specified in section 19(1)(b) above to participate in an acceptable programme for provisionally registered doctors.]
(2)A person who satisfies the Registrar of the matters specified in paragraphs (a). . . and (c) of section 19(1) above may apply to the General Council to be registered provisionally under this section and, if the Council think fit so to direct, that person shall be so registered.
[(2A)Subsection (3) of section 19 above applies in relation to an application for registration under this section as it applies in relation to an application for registration under that section.]
[(3)A person provisionally registered under this section shall be deemed to be registered under section 19 above as a fully registered medical practitioner so far as is necessary to enable him to participate in an acceptable programme for provisionally registered doctors but not further.]
[21A Full registration for eligible specialists and qualified general practitionersU.K.
[(1)Where a person satisfies the Registrar—
(a)that he holds an acceptable overseas qualification other than a primary European qualification;
(b)that he is an eligible specialist or a qualified general practitioner;
(c)that he is of good character; and
(d)that he has the necessary knowledge of English or is an exempt person,
that person shall, if the General Council think fit so to direct, be registered under this section as a fully registered medical practitioner.
[(2)In subsection (1)(b) above—
[(3)In this section—
“the Board” means the Postgraduate Medical Education and Training Board;
“CCT” means Certificate of Completion of Training;
“CCST” means Certificate of Completion of Specialist Training;
“the former competent authority” means the Specialist Training Authority of the medical Royal Colleges; and
“transitional arrangements” means arrangements made for a period of time following the transfer of certain functions from the former competent authority to the Board, or from the Joint Committee on Postgraduate Training for General Practice to the Board (as the case may be).]]]
[21BFull registration of persons with an overseas qualificationU.K.
(1)Where a person satisfies the Registrar—
(a)that he holds, or has passed all the qualifying examinations necessary for obtaining, an acceptable overseas qualification;
(b)that he possesses the knowledge, skills and experience necessary for practising as a fully registered medical practitioner in the United Kingdom;
(c)that his fitness to practise is not impaired; and
(d)unless he is an exempt person, that he has the necessary knowledge of English,
that person shall, if the General Council think fit so to direct, be registered under this section as a fully registered medical practitioner.
(2)In this Act, an “acceptable overseas qualification” means any qualification granted outside the United Kingdom, where that qualification is for the time being accepted by the General Council as qualifying a person to practise as a medical practitioner in the United Kingdom.
21CProvisional registration of persons with an overseas qualificationU.K.
(1)The following provisions shall have effect for enabling persons wishing to participate in programmes for provisionally registered doctors in order to be able to satisfy the Registrar, in accordance with section 21B(1)(b), that they possess the knowledge, skills and experience necessary for practising as fully registered medical practitioners in the United Kingdom.
(2)A person who satisfies the Registrar—
(a)of the matters specified in paragraphs (a), (c) and (d) of section 21B(1) above; and
(b)that he possesses the knowledge and skill requisite for embarking upon an acceptable programme for provisionally registered doctors,
may apply to the General Council to be provisionally registered under this section and, if the Council think fit so to direct, that person shall be so registered.
(3)A person provisionally registered under this section shall be deemed to be registered under section 21B above as a fully registered medical practitioner so far as is necessary to enable him to participate in an acceptable programme for provisionally registered doctors but not further.]
22 Limited registration of persons by virtue of overseas qualifications.U.K.
[(1)Subject to sections 23(5) and 24 below, where a person satisfies the Registrar—
[(a)that he has been selected for employment in the British Islands of a description approved by the General Council for the purposes of this section;]
(b)that he holds, has held, or has passed the examination necessary for obtaining some acceptable overseas qualification or qualifications;
(c)that he has the necessary knowledge of English [or is an exempt person . . . ];
(d)that he is of good character; and
(e)that he has the knowledge and skill, and has acquired the experience, which is necessary for practice as a medical practitioner registered under this section and is appropriate in his case,
he shall, if the General Council think fit so to direct, be registered under this section as a medical practitioner with limited registration.
[(1A)In determining an application by an exempt person for registration under this section, the General Council shall take into account—
(a)if the applicant holds, has held or has passed the examination necessary for obtaining a qualification granted outside the European Economic Area which has been accepted by another EEA State as qualifying him to practise as a medical practitioner in that State, the acceptance of the qualification; and
(b)all medical qualifications, knowledge or experience, wherever acquired, which are relevant to the determination of his application.]
(2)In this Act “limited registration” means registration under this section limited in accordance with subsection (5) below in respect of the period for which and the employment for the purposes of which it has effect.
(3)No person shall be registered under this section for a period, or for periods which amount in the aggregate to a period, exceeding five years; and in this Act the “permitted period”, in relation to an applicant for registration under this section, means—
(a)if he has not previously been registered under this section, five years;
(b)if he has previously been so registered, the amount by which five years exceeds the period or aggregate of periods for which he has been so registered.
(4)In this Act an “acceptable overseas qualification” means any qualification granted outside the United Kingdom and for the time being accepted by the General Council for the purposes of this section as furnishing a sufficient guarantee of the possession of the knowledge and skill requisite for the practice of medicine under the supervision of a person who is registered as a fully registered medical practitioner.
(5)The limits of a person’s registration under this section shall be defined in the direction by virtue of which he is registered in accordance with the following provisions, that is to say—
(a)the direction shall specify a period, not exceeding his permitted period, as the period for which his registration is to have effect; and
(b)the direction shall specify the particular employment or the descriptions of employment for the purposes of which he is registered under this section;
and, subject to subsection (6) below and to section 24(1) and (2) below, that person’s registration shall have effect for the period and for the purposes of the particular employment or the descriptions of employment specified in the direction.
(6)Where a direction specifies a particular employment as the employment for the purposes of which a person is registered under this section and that employment terminates before the end of the period specified in the direction by virtue of subsection (5)(a) above, the registration of the person under this section shall cease to have effect when that employment terminates.
(7)A person registered under this section shall be treated as registered under section 19 above as a fully registered medical practitioner in relation to the following matters, namely—
(a)any employment in which he is engaged during the currency of his registration, being the particular employment or employment of a description for the purposes of which he is registered; and
(b)things done or omitted in the course of that employment; and
(c)any other thing incidental to his work in that employment which, by virtue of any enactment, may not lawfully or validly be done except by a fully registered medical practitioner;
but in relation to other matters he shall be treated as not so registered.
(8)A person registered under this section shall not, while engaged in the particular employment or in employment of a description for the purposes of which he is registered, work otherwise than under the supervision of a person who is registered as a fully registered medical practitioner.]
23 Limited registration: supplementary provisions.U.K.
[(1)An applicant for limited registration shall specify in his application the particular employment or the descriptions of employment for the purposes of which he wishes to be registered and shall give such other particulars as the General Council may require.
(2)What knowledge and skill, and what experience, is necessary for practice as a medical practitioner registered under section 22 above shall be determined by the General Council in relation to each branch of medicine and to practice therein in the descriptions of employment for the purposes of which persons apply for registration under that section.
(3)For the purpose of section 22(1)(e) above, the knowledge and skill, and the experience, which is appropriate in the case of an applicant for registration under that section means, subject to subsections (4) and (5) below, the knowledge and skill, or the experience, determined under this section which appears to the Registrar to be appropriate to the particular employment or the descriptions of employment for which the applicant desires to be registered.
(4)The General Council may, in the case of any particular application for limited registration, give to the Registrar a direction determining what knowledge and skill, or what experience, determined by the Council under subsection (2) above for the purposes of section 22(1)(e) above is appropriate in the case of the applicant having regard to the particular employment or descriptions of employment for the purposes of which the applicant wishes to be registered or the Council considers they may grant limited registration.
(5)The General Council may, in the case of any applicant or applicants of any description, give to the Registrar a direction exempting the applicant, or applicants of that description, from compliance with the requirements of section 22(1)(e) above as to knowledge and skill, or as to experience, or both.]
24 Limited registration: erasure.U.K.
[(1)The General Council may, on an application being made to them containing such particulars as they may require by a person who is registered with limited registration, direct that his name shall be erased from the register on his own application on such day as they may specify in the direction; but the fact that a person’s name has been erased under this subsection shall be disregarded by the Council in deciding whether or not to grant limited registration for a further period to that person.
(2)If it appears to the General Council, having regard to his performance in a relevant employment, that a person registered under section 22 above does not in fact possess the appropriate knowledge and skill, the Council may, subject to subsection (4) below, if they think fit, direct that his name shall be erased from the register.
(3)In subsection (2) above, in relation to a person registered under section 22 above—
(a)“a relevant employment” means . . . an employment of a description for the purposes of which he is or has been so registered; and
(b)“the appropriate knowledge and skill” means the knowledge and skill which was required in his case in pursuance of subsection (1)(e) of that section in connection with the application for registration under that section by virtue of which he is so registered.
(4)No person’s name shall be erased from the register under subsection (2) above unless—
(a)the Registrar has served on him a notification of the grounds on which the Council are considering exercising their powers under that subsection; and
(b)the Council have afforded him an opportunity of making representations to them in the matter;
and paragraph 8 of Schedule 4 to this Act shall apply to a notification required to be served by this subsection as it applies to the notifications required to be served by the provisions mentioned in that paragraph.]
25 Full registration of persons with limited registration.U.K.
[A person who is or has been registered with limited registration may, on satisfying the Registrar that he is of good character, apply to the General Council to be registered fully by virtue of this section; and if the Council think fit so to direct, having regard to the knowledge and skill shown and the experience acquired by the applicant, he shall be registered . . . as a fully registered medical practitioner.]
26 Registration of qualifications.U.K.
(1)A person registered under section [19, [21 or 21A] [21, 21B or 21C]] above shall be entitled to have registered the [acceptable overseas qualification] which he holds when he is so registered and also—
(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b)[subject to subsection (3) below, any overseas qualification] which the General Council determine ought to be registrable by virtue of this paragraph which he holds when he is registered or obtains thereafter;
(c)subject to subsection (3) below, any additional qualification which the General Council determine ought to be registrable by virtue of this paragraph which he holds when he is registered or obtains thereafter; and
(d)any primary United Kingdom qualification or primary European qualification which he holds when he is registered or obtains thereafter.
(2)[A person registered with limited registration under section 22 above shall be entitled to have registered the acceptable overseas qualification or qualifications which he holds when he is so registered and, if such a person is subsequently registered under . . . section 25 above, he shall on being so registered be entitled to have registered, apart from the qualifications mentioned in subsection (1) above, the acceptable overseas qualification or qualifications by virtue of which he was granted limited registration.]
(3)If the General Council determine that any such qualification as is mentioned in paragraph (b) or (c) of subsection (1) above ought not to be registrable by virtue of that paragraph if granted before or after a particular date, a person holding that qualification shall not be entitled to have it registered if it was granted to him before or, as the case may be, after that date.
[27ATemporary registration for visiting eminent specialistsU.K.
(1)A person who is an eminent specialist in a particular branch of medicine and who is or intends to be in the United Kingdom temporarily for the purpose of providing medical services within that branch of medicine may apply to the General Council to be registered temporarily as a fully registered medical practitioner.
(2)If the person referred to in subsection (1) satisfies the Registrar—
(a)that he holds, or has passed all the qualifying examinations necessary for obtaining, an acceptable overseas qualification;
(b)that he is entitled to practise medicine in the State where he is ordinarily resident;
(c)that he is or will be employed or engaged within the United Kingdom to provide medical services in a particular branch of medicine;
(d)that he is an eminent specialist in that particular branch of medicine; and
(e)that his fitness to practise is not impaired,
that person shall, if the General Council think fit so to direct, be registered under this section as a fully registered medical practitioner, subject to any conditions specified in the direction, for such period (being no more than 26 weeks) as they specify in the direction.
(3)The General Council may, if they think fit so to direct, vary the conditions specified in the direction and, subject to subsection (4), may extend the period specified in the direction for which the person is registered under this section.
(4)A person may not be registered under this section for more than 26 weeks in any period of five years.
(5)A person’s registration under this section shall cease to have effect on the expiry of the period for which he is registered.
(6)If a person breaches any condition to which his registration under this section is subject, anything done by him in breach of that condition—
(a)is to be treated as not being done by a registered medical practitioner; and
(b)may be treated as misconduct for the purposes of section 35C(2)(a) below, and the Registrar may refer the matter to the Investigation Committee for investigation by them under section 35C(4) below.
27BSpecial purpose registrationU.K.
(1)A person who is or intends to be in the United Kingdom temporarily for the purposes of providing particular medical services exclusively to persons who are not nationals of the United Kingdom may apply to the General Council to be registered temporarily as a fully registered medical practitioner.
(2)If the person referred to in paragraph (1) satisfies the Registrar—
(a)that he holds, or has passed all the qualifying examinations necessary for obtaining, an acceptable overseas qualification;
(b)that he is entitled to practise medicine in the State where he is ordinarily resident;
(c)that he is or will be employed or engaged within the United Kingdom—
(i)at an establishment that provides medical services for persons who are not nationals of the United Kingdom, and
(ii)to provide particular medical services, but only for persons who are not nationals of the United Kingdom; and
(d)that his fitness to practise is not impaired,
that person shall, if the General Council think fit so to direct, be registered under this section as a fully registered medical practitioner, subject to the conditions specified in the direction, for such period as they specify in the direction.
(3)The conditions that the General Council specifies in any direction under subsection (2) are to comprise or include—
(a)a condition that the person shall, except in an emergency, provide medical services within the United Kingdom only to persons who are not nationals of the United Kingdom; and
(b)a condition that the person shall, except in an emergency, provide only the particular medical services which are specified in the direction, whilst he is in the United Kingdom.
(4)The General Council may, if they think fit so to direct, vary the conditions in the direction (but not in such a way that the requirements of subsection (3) are no longer met) and may extend the period specified in the direction for which the person is registered under this section.
(5)A person’s registration under this section shall cease to have effect on the expiry of the period for which he is registered.
(6)If a person breaches any condition to which his registration under this section is subject, anything done by him in breach of that condition—
(a)is to be treated as not being done by a registered medical practitioner; and
(b)may be treated as misconduct for the purposes of section 35C(2)(a) below, and the Registrar may refer the matter to the Investigation Committee for investigation by them under section 35C(4) below.]
27 Temporary full registration for visiting overseas specialists.U.K.
[(1)A person who is or intends to be in the United Kingdom temporarily for the purpose of providing medical services of a specialist nature may apply to the General Council to be registered temporarily as a fully registered medical practitioner and if the Council are satisfied—
(a)that he holds one or more . . . acceptable overseas qualifications;
(b)that he possesses special knowledge of and skill in a particular branch or branches of medicine; . . .
(c)that the medical services he is to provide lie within that branch or one or more of those branches of medicine[; and
(d)that he is of good character,]
they may, if they think fit, direct that he shall be registered under this section as a fully registered medical practitioner for such period as they may specify in the direction.
(2)No person shall be fully registered under this section for a period exceeding twelve months.
(3)At the expiration of the period specified in a direction under subsection (1) above the registration of the person to whom the direction applies shall cease to have effect.]
28 The Review Board for Overseas Qualified Practitioners.U.K.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29 Functions of the Review Board.U.K.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[PART IIIAU.K. LICENCE TO PRACTISE AND REVALIDATION
Duty of General Council to make regulationsU.K.
29A Regulations as to licence to practise and revalidationU.K.
(1)Any reference in this Act to a “licence to practise” is a reference to a licence granted under and in accordance with this Part to a medical practitioner by a licensing authority.
(2)The General Council shall make regulations with respect to licences to practise.
(3)The provisions made by regulations under subsection (2) above must include provision for or in connection with each of the matters specified in subsection (4) below.
(4)Those matters are—
(a)grant of a licence to practise;
(b)refusal of a licence to practise;
(c)withdrawal of a licence to practise; and
(d)revalidation of a medical practitioner of a prescribed description as a condition of his continuing to hold a licence to practise [whenever a licensing authority sees fit to do so].
(5)In this Part—
“licensing authority” means—
(b)
a [Registration Decisions Panel][Registration Panel];
(c)
such other committee of the General Council as may be prescribed; or
(d)
such other officer of the General Council as may be prescribed;
“prescribed” means prescribed by regulations made by the General Council under subsection (2) above; and
“revalidation” means evaluation of a medical practitioner’s fitness to practise.
Grant, refusal and withdrawal of licenceU.K.
29B Grant, refusal and withdrawal of licenceU.K.
(1)Regulations under section 29A above shall provide for a licence to practise to be granted to a medical practitioner—
(a)on first registration under this Act as a medical practitioner with [either full registration or limited registration] [full registration] ;
(b)on being provisionally registered under this Act; and
(c)in such other cases or circumstances as may be prescribed.
(2)Regulations under section 29A above shall provide for the withdrawal of a licence to practise from a medical practitioner—
(a)where the practitioner has failed to comply with prescribed requirements of regulations under section 29A above;
(b)where the licence to practise was fraudulently procured or otherwise incorrectly granted;
(c)where the medical practitioner requests that the licence to practise be withdrawn; and
(d)in such other cases or circumstances as may be prescribed.
(3)Regulations under section 29A above shall make provision as to the procedure to be followed in connection with the grant or refusal, or the withdrawal, of a licence to practise by a licensing authority.
(4)If a licensing authority decides—
(a)to refuse to grant a licence to practise to a medical practitioner; or
(b)to withdraw a licence to practise from a medical practitioner,
the Registrar shall give the practitioner notice in accordance with subsection (5) below.
(5)The notice required by subsection (4) above is notice of—
(a)the decision;
(b)the reasons given for the decision by the licensing authority concerned; and
(c)the practitioner’s right of appeal under section 29F below.
(6)Section 29H below applies in relation to a notice under subsection (4) above.
29C Referral to the Investigation CommitteeU.K.
(1)Regulations under section 29A above shall provide that where, in the course of revalidation, it appears to a licensing authority that the fitness to practise of the medical practitioner concerned may be impaired, the authority may refer the matter to the Investigation Committee.
(2)If a matter is referred to the Investigation Committee in accordance with subsection (1) above, the licensing authority shall take no further action until the matter has been considered—
(a)by the Investigation Committee; or
(b)if it is referred by that Committee to a Fitness to Practise Panel, by such a Panel, and has been referred back to the authority.
Restoration of licenceU.K.
29D Restoration of licenceU.K.
(1)The General Council shall make regulations under section 29A above for and in connection with authorising or requiring a licensing authority, in such cases or circumstances as may be prescribed, to restore a licence to practise to a medical practitioner whose licence to practise has been withdrawn.
(2)Regulations by virtue of subsection (1) above shall make provision as to the procedure to be followed in connection with the restoration, or the refusal of the restoration, of a licence to practise by a licensing authority.
(3)If a licensing authority refuses to restore a licence to practise to a medical practitioner, the Registrar shall give the practitioner notice of—
(a)the decision;
(b)the reasons given for the decision by the licensing authority concerned; and
(c)the practitioner’s right of appeal under section 29F below.
(4)Section 29H below applies in relation to a notice under subsection (3) above.
Supplementary provisionsU.K.
29E EvidenceU.K.
(1)Regulations under section 29A above may make provision for a licensing authority—
(a)to refuse to grant a licence to practise to a medical practitioner;
(b)to withdraw a licence to practise from a medical practitioner; or
(c)to refuse to restore a licence to practise to a medical practitioner,
in any case where the medical practitioner does not provide the licensing authority with such evidence or information as the authority may reasonably request for any of the purposes specified in subsection (2) below.
(2)The purposes are those of—
(a)determining whether to grant a licence to practise to the practitioner;
(b)revalidation of the practitioner;
(c)determining whether to withdraw a licence to practise from the practitioner; and
(d)determining whether to restore a licence to practise to the practitioner.
[(2A)Regulations under section 29A above may include provision for or in connection with requiring a medical practitioner to supply information to a licensing authority (including information about his prospective, current or past employment as a medical practitioner) which, in the opinion of the licensing authority, will assist it in determining when and how to revalidate him.]
(3)For the purpose of carrying out any function under sections 29A to 29D above in relation to a medical practitioner, a licensing authority may require—
(a)any medical practitioner (other than that practitioner); or
(b)any other person,
who, in the opinion of the authority, is able to supply information, or produce any document, which appears relevant to the discharge of any such function, to supply such information or produce such a document.
(4)For the purpose of reviewing procedures relating to—
(a)revalidation; or
(b)the grant, withdrawal or restoration of a licence to practise,
a licensing authority may require any medical practitioner or other person to supply information or produce any document.
(5)Nothing in subsection (3) or (4) above shall require or permit any disclosure of information which is prohibited by or under any other enactment.
(6)But where information is held in a form in which the prohibition operates because the information is capable of identifying an individual, a licensing authority may, in exercising its functions under subsection (3) or (4) above, require that the information be put into a form which is not capable of identifying that individual.
(7)In determining for the purposes of subsection (5) above whether a disclosure is not prohibited, by reason of being a disclosure of personal data which is exempt from the non-disclosure provisions of the Data Protection Act 1998 by virtue of section 35(1) of that Act, it shall be assumed that the disclosure is required by or under this section.
(8)Subsections (3) and (4) do not apply in relation to the supplying of information or the production of a document which a person could not be compelled to supply or produce in civil proceedings before the relevant court (within the meaning of section 40(5) below).
(9)In this section “enactment” includes—
(a)an enactment comprised in, or in an instrument made under, an Act of the Scottish Parliament; and
(b)any provision of, or any instrument made under, Northern Ireland legislation.
29F AppealsU.K.
(1)If a licensing authority decides under this Part—
(a)to refuse to grant a licence to practise to a medical practitioner;
(b)to withdraw a licence to practise from a medical practitioner; or
(c)to refuse to restore a licence to practise to a medical practitioner,
the practitioner may appeal to a Registration Appeals Panel.
[(1A)If a licensing authority decides under—
(a)section 44C(7) to refuse to grant a licence to practise to a medical practitioner; or
(b)section 44C(8)(a) to withdraw a licence to practise from a medical practitioner,
the practitioner may appeal to a Registration Appeals Panel.]
(2)Schedule 3B (which provides for the procedures to be followed before a Registration Appeals Panel) shall apply in relation to any appeal under subsection (1) [or (1A)] above.
(3)A decision under this Part to withdraw a licence to practise from a medical practitioner shall not be carried into effect—
(a)until the time for bringing any appeal against the decision has expired without an appeal being brought; or
(b)where an appeal is brought, until the date on which the appeal is finally disposed of or abandoned or fails by reason of its non-prosecution.
29G GuidanceU.K.
(1)The General Council may publish guidance for medical practitioners relating to the information and documents to be provided, and any other requirements to be satisfied—
(a)for the purposes of revalidation; or
(b)for securing restoration of a licence to practise.
(2)In preparing any such guidance in relation to revalidation, the General Council shall take into account such similarities as there may be between any information or documents to be provided, or any other requirements to be satisfied—
(a)for the purposes of revalidation; and
(b)for the purposes of any scheme for the appraisal of medical practitioners which applies within the health service, the Scottish health service or the Northern Ireland health service.
(3)In subsection (2) above—
“the health service” means the health service established in pursuance of the National Health Service Act 1946;
“the Northern Ireland health service” means any service provided in pursuance of Article 4(a) of the Health and Personal Social Services (Northern Ireland) Order 1972; and
“the Scottish health service” means the health service established in pursuance of the National Health Service (Scotland) Act 1947.
29H NoticesU.K.
(1)This section applies to any notice required to be given to a medical practitioner under—
(a)section 29B or 29D above; or
(b)paragraph 6 or 7 of Schedule 3B to this Act.
(2)Any such notice may be so given—
(a)by delivering it to him;
(b)by leaving it at his proper address;
(c)by sending it by a registered post service; or
(d)by sending it by a postal service which provides for the delivery of the notice by post to be recorded.
(3)For the purposes of this section and of section 7 of the Interpretation Act 1978 in its application to this section, a medical practitioner’s proper address shall be—
(a)his address in the register; or
(b)if the conditions in subsection (4) below are satisfied, his last known address.
(4)The conditions are that—
(a)the practitioner’s last known address differs from his address in the register; and
(b)it appears to the body or person giving the notice that a letter sent to the practitioner at his last known address is more likely to reach him.
(5)For the purposes of this section—
(a)the giving of a notice effected by sending it by post shall be deemed to have been effected at the time when the letter containing it would be delivered in the ordinary course of post; and
(b)so much of section 7 of the Interpretation Act 1978 as relates to the time when service is deemed to have been effected shall not apply to a notice sent by post.
29J MiscellaneousU.K.
(1)Regulations under section 29A above may provide for the charging of a fee to a medical practitioner in respect of the cost of—
(a)his revalidation; or
(b)the consideration of any application made by him for restoration of a licence to practise.
(2)Any sum payable by a medical practitioner under subsection (1) above may be recovered by the General Council and, in England and Wales or Northern Ireland, shall be recoverable summarily as a civil debt.
(3)Regulations under section 29A above may make different provision for different purposes, cases or circumstances.
(4)Regulations under section 29A above shall not have effect until approved by order of the Privy Council.
(5)Before making regulations under section 29A above, the General Council shall consult such bodies of persons representing medical practitioners, or medical practitioners of any description, as appear to the Council requisite to be consulted.]
Part IVU.K. General Provisions Concerning Registration
30 The registers.U.K.
(1)The register of medical practitioners shall [include]—
(a)in the principal list the names of persons entitled to be registered under [section 3, 15 or 15A] above, or directed to be registered under [section 19, 21, [21A or 25] [21B or 21C] above;]
(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c)in the visiting overseas doctors list the names of persons from time to time directed to be registered under [section 27] [section 27A or 27B] above; and
(d)in the visiting [EEA practitioners] list the names of persons entitled to be registered from time to time under section 18 above.
(2)[The register of medical practitioners with limited registration shall [include] the names of persons granted limited registration under section 22 above.]
(3)[Each register] [The register] shall also [include] the addresses and dates of registration of the persons registered in it, such of their qualifications as they are entitled to have registered under section 16 or 26 above and such other particulars (if any) of those persons as may be prescribed for [that register] [the register] .
(4)It shall be the duty of the Registrar to keep [the registers] [the register] correct in accordance with the provisions of this Act and regulations made by the General Council, to erase the names of persons who have died, [or who have been provisionally registered for longer than the period prescribed in respect of them,] and from time to time to make the necessary alterations in the addresses, qualifications and other registered particulars of registered persons.
(5)The Registrar may, by letter addressed to any person registered in [either register] [the register] at his address on the register, inquire whether he has changed his address and, if no answer is received to the inquiry within six months from the posting of the letter, may erase from the register the entry relating to that person.
(6)On registering the death of a person registered in [either register] [the register] , a registrar of births and deaths shall, without charge to the Registrar, send forthwith by post to the Registrar a copy certified under his hand of the entry in the register of deaths relating to the death.
(7)In this section “prescribed” means prescribed by regulations made under section 31 below.
31 Power to make regulations with respect to the registers.U.K.
(1)Subject to the provisions of this Act, the General Council may make regulations with respect to the form and keeping of [the registers] [the register] and the making of entries, alterations and corrections [in them] [in it] .
(2)Regulations under this section may provide for [the registers] [the register] to be kept either by making entries in bound books or by recording the matters in question in any other manner; and if [either register] [the register] is not kept by making entries in bound books, adequate precautions shall be taken for guarding against, and facilitating the discovery of, falsification.
(3)[Different regulations may be made under this section by virtue of subsection (1) or (2) above in relation to the register of medical practitioners and the register of medical practitioners with limited registration.]
(4)Regulations under this section shall provide for the marking of the register of medical practitioners so as to distinguish those provisionally registered under section 15 [or 15A] above and those provisionally registered under section 21 [or 21C] above.
[(4A)Regulations under this section may provide for a maximum period for which a person may be provisionally registered, and may provide for—
(a)different maximum periods for which different classes of persons may be provisionally registered; and
(b)the maximum period not to apply to specified classes of persons.]
(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(8)Regulations under this section may make provision with respect to the restoration to [the registers or a particular list in the register of medical practitioners in which he was registered] [the register] of the name of any person whose name has been erased from it by virtue of section 30(5) above or of any regulations made in pursuance of ... section 32(2) below.
(9)Regulations under this section made by virtue of subsection (8) above may include provision—
(a)for authorising the Registrar, notwithstanding anything in this Act, to refuse to restore to the register [or a particular list in it] the name of any such person as is mentioned in that subsection unless he furnishes to the Registrar such evidence of his identity and [good character] [fitness to practise] as may be prescribed; and
[(b)for securing that, in such circumstances as may be prescribed, such a person’s name is not so restored unless—
(i)the General Council or a committee of the General Council so direct after making such investigation into his fitness to practise as they think fit,
(ii)the practitioner’s licence to practise is restored in accordance with the regulations, or
(iii)both (i) and (ii) are met.]
...
(10)Regulations made in pursuance of [subsection (4A), (8) or (9)] above shall not have effect until approved by order of the Privy Council.
(11)In this section “prescribed” means prescribed by regulations under this section.
[31A Voluntary removal from the register.U.K.
(1)The General Council may make regulations—
(a)providing for the erasure by the Registrar from the register of medical practitioners of the name of any person who applies, in the manner prescribed by the regulations, for his name to be erased from the register;
(b)providing for the refusal by the Registrar of applications under paragraph (a) above in such cases and circumstances as may be prescribed by the regulations;
(c)making provision (including provision requiring the approval of the General Council or of one of the statutory committees) for the restoration to the register of the name of any person whose name has been erased in accordance with regulations made in pursuance of paragraph (a) above.
[(1A)Regulations under subsection (1)(c) above shall provide that, in such circumstances as may be prescribed, a person’s name is not to be restored to the register unless—
(a)the General Council or a committee of the General Council so direct after making such investigation into his fitness to practise as they think fit;
(b)the practitioner’s licence to practise is restored in accordance with the regulations; or
(c)both (a) and (b) are met.
(1B)In subsection (1A) above, “prescribed” means prescribed under regulations made under subsection (1) above.]
(2)Regulations under this section shall not have effect until approved by order of the Privy Council.]
32 Registration fees.U.K.
(1)Subject to the provisions of this Act, the General Council may make regulations with respect to the charging of fees in connection with the making of entries in the register of medical practitioners, and in particular—
(a)prescribing a fee to be charged on the entry of a name or qualification in the register or on the restoration of any entry to the register;
(b)prescribing a fee to be charged in respect of the retention in the register of the name of a person ...;
(c)authorising the Registrar, notwithstanding anything in this Act, to refuse to make any entry in, or restore any entry to, the register ... until a fee prescribed by regulations under this section has been paid.
(2)Regulations under this section may authorise the Registrar to erase from the register of medical practitioners the name of—
(a)any person who, after such notices and warnings as may be prescribed by the regulations, fails to pay a fee prescribed in pursuance of subsection (1)(b) above; . . .
(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(3)If a person whose name has been erased from the register in accordance with regulations made in pursuance of subsection (2) above at any time pays—
(a)such sum (if any) as may be prescribed for the purposes of this subsection by regulations under this section; and
(b)the fee (if any) which, if his name had not been so erased, would be due from him in respect of the current year,
his name shall be restored to the register.
(4)Regulations under this section shall not provide for any fee to be chargeable in respect of anything done in pursuance of a direction under section 41 below.
(5)No fee shall be charged in relation to registration as a visiting [EEA practitioner] and accordingly this section shall not apply in relation thereto.
(6)[Where on an application in that behalf by any person a direction is given—
(a)that he be registered with limited registration under section 22 above; or
(b)for his name to be erased from the register of medical practitioners with limited registration by virtue of section 24(1) above,
the General Council may include therein a direction that the right to registration or erasure conferred thereby shall be subject to the payment by him of such fee as may be specified in the direction.]
(7)Regulations under this section prescribing fees may provide for the charging of different fees in different cases and may provide that fees shall not be chargeable in cases prescribed by the regulations.
(8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(9)For the avoidance of doubt it is hereby declared that in this section “entry” includes an entry by way of alteration of a previous entry.
33 Supplementary provisions about registration.U.K.
Schedule 3 to this Act (which contains supplementary provisions about registration) shall have effect.
[34[The Register][Publication of the register]U.K.
(1)The Registrar shall cause to be published from time to time (electronically or otherwise) a list of all persons who, on a date specified by him at the time of publication, [appear in—
(a)the register of medical practitioners; or
(b)the register of medical practitioners with limited registration]
[appear in the register].
(2)The list published in accordance with subsection (1) above shall include in respect of each practitioner—
(a)information about his registered qualifications;
(b)a statement about whether or not he holds a licence to practise; and
(c)such other particulars (if any) as the General Council may direct in relation to that list.]
[34AProof of registrationU.K.
(1)The Registrar may issue a certificate that a person—
(a)is registered;
(b)is not registered;
(c)was registered at a specified date or during a specified period;
(d)was not registered at a specified date or during a specified period;
(e)has never been registered;
(f)holds a licence to practise;
(g)does not hold a licence to practise;
(h)held a licence to practise at a specified date or during a specified period;
(i)did not hold a licence to practise at a specified date or during a specified period; or
(j)has never held a licence to practise.
(2)A certificate issued under subsection (1) above shall be evidence (and in Scotland sufficient evidence) of the matters certified.]
[34BRegistration appealsU.K.
Schedule 3A to this Act (which makes provision about appeals against registration decisions) shall have effect.]
[Part VU.K. Fitness to Practise and Medical Ethics
35General Council’s power to advise on conduct, performance or ethicsU.K.
The powers of the General Council shall include the power to provide, in such manner as the Council think fit, advice for members of the medical profession on—
(a)standards of professional conduct;
(b)standards of professional performance; or
(c)medical ethics.
35AGeneral Council’s power to require disclosure of informationU.K.
(1)For the purpose of assisting the General Council or any of their committees in carrying out functions in respect of a practitioner’s fitness to practise, a person authorised by the Council may require—
(a)a practitioner (except the practitioner in respect of whom the information or document is sought); or
(b)any other person,
who in his opinion is able to supply information or produce any document which appears relevant to the discharge of any such function, to supply such information or produce such a document.
(2)As soon as is reasonably practicable after the relevant date, the General Council shall require, from a practitioner whose fitness to practise is being investigated, details of any person—
(a)by whom the practitioner is employed to provide services in, or in relation to, any area of medicine; or
(b)with whom he has an arrangement to do so.
(3)For the purposes of this section and section 35B below the relevant date is the date specified by the General Council by rules under paragraph 1 of Schedule 4 of this Act.
(4)Nothing in this section shall require or permit any disclosure of information which is prohibited by or under any other enactment.
(5)But where information is held in a form in which the prohibition operates because the information is capable of identifying an individual, the person referred to in subsection (1) above may, in exercising his functions under that subsection, require that the information be put into a form which is not capable of identifying that individual.
(5A)In determining for the purposes of subsection (4) above whether a disclosure is not prohibited, by reason of being a disclosure of personal data which is exempt from the non-disclosure provisions of the Data Protection Act 1998 by virtue of section 35(1) of that Act, it shall be assumed that the disclosure is required by this section.
(6)Subsection (1) above does not apply in relation to the supplying of information or the production of a document which a person could not be compelled to supply or produce in civil proceedings before the relevant court (within the meaning of section 40(5) below).
[(6A)If a person fails to supply any information or produce any document within 14 days of his being required to do so under subsection (1) above, the General Council may seek an order of the relevant court requiring the information to be supplied or the document to be produced.
(6B)For the purposes of subsection (6A), “the relevant court” means the county court or, in Scotland, the sheriff in whose sheriffdom is situated the address—
(a)which is shown in the register as the address of the person concerned; or
(b)which would have been so shown if the person concerned were registered.]
(7)For the purposes of subsection (4), “enactment” includes—
(a)an enactment comprised in, or in an instrument made under, an Act of the Scottish Parliament; and
(b)any provision of, or any instrument made under, Northern Ireland legislation.
(8)For the purposes of this section and section 35B below, a “practitioner” means a [fully registered person, a provisionally registered person or a person registered with limited registration] [fully registered person or a provisionally registered person] .
35BNotification and disclosure by the General CouncilU.K.
(1)As soon as is reasonably practicable after the relevant date, the General Council shall notify the following of an investigation by the General Council of a practitioner’s fitness to practise—
(a)the Secretary of State, the Scottish Ministers, the Department of Health, Social Services and Public Safety in Northern Ireland and the National Assembly for Wales; and
(b)any person in the United Kingdom of whom the General Council are aware—
(i)by whom the practitioner concerned is employed to provide services in, or in relation to, any area of medicine, or
(ii)with whom he has an arrangement to do so.
(2)[The General Council may disclose to any person any information relating to a practitioner’s fitness to practise which they consider it to be in the public interest to disclose.]
[The General Council may, if they consider it to be in the public interest to do so, publish, or disclose to any person, information—
(a)which relates to a particular practitioner’s fitness to practise, whether the matter to which the information relates arose before or after his registration, or arose in the United Kingdom or elsewhere; or
(b)of a particular description related to fitness to practise in relation to every practitioner, or to every practitioner of a particular description.
(3)For the purposes of subsection (2)(b) above, the General Council need not consider whether it is in the public interest to publish or disclose the information in question in relation to each individual practitioner to whom it relates.
(4)Subject to subsection (5), the General Council shall publish in such manner as they see fit—
(a)decisions of a Fitness to Practise Panel that relate to a finding that a person’s fitness to practise is impaired (including decisions in respect of a direction relating to such a finding that follow a review of an earlier direction relating to such a finding);
(b)decisions of a Fitness to Practise Panel to make an order under section 38(1) or (2) below;
(c)decisions of a Fitness to Practise Panel to refuse an application for restoration to the register or to give a direction under section 41(9) below;
(d)decisions of an Interim Orders Panel or a Fitness to Practise Panel to make an order under section 41A below (including decisions in respect of orders varying earlier orders under that section);
(e)warnings of a Fitness to Practise Panel regarding a person’s future conduct or performance;
( d)warnings of the Investigation Committee regarding a person’s future conduct or performance; and
(g)undertakings that have been agreed in accordance with rules made under paragraph 1(2A) of Schedule 4.
(5)The General Council may withhold from publication under subsection (4) above information concerning the physical or mental health of a person which the General Council consider to be confidential.]
35CFunctions of the Investigation CommitteeU.K.
(1)This section applies where an allegation is made to the General Council against—
[(a)a fully registered person;
(b)a person who is provisionally registered; or
(c)a person who is registered with limited registration,]
[(a)a fully registered person; or
(b)a person who is provisionally registered,]
that his fitness to practise is impaired.
(2)A person’s fitness to practise shall be regarded as “impaired” for the purposes of this Act by reason only of—
(a)misconduct;
(b)deficient professional performance;
(c)a conviction or caution in the British Islands for a criminal offence, or a conviction elsewhere for an offence which, if committed in England and Wales, would constitute a criminal offence;
(d)adverse physical or mental health; or
(e)a determination by a body in the United Kingdom responsible under any enactment for the regulation of a health or social care profession to the effect that his fitness to practise as a member of that profession is impaired, or a determination by a regulatory body elsewhere to the same effect.
(3)This section is not prevented from applying because the allegation is based on a matter alleged to have occurred—
(a)outside the United Kingdom; or
(b)at a time when the person was not registered.
(4)The Investigation Committee shall investigate the allegation and decide whether it should be considered by a Fitness to Practise Panel.
(5)If the Investigation Committee decide that the allegation ought to be considered by a Fitness to Practise Panel—
(a)they shall give a direction to that effect to the Registrar;
(b)the Registrar shall refer the allegation to a Fitness to Practise Panel; and
(c)the Registrar shall serve a notification of the Committee’s decision on the person who is the subject of the allegation and the person making the allegation (if any).
(6)If the Investigation Committee decide that the allegation ought not to be considered by a Fitness to Practise Panel, they may give a warning to the person who is the subject of the allegation regarding his future conduct or performance.
(7)If the Investigation Committee decide that the allegation ought not to be considered by a Fitness to Practise Panel, but that no warning should be given under subsection (6) above—
(a)they shall give a direction to that effect to the Registrar; and
(b)the Registrar shall serve a notification of the Committee’s decision on the person who is the subject of the allegation and the person making the allegation (if any).
(8)If the Investigation Committee are of the opinion that an Interim Orders Panel or a Fitness to Practise Panel should consider making an order for interim suspension or interim conditional registration under section 41A below in relation to the person who is the subject of the allegation—
(a)they shall give a direction to that effect to the Registrar;
(b)the Registrar shall refer the matter to an Interim Orders Panel or a Fitness to Practise Panel for the Panel to decide whether to make such an order; and
(c)the Registrar shall serve notification of the decision on the person who is the subject of the allegation and the person making the allegation (if any).
(9)In this section—
35CCProvisions supplementary to section 35CU.K.
(1)Rules under paragraph 1 of Schedule 4 to this Act may make provision for—
(a)the Registrar; or
(b)any other officer of the General Council,
to exercise the functions of the Investigation Committee under section 35C above, whether generally or in relation to such classes of case as may be specified in the rules.
(2)Where, by virtue of subsection (1) above, rules provide for the Registrar to exercise the functions of the Investigation Committee under subsections (5), (7) and (8) of section 35C above, those subsections shall apply in relation to him as if paragraph (a) in each of them were omitted.
(3)Section 35C above also applies in a case where—
(a)it comes to the attention of the General Council that a person’s fitness to practise is called into question by one or more of the matters mentioned in subsection (2) of that section, but
(b)no allegation to that effect has been made to the Council against that person,
and in such a case section 35C shall apply as if an allegation to that effect had been made to the Council against that person.
35DFunctions of a Fitness to Practise PanelU.K.
(1)Where an allegation against a person is referred under section 35C above to a Fitness to Practise Panel, subsections (2) and (3) below shall apply.
(2)Where the Panel find that the person’s fitness to practise is impaired they may, if they think fit—
(a)except in a health case, direct that the person’s name shall be erased from the register;
(b)direct that his registration in the register shall be suspended (that is to say, shall not have effect) during such period not exceeding twelve months as may be specified in the direction; or
(c)direct that his registration shall be conditional on his compliance, during such period not exceeding three years as may be specified in the direction, with such requirements so specified as the Panel think fit to impose for the protection of members of the public or in his interests.
(3)Where the Panel find that the person’s fitness to practise is not impaired they may nevertheless give him a warning regarding his future conduct or performance.
(4)Where a Fitness to Practise Panel have given a direction that a person’s registration be suspended—
(a)under subsection (2) above;
(b)under subsection (10) or (12) below; or
(c)under rules made by virtue of paragraph 5A(3) of Schedule 4 to this Act,
subsection (5) below applies.
(5)In such a case, a Fitness to Practise Panel may, if they think fit—
(a)direct that the current period of suspension shall be extended for such further period from the time when it would otherwise expire as may be specified in the direction;
(b)except in a health case, direct that the person’s name shall be erased from the register; or
(c)direct that the person’s registration shall, as from the expiry of the current period of suspension, be conditional on his compliance, during such period not exceeding three years as may be specified in the direction, with such requirements so specified as the Panel think fit to impose for the protection of members of the public or in his interests,
but, subject to subsection (6) below, the Panel shall not extend any period of suspension under this section for more than twelve months at a time.
(6)In a health case, a Fitness to Practise Panel may give a direction in relation to a person whose registration has been suspended under this section extending his period of suspension indefinitely where—
(a)the period of suspension will, on the date on which the direction takes effect, have lasted for at least two years; and
(b)the direction is made not more than two months before the date on which the period of suspension would otherwise expire.
(7)Where a Fitness to Practise Panel have given a direction under subsection (6) above for a person’s period of suspension to be extended indefinitely, a Fitness to Practise Panel shall review the direction if—
(a)the person requests them to do so;
(b)at least two years have elapsed since the date on which the direction took effect; and
(c)if the direction has previously been reviewed under this subsection, at least two years have elapsed since the date of the previous review.
(8)On such a review the Panel may—
(a)confirm the direction;
(b)direct that the suspension be terminated; or
(c)direct that the person’s registration be conditional on his compliance, during such period not exceeding three years as may be specified in the direction, with such requirements so specified as the Panel think fit to impose for the protection of members of the public or in his interests.
(9)Where—
(a)a direction that a person’s registration be subject to conditions has been given under—
(i)subsection (2), (5) or (8) above,
(ii)subsection (12) below,
(iii)rules made by virtue of paragraph 5A(3) of Schedule 4 to this Act, or
(iv)section 41A below; and
(b)that person is judged by a Fitness to Practise Panel to have failed to comply with any requirement imposed on him as such a condition,
subsection (10) below applies.
(10)In such a case, the Panel may, if they think fit—
(a)except in a health case, direct that the person’s name shall be erased from the register; or
(b)direct that the person’s registration in the register shall be suspended during such period not exceeding twelve months as may be specified in the direction.
(11)Where a direction that a person’s registration be subject to conditions has been given under—
(a)subsection (2), (5) or (8) above; or
(b)rules made by virtue of paragraph 5A(3) of Schedule 4 to this Act,
subsection (12) below applies.
(12)In such a case, a Fitness to Practise Panel may, if they think fit—
(a)except in a health case, direct that the person’s name shall be erased from the register;
(b)direct that the person’s registration in the Register shall be suspended during such period not exceeding twelve months as may be specified in the direction;
(c)direct that the current period of conditional registration shall be extended for such further period from the time when it would otherwise expire as may be specified in the direction; or
(d)revoke the direction, or revoke or vary any of the conditions imposed by the direction, for the remainder of the current period of conditional registration,
but the Panel shall not extend any period of conditional registration under this section for more than three years at a time.
35EProvisions supplementary to section 35DU.K.
(1)Where, under section 35D above, a Fitness to Practise Panel—
(a)give a direction that a person’s name shall be erased from the register;
(b)give a direction for suspension;
(c)give a direction for conditional registration; or
(d)vary any of the conditions imposed by a direction for conditional registration,
the Registrar shall forthwith serve on the person concerned notification of the direction or variation and of his right to appeal against it under section 40 below.
(2)In subsection (1) above—
(a)references to a direction for suspension include a reference to a direction extending a period of suspension; and
(b)references to a direction for conditional registration include a reference to a direction extending a period of conditional registration.
(3)While a person’s registration in the register is suspended by virtue of a direction under section 35D—
(a)he shall be treated as not being registered in the register notwithstanding that his name still appears in it, but
[(b)sections 31A, 35C, 35CC and 35D above, this section and section 39 below shall continue to apply to him.]
(4)In section 35D above, “health case” means any case in which a Fitness to Practise Panel has determined that—
(a)a person’s fitness to practise is impaired by reason of a matter falling within paragraph (d) of subsection (2) of section 35C above, but
(b)the person’s fitness to practise is not impaired by any matter falling within any other paragraph of that subsection.
Textual Amendments
Modifications etc. (not altering text)
36 Professional misconduct and criminal offences.U.K.
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36A Professional performance.U.K.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37 Unfitness to practise through illness, etc.U.K.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38Power to order immediate suspension etc. after a finding of impairment of fitness to practiseU.K.
(1)On giving a direction for erasure or a direction for suspension under section 35D(2), (10) or (12) above, or under rules made by virtue of paragraph 5A(3) of Schedule 4 to this Act, in respect of any person the Fitness to Practise Panel, if satisfied that to do so is necessary for the protection of members of the public or is otherwise in the public interest, or is in the best interests of that person, may order that his registration in the register shall be suspended forthwith in accordance with this section.
(2)On giving a direction for conditional registration under section 35D(2) above, or under rules made by virtue of paragraph 5A(3) of Schedule 4 to this Act, in respect of any person the Fitness to Practise Panel, if satisfied that to do so is necessary for the protection of members of the public or is otherwise in the public interest, or is in the best interests of that person, may order that his registration be made conditional forthwith in accordance with this section.
(3)Where, on the giving of a direction, an order under subsection (1) or (2) above is made in respect of a person, his registration in the register shall, subject to subsection (4) below, be suspended (that is to say, shall not have effect) or made conditional, as the case may be, from the time when the order is made until the time when—
(a)the direction takes effect in accordance with—
(i)paragraph 10 of Schedule 4 to this Act; or
(ii)rules made by virtue of paragraph 5A(3) of that Schedule; or
(b)an appeal against it under section 40 below or paragraph 5A(4) of that Schedule is (otherwise than by the dismissal of the appeal) determined.
(4)Where a Fitness to Practise Panel make an order under subsection (1) or (2) above, the Registrar shall forthwith serve a notification of the order on the person to whom it applies.
(5)If, when an order under subsection (1) or (2) above is made, the person to whom it applies is neither present nor represented at the proceedings, subsection (3) above shall have effect as if, for the reference to the time when the order is made, there were substituted a reference to the time of service of a notification of the order as determined for the purposes of paragraph 8 of Schedule 4 to this Act.
(6)Except as provided in subsection (7) below, while a person’s registration in the register is suspended by virtue of subsection (1) above, he shall be treated as not being registered in the register notwithstanding that his name still appears in it.
(7)Notwithstanding subsection (6) above, sections 35C to 35E above shall continue to apply to a person whose registration in the register is suspended.
(8)The relevant court may terminate any suspension of a person’s registration in the register imposed under subsection (1) above or any conditional registration imposed under subsection (2) above, and the decision of the court on any application under this subsection shall be final.
(9)In this section “the relevant court” has the same meaning as in section 40(5) below.
39Fraud or error in relation to registrationU.K.
[(1)If the General Council are satisfied that any entry in the register has been fraudulently procured or incorrectly made, they may direct that the entry shall be erased from the register.
(2)Where the General Council give a direction for the erasure of a person’s name under this section, the Registrar shall forthwith serve on that person a notification of the direction and of his right to appeal against the decision in accordance with section 40 below.]
[(1)If the Registrar is satisfied that any entry in the register has been fraudulently procured or incorrectly made, he may erase the entry from the register.
(2)Where the Registrar decides to erase a person’s name under this section, the Registrar shall forthwith serve on that person notification of the decision and of his right to appeal against the decision under Schedule 3A to this Act.]
40AppealsU.K.
(1)The following decisions are appealable decisions for the purposes of this section, that is to say—
(a)a decision of a Fitness to Practise Panel under section 35D above giving a direction for erasure, for suspension or for conditional registration or varying the conditions imposed by a direction for conditional registration;
(b)a decision of a Fitness to Practise Panel under section 41(9) below giving a direction that the right to make further applications under that section shall be suspended indefinitely; or
(c)a decision of the General Council under section 45(6) below giving a direction that the right to make further applications under that section shall be suspended indefinitely.
[(1A)A decision under regulations made—
(a)under section 31 above by virtue of subsection (8) of that section; or
(b)under section 31A(1)(c) above,
not to restore a person’s name to the register for a reason that relates to his fitness to practise is also an appealable decision for the purposes of this section.]
(2)[A decision of the General Council under section 39 above giving a direction for erasure is also an appealable decision for the purposes of this section.]
(3)In subsection (1) above—
(a)references to a direction for suspension include a reference to a direction extending a period of suspension; and
(b)references to a direction for conditional registration include a reference to a direction extending a period of conditional registration.
(4)A person in respect of whom an appealable decision falling within subsection (1) has been taken may, before the end of the period of 28 days beginning with the date on which notification of the decision was served under section 35E(1) above, or section 41(10) or 45(7) below, appeal against the decision to the relevant court.
[(4A)A person in respect of whom an appealable decision falling within subsection (1A) has been taken may, before the end of the period of 28 days beginning with the date on which notification of the decision was served, appeal against the decision to the relevant court.]
(5)In [subsections (4) and (4A)] above, “the relevant court”—
(a)in the case of a person whose address in the register is (or if he were registered would be) in Scotland, means the Court of Session;
(b)in the case of a person whose address in the register is (or if he were registered would be) in Northern Ireland, means the High Court of Justice in Northern Ireland; and
(c)in the case of any other person (including one appealing against a decision falling within subsection (1)(c) above), means the High Court of Justice in England and Wales.
(6)[A person in respect of whom an appealable decision falling within subsection (2) above has been taken may, before the end of the period of 28 days beginning with the date on which notification of the decision was served under section 39(2) above, appeal against the decision to a county court or, in Scotland, the sheriff in whose sheriffdom the address in the register is situated.]
(7)On an appeal under this section from a Fitness to Practise Panel, the court may—
(a)dismiss the appeal;
(b)allow the appeal and quash the direction or variation appealed against;
(c)substitute for the direction or variation appealed against any other direction or variation which could have been given or made by a Fitness to Practise Panel; or
(d)remit the case to the Registrar for him to refer it to a Fitness to Practise Panel to dispose of the case in accordance with the directions of the court,
and may make such order as to costs (or, in Scotland, expenses) as it thinks fit.
(8)On an appeal under this section from the General Council, the court (or the sheriff) may—
(a)dismiss the appeal;
(b)allow the appeal and quash the direction appealed against; or
(c)remit the case to the General Council to dispose of the case in accordance with the directions of the court (or the sheriff),
and may make such order as to costs (or, in Scotland, expenses) as it (or he) thinks fit.
(9)On an appeal under this section from a Fitness to Practise Panel, the General Council may appear as respondent; and for the purpose of enabling directions to be given as to the costs of any such appeal the Council shall be deemed to be a party thereto, whether they appear on the hearing of the appeal or not.
41 Restoration of names to the register.U.K.
(1)Subject to subsections (2) and (6) below, where the name of a person has been erased from the register under section 35D above, [or section 44B(4)(b) below,] a Fitness to Practise Panel may, if they think fit, direct that his name be restored to the register.
(2)No application for the restoration of a name to the register under this section shall be made to a Fitness to Practise Panel—
(a)before the expiration of five years from the date of erasure; or
(b)in any period of twelve months in which an application for the restoration of his name has already been made by or on behalf of the person whose name has been erased.
(3)An application under this section shall be made to the Registrar who shall refer the application to a Fitness to Practise Panel.
(4)In the case of a person who was provisionally registered under section 15, [15A or 21] [15A, 21 or 21C] above before his name was erased, a direction under subsection (1) above shall be a direction that his name be restored by way of provisional registration under section 15, [15A or 21] [15A, 21 or 21C] above, as the case requires.
(5)The requirements of Part II or Part III of this Act as to the experience required for registration as a fully registered medical practitioner shall not apply to registration in pursuance of a direction under subsection (1) above.
(6)Before determining whether to give a direction under subsection (1) above, a Fitness to Practise Panel shall require an applicant for restoration to provide such evidence as they direct as to his fitness to practise; and they shall not give such a direction if that evidence does not satisfy them.
(7)A Fitness to Practise Panel shall not give a direction under subsection (1) above unless at the same time in accordance with regulations made by the General Council under this subsection, they direct the Registrar to restore the practitioner’s licence to practise.
(8)Subsections (3) to (5) of section 29J above apply to regulations made under subsection (7) above as they apply in relation to regulations made under section 29A above.
(9)Where, during the same period of erasure, a second or subsequent application for the restoration of a name to the register, made by or on behalf of the person whose name has been erased, is unsuccessful, a Fitness to Practise Panel may direct that his right to make any further such applications shall be suspended indefinitely.
(10)Where a Fitness to Practise Panel give a direction under subsection (9) above, the Registrar shall without delay serve on the person in respect of whom it has been made a notification of the direction and of his right to appeal against it in accordance with section 40 above.
(11)Any person in respect of whom a direction has been given under subsection (9) above may, after the expiration of three years from the date on which the direction was given, apply to the Registrar for that direction to be reviewed by a Fitness to Practise Panel and, thereafter, may make further applications for review; but no such application may be made before the expiration of three years from the date of the most recent review decision.
41AInterim OrdersU.K.
(1)Where an Interim Orders Panel or a Fitness to Practise Panel are satisfied that it is necessary for the protection of members of the public or is otherwise in the public interest, or is in the interests of a fully registered person, for the registration of that person to be suspended or to be made subject to conditions, the Panel may make an order—
(a)that his registration in the register shall be suspended (that is to say, shall not have effect) during such period not exceeding eighteen months as may be specified in the order (an “interim suspension order”); or
(b)that his registration shall be conditional on his compliance, during such period not exceeding eighteen months as may be specified in the order, with such requirements so specified as the Panel think fit to impose (an “order for interim conditional registration”).
(2)Subject to subsection (9) below, where an Interim Orders Panel or a Fitness to Practise Panel have made an order under subsection (1) above, an Interim Orders Panel or a Fitness to Practise Panel—
(a)shall review it within the period of six months beginning on the date on which the order was made, and shall thereafter, for so long as the order continues in force, further review it—
(i)before the end of the period of six months beginning on the date of the decision of the immediately preceding review; or
(ii)if after the end of the period of three months beginning on the date of the decision of the immediately preceding review the person concerned requests an earlier review, as soon as practicable after that request; and
(b)may review it where new evidence relevant to the order has become available after the making of the order.
(3)Where an interim suspension order or an order for interim conditional registration has been made in relation to any person under any provision of this section (including this subsection), an Interim Orders Panel or a Fitness to Practise Panel may, subject to subsection (4) below—
(a)revoke the order or revoke any condition imposed by the order;
(b)vary any condition imposed by the order;
(c)if satisfied that to do so is necessary for the protection of members of the public or is otherwise in the public interest, or is in the interests of the person concerned, replace an order for interim conditional registration with an interim suspension order having effect for the remainder of the term of the former; or
(d)if satisfied that to do so is necessary for the protection of members of the public, or is otherwise in the public interest, or is in the interests of the person concerned, replace an interim suspension order with an order for interim conditional registration having effect for the remainder of the term of the former.
(4)No order under subsection (1) or (3)(b) to (d) above shall be made by any Panel in respect of any person unless he has been afforded an opportunity of appearing before the Panel and being heard on the question of whether such an order should be made in his case; and for the purposes of this subsection a person may be represented before the Panel by counsel or a solicitor, or (if rules made under paragraph 1 of Schedule 4 to this Act so provide and he so elects) by a person of such other description as may be specified in the rules.
(5)If an order is made under any provision of this section, the Registrar shall without delay serve a notification of the order on the person to whose registration it relates.
(6)The General Council may apply to the relevant court for an order made by an Interim Orders Panel or a Fitness to Practise Panel under subsection (1) or (3) above to be extended, and may apply again for further extensions.
(7)On such an application the relevant court may extend (or further extend) for up to 12 months the period for which the order has effect.
(8)Any reference in this section to an interim suspension order, or to an order for interim conditional registration, includes a reference to such an order as so extended.
(9)For the purposes of subsection (2) above the first review after the relevant court’s extension of an order made by an Interim Orders Panel or a Fitness to Practise Panel or after a replacement order made by an Interim Orders Panel or a Fitness to Practise Panel under subsection (3)(c) or (d) above shall take place—
(a)if the order (or the order which has been replaced) had not been reviewed at all under subsection (2), within the period of six months beginning on the date on which the relevant court ordered the extension or on which a replacement order under subsection (3)(c) or (d) was made; and
(b)if it had been reviewed under the provision, within the period of three months beginning on that date.
(10)Where an order has effect under any provision of this section, the relevant court may—
(a)in the case of an interim suspension order, terminate the suspension;
(b)in the case of an order for interim conditional registration, revoke or vary any condition imposed by the order;
(c)in either case, substitute for the period specified in the order (or in the order extending it) some other period which could have been specified in the order when it was made (or in the order extending it),
and the decision of the relevant court under any application under this subsection shall be final.
(11)Except as provided in subsection (12) below, while a person’s registration in the register is suspended by virtue of an interim suspension order under this section he shall be treated as not being registered in the register notwithstanding that his name still appears in the register.
(12)Notwithstanding subsection (11) above, sections [31A, 35C to 35E and 39] above shall continue to apply to a person whose registration in the register is suspended.
(13)This section applies to a provisionally registered person [and to a person registered with limited registration] whether or not the circumstances are such that he falls within the meaning in this Act of the expression “fully registered person”.
(14)In this section “the relevant court” has the same meaning as in section 40(5) above.
41B Interim orders made by committees other than the Interim Orders CommitteeU.K.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41CEffect of directions or orders on a licence to practiseU.K.
(1)Where under this Part or under rules made by virtue of paragraph 5A(3) of Schedule 4 to this Act—
(a)a direction is given that a medical practitioner’s name be erased from the register; or
(b)an order is made or a direction is given that his registration as a medical practitioner be suspended,
the practitioner’s licence to practise shall be withdrawn with effect from the date when the direction or order has effect.
(2)Where a medical practitioner’s registration has been suspended and—
(a)that suspension expires without being further extended;
(b)the suspension is brought to an end without any direction for erasure or further suspension being made,
the practitioner’s licence to practise shall be restored with effect from the date on which the suspension comes to an end.
42 Preliminary proceedings as to professional misconduct and unfitness to practise.U.K.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43Proceedings before the Investigation Committee, Interim Orders Panels and Fitness to Practise PanelsU.K.
Schedule 4 to this Act (which contains supplementary provisions about proceedings before the Investigation Committee, Interim Orders Panels and Fitness to Practise Panels) shall have effect.
44 Effect of disqualification in another member State on registration in the United Kingdom.U.K.
(1)A person who is subject to a disqualifying decision in an EEA State in which he is or has been established in medical practice shall not be entitled to be registered by virtue of section 3(1)(b) above for so long as the decision remains in force in relation to him.
(2)A disqualifying decision in respect of a person is a decision, made by responsible authorities of the EEA State in which he was established in medical practice or in which he acquired a primary United Kingdom or primary European qualification, and—
(a)expressed to be made on the grounds that he has committed a criminal offence or on grounds related to his professional conduct, professional performance or physical or mental health; and
(b)having in that State the effect either that he is no longer registered or otherwise officially recognised as a medical practitioner, or that he is prohibited from practising medicine there.
(3)If a person has been registered by virtue of section 3(1)(b) above and it is subsequently shown to the satisfaction of the Registrar that he was subject to a disqualifying decision in force at the time of registration, and that the decision remains in force, the Registrar shall remove the person’s name from the register.
(4)A decision under—
(a)subsection (1) above not to register a person; or
(b)subsection (3) above to remove a person’s name from the register,
is an appealable registration decision for the purposes of Schedule 3A to this Act.
(5)If a person has been registered as a fully registered medical practitioner by virtue of section 3(1)(b) above at a time when a disqualifying decision was in force in respect of him, and he has been so registered for a period of not less than one month throughout which the decision had effect—
(a)a Fitness to Practise Panel may direct that his registration be suspended for such period, not exceeding the length of the first-mentioned period, as the Panel think fit, and the period of suspension shall begin on a date to be specified in the Panel’s direction; and
(b)sections 35E(1) and (3) and 40 and paragraphs 1, 2, 8, 9, 10, 12 and 13 of Schedule 4 to this Act shall have effect, with any necessary modifications, in relation to suspension under this subsection.
(6)Where on or after the date on which a person was registered by virtue of section 3(1)(b) above a disqualifying decision relating to him comes into force, this Part of this Act shall apply, with any necessary modifications, as if it had been found that he had been convicted of the criminal offence referred to in the disqualifying decision, or that his professional conduct, professional performance or physical or mental health had been such as is imputed to him by that decision, as the case may be.
(7)Subsection (1) of section 18 above shall not apply to a person, and that person shall not be registered as a visiting EEA practitioner, at any time when he is subject to a disqualifying decision imposed by a member State or its competent authority (within the meaning of that section).
44AEffect of disqualification or conviction on registrationU.K.
[(1)Without prejudice to regulations made under section 31 (power to make regulations with respect to the register), the Registrar may, notwithstanding anything in this Act, refuse to register any person under any section of this Act (other than sections 3(1)(b) or 18 above) who—
(a)has, in the British Islands, been convicted of, or cautioned for, a criminal offence or convicted elsewhere of an offence which, if committed in England and Wales, would constitute a criminal offence; or
(b)has been the subject of a determination by a body in the United Kingdom responsible under any enactment for the regulation of a health or social care profession to the effect that his fitness to practise as a member of that profession is impaired, or a determination by a regulatory body (within the meaning of section 35C(9) above) elsewhere to the same effect.
(2)If a person has been registered by virtue of any provision of this Act and it is subsequently shown to the satisfaction of the Registrar that—
(a)he is a person to whom paragraph (a) or (b) of subsection (1) above applies; and
(b)he had not informed the Registrar of that fact at the time of registration,
the Registrar may remove that person’s name from the register.
(3)A decision under—
(a)subsection (1) above not to register a person; or
(b)subsection (2) above to remove a person’s name from the register,
is an appealable registration decision for the purposes of Schedule 3A to this Act.
(4)If a person has been registered by virtue of any section other than section 3(1)(b) or 18 above at a time when a determination of a kind referred to in subsection (1)(b) above was in force in respect of him, and he has been so registered for a period of not less than one month throughout which the determination had effect—
(a)a Fitness to Practice Panel may direct that his registration be suspended for such period, not exceeding the length of the first mentioned period, as the Panel think fit, and the period of suspension shall begin on a date to be specified in the Panel’s direction; and
(b)sections 35E(1) and (3) and 40 and paragraphs 1, 2, 8, 9, 10, 12 and 13 of Schedule 4 to this Act shall have effect, with any necessary modifications, in relation to suspension under this subsection.
(5)The General Council may by regulations make provision about the information to be provided to the Registrar by a person seeking registration for the purposes of this section.
(6)The Registrar may refuse to register any person who fails to comply with regulations made under subsection (5) above.
(7)Regulations under subsection (5) above shall not have effect until approved by order of the Privy Council.
(8)In this section “enactment” includes an enactment comprised in, or in an instrument made under, an Act of the Scottish Parliament, and any provision of, or any instrument made under, Northern Ireland legislation.]
[44BProvision of information in respect of fitness to practise mattersU.K.
(1)If a person has been registered by virtue of any provision of this Act and it is subsequently shown to the satisfaction of the Registrar that—
(a)his fitness to practise was impaired at the time of his registration because of his involvement in a serious matter or a problem with his physical or mental health; and
(b)he had not informed the Registrar of that matter or problem before his registration,
the Registrar may erase that person’s name from the register.
(2)The General Council may by regulations make provision for the information to be provided to the Registrar—
(a)by or in respect of a person seeking registration by virtue of any provision of this Act, other than section 18 above, for the purpose of determining whether his fitness to practise is impaired;
(b)by or in respect of a person who is fully registered or provisionally registered, for the purpose of determining whether his fitness to practise was impaired at the time of his registration because of his involvement in a serious matter or a problem with his physical or mental health.
(3)In subsections (1) and (2) above, “serious matter” has the same meaning as in article 12(2) of Directive 93/16/EEC.
(4)The Registrar may—
(a)refuse to register (even if he is directed by the General Council to do so) any person who fails to comply with, or in respect of whom there is a failure to comply with, regulations made under subsection (2)(a) above;
(b)erase from the register the name of any person who fails to comply with, or in respect of whom there is a failure to comply with, regulations made under subsection (2)(b) above.
(5)For the purpose of determining whether an exempt person (“E”) should be registered under this Act, the General Council or the Registrar, as the case may be, shall accept as sufficient evidence that his fitness to practise is not impaired a document—
(a)to which subsection (6) below applies, as regards his physical or mental health; or
(b)to which subsection (8) below applies, as regards any other relevant matter,
if it is presented to the Registrar within the period of three months beginning with its date of issue.
(6)This subsection applies to a document that attests to E’s good physical and mental health, and—
(a)which would be required in E’s EEA State of origin or the EEA State from which he comes (“E’s attesting State”), if he wished to start practising medicine there; or
(b)if no such document is required there, which is issued by a competent authority in E’s attesting State (and which, if relevant, is in the form mentioned in subsection (7) below).
(7)If regulations made under subsection (2) above require a certificate which attests to an applicant’s good physical and mental health to be in a particular form, a document referred to in subsection (6)(b) above must be in that form or in a form which corresponds to it.
(8)Except as mentioned in subsection (9) below, this subsection applies to a document—
(a)containing an extract from the judicial record issued by a competent authority in E’s attesting State; or
(b)which is a certificate issued by a competent authority in E’s attesting State,
in either case attesting to E’s good character and good repute.
(9)Subsection (8) above does not apply to a document which may be, or has been, revised or rescinded as a consequence of an approach made by the General Council to the competent authority which issued it, in accordance with article 11(3) of Directive 93/16/EEC.
( 10)Regulations under subsection (2) above shall not have effect until approved by order of the Privy Council.]
[44CIndemnity arrangementsU.K.
(1)A person who holds a licence to practise shall have in force in relation to him an adequate and appropriate indemnity arrangement which provides cover in respect of liabilities which may be incurred in carrying out work as a medical practitioner.
(2)For the purposes of this section, an “indemnity arrangement” may comprise—
(a)a policy of insurance;
(b)an arrangement made for the purposes of indemnifying a person; or
(c)a combination of a policy of insurance and an arrangement made for the purposes of indemnifying a person.
(3)The General Council may make regulations about what is an “adequate and appropriate indemnity arrangement” for the purposes of this section, and the regulations may make different provision for different cases.
(4)The General Council may make regulations about the information to be provided to the Registrar—
(a)by or in respect of a person seeking a licence to practise for the purpose of determining whether, if he is granted a licence to practise, there will be in force in relation to him an adequate and appropriate indemnity arrangement which commences, at the latest, on the date on which he is granted a licence to practise; and
(b)by or in respect of a person who holds a licence to practise for the purpose of determining whether there is in force in relation to him an adequate and appropriate indemnity arrangement.
(5)Regulations made under subsection (4)(b) above may require the information mentioned there to be provided—
(a)at the request of the Registrar; or
(b)on such dates or at such intervals as the Registrar may determine, either generally or in relation to individual practitioners or practitioners of a particular description.
(6)The General Council may also make regulations requiring a person who holds a licence to practise to inform the Registrar if there ceases to be in force in relation to him an adequate and appropriate indemnity arrangement.
(7)A licensing authority may refuse to grant a licence to practise to any person who fails to comply, or in respect of whom there is a failure to comply, with regulations made under subsection (4)(a) above.
(8)If a person who holds a licence to practise is in breach of subsection (1) above or fails to comply with regulations made under subsection (4)(b) or (6) above, or there is a failure to comply with regulations made under subsection (4)(b) in respect of him—
(a)a licensing authority may withdraw that person’s licence to practise; or
(b)the breach or failure may be treated as misconduct for the purposes of section 35C(2)(a) above, and the Registrar may refer the matter to the Investigation Committee for investigation by them under section 35C(4) above.
(9)Regulations under subsection (3), (4) or (6) above shall not have effect until approved by order of the Privy Council.]
[44DApproved practice settingsU.K.
(1)Unless the Registrar otherwise directs in relation to a particular person, a person who is registered under section 3(1)(a) or 21B above after the coming into force of this section shall, before his first revalidation in accordance with Part 3A above after he is registered, practise medicine in the United Kingdom only in a practice setting—
(a)where he is subject to a governance system that includes, but is not limited to, provision for appropriate supervision and appraisal arrangements or assessments; and
(b)which is, or which is of a type which is, for the time being recognised by the General Council, either generally or in relation to him or to practitioners of his class, as being acceptable for a practitioner who is newly fully registered.
(2)Unless the Registrar otherwise directs in relation to a particular person, a person whose name is restored to the register after the coming into force of this section shall, before his first revalidation in accordance with Part 3A above after his name is restored to the register, practise medicine in the United Kingdom only in a practice setting—
(a)where he is subject to a governance system that includes, but is not limited to, provision for appropriate supervision and appraisal arrangements or assessments; and
(b)which is, or which is of a type which is, for the time being recognised by the General Council, either generally or in relation to him or to practitioners of his class, as being acceptable for a practitioner who is newly restored to the register.
(3)The General Council may limit their recognition of—
(a)a particular practice setting so that it is recognised in relation only to one or more particular practitioners or particular classes of practitioner;
(b)a particular type of practice setting so that it is recognised in relation only to one or more particular classes of practitioner.
(4)The General Council may exclude a particular practice setting from their recognition of a particular type of practice setting—
(a)in relation to all practitioners; or
(b)in relation to one or more particular classes of practitioner.
(5)The General Council may at any time vary or withdraw their recognition from a particular practice setting or a particular type of practice setting.
(6)An example of a valid reason for withdrawing recognition from a particular practice setting, or excluding a particular practice setting from recognition of a particular type of practice setting, is that the relevant governance system operated there is not quality assured by a body that is acceptable to the General Council as a provider of quality assurance.
(7)If—
(a)a person starts practising medicine in a practice setting that is, or is of a type that is, recognised under whichever is appropriate of subsection (1)(b) or (2)(b) above, either generally or in relation to practitioners of his class; and
(b)while he is practising medicine there, it ceases to be so recognised,
it is to be treated as continuing to be recognised in relation to the particular practitioner while he continues to practise medicine there.
(8)The General Council may by regulations make provision for the information to be provided to the Registrar by or in respect of a fully registered person for the purposes of determining whether or not he is in breach of subsection (1) or (2) above.
(9)If a fully registered person—
(a)is in breach of subsection (1) or (2) above; or
(b)fails to comply with regulations made under subsection (8) above, or there is a failure to comply with those regulations in respect of him,
the breach or failure may be treated as misconduct for the purposes of section 35C(2)(a) above, and the Registrar may refer the matter to the Investigation Committee for investigation by them under section 35C(4) above.
(10)Regulations under subsection (8) above shall not have effect until approved by order of the Privy Council.
(11)The General Council may publish guidance for practitioners who—
(a)are newly fully registered or whose names are newly restored to the register; but
(b)are not subject to the requirements imposed by subsection (1) and (2),
on what are suitable practice settings for them before their first revalidation in accordance with Part 3A above after being registered or before their names are restored to the register.]
Textual Amendments
Modifications etc. (not altering text)
45Disciplinary provisions affecting practitioners who render services while visiting the United KingdomU.K.
(1)If a national of an EEA State who has medical qualifications entitling him to registration under section 3 above but is not so registered and who renders medical services while visiting the United Kingdom (whether or not registered as a visiting EEA practitioner)—
(a)is found by a Fitness to Practise Panel to have been convicted of a criminal offence in any EEA State where he was practising medicine; or
(b)is subject to a finding that his fitness to practise is impaired,
the Panel may, if they think fit, impose on him a prohibition in respect of the rendering of medical services in the United Kingdom in the future.
(2)A prohibition imposed under this section shall either relate to a period specified by a Fitness to Practise Panel or be expressed to continue for an indefinite period.
(3)A person may apply to the General Council for termination of a prohibition imposed on him under this section and the Council may, on any such application, terminate the prohibition or reduce the period of it; but no application may be made under this subsection—
(a)earlier than five years from the date on which the prohibition was imposed; or
(b)in the period of twelve months following a decision made on an earlier application.
(4)Section 18(1) above does not apply to a person, and that person shall not be registered as a visiting EEA practitioner, at a time when he is subject to a prohibition imposed by a Fitness to Practise Panel under this section.
(5)Before determining whether to terminate a prohibition under subsection (3) above, the General Council shall require the person applying for its termination to provide such evidence as they direct as to [one or more of his good character, professional competence and health] [his fitness to practise] ; and they shall not terminate the prohibition if that evidence does not satisfy them.
(6)Where, during the same period of prohibition, a second or subsequent application for termination of the prohibition, made by or on behalf of a person on whom the prohibition has been imposed, is unsuccessful, the General Council may direct that his right to make any further such applications shall be suspended indefinitely.
(7)Where the General Council give a direction under subsection (6) above, the Registrar shall without delay serve on the person in respect of whom it has been made a notification of the direction and of his right to appeal against it in accordance with section 40 above.
(8)Any person in respect of whom a direction has been given under subsection (6) above may, after the expiration of three years from the date on which the direction was made, apply to the General Council for that direction to be reviewed by the General Council and, thereafter, may make further applications for review; but no such application may be made before the expiration of three years from the date of the most recent review decision.]
Part VIU.K. Privileges of Registered Practitioners
46 Recovery of fees.U.K.
(1)Except as provided in subsection (2) [or (2A)] below, no person shall be entitled to recover any charge in any court of law for any medical advice or attendance, or for the performance of any operation, ... unless he proves that he is fully registered.
(2)Subsection (1) above shall not apply to fees in respect of medical services lawfully rendered in the United Kingdom by a person who is a national of any [EEA State] without first being registered under this Act if he has previously complied with the requirements of subsection (2) of section 18 above or subsequently complies with those requirements as modified in respect of urgent cases by subsection (3) of that section.
[(2A)Subsection (1) above shall not apply to fees in respect of medical services lawfully provided—
(a)under arrangements to provide services as part of the health service, the Northern Ireland health service or the Scottish health service (those terms having the same meaning here as in section 29G(3) above);
(b)by any person who is not a medical practitioner but who is entitled to provide those medical services by virtue of an enforceable Community right;
(c)by a person who is a member of a profession regulated by a body, apart from the General Council, mentioned in section 25(3) of the National Health Service Reform and Health Care Professions Act 2002.]
(3)Where a practitioner is a fellow of a college of physicians, fellows of which are prohibited by byelaw from recovering by law their expenses, charges or fees, then, notwithstanding that he is fully registered, the prohibitory byelaw, so long as it is in force, may be pleaded in bar of any legal proceedings instituted by him for the recovery of expenses, charges or fees.
47 Appointments not to be held except by fully registered practitioners.U.K.
(1)Subject to subsection (2) below, no person who is not fully registered shall hold any appointment as physician, surgeon or other medical officer—
(a)in the naval, military or air service,
(b)in any hospital or other place for the reception of persons suffering from mental disorder, or in any other hospital, infirmary or dispensary not supported wholly by voluntary contributions,
(c)in any prison, or
(d)in any other public establishment, body or institution,
or to any friendly or other society for providing mutual relief in sickness, infirmity or old age.
(2)Nothing in this section shall prevent any person who is not a Commonwealth citizen from being and acting as the resident physician or medical officer of any hospital established exclusively for the relief of foreigners in sickness, so long as he—
(a)has obtained from a foreign university a degree or diploma of doctor in medicine and has passed the regular examinations entitling him to practise medicine in his own country, and
(b)is engaged in no medical practice except as such a resident physician or medical officer.
[(3)None of the suspension events mentioned in subsection (4) below shall terminate any appointment such as is mentioned in subsection (1) above, but the person suspended shall not perform the duties of such an appointment during the suspension.
(4)The suspension events are—
(a)the suspension of registration of a person by a Fitness to Practise Panel—
(i)following a finding of impairment of fitness to practise by reason of deficient professional performance or adverse physical or mental health under section 35D above, or
(ii)under rules made by virtue of paragraph 5A(3) of Schedule 4 to this Act;
(b)an order for immediate suspension by a Fitness to Practise Panel under section 38(1) above; or
(c)an interim suspension order by an Interim Orders Panel or a Fitness to Practise Panel under section 41A above (or such an order as extended under that section).]
48 Certificates invalid if not signed by fully registered practitioner.U.K.
A certificate required by any enactment, whether passed before or after the commencement of this Act, from any physician, surgeon, licentiate in medicine and surgery or other medical practitioner shall not be valid unless the person signing it is fully registered.
49 Penalty for pretending to be registered.U.K.
(1)Subject to subsection (2) below, any person who wilfully and falsely pretends to be or takes or uses the name or title of physician, doctor of medicine, licentiate in medicine and surgery, bachelor of medicine, surgeon, general practitioner or apothecary, or any name, title, addition or description implying that he is registered under any provision of this Act, or that he is recognised by law as a physician or surgeon or licentiate in medicine and surgery or a practitioner in medicine or an apothecary, shall be liable on summary conviction to a fine not exceeding level 5 on the standard scale . . .
(2)Subsection (1) above shall not apply to anything done by a person who is a national of any [EEA State] for the purposes of or in connection with the lawful rendering of medical services by him without first being registered under this Act if he has previously complied with the requirements of subsection (2) of section 18 above or subsequently complies with its requirements as modified in respect of urgent cases by subsection (3) of that section.
(3)Any penalty to which a person is liable on summary conviction under subsection (1) above may be recovered in Scotland by any person before the sheriff or the district court who may, on the appearance or the default to appear of the accused, proceed to hear the complaint, and where the offence is proved or admitted the sheriff or court shall order the accused to pay the penalty as well as such expenses as the sheriff or court shall think fit.
(4)Any sum of money arising from conviction and recovery of penalties as mentioned in subsection (3) above shall be paid to the treasurer of the General Council.
Part VIIU.K. Miscellaneous and General
50 Default powers of Privy Council.U.K.
(1)If at any time it appears to the Privy Council that—
(a)the Education Committee have failed to secure the maintenance of the prescribed standard of proficiency at examinations; or
(b)the General Council or the Education Committee ought to exercise any power, perform any duty, or do any act or thing vested in, imposed on or authorised to be done by them, by any provision of this Act except section 7, [10A or] [32(1) to (3), (7) or (9)] ... or paragraph 7 of Schedule 4 to this Act,
the Privy Council may notify their opinion to the General Council or that Committee as the case requires.
(2)If the General Council fail to comply with any directions of the Privy Council relating to a notification given under subsection (1) above, the Privy Council may themselves give effect to those directions, and for that purpose may exercise any power vested in the General Council or do any act or thing authorised to be done by that Council and may of their own motion do any act or thing which under this Act they are authorised to do in pursuance of a representation or suggestion from the General Council.
(3)Subsection (2) above shall apply to the Education Committee as it applies to the General Council.
51 Exercise of powers to make Orders in Council and other orders.U.K.
(1)Any power of the Privy Council to make orders under the provisions of this Act (except section 9(2) and (5)) shall be exercisable by statutory instrument.
(2)Except as provided in subsection (3) below, any statutory instrument containing an Order in Council or order of the Privy Council under any provision of this Act shall be subject to annulment in pursuance of a resolution of either House of Parliament.
[(3)Subsection (2) above does not apply to—
(a)an Order in Council under section 8(2) above; or
(b)an order of the Privy Council under section 10A(3) or 31(10) above.]
52 Exercise of powers of Privy Council.U.K.
(1)Any power vested in the Privy Council by this Act may be exercised by any two or more of the lords and others of the Council.
(2)Any act of the Privy Council under this Act shall be sufficiently signified by an instrument signed by the clerk of the Council, and an order or act signified by an instrument purporting to be signed by the clerk of the Council shall be deemed to have been duly made or done by the Privy Council, and an instrument so signed shall be received in evidence in all courts and proceedings without proof of the authority or signature of the clerk of the Council or other proof.
[52AAnnual reportsU.K.
(1)The General Council shall publish at least once in each calender year a statistical report which indicates the efficiency and effectiveness of the arrangements the Council has put in place to protect the public from persons whose fitness to practise is impaired, together with the General Council’s observations on the report.
(2)The General Council—
(a)within such time as may be specified by the Privy Council, shall submit a report to it on the General Council’s exercise of its functions during the period specified by the Privy Council; and
(b)thereafter shall submit such a report once in each year in respect of the period since its last such report.
(3)The Privy Council shall lay before each House of Parliament a copy of the report submitted by the Council under subsection (2) above.]
53 Proof of certain instruments.U.K.
(1)A copy of any instrument mentioned in subsection (2) below which—
(a)purports to be printed by the Queen's printers, or by any other printers in pursuance of authority given by the General Council, or
(b)is certified to be a true copy by the Registrar or by any other person appointed by the General Council, either in addition to or in place of the Registrar, to certify any such instrument,
shall be admissible in evidence.
(2)The instruments referred to in subsection (1) above are—
(a)any order of the Privy Council under section 9 above;
(b)regulations made by the General Council under section 31 or 32 above;
[(c)an order of a Fitness to Practise Panel under section 38 above; and]
(d)a direction of the General Council under section 39 above.
54 Saving for certain occupations.U.K.
Nothing in this Act shall prejudice or in any way affect the lawful occupation, trade, or business of chemists and druggists and dentists, or the rights, privileges or employment of duly licensed apothecaries in Northern Ireland, so far as the occupation, trade or business extends to selling, compounding or dispensing medicines.
55 Interpretation.U.K.
[(1)]In this Act—
“acceptable overseas qualification” has the meaning given by [section 22(4)] [section 21B(2)] above;
[“acceptable programme for provisionally registered doctors” has the meaning given by section 10A(1) above;]
“additional qualification” has the meaning given by section 16(2) above;
“appointed member” means a member of the General Council chosen by a university or other body designated as an appointing body by an Order in Council under section 1 above;
“appointing body” means a university or other body having, by virtue of an Order in Council under section 1 above, power to choose an appointed member or members of the General Council;
[“Directive 93/16/EEC” has the meaning given by section 5(4) above;]
“disqualifying decision” has the meaning given by section 44(2) above;
[“the EEA Agreement” and “EEA State” have the meanings given by section 3(3) above;]
“elected member” means a member of the General Council elected under paragraph 2 of Schedule 1 to this Act;
[“exempt person” has the meaning given in section 19(2) above;]
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
“fully registered person” means a person for the time being registered under [section 3, 19, [21A, 25 or 27] [21B, 27A or 27B]] above as a fully registered medical practitioner, or under section 18 above as a visiting [EEA practitioner], and—
(a)
so far as mentioned in subsection (3) of section 15 (including that subsection as applied by section [15A(4)) or 21] [15A(4), 21 or 21C] above, but not further, includes a person for the time being provisionally registered;
(b)
[in relation to such employment and such things as are mentioned in paragraphs (a), (b) and (c) of subsection (7) of section 22 above, but not in relation to other matters, includes a person for the time being registered under that section with limited registration;]
and “fully registered” shall be construed accordingly;
“the General Council” means the General Medical Council;
[“impaired”, in relation to a person’s fitness to practise, has the meaning given in section 35C(2) above;]
[“limited registration” has the meaning given by section 22(2) above;]
“national”, in relation to a [EEA State], has the same meaning as in the Community Treaties, but does not include a person who by virtue of Article 2 of Protocol No. 3 (Channel Islands and Isle of Man) to the Treaty of Accession is not to benefit from Community provisions relating to the free movement of persons and services;
“the necessary knowledge of English”, in relation to an applicant for registration under this Act, means the knowledge which, in the interests of himself and his patients, is necessary for the practice of medicine in the United Kingdom;
“nominated member” means a member of the General Council nominated by Her Majesty under paragraph 4 of Schedule 1 to this Act;
[“the permitted period”, in relation to limited registration, has the meaning given by section 22(3) above;]
“the prescribed knowledge and skill” has the meaning given by section 5(4) above;
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
“the prescribed standard of proficiency” has the meaning given by section 5(4) above;
“primary European qualification” shall be construed in accordance with section 17 above;
“primary United Kingdom qualification” has the meaning given by section 4(3) above;
[“professional performance” includes a medical practitioner’s professional competence;]
“provisionally registered” means provisionally registered under section 15 , [15A or 21] [15A, 21 or 21C] above;
“qualification”, except where the context otherwise requires, means any diploma, degree, fellowship, membership, licence, authority to practise, letters testimonial, certificate or other status or document granted in respect of any branch or branches of medicine by any university, corporation, college or other body or by any department of, or persons acting under the authority of, the government of any country or place;
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[“the register” means the register of medical practitioners, except that, in relation to a person registered with limited registration, it means the register of medical practitioners with limited registration;]
[“the register” means the register of medical practitioners;]
“the Registrar” has the meaning given by section 2(1) above but subject to sub-paragraph (3) of paragraph 16 of Schedule 1 to this Act;
[“revalidation” has the meaning given in section 29A above;]
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[“the statutory committees” has the meaning given in section 1(3A) above;]
[(2)In relation to anything done before the adoption by the Council of Directive 93/16/EEC, references in this Act to that Directive, or to any provision of that Directive, shall be construed as references to, or to the corresponding provision of, the following Directives as for the time being amended, namely—
(a)Council Directive No.75/362/EEC concerning the mutual recognition of diplomas, certificates and other evidence of formal qualifications in medicine; and
(b)Council Directive No.75/363/EEC concerning the coordination of provisions in respect of activities of doctors.]
56 Consequential amendments, repeals, transitional provisions and savings.U.K.
(1)Schedule 5 (consequential amendments) and Schedule 6 (transitional and saving provisions) to this Act shall have effect but without prejudice to the operation of sections 15 to 17 of the Interpretation Act 1978 (which relate to the effect of repeals); and in Schedule 6 “the 1956 Act” and “the 1978 Act” mean the Medical Act 1956 and the Medical Act 1978 respectively.
(2)Subject to subsection (1) above, the enactments specified in Part I of Schedule 7 to this Act are hereby repealed to the extent specified in the third column of that Part of that Schedule.
(3)The instruments specified in Part II of Schedule 7 to this Act are hereby revoked to the extent specified in the third column of that Part, but the re-enactment of Articles 4, 7 and 8 of the Medical Qualifications (EEC Recognition) Order 1977 in provisions of this Act shall be without prejudice to the validity of those Articles, and any question as to the validity of them shall be determined as if the re-enacting provision of this Act were contained in a statutory instrument made under the powers under which that Order was made.
57 Short title, commencement and extent.U.K.
(1)This Act may be cited as the Medical Act 1983.
(2)This Act shall come into force at the end of the period of three months beginning with the day on which it is passed.
(3)This Act extends to Northern Ireland.
SCHEDULES
Section 1.
SCHEDULE 1U.K. The General Medical Council and its Committees, and the Branch Councils
Part IU.K. Constitution of the General Medical Council
GeneralU.K.
1(1)The General Council shall consist of—U.K.
(a)elected members;
(b)appointed members; and
(c)nominated members.
(2)The numbers of elected members, appointed members and nominated members shall be such that the number of the elected members exceeds the number of the appointed and nominated members.
[(3)The General Council shall consist of no more than 35 members.]
Elected membersU.K.
2(1)Elections of elected members shall be conducted in accordance with an electoral scheme under this paragraph providing for the election of members for the following four constituencies, that is to say—U.K.
(a)England, the Channel Islands and the Isle of Man;
(b)Wales;
(c)Scotland; and
(d)Northern Ireland.
[(1A)The provision that may be made by an electoral scheme includes provision for any of the constituencies listed in sub-paragraph (1)(a) to (d) above to be divided into two or more separate constituencies.]
(2)An electoral scheme shall be made, with the approval of the Privy Council, by the General Council after consultation with such bodies as appear to the General Council to be representative of medical practitioners.
(3)An electoral scheme under sub-paragraph (2) above may be amended by the General Council with the approval of the Privy Council and after consultation with such bodies as are mentioned in that sub-paragraph.
[(4)The persons qualified to elect the elected members for any constituency shall be those who, on a date determined in accordance with the electoral scheme—
(a)are resident in the constituency for which the election is held;
(b)[are fully registered, provisionally registered or registered with limited registration; and]
[are fully registered or provisionally registered; and]
(c)are holders of licences to practise.]
[(5)A person shall not be qualified to be elected as an elected member unless he—
(a)[is fully registered, provisionally registered or registered with limited registration; and]
[is fully registered or provisionally registered; and]
(b)holds a licence to practise.
(5A)An electoral scheme shall make provision for the disclosure to those qualified to vote at an election of information (including information concerning fitness to practise) relating to a person seeking election.]
(6)For the purposes of this paragraph, a person shall be taken to be resident at his address in the register.
Appointed membersU.K.
3[(1)Appointed members shall be chosen by such bodies as are designated for the time being as appointing bodies by an Order in Council under section 1 of this Act.U.K.
(2)A person shall not be qualified to be chosen as an appointed member unless he—
(a)[is fully registered, provisionally registered or registered with limited registration; and]
[is fully registered or provisionally registered; and]
(b)holds a licence to practise.]
(3)An Order in Council under section 1 of this Act may give an appointing body the power to choose more than one appointed member or to choose an appointed member in combination with another appointing body or bodies.
Nominated membersU.K.
4(1)Nominated members shall be nominated by [the Privy Council].U.K.
(2)One member at least shall be nominated for England, for Wales, for Scotland and for Northern Ireland.
[(3)A nominated member shall be a person who is neither fully registered nor a holder of any qualification registrable under this Act.]
4ZAU.K.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[Suspension or removal from office of membersU.K.
4A(1)The General Council shall by rules make provision for the suspension or removal from office of a member by the General Council in such circumstances as may be specified in the rules.U.K.
(2)Rules under sub-paragraph (1) above shall provide for an elected member or an appointed member to be removed from office if he ceases—
(a)to be registered; or
(b)to hold a licence to practise.
(3)Standing orders of the General Council shall make provision for the procedure by which a member may be suspended or removed from office.
(4)No rules under sub-paragraph (1) above shall come into force until approved by order of the Privy Council.
Registration of members’ private interestsU.K.
4B(1)The General Council must establish and maintain a system for the declaration and registration of private interests of members of the Council.U.K.
(2)The General Council must publish entries recorded in the register of members’ private interests.]
SupplementaryU.K.
5U.K.An Order in Council under section 1 of this Act may contain such incidental, consequential, transitional or supplementary provisions as appear to Her Majesty to be necessary or expedient.
6(1)Subject to sub-paragraph (2) below, a person shall not be qualified to be a member of the General Council if he has attained the age of seventy years.U.K.
(2)The General Council may by rules provide that sub-paragraph (1) above shall have effect with the substitution of such age less than seventy years as is specified in the rules.
(3)No rules under sub-paragraph (2) above shall come into force until approved by order of the Privy Council.
[7(1)Notwithstanding paragraph 1(2) above, an Order in Council under section 1 of this Act—U.K.
(a)may make provision permitting elections to fill casual vacancies among the elected members to be held together, but
(b)may not permit a casual vacancy among the elected members to be left unfilled for a period exceeding six months, except in accordance with paragraph (c) below, and
(c)may make provision that a casual vacancy among the elected members need not be filled if the unexpired term of the elected member giving rise to the vacancy is less than twelve months.
(2)In sub-paragraph (1) above the “unexpired term” means the period beginning with the date on which the member ceased to be a member and ending with the date on which his full term of office would have expired.]
8U.K.No recommendation shall be made to Her Majesty to amend or revoke an Order in Council under section 1 of this Act so far as it relates to the appointing bodies except in pursuance of a representation made to the Privy Council by the General Council.
Part IIU.K. Incidental Powers and Duties and Proceedings of the General Medical Council
[Incidental powers and duties]U.K.
9U.K.It shall be within the capacity of the General Council as a corporation to do such things and enter into such transactions as are in their opinion incidental or conducive to the performance of their functions under this Act, including the borrowing of money.
[9AU.K.In exercising their functions, the General Council shall co-operate wherever appropriate and reasonably practicable with public authorities or other bodies or persons concerned with—
(a)the employment (whether or not under a contract of service) of registered medical practitioners;
(b)the education of medical practitioners, prospective medical practitioners or other health care professionals;
(c)the regulation of other health or social care professions; or
(d)the regulation of health services.
9B(1)For the purposes of ensuring that registered medical practitioners and the public are informed about the General Council and the exercise by them of their functions, the Council shall publish or provide in such manner as they think fit information about the Council and the exercise of their functions.U.K.
(2)Nothing in sub-paragraph (1) above authorises or requires the publication or provision of information if the publication or provision of that information is—
(a)prohibited by any enactment; or
(b)would constitute or be punishable as a contempt of court.
(3)In sub-paragraph (2) above “enactment” includes—
(a)an enactment comprised in, or in an instrument made under, an Act of the Scottish Parliament; and
(b)any provision of, or any instrument made under, Northern Ireland legislation.]
10U.K.For the purpose of enabling the General Council to compile or assist in the compilation of statistics relating to medical practice and practitioners the Council may from time to time issue to persons registered under this Act (otherwise than under section 18) requests for information on matters which in the opinion of the Council are relevant for that purpose.
11U.K.The General Council may provide facilities for testing the knowledge of English of applicants for registration under [section [21A or 22] [21B or 21C]] of this Act.
Proceedings of the General CouncilU.K.
12U.K.The validity of any proceedings of the General Council shall not be affected by any vacancy among the members of the Council or by any defect in the election, appointment or nomination of a member of the Council.
[13U.K.The quorum of the General Council shall be prescribed by Her Majesty by Order in Council made under section 1 of this Act.]
14U.K.All acts of the General Council shall be decided by the votes of a majority of the members present at any meeting, and if the votes are equal the person who presides at the meeting shall, in addition to his vote as a member of the Council, have a casting vote.
15(1)The General Council may by standing order make provision with respect to the meetings and proceedings of and the discharge of their functions by the Council and any committees of the Council, with respect to the composition of committees of the Council and with respect to the functions of the officers of the Council.U.K.
(2)Any standing order made by the Council under this paragraph may be amended or revoked by a subsequent standing order.
(3)This paragraph does not apply in relation to the statutory committees other than the Education Committee [nor shall standing orders be made under it in relation to the discharge of the Council’s functions under section 39 of this Act or in relation to any committee to which those functions may be delegated].
Officers of the General CouncilU.K.
16(1)The General Council shall elect from among their number a president of the General Council and may so elect a chairman and a treasurer or treasurers of the General Council.U.K.
(2). . . any chairman or treasurer elected in pursuance of sub-paragraph (1) above shall be elected for a term not extending beyond the expiration of the term for which he has been elected, chosen or nominated to be a member of the General Council.
(3)The General Council shall appoint a person to be registrar of the Council and may appoint such deputy and assistant registrars of the Council as the Council think fit and where a deputy or assistant registrar is authorised by the Registrar to act for him in any matter, any reference in this Act to the Registrar [or in a direction or delegation to him under sub-paragraph (4) below,] shall include a reference to that deputy or assistant where the reference relates to that matter.
[(4)Subject to paragraph 6 of Schedule 4 to this Act, the Registrar shall, in addition to the functions specifically mentioned in this Act, have such other functions as the General Council may think fit to direct him to perform or delegate to him (whether or not in rules or standing orders).]
Financial provisionsU.K.
[17U.K.There shall be paid to the members of the General Council such remuneration and such travelling, subsistence or other expenses as the Council may allow, including payments for duties undertaken as trustees of the Council.]
18(1)Any fees or other sums payable by virtue of this Act in connection with registration under this Act shall be paid to the General Council, and any expenses of the Council shall be defrayed out of the sums received by the Council either on account of those fees and sums, or from the sale of registers, or otherwise.U.K.
(2)The General Council shall keep proper accounts of all sums received or paid by them, and proper records in relation to those accounts (including records of the evidence furnished by branch councils under paragraph 28 below), and their accounts for each financial year of the Council shall be audited by auditors appointed by the Council.
[(3)No person shall be appointed auditor under this paragraph unless he is eligible for appointment as a company auditor under section 25 of the Companies Act 1989.]
(4)As soon as may be after the accounts of the General Council have been audited, the Council shall cause them to be published and shall send a copy of them to the Privy Council together with a copy of any report of the auditors on them, and the Privy Council shall lay a copy of the accounts and of any report of the auditors on the accounts before each House of Parliament.
Part IIIU.K. Committees of the General Medical Council
[Education CommitteeU.K.
19U.K.Subject to the power of the Committee under paragraph 25 below to co-opt members, the composition of the Education Committee shall be such as the General Council think fit.
Interim Orders PanelsU.K.
19AU.K.Subject to the restrictions on membership specified in paragraph 23 below and to the power of the Panel under paragraph 25 below to co-opt members, an Interim Orders Panel shall be constituted as provided by rules made under this paragraph by the General Council.
[Registration Decisions Panels][Registration Panels] U.K.
19BU.K.Subject to the power of the Panel under paragraph 25 below to co-opt members, a [Registration Decisions Panel][Registration Panel] shall be constituted as provided by rules made under this paragraph by the General Council.
Registration Appeals PanelsU.K.
19CU.K.Subject to the restrictions on membership specified in paragraph 23 below and to the power of the Panel under paragraph 25 below to co-opt members, a Registration Appeals Panel shall be constituted as provided by rules made under this paragraph by the General Council.
Investigation CommitteeU.K.
19DU.K.Subject to the power of the Committee under paragraph 25 below to co-opt members, the Investigation Committee shall be constituted as provided by rules made under this paragraph by the General Council.
Fitness to Practise PanelsU.K.
19EU.K.Subject to the restrictions on membership specified in paragraph 23 below and to the power of the Panel under paragraph 25 below to co-opt members, a Fitness to Practise Panel shall be constituted as provided by rules made under this paragraph by the General Council.
SupplementaryU.K.
23U.K.Rules under paragraphs 19A, 19C and 19E above shall secure that—
(a)only persons who are not members of the General Council shall be members of an Interim Orders Panel, a Registration Appeals Panel or a Fitness to Practise Panel;
(b)a person who sits as a member of an Interim Orders Panel or Fitness to Practise Panel that has made an interim order in proceedings on any case shall not sit as a member of a Fitness to Practise Panel in any subsequent proceedings in that case; and
(c)a person who is a member of the Investigation Committee or a [Registration Decisions Panel][Registration Panel] may not at the same time be a member of an Interim Orders Panel, a Registration Appeals Panel or a Fitness to Practise Panel.
23BU.K.Rules under paragraph 19A, 19B, 19C, 19D or 19E above may make provision as to quorum.
24U.K.Rules under paragraph 19A, 19B, 19C, 19D or 19E above shall not come into force until approved by order of the Privy Council.]
25(1)Without prejudice to the preceding provisions of this Part of this Schedule the General Council may constitute ... one or more committees.U.K.
[(1A)Any committee of the General Council may consist of or include persons who are not members of the Council.]
[(2)[Subject to and in accordance with paragraph 23 above,] a Committee of the General Council may, if authorised to do so by the General Council, co-opt such persons (whether or not members of the Council) as the Committee think fit.]
(3)The General Council may delegate to any committee of the Council such of the Council’s functions as they think fit but the determination of the remuneration payable to visitors appointed by the Education Committee under section 7(1) [or 10A(6)] of this Act or to inspectors appointed by that Committee under section 6(2) of this Act shall be subject to the approval of the General Council.
[(4)Except where rules made by virtue of paragraph 23B above make provision as to quorum in the case of any of the statutory committees, the quorum of a committee of the General Council shall be such as the Council may from time to time determine.
(5)There shall be paid to the members of the committees of the General Council such remuneration and such travelling, subsistence or other expenses as the Council may allow.]
Part IVU.K. The Branch Councils
26(1)There shall continue to be a branch council for England, for Wales, for Scotland and for Northern Ireland.U.K.
[(2)The branch council for each area shall be constituted as provided by the General Council.
(2A)Some or all members of a branch council may be persons who are not members of the General Council.]
(3)The General Council may delegate to a branch council such of the functions of the General Council [(other than those conferred by section 39 of this Act)] as the General Council think fit.
27U.K.Each branch council shall appoint a registrar of the council but the person appointed to be registrar of the General Council—
(a)shall also be registrar of the branch council for England; and
(b)may also be registrar of all or any of the other branch councils.
28U.K.The General Council shall furnish each branch council with such sums as the branch council may require for defraying any expenses incurred by the branch council with the approval of the General Council; and each branch council shall furnish the General Council with such evidence as the General Council may reasonably require of all payments made by the branch council out of sums furnished by the General Council.
[29U.K.There shall be paid to the members of the branch councils such remuneration and such travelling, subsistence or other expenses as the General Council may allow.]
Section 17.
[SCHEDULE 2U.K. Primary European Qualifications
Country | Title of qualification | Awarding body | Certificate accompanying qualification |
---|
Austria | 1.Urkunde über die Verleihung des akademischen Grades Doktor der gesamten Heilkunde (bzw. Doctor medicinae universae, Dr.Med.univ.) 2.Diplom über die spezifische Ausbildung zum Arzt für Allgemeinmedizin bzw. Facharztdiplom | 1.Medizinische Fakultät einer Universität 2.Österreichische Ärztekammer | |
Belgium | — Diploma van arts
— Diplôme de docteur en médecine
| 1.De universiteiten/les universités 2.De bevoegde Examencommissie van de Vlaamse Gemeenschap/le Jury compétent d'enseignement de la Communauté française | |
[Cyprus | Πιοστοποιητικο ́ Εγγραφη ́ς Ιατρου | Ιατρικο ́∑υμβου ́λιο ] | |
[Czech Republic | Diplom o ukoncˇenı´ studia ve studijnı´m programu vsˇeobecne´ le´karˇstvı´ (doktor medicı´ny, MUDr.) | Le´ka´rˇska´ fakulta univerzity v Cˇ eske´ republice | Vysveˇdcˇenı´ o sta´tnı´ rigoro´znı´ zkousˇce ] |
Denmark | Bevis for bestået lægevidenskabelig embedseksamen | Medicinsk universitetsfakultet | 1.Autorisation som læge, udstedt af Sundhedsstyrelsen og 2.Tilladelse til selvstændigt virke som læge (dokumentation for gennemført praktisk uddannelse), udstedt af Sundhedssty-relsen |
[Estonia | Diplom arstite aduse o˜ppekava la¨bimise kohta | Tartu U¨ likool] | |
Finland | Lääketieteen lisensiaatin tutkinto/medicine licentiatexamen | 1.Helsingin yliopisto /Helsingfors universitet 2.Kuopion yliopisto 3.Oulun yliopisto 4.Tampereen yliopisto 5.Turun yliopisto | Todistus lääkärin perusterveyden-huollon lisäkoulutuksesta/ examensbevis om tilläggsutbildning för läkare inom primärvården |
France | Diplôme d'Etat de docteur en médecine | Universités | |
Germany | 1.Zeugnis über die Ärztliche Prüfung 2.Zeugnis über die Ärztliche Staatsprüfung und Zeugnis über die Vorbereitungszeit als Medizinalassistent, soweit diese nach den deutschen Rechtsvorschriften noch für den Abschluss der ärztlichen Ausbildung vorgesehen war | Zuständige Behörden | 1.Bescheinigung über die Ableistung der Tätigkeit als Arzt im Praktikum 2.– |
Greece | Πτυχίο lατρικής | 1)lατρική Σχολή Πανεπιστημίου 2)Σχολή Επτιστημών Υγείας, Τμέμα [Ιατρικη ́ς] Πανεπτιστημίου | |
[Hungary | A´ ltala´nos orvos okleve´l (doctor medicinae universae, abbrev.: dr.med.univ.) | Egyetem] | |
Iceland | Lækningaleyfi | Heilbrigðis-og tryggingamálaráðuneyti | |
Ireland | Primary qualification | Competent examining body | Certificate of experience |
Italy | Diploma di laurea in medicina e chirurgia | Università | Diploma di abilitazione all'esercizio della medicina e chirurgia |
[Latvia | a¯rsta diploms | Universita¯tes tipa augstskola] | |
Liechtenstein | The diplomas, certificates and other titles awarded in another EEA State and listed in this Schedule | | Certificate on the completed practical training issued by the competent authorities |
[Lithuania | Auksˇtojo mokslo diplomas, nurodantis suteikta˛ gydytojo kvalifikacija | Universitetas | Internatu¯ros pazˇyme˙jimas, nurodantis suteikta˛ medicinos gydytojo profesine˛ kvalifikacija˛ ] |
Luxembourg | Diplôme d'Etat de docteur en médecine, chirurgie et accouchements | Jury d'examen d'Etat | Certificat de stage |
[Malta | Lawrja ta’ Tabib tal Medic˙ina u l Kirurg˙ija | Universita `ta' Malta | C˙ertifikat ta’ reg˙istrazzjoni mahrug˙mill- Kunsill Mediku] |
Netherlands | Getuigschrift van met goed gevolg afgelegd artsexamen | Faculteit Geneeskunde | |
Norway | Vitnemål for fullført grad candidata/candidatus medicinae, short form: cand. med. | Medisinsk universitetsfakultet | Bekreftelse på praktisk tjeneste som lege utstedt av kompetent offentlig myndighet. |
[Poland | Dyplom ukon´czenia studio´w wyz˙szych na kierunku lekarskim z tytułem “lekarza” | 1. Akademia Medyczna 2. Uniwersytet Medyczny 3. Collegium Medicum Uniwersytetu Jagiellon´skiego | Lekarski Egzamin Pan´stwowy] |
Portugal | Carta de Curso de licenciatura em medicina | Universidades | Diploma comprovativo da conclusão do internato geral emitido pelo Ministério da Saúde |
[Slovakia | Vysokosˇkolsky´ diplom o udelenı´ akademicke´ho titulu “doktor medicı´ny” (“MUDr.”) | Vysoka´ sˇkola] | |
[Slovenia | Diploma, s katero se podeljuje strokovni naslov “doktor medicine/doktorica medicine” | Univerza] | |
Spain | Título de Licenciado en Medicina y Cirugía | Ministerio de Educación y Cultura/El rector de una Universidad | |
Sweden | Läkarexamen | Universitet | Bevis om praktisk utbildning som utfärdas av Socialstyrelsen |
Switzerland | Titulaire du diplôme fédéral de médecin, eidgenössisch diplomierter Arzt, titolare di diploma federale di medico | The Département fédéral de l'intérieur.] | |
Section 33.
SCHEDULE 3U.K. Registration: Supplementary Provisions
PreliminaryU.K.
1(1)Subject to the following provisions of this Schedule, any right to registration of persons under [section 3, 15 or 15A] of this Act or of qualifications under section 16 or 26 of this Act shall be conditional on the making of such an application, supported by such evidence, as is required by this Schedule.U.K.
(2)Nothing in this Schedule applies to anything done in pursuance of a direction under section 41 of this Act for restoration to the register.
To which registrar application to be madeU.K.
2(1)The following applications shall be made to the registrar of one of the branch councils, that is to say—U.K.
(a)applications for registration of persons under [section 3(1)(a)] [, 15 or 15A] of this Act; and
(b)applications under section 16 of this Act (other than applications for registration of primary European qualifications where the applicant was registered under [section 3(1)(b)] of this Act by virtue of those qualifications).
(2)The following applications shall be made to the Registrar, that is to say—
(a)applications for registration of persons under [section 3(1)(b)] of this Act and for the registration of the qualifications of those persons by virtue of which they were entitled to be registered under that paragraph;
(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c)applications under section 26 of this Act.
(3)In the following provisions of this Schedule “the appropriate registrar”, in relation to an application for registration, means the registrar to whom, in accordance with this paragraph, the application is made.
Proof of qualificationsU.K.
3(1)Subject to sub-paragraph (2) below, a person making an application for registration under [section 3, 15 or 15A] of this Act or an application under section 16 of this Act for the registration of the primary United Kingdom or primary European qualifications he holds when he is registered under those sections shall produce or send to the appropriate registrar the document conferring or evidencing the qualification by virtue of which the application is made together with a statement of his name and address and such other particulars (if any) as may be required for registration.U.K.
(2)Any university in the United Kingdom or any other body specified in section 4(3) of this Act may from time to time send to the Registrar or the registrar of a branch council lists certified under that body’s seal of the persons who have been granted qualifications by the body stating the qualifications and addresses of the persons included in the list, and a registrar—
(a)may for the purposes of this Act treat any such list sent to that registrar as sufficient evidence of the entitlement of any person mentioned in it to the qualification or qualifications which he is stated in it to have been granted; and
(b)on an application for registration under [section 3, 15 or 15A] of this Act or an application under section 16 of this Act for the registration of primary United Kingdom qualifications held on registration under those sections may issue a certificate of registration under paragraph 5 below to a person mentioned in any such list sent to that registrar as having been granted a primary United Kingdom qualification without the document mentioned in sub-paragraph (1) above being produced or sent to him.
[(3)[Where an application is made for registration under section 3(1)(b) of this Act (whether by a national of an EEA State or a person treated as such a national), the appropriate registrar shall take no account of any document issued in accordance with article 11 or 12 of Directive 93/16/EEC which is received by him more than three months after the date of its issue.]]
4U.K.A registrar shall not register any qualification, whether on first registration of a person or by way of addition, unless he is satisfied that the person claiming the qualification is entitled to it; but if a registrar to whom an application for registration of a qualification is made determines that he is not so satisfied, the applicant may appeal to the General Council.
Issue of certificates of registrationU.K.
5[(1)Subject to the foregoing provisions of this Schedule, on an application for the registration of a person under [section 3, 15 or 15A] of this Act the appropriate registrar, if satisfied that the applicant is entitled to be registered in accordance with the application—U.K.
(a)shall issue to the applicant the certificate of registration required by this paragraph; and
(b)... shall do so before the end of the requisite period.
(1A)[In this paragraph] “the requisite period” means—
(a)the period of three months beginning with the date on which the appropriate registrar received all the documents enabling him to be satisfied of the applicant’s entitlement to be registered in accordance with the application, or
[(b)in a case to which Directive 93/16/EEC applies, such longer period as is permitted by article 15 of that Directive.]]
(2)On registering a person under section 19, 21, [21A, 22 and 25 or 27][21B, 21C, 27A or 27B] of this Act the Registrar shall issue to the applicant the certificate of registration required by this paragraph.
(3)Subject as aforesaid, on an application for the registration of a qualification under section 16 or 26 of this Act, the appropriate registrar if satisfied that the applicant is entitled to have the qualification registered in accordance with the application shall issue to the applicant the certificate of registration required by this paragraph.
(4)A certificate of registration under this paragraph must be in the form prescribed by regulations under section 31 of this Act for entries in the register [in question] and shall state the name of the applicant and such other particulars as may be prescribed by the regulations.
[(4A)A certificate of registration required to be issued under sub-paragraph (2) or (3) above shall be issued before the end of the requisite period.]
Entry in or alteration of a registerU.K.
6(1)Without prejudice to sub-paragraph (2) below, the particulars stated in any certificate of registration issued under paragraph 5(1) or (3) above shall be deemed for all purposes to have been duly registered on the date of issue of the certificate except in so far as they were actually registered before that date, and references in this Act to registration shall be construed accordingly.U.K.
(2)On issuing a certificate of registration under paragraph 5(1) or (3) above the appropriate registrar shall—
(a)if he is the registrar of a branch council (but is not also the Registrar), with all convenient speed send a copy of the certificate certified under his hand to the Registrar, who shall forthwith cause an appropriate entry or alteration to be made in the register [in question]; or
(b)if he is the Registrar, forthwith cause an appropriate entry or alteration to be made in the register [in question].
(3)An entry or alteration made in [a register] [the register] in pursuance of this paragraph shall bear the same date as the certificate of registration by virtue of which it is made.
Visiting [EEA practitioners]U.K.
7(1)No application shall be required for registration under section 18 of this Act.U.K.
(2)The Registrar may issue certificates of registration to visiting [EEA practitioners].
Section 34B
[SCHEDULE 3AU.K.Registration Appeals
Textual Amendments
Modifications etc. (not altering text)
InterpretationU.K.
1In this Schedule—
“appealable registration decision” shall be construed in accordance with paragraph 2 below;
“person concerned” means the person in respect of whom an appealable registration decision is made or, as the case may be, an applicant to whom paragraph 3(2) below applies;
“person making the decision” means—
(a)
in relation to a decision on an application made under paragraph 2 of Schedule 3 to this Act, the appropriate registrar as defined in sub-paragraph (3) of that paragraph;
(b)
in relation to a decision under [section 18, 44 or 44A] [section 18, 39, 44, 44B or 44C] of this Act, the Registrar; and
(c)
in any other case, the General Council; and
“the requisite period” has the meaning given by paragraph 5(1A) of Schedule 3 to this Act.
Appealable registration decisionsU.K.
2(1)The following decisions are appealable registration decisions for the purposes of this Schedule—
(a)a decision on an application made under Schedule 3 to this Act not to register the applicant under section 3 of this Act as a fully registered medical practitioner (registration by virtue of primary United Kingdom or primary European qualifications);
(b)a decision on an application made under Schedule 3 to this Act not to register the applicant provisionally under section 15 of this Act (provisional registration);
(c)a decision on an application made under Schedule 3 to this Act not to register the applicant provisionally under section 15A of this Act (provisional registration for EEA nationals);
(d)a decision on an application made under Schedule 3 to this Act not to register a qualification under section 16(1) of this Act (registration of qualifications);
(e)a decision that a person shall not, or shall no longer, be registered under section 18 of this Act (visiting EEC practitioners);
(f)a decision not to direct that a person shall be registered under section 19(1) of this Act (full registration of EEA nationals etc. by virtue of overseas primary qualifications etc.);
(g)a decision not to direct that a person shall be registered provisionally under section 21(2) of this Act (provisional registration);
(h)[a decision not to direct that a person shall be registered under section 21A(1) of this Act (full registration for eligible specialists and qualified general practitioners) as a fully registered medical practitioner;]
(i)[a decision under section 22 of this Act (limited registration of persons by virtue of overseas qualifications)—
(i)not to direct that a person shall be registered, or registered for a further period, as a medical practitioner with limited registration, or
(ii)defining the limits of a person’s registration;]
(j)[a decision under section 24(2) of this Act giving a direction for erasure;]
(k)[a decision not to direct under section 25 of this Act (full registration of persons with limited registration) that a person be registered as a fully registered medical practitioner;]
[(ka)a decision not to direct that a person be registered under section 21B of this Act (full registration of persons with an overseas qualification);
(kb)a decision not to direct that a person be registered under section 21C of this Act (provisional registration of persons with an overseas qualification);]
(l)a decision not to register a qualification under section 26(1) [or (2)] of this Act (registration of qualifications);
(m)[a decision under section 27 of this Act (temporary full registration for visiting overseas specialists)—
(i)not to direct that a person be registered temporarily as a fully registered medical practitioner, or
(ii)giving a direction that such registration shall be for a period of less than twelve months;]
[a decision under section 27A of this Act (temporary registration for visiting eminent specialists)—
(i)not to direct that a person be registered under that section,
(ii)as to any conditions specified in a direction that a person be registered under that section;
(ma)a decision under section 27B of this Act (special purpose registration)—
(i)not to direct that a person be registered under that section,
(ii)as to the conditions specified in a direction that a person be registered under that section;]
[(mb)a decision under section 39 of this Act (fraud or error in relation to registration) to erase an entry from the register;]
(n)a decision under section 44 of this Act (effect of disqualification in another member State on registration in the United Kingdom)—
(i)under subsection (1) or (7), not to register a person, or
(ii)under subsection (3), to remove a person’s name from the register;
(o)[a decision under section 44A of this Act (effect of disqualification or conviction on registration)—
(i)under subsection (1), not to register a person, or
(ii)under subsection (2), to remove a person’s name from the register.]
[a decision under section 44B of this Act (fitness to practise matters prior to registration) to refuse to register a person or to erase a person’s name from the register;]
[(p)a decision not to give a direction under section 44D(1) or (2) of this Act (approved practice settings) disapplying the requirements set out in those subsections.]
(2)But a decision is not an appealable registration decision for the purposes of this Schedule if it is a decision to refuse registration to a person, or to erase a person’s name from the register, by reason only that the person failed to—
(a)pay the prescribed fee for registration;
(b)make an application as required under this Act; or
(c)produce a certificate obtained under section 10 of this Act.
Notice of appealable registration decisionsU.K.
3(1)Where an appealable registration decision is made, the person making the decision shall give the person concerned notice of—
(a)the decision;
(b)the reasons for the decision; and
(c)the person’s right to appeal under paragraph 4 below.
(2)Failure to notify an applicant of a decision made in respect of an application for registration under section 3, [19, 21A or 22] [15, 15A, 19 or 21] of this Act within the requisite period shall be treated as a decision from which the applicant may appeal under paragraph 4 below.
Appeals from appealable registration decisionsU.K.
4(1)A person in respect of whom an appealable registration decision has been made may appeal against the decision to a Registration Appeals Panel.
(2)An appeal under sub-paragraph (1) above shall be made by giving notice of appeal to the Registrar.
(3)Any such notice of appeal must be given before the end of the period of 28 days beginning with the date on which notice of the decision was given under paragraph 3(1) above.
This sub-paragraph is subject to any extension of time under paragraph 7 below.
(4)In the case of an appeal by virtue of paragraph 3(2) above, notice of appeal must be given before the end of the period of 28 days following the end of the requisite period.
(5)Where a decision to erase or remove a medical practitioner from the register is an appealable registration decision, the decision shall not be carried into effect—
(a)until the time for bringing any appeal against the decision has expired without an appeal being brought; or
(b)where an appeal is brought, until the date on which the appeal is finally disposed of or abandoned or fails by reason of its non-prosecution.
(6)Any rules made under paragraph 3 of Schedule 3B to this Act shall apply in relation to an appeal under this Schedule as they apply in relation to an appeal under section 29F of this Act.
(7)Paragraphs 2 and 7 of Schedule 4 to this Act shall apply in relation to proceedings under this Schedule before a Registration Appeals Panel as they apply to proceedings before a Fitness to Practise Panel.
(8)In disposing of an appeal under this paragraph, a Registration Appeals Panel may determine to—
(a)dismiss the appeal;
(b)allow the appeal and quash the decision appealed against;
(c)substitute for the decision appealed against any other decision which could have been made by the person making the decision;
(d)remit the case to the person making the decision to dispose of in accordance with the directions of the Registration Appeals Panel,
and a Panel may make such order as to costs (or, in Scotland, expenses) as they think fit.
(9)A Registration Appeals Panel shall, as soon as reasonably practicable—
(a)give the person concerned, and the person making the decision, notice of the Panel’s determination on an appeal under sub-paragraph (1) above and of the reasons for that determination; and
(b)if that determination is not a determination under sub-paragraph (8)(b) above, give the person concerned notice of his right of appeal under paragraph 5 below.
Modifications etc. (not altering text)
Appeals from a Registration Appeals PanelU.K.
5(1)Where—
(a)a Registration Appeals Panel determines an appeal under paragraph 4 above; and
(b)the Panel’s determination is any determination other than a determination under paragraph 4(8)(b) above to allow the appeal and quash the decision appealed against,
the person concerned may, before the end of the period of 28 days beginning with the date on which notice of the determination was given to him under paragraph 4(9), appeal against the determination to the relevant court.
(2)In this paragraph, “the relevant court” means the county court or, in Scotland, the sheriff.
(3)In sub-paragraph (2) above, “the sheriff” means the sheriff in whose sheriffdom is situated the address—
(a)which is shown in the register as the address of the person concerned; or
(b)which would have been so shown if the person concerned were registered.
(4)On an appeal under this paragraph from a Registration Appeals Panel, the relevant court may—
(a)dismiss the appeal;
(b)allow the appeal and quash the determination appealed against;
(c)substitute for the determination appealed against any other determination which could have been made by the Registration Appeals Panel;
(d)remit the case to the Registrar for him to refer it to a Registration Appeals Panel to dispose of the case in accordance with the directions of the relevant court,
and may make such order as to costs (or, in Scotland, expenses) as the relevant court thinks fit.
NoticesU.K.
6(1)Any notice required to be given under paragraph 3 or 4(9) above to the person concerned may be given—
(a)by delivering it to him;
(b)by leaving it at his proper address;
(c)by sending it by a registered post service; or
(d)by sending it by a postal service which provides for the delivery of the notice by post to be recorded.
(2)For the purposes of this paragraph and of section 7 of the Interpretation Act 1978 in its application to this paragraph, the proper address of the person concerned shall be—
(a)the address—
(i)which is shown in the register as his address, or
(ii)which would have been so shown if he were registered; or
(b)if the conditions in sub-paragraph (3) below are satisfied, his last known address.
(3)The conditions are that—
(a)the last known address of the person concerned differs from the address mentioned in sub-paragraph (2)(a) above; and
(b)it appears to the body or person giving the notice that a letter sent to the person concerned at his last known address is more likely to reach him.
(4)For the purposes of this paragraph—
(a)the giving of a notice effected by sending it by post shall be deemed to have been effected at the time when the letter containing it would be delivered in the ordinary course of post; and
(b)so much of section 7 of the Interpretation Act 1978 as relates to the time when service is deemed to have been effected shall not apply to a notice sent by post.
Modifications etc. (not altering text)
Extension of time for appealingU.K.
7Where—
(a)any notice required by paragraph 3(1) above to be given to the person concerned is given by sending it to him by post; and
(b)the Registrar is satisfied, on the application of that person, that he did not receive the notice within the period of 14 days beginning with the day on which the person making the decision gave the decision to which the notice relates, the Registrar may, if he thinks fit, by authorisation in writing extend the time for giving notice of appeal under paragraph 4(2) above.]
Section 29F
[SCHEDULE 3BU.K.Licence to Practise and Revalidation: Appeals
Manner of, and time for, appealingU.K.
1(1)A medical practitioner who wishes to appeal to a Registration Appeals Panel under section 29F of this Act against a decision of a licensing authority must give written notice of appeal to the Registrar.
(2)Any such notice of appeal must be given within the period of 28 days beginning with the day on which the practitioner is given notice of the decision of the licensing authority.
(3)Sub-paragraph (2) above is subject to paragraph 2 below.
Extension of time for appealingU.K.
2Where—
(a)any notice required by section 29B or 29D to be given to a medical practitioner by the Registrar is given by sending it to him by post; and
(b)the Registrar is satisfied, on the application of the practitioner, that the practitioner did not receive the notice within the period of 14 days beginning with the day on which the licensing authority gave the decision to which the notice relates,
the Registrar may, if he thinks fit, by authorisation in writing extend the time for giving notice of appeal under paragraph 1 above.
Rules as to procedure and evidenceU.K.
3(1)The General Council shall make rules as to—
(a)the procedure to be followed; and
(b)the rules of evidence which are to apply,
in proceedings before a Registration Appeals Panel.
(2)Rules made under this paragraph shall include provision—
(a)securing that notice of the time and place of any hearing is given, at such time and in such manner as may be specified in the rules, to the medical practitioner to whom the proceedings relate;
(b)securing that any party to proceedings before a Registration Appeals Panel shall, if he so requires, be entitled to be heard by the Panel;
(c)enabling any party to the proceedings to be represented by counsel or solicitor, or (if the rules so provide and the party so elects) by a person of such other description as may be specified in the rules; and
(d)requiring proceedings to be held in public [if the medical practitioner to whom the proceedings relate so requests], unless and to the extent that the rules provide otherwise.
(3)In sub-paragraph (2) above, “party”, in relation to any proceedings, means—
(a)the medical practitioner to whom the proceedings relate; or
(b)the Solicitor to the General Council.
(4)Paragraphs 2 and 7 of Schedule 4 to this Act shall apply in relation to proceedings before a Registration Appeals Panel as they apply in relation to proceedings before a Fitness to Practise Panel.
(5)Rules under this paragraph shall not come into force until approved by order of the Privy Council.
(6)The Privy Council may approve such rules—
(a)as submitted to them; or
(b)subject to such modifications as appear to them to be requisite.
(7)Where the Privy Council propose to approve rules under this paragraph subject to modifications, they shall—
(a)notify the General Council of the modifications they propose to make; and
(b)consider any observations which the General Council may make on the modifications.
(8)Before making rules under this paragraph the General Council shall consult such bodies of persons representing medical practitioners, or medical practitioners of any description, as appear to the Council requisite to be consulted.
References to the Investigation CommitteeU.K.
4(1)Where a matter—
(a)arises in the course of proceedings relating to a medical practitioner before a Registration Appeals Panel; and
(b)ought, in the opinion of the Panel, to be investigated by the Investigation Committee,
sub-paragraph (2) below applies.
(2)In any such case, the Registration Appeals Panel may—
(a)adjourn the proceedings; and
(b)give a direction to the Registrar to refer the matter to the Investigation Committee.
Powers of Registration Appeal Panels disposing of an appealU.K.
5In disposing of an appeal under section 29F of this Act by a medical practitioner against a decision of a licensing authority, the determinations that may be made by a Registration Appeals Panel are—
(a)if the appeal is against a decision to refuse to grant a licence to practise, that a licence to practise should, or (as the case may be) should not, be granted to the practitioner;
(b)if the appeal is against a decision to withdraw a licence to practise, that a licence to practise should, or (as the case may be) should not, be withdrawn from the practitioner; or
(c)if the appeal is against a decision to refuse to restore a licence to practise, that a licence to practise should, or (as the case may be) should not, be restored to the practitioner,
and a Panel may make such orders as to costs (or, in Scotland, expenses) as they think fit.
Successful appealsU.K.
6(1)This paragraph applies in any case where, on an appeal under section 29F of this Act by a medical practitioner against a decision of a licensing authority, a Registration Appeals Panel determines—
(a)that a licence to practise should be granted to the medical practitioner;
(b)that a licence to practise should not be withdrawn from the medical practitioner; or
(c)that a licence to practise should be restored to the medical practitioner.
(2)The Registration Appeals Panel shall give notice to the Registrar informing him of the determination and directing him accordingly—
(a)to grant the licence;
(b)not to withdraw the licence; or
(c)to restore the licence.
(3)The Registrar shall give notice of the determination to the medical practitioner.
(4)Section 29H of this Act applies in relation to any notice under sub-paragraph (2) above.
Unsuccessful appealsU.K.
7(1)This paragraph applies in any case where, on an appeal under section 29F of this Act by a medical practitioner against a decision of a licensing authority, a Registration Appeals Panel determines—
(a)that a licence to practise should not be granted to the medical practitioner;
(b)that a licence to practise should be withdrawn from the medical practitioner; or
(c)that a licence to practise should not be restored to the medical practitioner.
(2)The Registration Appeals Panel shall give notice to the Registrar—
(a)informing him of the determination; and
(b)if the determination is that a licence to practise should be withdrawn from the medical practitioner, directing him to withdraw the licence.
(3)The Registrar shall give the medical practitioner notice of—
(a)the determination; and
(b)his right under paragraph 8 below to appeal against the determination.
(4)Any direction under sub-paragraph (2)(b) above has effect subject to section 29F(3) of this Act (no implementation pending appeal).
(5)Section 29H of this Act applies in relation to any notice under sub-paragraph (2) above.
Further appeal to court against determination within paragraph 7U.K.
8(1)Where, on an appeal under section 29F of this Act by a medical practitioner, a Registration Appeals Panel makes a determination falling within sub-paragraph (1) of paragraph 7 above, the practitioner may appeal against the determination.
(2)Any such appeal must be made within the period of 28 days beginning with the day on which the practitioner is given notice under paragraph 7 above of the determination of the Registration Appeals Panel.
(3)Any such appeal must be made to a county court or, in Scotland, to the sheriff.
(4)In sub-paragraph (3) above “the sheriff” means the sheriff in whose sheriffdom is situated the address—
(a)which is shown in the register as the practitioner’s address; or
(b)which would be so shown, if the practitioner were registered.
(5)On appeal under this paragraph from a Registration Appeals Panel, the county court or the sheriff may—
(a)dismiss the appeal;
(b)allow the appeal and quash the decision appealed against; or
(c)remit the case to the Registrar for him to refer it to a Registration Appeals Panel to dispose of in accordance with the directions of the court (or the sheriff),
and may make such orders as to costs (or, in Scotland, expenses) as it (or he) thinks fit.]
Section 43
[SCHEDULE 4U.K.PROCEEDINGS BEFORE THE INVESTIGATION COMMITTEE, INTERIM ORDERS PANELS AND FITNESS TO PRACTISE PANELS
Procedure of and evidence before the Investigation Committee, Interim Orders Panels and Fitness to Practise PanelsU.K.
1(1)Subject to the provisions of this paragraph, the General Council shall make rules for the Investigation Committee, Interim Orders Panels and Fitness to Practise Panels with respect to—U.K.
(a)the reference of cases to the Investigation Committee, an Interim Orders Panel or a Fitness to Practise Panel; and
(b)the procedure to be followed and rules of evidence to be observed in proceedings before that Committee or such a Panel.
(2)Rules made under this paragraph in connection with the consideration by the Investigation Committee of whether to warn a person regarding his future conduct or performance under section 35C(6) above shall include provision—
(a)securing that notice shall be given to this effect to the person concerned;
(b)securing that the person concerned shall be entitled to make representations in writing to the Committee;
(c)securing that if the Committee determines that there should be an oral hearing, the person concerned shall, if he so requires, be entitled to be heard by the Committee;
(d)enabling the person concerned to be represented before the Committee by counsel or a solicitor, or (if the rules so provide and he so elects) by a person of such other description as may be specified in the rules; and
(e)securing that notice be served on the person concerned of any decision taken in relation to him by the Committee.
[(2A)Rules made under this paragraph in connection with the consideration by the Investigation Committee of an allegation may include provision—
(a)for enabling the Committee, in such circumstances as may be specified in the rules, to agree with the person concerned that he will comply with such undertakings as the Committee considers appropriate; and
(b)with respect to the procedure to be followed where any such undertakings are breached.]
(3)Rules made under this paragraph in connection with the consideration by an Interim Orders Panel or a Fitness to Practise Panel of the making of an interim suspension order or an order for interim conditional registration under section 41A above, or in connection with the review of such an interim order, shall include provision—
(a)securing that notice that the proceedings are to be brought shall be given, at such time and in such manner as may be specified in the rules, to the person to whom the proceedings relate;
(b)securing that a person in relation to whom an order has been made shall, if he so requires, be entitled to be heard by the Panel on each occasion on which they review the order;
(c)enabling the person in relation to whom the order has been made to be represented before the Panel by counsel or a solicitor, or (if the rules so provide and he so elects) by a person of such other description as may be specified in the rules;
(d)for service on the person to whom the proceedings relate of notice of any decision taken in relation to him by the Panel; and
(e)determining when proceedings before the Panel are to be held in public and when in private (including provision securing that they are to be held in public if the person to whom the proceedings relate so requests).
(4)Rules made under this paragraph in connection with any other proceedings before a Fitness to Practise Panel shall include provision—
(a)securing that notice that the proceedings are to be brought shall be given, at such time and in such manner as may be specified in the rules, to the person to whose registration the proceedings relate;
(b)securing that any party to the proceedings shall, if he so requires, be entitled to be heard by a Panel;
(c)enabling any party to the proceedings to be represented before the Panel by counsel or a solicitor, or (if the rules so provide and the party so elects) by a person of such other description as may be specified in the rules;
(d)[in relation to conduct, conviction or determination proceedings,] for proceedings before a Panel to be held in public unless and to the extent that the rules provide otherwise; [and
(e)in relation to health or performance proceedings, requiring proceedings before a Panel to be held in public if the person concerned so requests unless and to the extent that the rules provide otherwise.]
(5)Rules made under this paragraph shall specify the relevant date for the purposes of sections 35A and 35B of this Act.
(6)Before making rules under this paragraph the General Council shall consult such bodies of persons representing medical practitioners, or medical practitioners of any description, as appear to the General Council requisite to be consulted.
(7)Rules under this paragraph shall not come into force until approved by order of the Privy Council.
(8)The Privy Council may approve such rules—
(a)as submitted to them; or
(b)subject to such modifications as appear to them to be requisite.
(9)Where the Privy Council propose to approve rules under this paragraph subject to modifications, they shall—
(a)notify the General Council of the modifications they propose to make; and
(b)consider any observations which the General Council may make on the modifications.
(10)[In this paragraph—
“conduct proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(a) above;
“performance proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(b) above;
“conviction proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(c) above;
“health proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(d) above; and
“determination proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(e) above.]
2(1)For the purpose of proceedings in England or Wales or in Northern Ireland before—U.K.
(a)the Investigation Committee;
(b)an Interim Orders Panel; or
(c)a Fitness to Practise Panel,
the Committee or Panel may administer oaths, and any party to the proceedings may issue a writ of subpoena ad testificandum or duces tecum, but no person shall be compelled under any such writ to produce any document which he could not be compelled to produce on the trial of an action.
(2)Section 36 of the Supreme Court Act 1981 or section 67 of the Judicature (Northern Ireland) Act 1978 (which provide a special procedure for the issue of such writs so as to be in force throughout the United Kingdom) shall apply in relation to proceedings before the Investigation Committee, an Interim Orders Panel or a Fitness to Practise Panel in England and Wales or, as the case may be, in Northern Ireland as those provisions apply in relation to causes or matters in the High Court or actions or suits pending in the High Court of Justice in Northern Ireland.
(3)For the purpose of proceedings before the Investigation Committee, an Interim Orders Panel or a Fitness to Practise Panel in Scotland, the Committee or Panel may administer oaths and the Court of Session shall on the application of any party to the proceedings have the like power as in any action in that court—
(a)to grant warrant for the citation of witnesses and havers to give evidence or to produce documents before the Committee or Panel and for the issue of letters of second diligence against any witness or haver failing to appear after due citation;
(b)to grant warrant for the recovery of documents; and
(c)to grant commissions to persons to take the evidence of witnesses or to examine havers and receive their exhibits and productions.
3U.K.Where—
(a)several sittings of the Investigation Committee, an Interim Orders Panel or a Fitness to Practise Panel or the General Council are required to enable the Committee, a Panel or the Council to dispose of a case; or
(b)on an appeal to the relevant court under section 40 of this Act, the case is remitted to the Registrar for him to refer the case to a Fitness to Practise Panel or to the General Council for the Panel or the Council to dispose of the case in accordance with directions given by the court,
the validity of the proceedings on the case before the Committee, Panel or Council, as the case may be, shall not be called into question by reason only that members of the Committee, Panel or Council who were present at a former meeting were not present at a later meeting of the Committee, Panel or Council or that members present at a later meeting were not present at a former meeting of the Committee, Panel or Council, as the case may be.
Reference and transfer of cases to the Investigation CommitteeU.K.
3A(1)Where in the course of any proceedings before a Fitness to Practise Panel, the Panel are of the opinion that a matter arises which ought to be investigated by the Investigation Committee or considered by another Fitness to Practise Panel—U.K.
(a)that Panel may give a direction to that effect to the Registrar; and
(b)that matter shall be referred by the Registrar to that Committee, or another Fitness to Practise Panel.
(2)Nothing in sub-paragraph (1) above shall prevent that Fitness to Practise Panel from considering that matter itself, whether or not it has reached a decision in the proceedings.
Reference and transfer of cases to the Health CommitteeU.K.
4U.K.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Preliminary proceedingsU.K.
5U.K.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Professional Performance AssessmentsU.K.
5A(1)The General Council may make rules—U.K.
(a)authorising the giving of directions by any of—
(i)the Investigation Committee,
(ii)a Fitness to Practise Panel,
(iii)such other persons as may be specified in the rules,
requiring an assessment of the standard of a registered person’s professional performance to be carried out;
(b)specifying circumstances in which such an assessment may be carried out otherwise than in accordance with a direction.
(2)An assessment carried out by virtue of this paragraph shall be carried out by an Assessment Team in accordance with rules under this paragraph; and the rules shall, in particular, provide—
(a)for the constitution and proceedings of Assessment Teams;
(b)for the procedures to be followed by such Teams in carrying out assessments; and
(c)for the procedures to be followed following the making of a report by an Assessment Team.
(2A)An assessment of the standard of a registered person’s professional performance may include an assessment of his professional performance at any time prior to the assessment and may include an assessment of the standard of his professional performance at the time of the assessment.
(3)Rules under this paragraph may authorise a Fitness to Practise Panel to make directions of a kind which may be made under section 35D of this Act, for the suspension of, or the attachment of conditions to a person’s registration, where the person fails to comply with reasonable requirements imposed by an Assessment Team for the purposes of carrying out an assessment of the standard of his professional performance in accordance with a direction made under rules under this paragraph.
(3A)Rules under this paragraph may provide for the Investigation Committee to give a direction to the Registrar that a case be referred, or for the Registrar to refer a case, to a Fitness to Practise Panel for the purposes of that Panel making a direction under paragraph (3) above.
(5)An appeal shall lie to the relevant court (within the meaning of section 40(5) of this Act) from any direction of a Fitness to Practise Panel given by virtue of sub-paragraph (3) above, and on an appeal under this sub-paragraph the relevant court may—
(a)quash the direction;
(b)substitute for the direction any other direction which the Panel could have made; or
(c)remit the case to the Registrar for him to refer it to a Fitness to Practise Panel to be disposed of in accordance with the court’s directions,
and the decision of the court on any appeal under this sub-paragraph shall be final.
(6)An Assessment Team, for the purposes of carrying out an assessment of the standard of a person’s professional performance—
(a)may require the production of, inspect and take copies of any records (in whatever form they are held) arising out of or relating to the person’s professional practice; and
(b)where such records are kept otherwise than in legible form, may require a copy of them to be given to the Team in legible form.
(7)A person who, without reasonable excuse, obstructs an Assessment Team in the execution of their powers under sub-paragraph (6) above shall be guilty of an offence and liable on summary conviction to a fine not exceeding level 3 on the standard scale.
(8)Nothing in this paragraph shall require or permit any disclosure of information which is prohibited by or under any other enactment; but where information is held in a form in which the prohibition operates by reason of the fact that the information is capable of identifying an individual, an Assessment Team may, in exercising their powers under sub-paragraph (6) above, require that the information be put into a form in which it is not capable of identifying an individual.
(8A)In determining for the purposes of sub-paragraph (8) above whether a disclosure is not prohibited, by reason of being a disclosure of personal data which is exempt from the non-disclosure provisions of the Data Protection Act 1998 by virtue of section 35(1) of that Act, it shall be assumed that the disclosure is required under this paragraph.
(9)Sub-paragraphs (6) and (7) of paragraph 1 above shall apply in relation to rules made under this paragraph as they apply in relation to rules under that paragraph.
5B(1)A justice of the peace (including, in Scotland, a sheriff) may issue a warrant under this paragraph if satisfied by the evidence on oath of at least two members of an Assessment Team that there are reasonable grounds for suspecting that the team will require a warrant for the purposes of carrying out an assessment required by virtue of rules made under paragraph 5A above.U.K.
(2)A warrant under this paragraph shall authorise one or more members of the Assessment Team (who must, if so required, produce documents identifying themselves) together with any constables—
(a)to enter any building specified in the warrant, but not a dwelling-house, using such force as is reasonably necessary for the purpose; and
(b)to search the premises for the purposes of the exercise of the powers under paragraph 5A(6) above.
(3)A warrant under this paragraph shall continue in force until the end of the period of 21 days beginning with the day on which it is issued.
(4)A person who intentionally obstructs the exercise of any rights conferred by a warrant issued under this paragraph shall be guilty of an offence and liable on summary conviction to a fine not exceeding level 3 on the standard scale.
Proceedings for erasure of entries fraudulently or incorrectly madeU.K.
6[(1)The General Council shall make rules with respect to the discharge by the Council of their functions under section 39 of this Act.U.K.
(2)If the Council delegate their functions under that section to a Fitness to Practise Panel or other committee, rules shall make provision with respect to the discharge of those functions by the Panel or committee.
(3)Sub-paragraph (6) and (7) of paragraph 1 above shall apply in relation to rules made under this paragraph as they apply in relation to rules under that paragraph.]
Legal assessorsU.K.
7(1)For the purposes of advising—U.K.
(a)the Investigation Committee where it is considering giving a warning to a person;
(b)an Interim Orders Panel; or
(c)a Fitness to Practise Panel,
on questions of law arising in proceedings before them, there shall in all such proceedings be an assessor to the Panel who shall be appointed by the General Council and shall be—
(i)a person who has a 10 year general qualification, within the meaning of section 71 of the Courts and Legal Services Act 1990,
(ii)an advocate or solicitor in Scotland of at least 10 years' standing, or
(iii)a member of the Bar of Northern Ireland or solicitor of the Supreme Court of Northern Ireland of at least 10 years' standing.
(2)An assessor may be appointed under this paragraph either generally or for any particular proceedings or class of proceedings.
(3)[The General Council] may make rules as to the functions of assessors appointed under this paragraph, including without prejudice to the generality of the powers to make such rules, the function of advising on the drafting of decisions.
(4)Rules made under this paragraph in connection with proceedings before the Investigation Committee, an Interim Orders Panel or a Fitness to Practise Panel may in particular contain such provisions as appear to [the General Council] expedient for—
(a)securing that where an assessor advises the Committee or a Panel on any question of law as to evidence, procedure or any other matter specified in the rules, he shall either—
(i)so advise in the presence of every party, or person representing a party, to the proceedings who appears at the proceedings, or
(ii)inform every such party or person of the advice that he has tendered, if the advice is tendered after the Committee or the Panel have begun their deliberations;
(b)securing that every such party or person shall be informed if in any case the Committee or the Panel do not accept the advice of the assessor on any such question,
and may also contain such incidental and supplementary provisions as appear to [the General Council] expedient.
(5)The General Council may pay to persons appointed to act as assessors such remuneration as the Council may determine.
[(6)Rules under this paragraph shall not come into force until approved by order of the Privy Council.]
Service of notifications of decisionsU.K.
8(1)This paragraph applies to any notice required to be served on a person under section 35C(5), (7) or (8), 35E(1), 39(2), 41(10), 41A(5) or 45(7) of this Act.U.K.
(2)Any such notice may be so served—
(a)by delivering it to him;
(b)by leaving it at his proper address;
(c)by sending it by a registered post service; or
(d)by sending it by a postal service which provides for the delivery of the notice by post to be recorded.
(3)For the purposes of this paragraph and of section 7 of the Interpretation Act 1978 in its application to this paragraph, a person’s proper address shall be—
(a)his address in the register; or
(b)if the conditions in sub-paragraph (4) below are satisfied, his last known address.
(4)The conditions are that—
(a)the person’s last known address differs from his address in the register; and
(b)it appears to the Registrar that a letter sent to the person at his last known address is more likely to reach him.
(5)For the purposes of this paragraph—
(a)the serving of a notice effected by sending it by post shall be deemed to have been effected at the time when the letter containing it would be delivered in the ordinary course of post; and
(b)so much of section 7 of the Interpretation Act 1978 as relates to the time when service is deemed to have been effected shall not apply to a notice sent by post.
Modifications etc. (not altering text)
Extension of time for appealingU.K.
9U.K.Where—
(a)any notice required by section 35E(1) or 39(2) of this Act to be served on a person by the Registrar is served on him by sending it by post; and
(b)the Registrar is satisfied, on an application of that person, that the person did not receive the notice within 14 days beginning with the day of the giving of the decision to which the notification relates,
the Registrar may, if he thinks fit, by authorisation in writing extend the time within which an appeal under section 40 of this Act may be brought against the decision.
Taking effect of directions for erasure, suspension or conditional registration and of variations of conditions of registrationU.K.
10(1)A direction for erasure, for suspension or for conditional registration given by a Fitness to Practise Panel under section 35D of [this Act, a] [this Act or a] variation by a Fitness to Practise Panel under section 35D(12) [or a direction for erasure given by the General Council under section 39 of this Act] shall take effect—U.K.
(a)where no appeal under section 40 is brought against the direction or variation within the time specified in that section, on the expiration of that time;
(b)where such an appeal is so brought but is withdrawn or dismissed for want of prosecution, on the withdrawal or dismissal of the appeal;
(c)where such an appeal is so brought and is not withdrawn or dismissed for want of prosecution, if and when the appeal is dismissed.
(2)Where the time for appealing against a direction or variation is extended by an authorisation under paragraph 9 above—
(a)sub-paragraph (1) shall apply to the direction as if the reference in paragraph (a) to the time specified in section 40 of this Act were a reference to that time as so extended; and
(b)if the authorisation is given after the expiration of the time specified in section 40 of this Act, the direction or variation shall be deemed not to have taken effect on the expiration of that time,
and any reference in this Act to the time when such a direction takes effect in accordance with this paragraph shall be construed accordingly.
(3)Any reference in this paragraph to a direction for suspension or for conditional registration includes a reference to a direction extending a period of suspension or conditional registration.
11(1)If, while a person’s registration is suspended under section 35D(2) of this Act, a direction is given under subsection (5) or (8)(a) or (c) of that section, the suspension of his registration shall continue to have effect throughout any period which may intervene between the time when, but for this sub-paragraph, the suspension of his registration would end and the time when the direction takes effect in accordance with paragraph 10 above or an appeal against it under section 40 of this Act is (otherwise than by the dismissal of the appeal) determined.U.K.
(2)If, on the determination of an appeal under section 40 of this Act, a direction extending a current period of suspension for a further period takes effect after the time when, but for sub-paragraph (1) above, the current period of suspension would have ended, that further period shall be treated as having started to run from that time.
(3)If, while a person’s registration is subject to conditions imposed under section 35D(2) of this Act, a direction is given under subsection (10) or (12) of that section the conditions attached to his registration shall continue to attach to it throughout any period which may intervene between the time when, but for this sub-paragraph, his registration would cease to be conditional and the time when the direction takes effect in accordance with paragraph 10 above or an appeal against it under section 40 of this Act is (otherwise than by the dismissal of the appeal) determined.
(4)If, on the determination of an appeal under section 40 of this Act, a direction extending a current period of conditional registration for a further period takes effect after the time when, but for sub-paragraph (3) above, the current period of conditional registration would have ended, that further period shall be treated as having started to run from that time.
Recording of directions for suspension or conditional registrationU.K.
12U.K.Where a direction under section 35D of this Act or under rules made by virtue of paragraph 5A(3) of this Schedule for suspension or for conditional registration takes effect in relation to any person the Registrar shall record in the register the fact that that person’s registration is suspended or subject to conditions.
Meaning of “party”U.K.
13U.K.In this Schedule “party”, in relation to proceedings before the Investigation Committee, an Interim Orders Panel or Fitness to Practise Panel means any person to whose registration the proceedings relate, or the Solicitor to the General Council.]
Section 56(1).
SCHEDULE 5U.K. Consequential Amendments of Enactments
1U.K.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mental Health Act 1959U.K.
2U.K.In the definition of “medical practitioner” in section 147(1) of the Mental Health Act 1959 for the words “the Medical Act 1956” there shall be substituted the words “ Schedule 1 to the Interpretation Act 1978 ”.
Mental Health (Scotland) Act 1960U.K.
3U.K.In the definition of “medical practitioner” in section 111(1) of the Mental Health (Scotland) Act 1960 for the words “the Medical Act 1956” there shall be substituted the words “ Schedule 1 to the Interpretation Act 1978 ”.
4U.K.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Medicines Act 1968U.K.
5U.K.In section 132(1) of the Medicines Act 1968 for the definition of “doctor” there shall be substituted—
““doctor” means a registered medical practitioner within the meaning of Schedule 1 to the Interpretation Act 1978”.
Mines Act (Northern Ireland) 1969U.K.
6U.K.In section 158(1) of the Mines Act (Northern Ireland) 1969, in the definition of “doctor” for the words “the Medical Act 1956” there shall be substituted the words “ section 55 of the Medical Act 1983 ”.
Nurses and Midwives Act (Northern Ireland) 1970U.K.
7U.K.In section 54(1) of the Nurses and Midwives Act (Northern Ireland) 1970, in the definition of “doctor” for the words “the Medical Acts 1956 to 1969” there shall be substituted the words “ section 55 of the Medical Act 1983 ”.
Nursing Homes and Nursing Agencies Act (Northern Ireland) 1971U.K.
8U.K.In section 20 of the Nursing Homes and Nursing Agencies Act (Northern Ireland) 1971, in the definition of “fully registered person” for the words “section 54(1) of the Medical Act 1956” there shall be substituted the words “ section 55 of the Medical Act 1983 ”.
Misuse of Drugs Act 1971U.K.
9U.K.In section 37(1) of the Misuse of Drugs Act 1971 for the definition of “doctor” there shall be substituted—
““doctor” means a registered medical practitioner within the meaning of Schedule 1 to the Interpretation Act 1978”.
Health and Personal Social Services (Northern Ireland) Order 1972U.K.
10U.K.In Article 2(2) of the Health and Personal Social Services (Northern Ireland) Order 1972, in the definition of “medical practitioner” for the words “the Medical Acts 1956 to 1969” there shall be substituted the words “ the Medical Act 1983 ”.
Finance Act 1972U.K.
11U.K.In the Finance Act 1972—
(a)in Schedule 4 in Note (2)(a) to Group 14 and in Schedule 5 in Note (2) to Group 7 for the words “paragraph (3) of Article 7 of the Medical Qualifications (EEC Recognition) Order 1977” and “that Article” there shall be substituted respectively the words “ subsection (3) of section 18 of the Medical Act 1983 ” and “ that section ”; and
(b)Note (2)(b) to the said Group 14 and Note (4) to the said Group 7 shall cease to have effect.
Poisons Act 1972U.K.
12U.K.In section 11(2) of the Poisons Act 1972 for the definition of “doctor” there shall be substituted—
““doctor” means a registered medical practitioner within the meaning of Schedule 1 to the Interpretation Act 1978”.
Births and Deaths Registration (Northern Ireland) Order 1976U.K.
13U.K.In Article 2(2) of the Births and Deaths Registration (Northern Ireland) Order 1976, in the definition of “registered medical practitioner” for the words “the Medical Act 1956” there shall be substituted the words “ section 55 of the Medical Act 1983 ”.
Pharmacy (Northern Ireland) Order 1976U.K.
14U.K.In Article 23 of the Pharmacy (Northern Ireland) Order 1976 for the words “the Medical Act 1956” there shall be substituted the words “ section 55 of the Medical Act 1983 ”.
Poisons (Northern Ireland) Order 1976U.K.
15U.K.In Article 2(2) of the Poisons (Northern Ireland) Order 1976, in the definition of “fully registered person” for the words “section 54(1) of the Medical Act 1956” there shall be substituted the words “ section 55 of the Medical Act 1983 ”.
National Health Service Act 1977U.K.
16U.K.In the National Health Service Act 1977—
(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
National Health Service (Scotland) Act 1978U.K.
17U.K.In the National Health Service (Scotland) Act 1978—
(a)in section 19(7) for the words “section 8(1) or (2) of the Medical Act 1978”, “section 9(1)” and “section 13(3)(b)” there shall be substituted respectively the words “ section 37(1) or (2) of the Medical Act 1983 ”, “ section 38(1) ” and “ section 42(3)(b) ”; and
(b)in section 108(1) for the definition of “medical practitioner” there shall be substituted—
““medical practitioner” means a registered medical practitioner within the meaning of Schedule 1 to the Interpretation Act 1978”.
Interpretation Act 1978U.K.
18U.K.In Schedule 1 to the Interpretation Act 1978, in the definition of “registered medical practitioner”, for the words “the Medical Act 1956” there shall be substituted the words “ the Medical Act 1983 ”.
19U.K.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section 56.
SCHEDULE 6U.K. Transitional and Saving Provisions
1U.K.Where any period of time specified in an enactment repealed by this Act is current at the commencement of this Act, this Act shall have effect as if the corresponding provision of this Act had been in force when that period began to run.
2U.K.Where, apart from this paragraph, anything done under or for the purposes of any enactment which is repealed by this Act would cease to have effect by virtue of that repeal it shall have effect as if it had been done under or for the purposes of the corresponding provision of this Act.
3E+W+SNotwithstanding the repeal by this Act of section 57(3) of the 1956 Act, anything continued in force by that section shall continue in force following that repeal and so far as it could have been made, given or done under this Act shall have effect as if it had been so made, given or done.
4U.K.The repeal of section 4 of the 1978 Act by this Act shall not affect the operation of [Article] 3 of the Irish Republic (Termination of 1927 Agreement) Order 1979 but after the commencement of this Act, except where the context otherwise requires, the references in [that Article] to provisions of the 1956 Act shall have effect as references to the corresponding provisions of this Act.
Textual Amendments
Marginal Citations
5U.K.Nothing in the repeals made by this Act shall affect any registration or entry or note in a register which has effect by virtue of any enactment repealed by this Act.
6U.K.References in any enactment, instrument or other document passed or made before 23rd February 1951 to the General Council of Medical Education and Registration of the United Kingdom shall be construed as references to the General Council.
7U.K.References (however worded) to the general register kept for the purposes of the 1956 Act in any Act or instrument passed or made before 26th January 1979 shall be construed as references to the register of medical practitioners.
8U.K.The reference in section 31(8) of this Act to a person whose name has been erased from the register by virtue of section 30(5) of this Act shall include references to a person whose name has been erased from the register by virtue of section 3(5) of the Medical Act 1969, or section 41(7) of the 1956 Act or the corresponding enactment repealed by that Act.
9U.K.A person who immediately before the commencement of section 11 of the Medical Act 1969 held an additional qualification within the meaning of section 8 of the 1956 Act as originally enacted shall, if registered under section 3 of this Act or on becoming so registered, be entitled to have the qualification registered; and if he is not registered under section 3 of this Act that qualification shall confer on him the same right to registration under that section as a primary United Kingdom qualification.
10U.K.Any reference to infamous conduct in any professional respect in any enactment passed, or in any instrument made, before 1st April 1970 shall, in so far as it relates to the conduct of medical practitioners, be construed as, or as including, a reference to serious professional misconduct.
11(1)In any enactment passed before 1st January 1979 the expression “legally qualified medical practitioner”, or “duly qualified medical practitioner”, or any expression importing a person recognised by law as a medical practitioner or member of the medical profession, shall, unless the contrary intention appears, be construed to mean a fully registered person.U.K.
(2)In any enactment passed before 1st January 1979 references (however expressed) to a person registered under the Medical Acts or as a medical practitioner shall, unless the contrary intention appears, be construed as references to a fully registered person.
12U.K.Any direction given or order made under sections 32 to 38 of or Schedule 4 to the 1956 Act or section 15 or 16 of the Medical Act 1969 which had taken effect before 1st August 1980 and was in force immediately before that day shall, if it could be given or made under a provision of this Act have effect on and after that day as if given or made under that provision of this Act and sections 36, 38, 40 and 41 of this Act shall apply accordingly.
13U.K.Any reference in any instrument to the Disciplinary Committee or to any provision repealed by section 6(4)(a) of the 1978 Act shall be construed as a reference to the Professional Conduct Committee or to the provision of this Act which corresponds to that repealed provision.
14U.K.Nothing in the transfer of functions which was effected by section 15(7) of the 1978 Act shall be taken to affect the validity of the Period of Employment as House Officers Regulations 1951 and any order approving those regulations may be varied or revoked as if the regulations had been made by the Education Committee.
15U.K.In relation to any person who was provisionally registered under section 17 of the 1956 Act immediately before section 16 of the 1978 Act came into operation—
(a)section 15 of the 1956 Act shall continue to have effect as it had immediately before that date;
(b)section 10 of this Act shall not have effect; and
(c)the remaining provisions of this Act shall have effect as if references to or to the provisions of section 10 of this Act were references to or to the provisions of section 15 of the 1956 Act.
16U.K.The decisions within section 29(2) of this Act shall include those which were within subsection (2) of section 28 of the 1978 Act immediately before the commencement of this Act other than those to which subsection (3) of that section applied.
17U.K.Section 41 of this Act applies to a person whose name has been erased from the register under section 33 of the 1956 Act or any corresponding enactment repealed by that Act as it applies to a person whose name is erased under section 36 of this Act.
18U.K.Until provision is made with respect to proceedings before the Professional Conduct Committee under section 44 of this Act, rules made or having effect as if made under ... paragraph 1 of Schedule 4 to this Act, so far as relating to proof of criminal convictions, shall be applied with any necessary modifications to proof of a disqualifying decision.
19U.K.Section 53 of this Act shall apply to a copy of any document to which section 51 of the 1956 Act applied immediately before the commencement of this Act as if such documents were mentioned in subsection (2) of that section.
20(1)A person registered under section 23 of the 1956 Act shall be deemed to be provisionally registered within the meaning of this Act and the definitions in section 55 of this Act of “provisionally registered” and “a fully registered person” shall have effect accordingly.U.K.
(2)Without prejudice to sub-paragraph (1) above—
(a)sections 30(1)(a) and (b) and 31(4) of this Act shall have effect as if after the words “section 15 above” there were inserted the words “or section 23 of the Medical Act 1956”;
(b)section 34(4) of this Act shall have effect as if there were inserted at the end the words “or section 23 of the Medical Act 1956”; and
(c)section 41(3) of this Act shall apply to a person who was provisionally registered under section 23 of the 1956 Act as it applies to a person provisionally registered under section 21 of this Act.
21U.K.The re-enactment in paragraph 2(2) of Schedule 1 to this Act of section 1(5) of the 1978 Act shall not oblige the General Council to make a new electoral scheme any earlier than they would otherwise have done so.
22U.K.Nothing in this Act shall affect the validity of the standing orders of the General Council in force immediately before 27th September 1979 and those orders shall have effect as if made under paragraph 15 of Schedule 1 to this Act.
23[(1)Nothing in this Act shall affect the registration of any person under section 22 of the 1978 Act by virtue of paragraph 4 of Schedule 5 to that Act and any such registration shall have effect as if made under section 22 of this Act, but in the case of a person so registered—U.K.
(a)subsection (3) of section 22 shall not apply, and
(b)subsections (5) to (8) of that section shall apply with the omission in subsection (5) of the reference to the permitted period and of the reference to section 24(1) of this Act.
(2)Where a person who is or has been registered with limited registration for a period by virtue of paragraph 4 of Schedule 5 to the 1978 Act applies under section 22 of this Act to be so registered for a further period, the following provisions of that section shall not apply, namely, subsection (3) and, in subsection (5), the reference to the permitted period and to section 24(1) of this Act.
(3)In relation to persons to whom Part I of Schedule 5 to the 1978 Act applied who are registered with limited registration, this Act shall have effect as if in paragraphs 2(4) and (5) and 3(2) of Schedule 1 for the words “so registered” there were substituted the words “temporarily registered or registered with limited registration”.
(4)Where immediately before the commencement of this Act any person was treated by virtue of paragraph 7 of Schedule 5 to the 1978 Act (pending applications under section 26 of the 1956 Act) as having applied to be registered under section 22 of the 1978 Act he shall after the commencement of this Act be treated as having applied to be registered under section 22 of this Act and as having satisfied the Registrar of the matters specified in paragraphs (a) and (b) of subsection (1) of that section.
(5)Section 29 of this Act shall have effect as if a refusal to direct that a person be registered with limited registration under section 22 of the 1978 Act or section 22 of this Act by virtue of paragraph 4 of Schedule 5 to the 1978 Act were a decision falling within subsection (2) of that section.]
24(1)Where immediately before the commencement of this Act paragraph 9 of Schedule 5 to the 1978 Act applied to a person, after the commencement of this Act—U.K.
(a)he shall be treated as having been registered under section 19 of this Act as a fully registered medical practitioner; and
(b)any qualifications of his registered under section 18 of the 1956 Act shall be treated as having been registered under section 26 of this Act as if they were recognised overseas qualifications.
(2)Sections 22 and 23 of the 1956 Act shall, notwithstanding their repeal by the 1978 Act, continue to have effect in relation to persons who were registered under section 23 immediately before the repeal; and a person who was so registered shall, on satisfying the General Council of the matters specified in paragraph (a), (b) or (c) of section 22(2) of the 1956 Act, be entitled to be registered under section 19 of this Act as a fully registered medical practitioner and to have registered under section 26 of this Act as if they were recognised overseas qualifications any qualifications which he would have been entitled to have had registered under section 18 of the 1956 Act.
(3)Where immediately before the commencement of this Act paragraph 11(b) of Schedule 5 to the 1978 Act applied to any person he shall be treated for the purposes of sub-paragraph (2) above as having been registered under section 23 of the 1956 Act immediately before its repeal.
(4)Where immediately before the commencement of this Act paragraph 12 of Schedule 5 to the 1978 Act applied to any person, he shall be entitled to be registered under section 19 of this Act as a fully registered medical practitioner and to have registered under section 26 of this Act as if they were recognised overseas qualifications any qualifications which he would have been entitled to have registered by virtue of that paragraph.
(5)Any person who immediately before the commencement of this Act was treated by virtue of paragraph 13 of Schedule 5 to the 1978 Act as registered under section 18 of that Act shall after the commencement of this Act be treated as registered under section 19 of this Act as a fully registered medical practitioner.
SCHEDULE 7U.K.
Part IU.K. Enactments Repealed
Chapter | Short Title | Extent of Repeal |
---|
4 & 5 Eliz. 2. c. 76. | The Medical Act 1956. | The whole Act. |
5 & 6 Eliz. 2. c. 28. | The Dentists Act 1957. | In section 2(4) the words “subject to the next following subsection”. |
| | Section 2(5). |
6 & 7 Eliz. 2. c. 58. | The Medical Act 1956 (Amendment) Act 1958. | The whole Act. |
10 & 11 Eliz. 2. c. 23. | The South Africa Act 1962. | In Schedule 3, paragraph 3. |
1966 c. 13. | The Universities (Scotland) Act 1966. | In Schedule 6, paragraph 20. |
1969 c. 40. | The Medical Act 1969. | The whole Act. |
1972 c. 41. | The Finance Act 1972. | In Schedule 4, Note (2)(b) to Group 14. |
| | In Schedule 5, Note (4) to Group 7. |
1973 c. 48. | The Pakistan Act 1973. | In Schedule 3, paragraph 4(a). |
1973 c. 49. | The Bangladesh Act 1973. | In the Schedule, paragraph 12. |
1977 c. 49. | The National Health Service Act 1977. | In Schedule 14, in paragraph 13(1)(b), the reference to paragraph 69 of the National Health Service Reorganisation Act 1973. |
| | In Schedule 15, paragraph 14. |
1978 c. 12. | The Medical Act 1978. | The whole Act. |
1978 c. 29. | The National Health Service (Scotland) Act 1978. | In Schedule 16, paragraph 9. |
1981 c. 54. | The Supreme Court Act 1981. | In Schedule 5, the entries relating to the Medical Act 1956 and the Medical Act 1978. |
1983 c. 41. | The Health and Social Services and Social Security Adjudications Act 1983. | In Schedule 6, paragraph 1. |
Part IIU.K. Revocation
Reference | Title | Extent of Revocation |
---|
S.I. 1977 No. 827. | Medical Qualifications (EEC Recognition) Order 1977. | Articles 3, 4, 7 and 8. |
S.I. 1980 No. 872. | General Medical Council (Qualifying Examinations) (University of Leicester) Order 1980. | The whole order. |
S.I. 1980 No. 1721. | Medical, Nursing and Dental Qualifications (EEC Recognition) (Greek Qualifications) Order 1980. | Article 2. |
S.I. 1982 No. 1076. | Medical, Nursing, Dental and Veterinary Qualifications (EEC Recognition) Order 1982. | Article 2(1). |