Statutory Instruments
1995 No. 416 (S.29)
NATIONAL HEALTH SERVICE, SCOTLAND
The National Health Service (General Medical Services) (Scotland) Regulations 1995
Made
21st February 1995
Laid before Parliament
10th March 1995
Coming into force
31st March 1995
The Secretary of State, in exercise of the powers conferred on him by sections 2(5), 19, 20(1), 23 (2A) and (4), 24, 28(1), 28A, 34, 105(7), 106(a) and 108(1) of and Schedule 2, paragraph 3 and Schedule 9, paragraph 1(3) to the National Health Service (Scotland) Act 1978(1), and section 8(1)(a) and (5) of the Health and Medicines Act 1988(2), and of all other powers enabling him in that behalf, hereby makes the following Regulations:
PART Igeneral
Citation and commencement
1. These Regulations may be cited as the National Health Service (General Medical Services) (Scotland) Regulations 1995 and shall come into force on 31st March 1995.
Interpretation
2.—(1) In these Regulations, unless the context otherwise requires—
“the Act” means the National Health Service (Scotland) Act 1978;
“the 1990 Act” means the National Health Service and Community Care Act 1990(3);
“appliance” means an appliance which is a listed appliance within the meaning of section 27(1) of the Act(4);
“appropriate non-proprietary name” means a non-proprietary name which is not mentioned in Schedule 10 or, except where the conditions in paragraph 31(2) of the terms of service for doctors are satisfied, in Schedule 11;
“area” means in relation to a Board the area for which the Board is constituted;
“Area Medical Committee” means the committee of that name for the area of a Board recognised under section 9 of the Act;
“Area Pharmaceutical Committee” means the committee of that name for the area of a Board recognised under section 9 of the Act;
“assistant” means a doctor who is acting as an assistant to a doctor on the medical list and for the purposes of paragraph 18 of Schedule 1 shall include a trainee general practitioner;
“Board” means Health Board within the meaning of the Act;
“child” means a person who has not attained the age of 16 years;
“child health surveillance list” shall be construed in accordance with regulation 28;
“child health surveillance services” means the personal medical services described in regulation 29 and in Schedule 3;
“contraceptive services” has the same meaning as in regulation 3(1)(c);
“doctor” means a registered medical practitioner;
“domiciliary visit” means a visit to either—
the place where the patient resides, or
the place, other than a doctor’s practice premises, where the doctor is obliged, pursuant to paragraph 13 of the terms of service, to render personal medical services to the patient;
“drugs” includes medicines and chemical reagents;
“Drug Tariff” has the meaning assigned to it in regulation 9 of the National Health Service (Pharmaceutical Services) (Scotland) Regulations 1995(5);
“full-time doctor” shall be construed in accordance with regulation 15(a);
“group practice” means an association of two or more doctors both or all of whom—
have their names included in the medical list of a Board,
co-ordinate in the course of regular contact among them, the provision of personal medical services to their patients in fulfilment of their obligations under Schedule 1, and
conduct and manage their practices from at least one common set of practice premises;
“half-time doctor” shall be construed in accordance with regulation 15(c);
“health centre” means premises provided by the Secretary of State in accordance with the provisions of section 36(1)(b) of the Act;
“job-sharing doctor” shall be construed in accordance with regulation 15(d);
“Local Directory” means the Local Directory of Family Doctors maintained by a Board in accordance with regulation 6;
“maternity medical services” means the provision of personal medical services during and following pregnancy and labour in respect of all conditions arising therefrom by a doctor who has agreed to provide such services;
“medical card” means a card issued to a person for the purpose of enabling him to obtain, or establishing his title to receive, general medical services other than child health surveillance services, contraceptive services, maternity medical services and minor surgery services;
“medical list” has the meaning assigned to it in regulation 4(1);
“medical officer” means a doctor in the service of the Department of Social Security;
“Medical Practices Committee” means the Scottish Medical Practices Committee constituted in accordance with section 3(1) of the Act;
“medical records” means, in relation to any patient, the records kept in respect of that patient in accordance with paragraph 33 of the terms of service;
“minor surgery list” shall be construed in accordance with regulation 32;
“minor surgery services” means the personal medical services described in regulation 33 and in Schedule 4;
“pharmacist” means a registered pharmacist within the meaning of the Medicines Act 1968(6) who provides pharmaceutical services, or a person lawfully conducting a retail pharmacy business in accordance with section 69 of that Act who provides such services;
“practice area” means the area in which a doctor is under an obligation to visit patients either by virtue of his application for inclusion in the medical list or of any variation therein in accordance with the regulations or terms of service;
“practice premises” means, in relation to any doctor, the premises at which he is obliged under the terms of service to attend at specified times in order to be consulted by, or to provide treatment or other services for his patients;
“relevant service” means whole-time service in the armed forces of the Crown in a national emergency as a volunteer or otherwise, or compulsory whole-time service in those forces, including service resulting from any reserve liability, or any equivalent service by a person liable for compulsory whole-time service in those forces;
“restricted doctor” shall be construed in accordance with regulation 15(e);
“restricted list principal” means a doctor who has undertaken to provide general medical services only to a restricted category of patients identified by reference to their connection with a particular establishment or organisation;
“restricted services principal” means a doctor who has undertaken to a Board to provide general medical services limited to—
child health surveillance services;
contraceptive services;
maternity medical services; or
minor surgery services,
or to any combination of the above;
“scheduled drug” means a drug or other substance specified in Schedule 10 or, except where the conditions in paragraph 31(2) of the terms of service for doctors are satisfied, in Schedule 11;
“temporary resident” has the meaning assigned to it in regulation 26(2);
“terms of service” means the terms of service for doctors which are contained or referred to in Schedule 1;
“three-quarter-time doctor” shall be construed in accordance with regulation 15(b);
“trainee general practitioner” means a doctor who is being trained in general practice;
“treatment” means medical attendance and treatment, and includes the issue of certificates referred to in Schedule 9 being medical certificates reasonably required under, or for the purpose of, any enactment and the keeping and forwarding of any records and the furnishing of any information in accordance with the terms of service set out in Schedule 1, but does not include child health surveillance services, contraceptive services, maternity medical services or minor surgery services unless the doctor has undertaken by arrangement to provide such services to the person concerned.
(2) Except where expressly provided to the contrary, any document which is required or authorised to be given or sent to a person or body under these Regulations (including the terms of service) may be given or sent by delivering it to that person or, in the case of a body, to the secretary or general manager of that body or by sending it in a pre-paid envelope addressed to him or, in the case of a body, to the secretary or general manager of that body at his usual or last known address.
(3) Unless the context otherwise requires—
(a)any reference in these Regulations—
(i)to a numbered regulation is a reference to the regulation bearing that number in these Regulations,
(ii)to a numbered Part or Schedule is a reference to the Part of, or Schedule to, these Regulations bearing that number,
(iii)to a form thereby prescribed includes a form substantially the same; and
(b)any reference in a regulation or in a Schedule to these Regulations to a numbered paragraph is a reference to the paragraph bearing that number in that regulation or Schedule.
Scope and terms of service
3.—(1) The arrangements with doctors for the provision of general medical services which it is the duty of a Board under section 19 of the Act to make shall include arrangements for the provision of—
(a)all necessary and appropriate personal medical services of the type usually provided by general medical practitioners;
(b)child health surveillance services;
(c)contraceptive services, that is to say—
(i)the giving of advice to women on contraception,
(ii)the medical examination of women seeking such advice,
(iii)the contraceptive treatment of such women, and
(iv)the supply to such women of contraceptive substances and appliances;
(d)maternity medical services; and
(e)minor surgery services.
(2) The arrangements to which paragraph (1) refers shall incorporate the terms of service set out in Schedule 1, and Schedules 5, 6 and 7 shall have effect for the purposes of paragraphs 12, 24 and 35 respectively of the terms of service.
PART IIthe medical list
Medical list
4.—(1) A Board shall prepare a list, to be called “the medical list”, of the names of doctors—
(a)entitled to be included in the medical list pursuant to regulations 9 and 17; and
(b)appointed under regulation 24, who in respect of their appointment shall be included in the medical list only for the duration of such appointment.
(2) The medical list shall be divided into five Parts as follows:—
(a)Part I shall contain the names of doctors who are full-time doctors;
(b)Part II shall contain the names of doctors who are three-quarter-time doctors;
(c)Part III shall contain the names of doctors who are half-time doctors;
(d)Part IV shall contain the names of doctors who are job-sharing doctors;
(e)Part V shall contain the names of doctors who are restricted doctors.
(3) A Board shall when including the name of any doctor in its medical list include the name in that Part of the list which is, by virtue of paragraph (2), appropriate in the case of that doctor, having regard to the nature of any condition imposed in relation to him by the Medical Practices Committee under regulation 15.
(4) A doctor shall be included in the medical list for the purpose of undertaking to provide general medical services which include, exclude or are limited to any or all of the following:—
(a)child health surveillance services;
(b)minor surgery services;
(c)maternity medical services;
(d)contraceptive services;
and, if the doctor so requests, the provision by him of contraceptive services may be restricted to patients to whom either he or both he and any partner of his have undertaken to provide other general medical services.
(5) The medical list shall, in respect of the doctors whose names are included therein, by marks or otherwise, indicate—
(a)which of them have undertaken to provide general medical services including maternity medical services or general medical services limited to maternity medical services;
(b)the names of which of them are included in either or both of the child health surveillance list and the minor surgery list;
(c)except in the case of doctors who have requested otherwise which of them have undertaken to provide contraceptive services, and if so
(i)whether they have so undertaken in respect only of patients to whom either they or both they and any partner of theirs provide other general medical services, or
(ii)those doctors who have so undertaken without such restriction;
(d)which of them have under paragraph 17(2) of the terms of service been relieved of the responsibility of providing the services referred to in paragraph 11 of the said terms at certain times, and against those doctors' names, the doctors with whom the Board has made arrangements for the provision of the said services at such times;
(e)which of them are included on the medical list only by virtue of their appointment under regulation 24;
(f)whether they are restricted list principals or restricted services principals.
(6) The medical list shall contain in addition to the name of a doctor—
(a)the address of the practice premises where he agrees to attend for the purpose of treating persons, and the telephone numbers at which he is prepared to receive messages;
(b)particulars of the days and hours when he agrees to be in attendance at such premises;
(c)particulars of any days and hours when an appointments system is in operation;
(d)where he practises in partnership, the name of each partner;
(e)where he participates as a member of a group practice, the name of each other doctor in that group practice;
(f)where he is acting as an assistant, the name of the principal;
(g)an indication of the geographical boundary of his practice area by reference to a sketch, diagram or plan and details of any conditions as to his practice area attached to the granting of his application by the Medical Practices Committee or, on appeal, by the Secretary of State;
(h)if the Board thinks fit, details of that part of its area in which the doctor undertakes to provide treatment; and
(i)provided that the doctor consents to its inclusion, his date of birth or, if he does not so consent, the date of his first full registration as a medical practitioner (whether pursuant to the Medical Act 1983(7) or otherwise).
(7) For the purposes of paragraph (6) a partner shall include any partner who is otherwise deemed under these Regulations to be an assistant and an assistant shall not include such a person.
Amendment of or withdrawal from the medical list
5.—(1) A doctor shall, unless it is impracticable for him to do so, give notice to the Board within 30 days of any occurrence requiring a change in the information recorded about him in the medical list.
(2) A doctor shall, unless it is impracticable for him to do so, give notice in writing to the Board at least 90 days in advance of any date on which he intends either—
(a)to withdraw his name from any of the medical list, the child health surveillance list or the minor surgery list; or
(b)to cease to provide any of the following services, namely child health surveillance services, contraceptive services, maternity medical services, or minor surgery services.
(3) Subject to paragraph (6) the Board shall—
(a)on receiving notice from any doctor pursuant to paragraph (1), amend the medical list in relation to that doctor; and
(b)in the case of a notice pursuant to paragraph (2), so amend the medical list, the child health surveillance list or the minor surgery list, as the case may be, either—
(i)on the date which falls 90 days after the date of the notice or, if later, the date with effect from which the doctor has indicated in his notice pursuant to paragraph (2) that his name should be withdrawn; or
(ii)on the date from which the Board has agreed that the withdrawal or cessation shall take effect,
whichever is the earlier.
(4) Any notice pursuant to paragraph (2) may not be withdrawn except with the consent of the Board.
(5) The Board shall, on being notified by the Medical Practices Committee that it has, in relation to any doctor whose name is included in the medical list, varied under regulation 16 any condition mentioned in paragraph (1)(a)(ii) of that regulation, amend the medical list by including the name of that doctor in that part of the medical list which, having regard to the nature of the condition as varied, is appropriate in his case by virtue of regulation 4(2).
(6) Where, in relation to any doctor, representations are made to the Tribunal under section 29 of the Act (disqualification of practitioners)(8) that his continued inclusion in the medical list would be prejudicial to the efficient provision of general medical services, the doctor shall not, except with the consent of the Secretary of State and subject to such conditions as the Secretary of State may impose, be entitled to have his name removed from the medical list until the proceedings on such representations have been determined.
Local Directory of Family Doctors
6.—(1) Subject to paragraph (2) the Board shall maintain, in addition to a medical list, a list to be known as the Local Directory of Family Doctors (referred to in these Regulations as the “Local Directory”) comprising, in respect of each doctor whose name is included in the medical list, the following information:—
(a)all information relating to the doctor as is included in the medical list, except—
(i)any information so included under regulation 4(5)(d), and
(ii)his date of birth, unless the doctor has agreed to its inclusion in the Local Directory;
(b)where the doctor’s date of birth is included in the medical list but he has not agreed to its inclusion in the Local Directory, the date of his first full registration (whether pursuant to the Medical Act 1983 or otherwise) as a medical practitioner;
(c)the sex of the doctor;
(d)details of any medical qualification held by the doctor which he is entitled to have registered pursuant to section 16 of the Medical Act 1983 (registration of qualifications), including the date on which the qualification was awarded;
(e)the nature of any clinic provided by the doctor for his patients and the frequency with which it is held;
(f)the numbers of assistants and trainee general practitioners employed by him;
(g)(i)the number of other persons employed or available at the practice premises to assist the doctor in the provision of medical services under the terms of service,
(ii)the nature of the services provided by each such person, and
(iii)whether such persons are employed or available full-time or part-time;
(h)the terms of any consent granted to the doctor by the Board or, on appeal, by the Secretary of State, in accordance with paragraph 18(7) of Schedule 1 concerning the use of a deputising service;
(i)where, and to the extent that the doctor so requests, details of any languages, other than English, spoken by the doctor or by any person referred to in sub-paragraph (f) or (g); and
(j)where the doctor so requests, and to the extent that the Board considers it justified, details of any particular clinical interests of the doctor.
(2) Paragraph (1) shall apply in the case of a restricted list principal or a restricted services principal only to the extent that the Board sees fit.
(3) The Board may, to the extent that it sees fit also include in the Local Directory other details or information relating to the provision of general medical services, general dental services, general ophthalmic services and pharmaceutical services in its locality under Part II of the Act.
(4) A doctor shall, in respect of each Local Directory in which information about him is recorded, provide to the Board not later than 30 days following receipt of a request in writing from the Board, so much of the information specified in sub-paragraphs (b) to (h) of paragraph (1) as may be so requested.
(5) The Local Directory shall include the name of each doctor in alphabetical order.
(6) Where a doctor practises in partnership or in a group practice with other doctors, the information regarding his practice which falls to be included in the Local Directory in accordance with paragraphs (1)(e), (f), and (g) may, provided each doctor in the partnership, or as the case may be, the group practice agrees, be included in the entry relating to only one of those doctors.
(7) Without prejudice to the provisions of regulation 37, the Board may compile extracts from the information in the Local Directory in relation to a part or parts of the area of the Board and may make any such extract available to any person to whom, in the opinion of the Board, it is likely to be of interest.
(8) A doctor shall, unless it is impracticable for him to do so, notify the Board within 30 days of any occurrence requiring a change in the information recorded about him in the Local Directory.
(9) Following receipt of notification in accordance with paragraph (8) the Board shall forthwith amend the Local Directory accordingly.
Removal from the medical list of names of doctors not providing services
7.—(1) Where the Board, with a view to securing that arrangements are such that all persons in the area who avail themselves of general medical services receive adequate personal care and attendance, has determined in accordance with the provisions of this regulation that a doctor whose name is included in the medical list has for the preceding 6 months not provided general medical services personally for persons in the area, the Board may, after giving the doctor 30 days' notice of its intention to do so, remove his name from such list unless the Secretary of State directs to the contrary as hereinafter provided.
(2) If in the case of a doctor whose name is included in the medical list where—
(a)the Board has determined that he has not for the preceding 6 months provided general medical services personally for persons in the area, and
(b)he is a doctor to whom section 19(7) (which deals with suspension of the registration of a doctor) of the Act applies
the Board is satisfied that there is a substantial risk that the existing arrangements for the provision of general medical services including their temporary provision may not result in all persons in the area continuing to receive adequate personal care and attendance, it may after giving the doctor 30 days' notice of its intention to do so, remove his name from the medical list unless the Secretary of State directs to the contrary as hereinafter provided.
(3) Before making any determination under paragraph (1) or (2) the Board shall—
(a)afford the doctor an opportunity of making representations to the Board in writing or, if he so desires, orally, to a committee appointed by the Board for the purpose, of which committee at least one-third of the members shall be doctors, and
(b)consult the Area Medical Committee.
(4) A doctor to whom notice has been given under paragraph (1) or (2) may within 21 days of receiving such notice appeal to the Secretary of State against the decision of the Board and, pending the decision on any such appeal, the Board shall not remove the doctor’s name from the list by reason of the determination against which appeal has been so lodged. The notice of appeal shall be in writing and shall set out the facts and contentions on which the doctor intends to rely. If the Secretary of State decides to allow the appeal, he shall direct the Board not to remove the name of the doctor from the list by reason of the determination appealed against.
(5) Nothing in this regulation shall affect a doctor who is performing a period of relevant service and no determination under this regulation shall be made in respect of any such doctor until six months after he has completed the said relevant service.
Removal from the medical list on grounds of age
8.—(1) Where a doctor whose name is included in the medical list attains the age of 70 years the Board shall thereupon remove his name from the list.
(2) A Board shall give to any doctor whose name is to be removed from the medical list in accordance with paragraph (1)—
(a)notice in writing to that effect not less than 12 months nor more than 13 months before the date on which his name is to be removed; and
(b)a further such notice not less than 90 days nor more than 120 days before that date,
but any failure to give such notice to any doctor as required by sub-paragraph (a) or (b) shall not prevent the removal of that doctor’s name from the medical list in accordance with paragraph (1).
Application for inclusion in the medical list
9.—(1) In this regulation and in the following regulations in this Part “the Committee” means the Medical Practices Committee.
(2) Application by a doctor for inclusion in a medical list shall be made by delivering or sending by post to the Board an application in writing which shall include the information and undertakings specified in Part I of Schedule 2.
(3) On receipt of an application from a doctor for inclusion in the medical list, the Board shall subject to the provisions of section 20(1A) of the Act(9) (which contains requirements as to knowledge of English) send the application to the Committee, together with a report in a form approved by the Committee.
(4) Application by a doctor in the medical list for inclusion among those doctors providing contraceptive services shall be made by delivering or sending by post to the Board an application in the form set out in Part III of Schedule 2.
(5) Any application made by a doctor for inclusion in a medical list shall be supported by such evidence that he is suitably experienced within the meaning of section 21 of the Act as is required by regulation 4 of the National Health Service (Vocational Training) (Scotland) Regulations 1980(10) and the Board shall send such evidence to the Committee.
Reports by Board to Medical Practices Committee
10.—(1) A Board shall once in every year or at such more frequent intervals as the Committee may require, provide the Committee with such information as may be required by it to enable it to judge the adequacy of the medical services in the area of the Board, or any part thereof, and the Committee may determine that an additional doctor is required in any part of the area of the Board.
(2) When a Board receives notice of the death of a doctor on the medical list or of the withdrawal or removal of a doctor from the medical list (otherwise than in a case where the doctor has given notice of desire to exchange his practice under regulation 12 or the doctor is in relation to the practice a doctor appointed under regulation 24), the Board shall, not later than 14 days after the date of receipt of such notice, inform the Committee and shall, after consultation with the Area Medical Committee, furnish to the Committee a report as to the need for filling the vacancy and the Committee shall determine whether the vacancy should be filled.
(3) Where the Committee decides that under paragraph (1) there is need for an additional doctor or under paragraph (2) that a vacancy should be filled, it shall direct the Board in writing to that effect.
(4) In regulations 11 and 14 the expression “vacancy” means a requirement for—
(a)an additional doctor as determined by the Committee under paragraph (1); or
(b)a doctor to succeed to a doctor following a determination by the Committee under paragraph (2).
Succession to vacant medical practices
11.—(1) Where the Board has been directed by the Committee that a vacancy ought to be filled, the Board may, and if so directed by the Committee shall, give public notice of the vacancy in accordance with paragraph (2).
(2) A notice of vacancy to be given under this regulation shall be published in such a manner as the Board subject to any directions given by the Committee, considers is likely to bring the vacancy to the attention of prospective applicants located outside the Board’s area and shall include—
(a)in the case of a vacancy in a practice, details of the nature and location of the practice;
(b)in the case of a vacancy in relation to which the Committee has indicated that it is likely to impose a condition under section 23(4) of the Act(11) in relation to an applicant chosen to fill the vacancy, details of any such condition; and
(c)the closing date for receipt by the Board of any application to fill the vacancy.
(3) An application for a vacancy under this regulation shall be submitted in writing to the Board not later than the date specified in the notice to be given under paragraph (2)(c), shall be accompanied by the applicant’s application under regulation 9(2) (application for inclusion in the medical list) and, in addition to any other information specified under paragraph (2), shall include the following information:—
(a)whether the applicant intends to practise as—
(i)a full-time doctor;
(ii)a three-quarter-time doctor;
(iii)a half-time doctor;
(iv)a job-sharing doctor; or
(v)a restricted doctor; and
(b)where the applicant intends to practise as a job-sharing doctor, the name of the other job-sharing doctor with whose hours the applicant’s hours are to be aggregated for the purpose of regulation 15(d).
(4) Where a Board receives more than one application for any vacancy it shall select, in accordance with paragraphs (5) to (7), the applicant whose application it wishes to be considered by the Committee.
(5) Before making its selection for the purposes of paragraph (6) the Board shall consult the Area Medical Committee and may give to any applicant for the vacancy an opportunity of making—
(a)further representations to it in writing;
(b)where the Board sees fit, representations to it in person.
(6) When the Board has selected an applicant, it shall—
(a)notify each applicant in writing whether or not he has been selected;
(b)inform any applicant who has not been selected of his right to appeal to the Secretary of State on a point of law under section 23(2A)(c) of the Act(12); and
(c)subject to paragraph (7) send the application of the selected applicant to the Committee, indicating in writing that it wishes that application to be considered by the Committee.
(7) An application shall not be sent to the Committee under paragraph (6) until—
(a)the time has expired for bringing an appeal under section 23(2A)(c) of the Act in connection with the non-selection of any applicant for the vacancy to which the applications relate; or
(b)where such an appeal is made—
(i)the appeal has been determined adversely for the applicant; or
(ii)where the appeal is successful, the Board has reconsidered the application in respect of which the appeal was made,
whichever is the later.
(8) The Board shall have regard, in making a selection under paragraph (6)—
(a)to any desire expressed by an applicant to practise with other doctors who provide general medical services in the locality and to any wish expressed by such other doctors to take any applicant into practice with them and shall have special regard to these matters in cases where any applicant is a relative of any such doctor; and
(b)to any wish expressed by an applicant to provide general medical services as an additional doctor in any part of the area of the Board.
(9) A doctor who has not been selected to fill a vacancy may appeal on a point of law to the Secretary of State and the provisions of regulation 17 shall apply in relation to any such appeal.
(10) This regulation does not apply in the case of a doctor who has given notice of his wish to exchange his practice in accordance with regulation 12 or where the doctor is, in relation to the practice, a doctor to whom regulation 24 applies.
Exchange of practices
12.—(1) Where a doctor whose name is included in the medical list of a Board has notified the Board that he desires to exchange practices with another doctor providing general medical services whether in the area of the Board or not, the Board, after such inquiry as it may think necessary and after consultation with the Area Medical Committee, may agree that the exchange should take place and that the second doctor should succeed to the first doctor’s practice.
(2) Where the Board agrees as aforesaid, it shall inform both doctors and the Committee of its decision. Both doctors shall agree upon a date when the first doctor will cease to carry on his practice and the second doctor will commence practice and shall notify the Board of this date, which shall not be earlier than 90 days after such notification, unless the Board agrees to an earlier date.
(3) Where the Board does not agree that the exchange should take place as aforesaid, it shall inform both doctors of their right of appeal to the Committee and either doctor with the consent in writing of the other may, within 14 days of receipt of such information, appeal to the Committee which shall determine the appeal.
(4) The procedure for the determination of the appeals to the Committee shall be such as the Committee may determine.
(5) The Committee shall notify both doctors of its determination, which in a case where it determines that the exchange should take place, shall be deemed to be the agreement of the Board and the provisions of paragraph (2) regarding the date of the exchange shall apply.
(6) An exchange of practices shall not take place under the provisions of this regulation unless the exchange takes place within 6 months after the doctors have been notified that the Board has agreed or is deemed to have agreed to the exchange.
PART IIIscottish medical practices committee
Appointment of members and tenure and vacation of office
13. The following provisions shall apply to the members of the Medical Practices Committee (in this Part of these Regulations referred to as “the Committee”):—
(a)the chairman and other members in office at the coming into force of these Regulations shall continue to hold office for the periods for which they were respectively appointed;
(b)subject as hereinafter provided, members shall be appointed for a period of three years expiring on 31st day of March in any year;
(c)a member may be reappointed to the Committee on the expiration of his term of office;
(d)a member may resign from the Committee by giving notice in writing to the Secretary of State and a member who is appointed on the basis that he is actively engaged in medical practice shall be deemed to have resigned if he ceases to be so engaged;
(e)a person appointed to fill a casual vacancy shall hold office for the remainder of the period for which his predecessor in that office was appointed.
Determination of applications
14.—(1) The Committee shall determine applications under section 20 of the Act in accordance with the following paragraphs of this regulation.
(2) When determining an application to fill a vacancy which is made under regulation 11 the Committee shall—
(a)where the application is the only one for the vacancy or is the one which has been selected by the Board for consideration by the Committee, grant the application;
(b)where the application is not the one which has been so selected for such consideration, refuse the application.
(3) Subject to paragraph (4) any decision of the Committee involving the refusal of an application or the granting of an application subject to conditions shall be the decision of the majority of members present and voting at a meeting of the Committee.
(4) Three members shall form a quorum and in the case of equality of votes the Chairman shall have a second or casting vote.
Conditions under which general medical services are to be provided
15. Where, for the purposes of section 23(4)(a) of the Act(13), the Committee specifies the provision of general medical services for which an applicant is entitled to be remunerated, it shall do so by reference to the condition that he shall provide such services as—
(a)a full-time doctor, that is to say a doctor who is to provide general medical services during not less than 26 hours in any week in which he is, pursuant to paragraph 24 of the terms of service, available to provide such services; or
(b)a three-quarter-time doctor, that is to say a doctor who is to provide such services during less than 26 hours, but not less than 19 hours, in any such week; or
(c)a half-time doctor, that is to say a doctor who is to provide such services during less than 19 hours, but not less than 13 hours, in any such week; or
(d)a job-sharing doctor, that is to say a doctor—
(i)who is to practise in partnership with another doctor whose name is included in the medical list;
(ii)who is himself to provide such services during less than 26 hours in any such week; and
(iii)for whom the hours during which he is to be engaged in the provision of such services are, when aggregated with the hours of that other doctor, to amount to not less than 26 hours in any such week; or
(e)a restricted doctor, that is to say a doctor—
(i)who is a restricted list principal or a restricted services principal; and
(ii)who is to provide general medical services during such number of hours in any week as the Committee shall determine having regard to the range of services to be provided by the doctor and the category of patients to whom the services are to be provided.
Variation of conditions
16.—(1) A doctor whose name is included in a medical list may apply, in accordance with paragraph (2), for the variation of any condition—
(a)imposed by the Committee—
(i)excluding the provision by that doctor of general medical services in a specified part or specified parts of the area of the Board;
(ii)under regulation 15 in relation to the extent to which that doctor may carry out remunerated work;
(b)imposed by the Secretary of State in connection with the determination by him of any appeal from a decision of the Committee.
(2) An application for the purposes of paragraph (1) shall be made in writing to the Board and shall include the information specified in Part II of Schedule 2.
(3) On receipt of an application under this regulation, the Board shall forward the application to the Committee, together with its observations in writing on the application.
(4) The Board shall send to the doctor a copy of the observations it has made on his application, and the doctor may, within 14 days of receiving the copy of the observations, send to the Committee his representations in writing in response to the observations.
(5) The provisions of regulation 14(3) and (4) as respects the constitution and quorum of the Committee shall apply in the case of a decision by the Committee in relation to an application under this regulation as they apply to a decision in relation to an application under that regulation.
(6) The Committee shall not consider an application under this regulation until it has received representations from the doctor under paragraph (4) or until the time allowed under that paragraph for the making of representations has expired, whichever is the earlier.
(7) On consideration of an application under this regulation the Committee—
(a)shall take account of the observations made by the Board and of any observations made by the doctor in response;
(b)in deciding the application, may—
(i)refuse to vary any condition in respect of which the application was made; or
(ii)vary any such condition by imposing in relation to the doctor such other condition mentioned in regulation 15(a) to (e) as has been requested in the application; and
(c)shall give notice of its decision in writing to the doctor and to the Board.
(8) Where the Committee refuses under paragraph (7)(b) to vary a condition it shall, when it gives notice to the doctor of its decision—
(a)include with the notice a statement of the reasons for its decision; and
(b)advise the doctor of his right of appeal under paragraph (9).
(9) A doctor may appeal to the Secretary of State on a point of law against the refusal of the Committee to vary a condition under this regulation, and—
(a)regulation 17 shall apply to the making and determination of any such appeal;
(b)where the Secretary of State allows such an appeal, he shall remit the application to the Committee for reconsideration.
Appeal to the Secretary of State
17.—(1) Any appeal to the Secretary of State on a point of law—
(a)pursuant to section 23(2A)(c) of the Act by a doctor who has not been selected by a Board as mentioned in paragraph (c) of that subsection; or
(b)pursuant to section 23(5) of the Act(14) by a doctor whose application under section 20 of the Act has been refused by the Committee or has been granted by the Committee subject to conditions; or
(c)pursuant to regulation 16 (variation of conditions in connection with inclusion in a medical list),
shall be made and determined in accordance with the following paragraphs of this regulation.
(2) A doctor may appeal by sending to the Secretary of State a notice of appeal within 21 days, or within such longer period as the Secretary of State may for reasonable cause allow, of the date on which notice of the decision of the Board or, as the case may be, the Committee is given to him.
(3) A notice of appeal shall contain a concise statement of the point or points of law in respect of which the doctor contends that the decision of the Board or, as the case may be, the Committee is erroneous.
(4) If it appears to the Secretary of State that the appeal is of such a nature that it can properly be determined without a hearing, he may determine the appeal summarily without a hearing and shall send his decision to the appellant, and the Board, or as the case may be, the Committee.
(5) If the Secretary of State is of the opinion that a hearing is required, he shall appoint—
(a)a person who is an advocate or a solicitor; and
(b)where the Secretary of State sees fit, one or more other persons,
to hear the appeal.
(6) A hearing shall take place at such time and place as the Secretary of State may direct and notice of the hearing shall be sent by post to the appellant, the Board, or as the case may be, the Committee and any doctor whose application for appointment to the vacancy to which the application relates was granted, not less than 14 days before the date fixed for the hearing.
(7) The appellant and any of the parties to whom notice of the hearing is required to be given may attend and be heard in person or by counsel or solicitor or other representative. The Board, or as the case may be, the Committee may be represented at the hearing by any duly authorised member or official or by counsel or solicitor.
(8) Subject to the provisions of this regulation, the procedure at the hearing shall be such as the person or persons hearing the appeal may determine.
(9) The person or persons hearing the appeal shall report thereon to the Secretary of State, stating the relevant facts and his or their conclusions, and the Secretary of State after taking such report into consideration shall give his decision and send it to the appellant, the Committee, the Board and such doctors as have under the foregoing provisions of this regulation been served with notice of the hearing.
(10) Where, on allowing an appeal, the Secretary of State remits an application to the Board or, as the case may be, the Committee for reconsideration—
(a)he shall give to the Board or, as the case may be, the Committee such directions as appear to him to be desirable with a view to ensuring the proper determination of the application in accordance with the relevant law; and
(b)the Board or, as the case may be, the Committee shall redetermine the application and in so doing shall comply with any directions given by the Secretary of State under sub-paragraph (a) of this paragraph.
Certificate that transaction does not involve sale of goodwill
18. A certificate issued by the Committee under Schedule 9, paragraph 1(3) to the Act shall be in the form set out in Schedule 8.
PART IVgeneral medical services other than child health surveillance services, contraceptive services, maternity medical services and minor surgery services
Selection of doctor
19.—(1) Application by a person to a doctor for acceptance and inclusion in his list shall be made in writing either on the person’s medical card or on a form of application.
(2) Application by a person to a doctor for acceptance as a temporary resident shall be made in writing on a form supplied by the Board.
Assignment of persons to doctors
20.—(1) If a person applies to the Board for assignment to a doctor (irrespective of whether or not he is at the date of application included in the list of patients of another doctor), or is deemed to have so applied in accordance with the provisions of paragraph 4(4) of the terms of service, the Board shall assign him to such doctor as it thinks fit (including the doctor in whose list of patients he is presently included), having regard to the distance between the person’s place of residence and the premises at which the doctors in the locality carry on practice and to such other circumstances as appear to the Board to be relevant, and shall forthwith give notice in writing of any decision hereunder to—
(a)the person;
(b)any doctor to whom the person is assigned by virtue of this regulation; and
(c)to any other doctor who may be concerned.
(2) A doctor may apply to the Board to be exempted from having assigned to him any person or class of persons and the Board may grant or refuse any application under this paragraph.
(3) Where an application under paragraph (2) relates only to a specified person who has previously been removed from the list of the doctor, the Board shall take into account the circumstances of that removal in deciding whether to grant or refuse the application.
(4) Any doctor of a description specified in paragraph 5 of the terms of service may apply to the Board to be granted relief from liability from emergency calls as provided in that paragraph and the Board may grant or refuse any application hereunder.
(5) Forthwith after it takes any decision in respect of any application under paragraph (2) or (4) the Board shall give notice in writing to the doctor of its decision with its reasons therefor.
(6) A doctor in respect of whom a Board has made a decision (“the initial decision”) under paragraph (1), (2) or (4) may, within 7 days of receiving notice of it, make representations in writing to that Board against that decision.
(7) Where a doctor makes representations under paragraph (6) the Board shall give to that doctor the opportunity to address it in the course of an oral hearing in support of those representations.
(8) Any oral hearing under paragraph (7) shall be held within 14 days of receipt by the Board of the representations.
(9) Where representations are made under paragraph (6) the Board shall, subject to paragraph (11), review its initial decision and shall either confirm or revise it.
(10) A doctor who has made representations under paragraph (6) shall remain responsible for the treatment of the person assigned to him pending notification under paragraph (12) of the confirmation or revision of the assignment by the Board.
(11) No person who participated in the making of an initial decision under this regulation shall participate in a review of that decision under paragraph (10).
(12) The Board shall, within 7 days of making a determination under paragraph (9), give notice to the doctor thereof in writing with its reasons therefor, and, where an initial decision made under paragraph (1) has been revised, shall notify also the patient and the other doctor to whom the patient is assigned under the revised determination.
Limitation of number of persons in doctors' lists
21.—(1) Subject to paragraph (2), the maximum number of persons a doctor may have on his list in all areas in which he provides general medical services (in addition to any persons for whom he has accepted responsibility following the granting by the Board of relief to another doctor under paragraph 18 of the terms of service) shall be—
(a)3,500 for a doctor carrying on practice otherwise than in partnership;
(b)4,500 for a doctor carrying on practice in partnership subject to an average of 3,500 for each of the partners in the practice.
(2) Where a doctor employs, or the doctors carrying on practice in partnership employ, permanently one or more assistants, an addition of not more than 2,000 persons to the list in respect of each assistant, may, with the consent of the Board (or, on appeal, of the Medical Practices Committee), be allowed in the light of the circumstances of the particular case, any such addition in the case of a partnership being disregarded in calculating the average number of persons on the list of the partners for the purposes of sub-paragraph (1)(b).
(3) For the purposes of paragraph (2)—
(a)where an assistant is included in a medical list the additional number which would otherwise be allowable to his principal in respect of him shall be reduced by the number of persons on his list;
(b)any additional number to the list allowed in respect of the employment of an assistant shall not apply during any period when no assistant is employed (but a period comprising a short interval between the departure of an assistant and the arrival of his successor may be ignored).
(4) For the purposes of this regulation a doctor shall be deemed to be carrying on practice otherwise than in partnership unless the Board or, on appeal, the Medical Practices Committee is satisfied that he—
(a)discharges the duties and exercises the powers of a partner in connection with the practice of the partnership; and,
(b)either—
(i)in the case of a full-time doctor, he is entitled to a share of the profits which is not less than one third of the share of the partner with the greatest share; or
(ii)in the case of a three-quarter-time doctor he is entitled to a share of the profits which is not less than one quarter of the share of the partner with the greatest share; or
(iii)in the case of a half-time doctor he is entitled to a share of the profits which is not less than one fifth of the share of the partner with the greatest share; or
(iv)in the case of a job-sharing doctor, he is entitled to a share of the other profits which, when added to the share of the job-sharing doctor with whose hours his hours are being aggregated for the purpose of regulation 15(d), is not less than one third of the share of the partner with the greatest share.
(5) A doctor who is dissatisfied with the decision of the Board respecting the extent to which the number of persons on his list may be increased by reason of the employment by him of an assistant may appeal against that decision to the Medical Practices Committee by sending to that Committee notice of appeal within 30 days or such longer period as that Committee may allow from the date on which the Board intimates its decision to him, and that Committee, after such inquiry as it may think necessary, shall determine the appeal.
(6) In any appeal under paragraph (5) the Medical Practices Committee shall admit to any hearing of such appeal such persons not exceeding two in number as may be appointed for the purpose by an organisation recognised by the Secretary of State as representative of the medical profession, and shall allow such persons to address the Committee before deciding on the appeal.
(7) Where the Board finds the number of patients on the doctor’s list to be in excess of the maximum number allowed in accordance with this regulation it shall notify the doctor who shall, within 60 days from the date on which the excess is notified to him, take steps to reduce his list to the maximum number allowed by—
(a)entering into partnership; or
(b)employing an assistant; or
(c)giving notice to the Board of the names of the necessary number of patients whom he wishes to have removed from his list under paragraph 9 of the terms of service.
(8) If at the end of the said period of 60 days the steps taken by the doctor have not resulted in the number of persons on his list being within the maximum number allowed, the Board shall remove from his list the necessary number of names.
(9) If a doctor gives notice under paragraph (7)(c) or the Board requires to take action under paragraph (8), the Board shall inform each person to be removed that he should apply to another doctor for acceptance.
(10) Where a doctor whose name is included in the medical list in respect of more than one address and who wishes to cease to practise at one such address and who has obtained the consent of the Board, or on appeal, of the Secretary of State, to this change, gives notice to the Board of his wish to have removed from his list the persons who would have attended for treatment at the address at which he will no longer practise, the provisions of regulation 22(3), (4) and (6) shall apply, with the necessary modifications, and the Board shall take action accordingly.
(11) In carrying out its functions under this regulation the Board shall consult as necessary with the Board of any adjoining area whose medical list includes the doctor or doctors concerned and if Boards fail to agree on any matter the issue shall be determined by the Secretary of State.
(12) The Board may, in special circumstances, subject to the consent of the Secretary of State and to any conditions he may impose, permit a doctor or partnership to have on his list or their lists such greater number than the maximum number otherwise allowed under this regulation.
(13) Nothing in this regulation shall prevent a doctor from accepting persons who apply to him as temporary residents or exempt him from any liability under paragraph 5 of his terms of service.
Change of doctor
22.—(1) Subject to the requirements of paragraph (2), a person may apply in accordance with regulation 19(1) to any doctor, other than the doctor in whose list he is included, who provides general medical services, for acceptance in that other doctor’s list of patients.
(2) A person who has applied, pursuant to paragraph (1), and been refused acceptance by any doctor, may apply to the Board in whose area he is resident to be allocated to any doctor whose name is included in the Board’s medical list.
(3) Where a doctor whose name is included in the medical list dies or has his name withdrawn or removed from that list, the Board shall as soon as is practicable make known the fact by individual notices sent to persons, other than to those women who had been accepted by him for the provision of contraceptive services only, on the list of the doctor.
(4) Where one or more doctors have been selected under the provisions of regulation 11 or 12 to succeed to a practice, and the names of any such practitioners are included in the medical list, the Board shall send to the persons on the list of the doctor who last carried on that practice other than to those women who had been accepted by him for the provision of contraceptive services only, a statement of the name and address of the successor in whose list it is considered that the persons in question or any section of them may wish to be included together with an intimation that such a successor is willing to accept the persons concerned for treatment and that they will be deemed to be included in his list as from the date given in the notice unless within 14 days of the said date they have applied to and have been accepted by other doctors, or have given notice in writing to the Board of their desire not to be so included.
(5) Where a woman who has been deemed to be included in the list of a successor in accordance with paragraph (4) has also been accepted by the doctor who last carried on the practice for the provision to her of contraceptive services under regulation 30, and that successor is willing to accept the woman concerned for the provision to her of contraceptive services to at least the same extent as the doctor who last carried on the practice, then she will be deemed from the date given in the notice sent to her under paragraph (4) to be accepted by that successor for the provision of contraceptive services to the like extent to which, and for the remainder of the period for which, she had previously been accepted.
(6) Where no successor is to be appointed to a practice, the Board shall give to the persons on the list of the doctor who last carried on that practice, other than to those women who had been accepted by him for the provision of contraceptive services only, notice of their right to apply to another doctor on the medical list for acceptance.
(7) The terms of notices given under this regulation shall be determined by the Board after consultation with the Area Medical Committee.
(8) A doctor who has performed a period of relevant service in an emergency recognised by the Secretary of State for the purpose of these regulations and has returned to his practice at the end of such service, shall within 30 days of his return notify the Board in writing that he has personally resumed practice. Where the Board has been so notified, it shall within 30 days send a notice to every person whose name was on the doctor’s list at the date of the beginning of such service who is still residing at the same address at which he was residing at such date and who has transferred to the list of another doctor. The Board’s notice shall state that the former doctor has resumed practice and that the person’s name will be restored to his list unless within 14 days after the date of the notice that person gives notice in writing to the Board that he wishes his name to remain on the list of his present doctor. After the said period of 14 days has elapsed, the Board shall inform the doctors concerned of the names of the persons who are restored to the list of the doctor who has resumed practice and shall also inform the other doctor only of the names of the persons who have elected to remain on his list.
(9) Nothing in this regulation shall require the Board to give any notice of or concerning the making, variation or termination of arrangements under regulation 24.
23. Where a doctor has given notice to the Board in accordance with paragraph 9 of his terms of service that a person is to be removed from his list, the Board shall forthwith inform that person that he should apply to another doctor for acceptance, or apply to the Board for assignment to a doctor.
Temporary provision of general medical services
24.—(1) The provisions of this regulation shall apply in relation to the making of arrangements for the temporary provision of general medical services.
(2) Where a doctor dies, retires or otherwise ceases to be entitled to be included in the medical list or where his registration is suspended in any of the circumstances specified in section 19(7) of the Act(15), the Board, after consultation with the Area Medical Committee, may—
(a)make and as necessary or desirable vary from time to time arrangements for the temporary provision of general medical services for the patients for whose treatment that doctor was or might have become responsible which arrangements may consist of or include the appointment under this paragraph of one or more doctors to undertake the provision of such services;
(b)where a doctor included in the medical list by virtue of regulation 4(1)(a) ceases because of his death to be entitled to be so included, and within 7 days of the date of death any person applies to the Board in writing on behalf of the estate of that doctor for the appointment of one or more named doctors, appoint one or more of the named doctors to undertake the provision of general medical services for the patients for whose treatment that doctor was or might have become responsible.
(3) The Board may make such arrangements as it thinks fit for the accommodation and other needs of any doctor appointed under paragraph (2) and, in the case of any doctor appointed under paragraph (2)(b), shall where practicable first consult any person who applied to them for the appointment of that doctor.
(4) Arrangements under paragraph (2) shall subsist for such period as the Board thinks fit, but such period shall not extend beyond one year unless the Board is at the expiry of that year satisfied that the continuation of the said arrangements with or without variations is necessary to enable general medical services to continue to be provided; and in any event the said arrangements shall not subsist beyond the date on which the relevant practice vacancy is permanently filled or the suspension referred to in paragraph (2) ceases to have effect; but the Board shall so far as possible give prior written notice of the termination of the said arrangements to the doctor with whom those arrangements were made.
(5) Subject to paragraph (4), where arrangements under paragraph (2) with or without variations are to continue for a period beyond one year, the Board shall at the expiry of that year notify the Secretary of State in writing of such continuation, and subsequently of the termination of such arrangements as soon as is practicable.
(6) Where it appears to the Board, after consultation with the Area Medical Committee, that a doctor on the medical list is incapable of carrying out adequately his obligations under the terms of service because of his physical or mental condition, it may require him to be medically examined.
(7) Where the Board is satisfied—
(a)that because of his physical or mental condition, or
(b)that because of continued absence
a doctor’s obligations under the terms of service are not being carried out adequately, it may after consultation with the Area Medical Committee and with the consent of the Secretary of State make arrangements for the temporary provision of general medical services for the patients for whose treatment that doctor was or might have become responsible, which arrangements may consist of or include the appointment under this paragraph of one or more doctors to undertake the provision of such services.
(8) No doctor may be appointed under paragraph (2) or (7) unless he is suitably experienced (other than by virtue of being a restricted services principal) within the meaning of section 21 of the Act.
(9) Subject to paragraph (12), arrangements under paragraph (7) shall subsist for such period as the Board thinks fit, but not, in a case to which paragraph (7)(a) applies, beyond the date on which the Board is satisfied, after consulting the Area Medical Committee, that the doctor is fit to resume his practice.
(10) The Board may, before varying or terminating any arrangements made under paragraph (7) and after consulting the Area Medical Committee, require the doctor to be medically examined.
(11) A doctor required under this regulation to be medically examined shall submit himself for medical examination by a doctor or doctors appointed, after consultation with the Area Medical Committee, by the Board, and such examining doctor or doctors shall thereafter report in writing to the Board as to the doctor’s fitness to carry out his obligations under the terms of service.
(12) Where the Board proposes that arrangements under paragraph (7) shall continue for longer than one year or such shorter period as the Secretary of State may in any particular case specify, or beyond a second or subsequent year or any subsequent specified period in the particular case, it shall so notify the Secretary of State in writing not less than 30 days before the expiry of that year or such specified period, or as soon thereafter as is practicable, and shall in each case obtain the consent of the Secretary of State to the continuation of the arrangements.
(13) Where arrangements under paragraph (7) expire or are terminated by the Board it shall give reasonable prior written notice to the doctor with whom those arrangements were made, and shall as soon as practicable notify the Secretary of State in writing that such termination has taken place.
(14) The Board shall, where practicable, notify in writing any doctor with respect to whose patients arrangements are made under this regulation of such arrangements and of their variation or termination.
(15) Each doctor appointed under this regulation shall throughout his appointment be bound by the terms of service which were applicable to the doctor, the treatment of all of whose patients he is appointed with or without other doctors to undertake; but such appointment shall not oblige the doctor so appointed to provide child health surveillance services, contraceptive services, maternity medical services or minor surgery services which he has not undertaken to provide.
(16) Where the doctor for the treatment of whose patients arrangements are made under this regulation has accepted patients for the provision of maternity medical services and the doctor or doctors appointed under this regulation have not undertaken to provide such services, the Board shall so inform the patients accepted for these services and inform them of any arrangements to enable them to continue to receive such services.
(17) Any patient of a doctor in respect of whose patients the Board has made arrangements for the temporary provision of general medical services under this regulation shall be deemed to remain on the list of that doctor for the duration of such arrangements unless he makes application for acceptance by another doctor or is otherwise removed from the list in accordance with these Regulations.
(18) Any application for acceptance and inclusion on a doctor’s list received by a doctor appointed under this regulation in the course of such appointment shall be deemed to be an application for acceptance and inclusion in the list of the doctor in respect of whose patients the appointment was made.
(19) The Board may deduct from the remuneration of a doctor in respect of whose patients arrangements are made under paragraph (7) or consequent upon the suspension of whose registration arrangements are made under paragraph (2)(a) the cost, in part or in whole, of any such arrangements, and in the case of a doctor performing relevant services in an emergency recognised by the Secretary of State for the purpose of these Regulations, the Board shall deduct from his remuneration the cost of arrangements under this regulation.
(20) In its application to the temporary provision of general medical services, sub-section (3) of section 19 of the Act shall have effect as if the words “otherwise than temporarily” were inserted after the words “general medical services” in that sub-section.
(21) In its application to a doctor appointed under this regulation, section 20(1A) of the Act(16) shall have effect as if—
(a)the words “shall be entitled to have his application for the inclusion of his name in the list kept by any Health Board referred to the Medical Practices Committee” were omitted and the words “shall be appointed to provide general medical services temporarily” were inserted in their place; and
(b)the words from “and where a Board” to the end were omitted.
(22) Sections 20(1) and 21 of the Act shall not apply in respect of the temporary provision of general medical services by a doctor appointed under this regulation.
Removal of person from doctor’s list
25.—(1) A person whose name is included in the list of a doctor and who no longer wishes to avail himself of general medical services may at any time give notice to the Board that he wishes his name to be removed from that list, and at the expiration of 14 days from the date of the receipt of the notice, the Board shall remove the name and inform the person and the doctor.
(2) Subject to the provisions of paragraphs (3) and (5), where, in regard to a person whose name is in the list of a doctor providing general medical services in the area of the Board, the Board after due enquiry including consultation in writing with the doctor is satisfied, either—
(a)that the person no longer resides in that part of the area of the Board where the doctor has undertaken to provide such services, or
(b)that the whereabouts of the person are no longer known to the Board,
and that the doctor in whose list the name of the person is included is no longer responsible for providing that person with general medical services, the Board shall remove the name of that person from the doctor’s list.
(3) Without prejudice to paragraph (2), where the Board consults a doctor in writing about the possible removal of the name of a person from his list, it shall remove that name from the list six months after that consultation unless the doctor satisfies the Board that he is still responsible for providing general medical services for that person.
(4) On removing the name of a person from the list of a doctor the Board shall notify the doctor and the person concerned at his last known address.
(5) The Board shall, on receiving from the doctor (in accordance with the provisions of paragraph 33 of the terms of service) particulars of persons who are pupils or staff or residents of a school or residential institution where he provides general medical services, forthwith remove the names of all persons appearing in his list as pupils or staff or residents of such school or institution which are not shown in the said particulars.
(6) Where the Board has made a request to a doctor for particulars under the said paragraph 33 and has not received them in accordance with those provisions, it may remove the names of persons at such schools or institutions appearing on his list.
Temporary residents
26.—(1) A person who is residing temporarily in a district and whose name is not on the list of a doctor providing general medical services in that district may, if he requires treatment, apply to any doctor to be accepted by him as a temporary resident and if he is so accepted his name shall not be removed from the list of any doctor in which it is already included.
(2) For the purpose of this regulation a person shall be regarded as temporarily resident in a district if when he arrives in that district he intends to stay there for more than 24 hours but not more than 90 days.
(3) If the stay of a person accepted under this regulation as a temporary resident in a district exceeds 90 days, he shall cease to be regarded as a temporary resident.
Doctors' lists
27.—(1) A Board shall prepare and keep revised up to date in respect of each doctor on its medical list, a list of the patients in its area for whom each doctor is for the time being responsible and shall from time to time furnish the doctor with information concerning persons added to or deleted from the list.
(2) Subject to the provisions of regulation 22(4), the name of a person accepted by a doctor for inclusion in his list shall be included in the list from the date on which notification of acceptance is received by the Board.
(3) Where a person for whose treatment a doctor is responsible—
(a)dies, or
(b)is absent from the United Kingdom for a period of 90 days, or
(c)leaves the United Kingdom with the intention of being away for a period in excess of 90 days, or
(d)enlists in Her Majesty’s Forces, or
(e)is serving a prison sentence or sentences totalling in the aggregate more than two years,
his name shall be deleted from the doctor’s list as from the date on which the Board first received notification of the death, absence, departure, enlistment or imprisonment.
(4) Any deletion from a doctor’s list caused by the transfer of a person to the list of another doctor, otherwise than in accordance with a notice given under regulation 22(3) and (4), shall take effect from the date on which the Board receives notification of the acceptance of the person by the last-mentioned doctor or, subject to the consent of the Board, on such date, not being earlier than the date of such consent as may be agreed between the doctors.
(5) Where a doctor has requested the Board to remove a person from his list in accordance with paragraph 9(1) of the terms of service, the removal shall take effect from the date mentioned in that paragraph.
(6) Where a doctor has notified the Board that he wishes to have a person removed from his list with immediate effect in accordance with paragraph 9(2) of the terms of service—
(a)the removal shall take effect at the time mentioned in sub-paragraph (4) of that paragraph, and
(b)on receipt of the notification the Board shall—
(i)in writing, acknowledge it and also give notice of the removal to the person concerned, and
(ii)take all reasonable steps to assign the person to another doctor before the end of the next working day, or as soon as possible thereafter, and regulation 20 shall apply to such an assignment as if the person had applied for an assignment in accordance with that regulation.
(7) Any other deletion from a doctor’s list shall take effect as from the date on which notice of deletion is sent by the Board to the doctor or from such other date, not being earlier than that date, as may be specified in the notice.
PART Vchild health surveillance services, contraceptive services, maternity medical services and minor surgery services
Child health surveillance list
28.—(1) The Board shall maintain a list, in these Regulations referred to as “the child health surveillance list”, of the names of those doctors who have satisfied the Board or, on appeal, the Secretary of State in accordance with the following provisions of this regulation, that they have such medical experience and training as are necessary to enable them properly to provide child health surveillance services.
(2) A doctor may apply, in accordance with paragraph (3), to a Board for inclusion of his name in the child health surveillance list required to be maintained by that Board.
(3) An application under paragraph (2) shall be in writing, signed by the applicant and shall include the information specified in Part IV of Schedule 2.
(4) A doctor whose name is included in the child health surveillance list of any Board and who applies to have his name included in the corresponding list of another Board shall provide the information specified in paragraph (3) together with the name of the Board in whose such list his name is included and the date from which it was so included.
(5) The provisions of paragraphs (6) to (11) of this regulation shall not apply to any application by a doctor referred to in paragraph (4), and such application shall be granted by the Board and within 30 days after receiving the application the Board shall give written notice to the doctor to that effect.
(6) Unless the applicant otherwise agrees, the Board shall decide any application made in accordance with paragraph (3) by either granting or refusing it not later than the expiry of the period of 60 days after receiving it.
(7) The Board may, if it thinks fit, hold an oral hearing of any application and, if minded to refuse an application, shall not do so without first giving the doctor the opportunity of an oral hearing.
(8) The Board before deciding upon an application under this regulation, shall have regard in particular to—
(a)any training undertaken by the doctor; and
(b)any medical experience gained by him,
during the period of five years immediately preceding the date of the application which is relevant to the provision of child health surveillance services and in the case of any application shall seek and take into account the advice of any medical practitioners, including the Area Medical Committee, as it considers necessary to enable it to decide upon the application.
(9) Within 30 days of reaching its decision, the Board shall give written notice thereof to the applicant and shall—
(a)where it refuses the application give written notice of the reasons for the decision and of the right of appeal of the applicant under paragraph (10); or
(b)where it grants the application, include the applicant’s name in the child health surveillance list.
(10) Where an application is refused the applicant may appeal in writing to the Secretary of State within 30 days of receiving written notice of the Board’s decision.
(11) Where the applicant appeals under paragraph (10), the Secretary of State—
(a)may, if he thinks fit, hold an oral hearing of the appeal;
(b)in deciding upon the appeal, shall either confirm or reverse the decision of the Board;
(c)where he reverses the decision of the Board, shall direct that the Board include the doctor’s name in its child health surveillance list.
(12) Subject to paragraphs (13) to (17) the Board may remove a doctor’s name from the child health surveillance list only in the following circumstances:—
(a)if it has been removed from the medical list of any Board under regulation 7 or 8; or
(b)if the Board is satisfied that the doctor has not provided child health surveillance services during the immediately preceding 5 years; or
(c)if the Board is satisfied that the doctor has, in relation to any patient in respect of whom he has undertaken to provide child health surveillance services failed in any material respect to comply with any of the requirements of regulation 29(4) and Schedule 3; or
(d)if the Board is satisfied that the doctor is no longer able to provide child health surveillance services.
(13) Before reaching any decision in terms of sub-paragraphs (b), (c) or (d) of paragraph (12) the Board shall—
(a)give the doctor 30 days' notice in writing of its intention to do so, and
(b)afford the doctor an opportunity of making representations in writing or, if he so desires, orally to the Board.
(14) Where the Board reaches a decision in terms of any of sub-paragraphs (b), (c) or (d) of paragraph (12), it shall send to the doctor a notice which shall include a statement—
(a)to the effect that, subject to any appeal under paragraph (15), the doctor’s name will, after 30 days from the date of notice, be removed from the child health surveillance list maintained by the Board;
(b)of the Board’s reasons for its decision; and
(c)of the doctor’s right of appeal under paragraph (15).
(15) A doctor who has received a notice sent in accordance with paragraph (14) may, within 21 days of receiving it, appeal to the Secretary of State against the decision of the Board, and pending the determination of the appeal the Board shall not remove his name from the child health surveillance list.
(16) An appeal to the Secretary of State shall be made in writing and shall include a statement of the facts and contentions on which the doctor intends to rely; and, if he allows the appeal, the Secretary of State shall direct that the Board does not remove the doctor’s name from the child health surveillance list.
(17) The Board shall comply with any direction given under this regulation.
Obtaining child health surveillance services
29.—(1) The appropriate person, in relation to a child who is under the age of 5 years, may apply to a doctor—
(a)who is—
(i)the doctor on whose list the child is included (in this paragraph referred to as “the child’s doctor”),
(ii)a doctor with whom the child’s doctor practises in partnership, or
(iii)a doctor with whom the child’s doctor is associated in a group practice; and
(b)whose name is included in any medical list and in the child health surveillance list of the Board,
for the provision of child health surveillance services in respect of the child for a period ending on the date on which the child attains the age of 5 years.
(2) In paragraph (1) the “appropriate person” in relation to a child who is under the age of 5 years is a person who has the right under regulation 39 to choose on behalf of the child the person by whom general medical services are to be provided for the child.
(3) A doctor whose name is included in the medical list may, in respect of any person on his list or on the list of a doctor with whom he practices in partnership or with whom he is associated in a group practice, undertake to provide child health surveillance services provided that—
(a)his name is also included in the child health surveillance list, and
(b)the person in question is a child who is under the age of 5 years.
(4) A doctor who has undertaken, pursuant to paragraph (3), to provide child health surveillance services to any child shall, in respect of that child—
(a)provide all the services described in paragraph 1 of Schedule 3, until the date upon which the child attains the age of 5 years, other than any examination so described which the appropriate person refuses to allow the child to undergo;
(b)maintain such records as are specified in paragraph 2 of that Schedule; and
(c)provide to the Board in accordance with the requirements of paragraph 3 of that Schedule such information as is specified in that paragraph.
(5) An undertaking to provide child health surveillance services shall cease forthwith to be effective if—
(a)either—
(i)the appropriate person informs the doctor, or
(ii)the doctor informs the appropriate person,
that he wishes the undertaking to have no further effect;
(b)the child has been removed from the doctor’s list, from that of his partner or from that of a doctor with whom he is associated in a group practice, as the case may be, and has not been transferred to any other of those lists;
(c)the appropriate person—
(i)has been invited to arrange for the child to attend for an examination referred to in paragraph 1(b) of Schedule 3, and
(ii)fails within 42 days to respond to that invitation; or
(d)any examination referred to in paragraph 1(b) of Schedule 3 is undertaken in respect of the child otherwise than by the doctor or a person acting on his behalf.
(6) Where in accordance with paragraph (5), an undertaking has ceased to be effective, the doctor shall forthwith—
(a)in a case to which any one of heads (a), (c) or (d) of that paragraph applies, so inform the Board in writing; and
(b)in a case to which either head (c) or (d) of that paragraph applies, so inform the appropriate person in writing.
(7) A doctor shall not be required to provide child health surveillance services for a patient unless following an application pursuant to paragraph (1) he has accepted that patient for the provision of such services.
Contraceptive services
30.—(1) Where a woman (including a woman who is a temporary resident within the meaning of regulation 26) desires contraceptive services she may apply to any doctor who had indicated his willingness to provide such services to be accepted by him for the provision to her of contraceptive services.
(2) Subject to the provisions of paragraph (3), where a woman is accepted by the doctor he shall be responsible for the provision of contraceptive services to her for a period of 1 year, except in the case of a temporary resident within the meaning of regulation 26, when the responsibility shall be limited to the period of temporary residence.
(3) Either the woman or the doctor may terminate the arrangement for the provision of contraceptive services at any time during the period of 1 year by giving 30 days' notice to the other party to the arrangement and to the Board.
(4) On the expiry or termination of the arrangement the woman may apply or reapply to a doctor to be accepted by him for the provision to her of contraceptive services and the provisions of this regulation shall apply to such further application.
Obtaining maternity medical services
31.—(1) A woman who, after a doctor has diagnosed that she is pregnant, desires the provision of maternity medical services, may arrange for the provision of such services either by any doctor on a medical list who has indicated his willingness to provide maternity medical services, or by the doctor in whose list her name is included.
(2) A woman who has arranged with a doctor (in this paragraph and paragraph (3) referred to as “the original doctor”) for the provision of maternity medical services may terminate the arrangement by—
(a)giving written notice to that effect to—
(i)the Board; or
(ii)the original doctor who shall within 7 days give written notice to the Board; or
(b)making a new arrangement with another doctor who shall within 7 days give written notice to the Board of the new arrangement.
(3) Where a Board receives notification in accordance with paragraph (2)(a)(i) or (b) it shall within 7 days give written notice to the original doctor that the arrangement with him has been terminated.
(4) A woman who is residing temporarily in any district may arrange with a doctor for the provision by him of maternity medical services during her period of temporary residence without prejudice to her right to obtain such services in any other area in which she may become resident.
Minor surgery list
32.—(1) The Board shall maintain a list, in these Regulations referred to as “the minor surgery list”, of the names of those doctors who have satisfied the Board or, on appeal, the Secretary of State in accordance with the following provisions of this regulation, that they have such experience, training and qualifications as are necessary to enable them properly to provide all of the procedures listed in Schedule 4.
(2) A doctor may apply, in accordance with paragraph (3), to a Board for inclusion of his name in the minor surgery list required to be maintained by that Board.
(3) An application under paragraph (2) shall be in writing, signed by the applicant and shall include the information specified in Part V of Schedule 2.
(4) A doctor whose name is included in the minor surgery list of any Board and who applies to have his name included in the corresponding list of another Board shall provide the information specified in paragraph (3) together with the name of the Board in whose such list his name is included and the date from which it was so included.
(5) The provisions of paragraphs (6) to (11) of this regulation shall not apply to any application by a doctor referred to in paragraph (4), and such application shall be granted by the Board and within 30 days after receiving the application the Board shall give written notice to the doctor to that effect.
(6) Unless the applicant otherwise agrees, the Board shall decide any application made in accordance with paragraph (3) by either granting or refusing it not later than the expiry of the period of 60 days after receiving it.
(7) The Board may, if it thinks fit, hold an oral hearing of any application and, if minded to refuse an application, shall not do so without first giving the doctor the opportunity of an oral hearing.
(8) The Board before deciding upon an application under this regulation shall have regard in particular for the purpose of assessing the doctor’s medical experience to any—
(a)postgraduate qualification held by him;
(b)training undertaken by him;
(c)medical experience gained by him,
during the period of five years immediately preceding the date of the application which is relevant to the provision of minor surgery services, and in the case of any application shall seek and take into account the advice of any medical practitioners, including the Area Medical Committee, as it considers necessary to enable it to decide upon the application.
(9) Within 30 days of reaching its decision, the Board shall give written notice thereof to the applicant and shall—
(a)where it refuses the application give written notice of the reasons for the decision and of the right of appeal of the applicant under paragraph (10); or
(b)where it grants the application, include the applicant’s name in the minor surgery list.
(10) Where an application is refused the applicant may appeal in writing to the Secretary of State within 30 days of receiving written notice of the Board’s decision.
(11) Where the applicant appeals under paragraph (10), the Secretary of State—
(a)may, if he thinks fit, hold an oral hearing of the appeal;
(b)in deciding upon the appeal, shall either confirm or reverse the decision of the Board;
(c)where he reverses the decision of the Board, shall direct that the Board include the doctor’s name in its minor surgery list.
(12) Subject to paragraphs (13) to (17) the Board may remove a doctor’s name from the minor surgery list only in the following circumstances:—
(a)if it has been removed from the medical list of any Board under regulation 7 or 8; or
(b)if the Board is satisfied that the doctor has not provided minor surgery services during the immediately preceding 5 years; or
(c)if the Board is satisfied that the doctor has, in relation to any patient in respect of whom he has undertaken to provide minor surgery services failed in any material respect to comply with any of the requirements of regulation 33 and Schedule 4; or
(d)if the Board is satisfied that the doctor is no longer able to provide minor surgery services.
(13) Before reaching any decision in terms of sub-paragraphs (b), (c) or (d) of paragraph (12) the Board shall—
(a)give the doctor 30 days' notice in writing of its intention to do so, and
(b)afford the doctor an opportunity of making representations in writing or, if he so desires, orally to the Board.
(14) Where the Board reaches a decision in terms of any of sub-paragraphs (b), (c) or (d) of paragraph (12), it shall send to the doctor a notice which shall include a statement—
(a)to the effect that, subject to any appeal under paragraph (15), the doctor’s name will, after 30 days from the date of notice, be removed from the minor surgery list maintained by the Board;
(b)of the Board’s reasons for its decision; and
(c)of the doctor’s right of appeal under paragraph (15).
(15) A doctor who has received a notice sent in accordance with paragraph (14) may, within 21 days of receiving it, appeal to the Secretary of State against the decision of the Board, and pending the determination of the appeal the Board shall not remove his name from the minor surgery list.
(16) An appeal to the Secretary of State shall be made in writing and shall include a statement of the facts and contentions on which the doctor intends to rely; and, if he allows the appeal, the Secretary of State shall direct that the Board does not remove the doctor’s name from the minor surgery list.
(17) The Board shall comply with any direction given under this regulation.
Obtaining minor surgery services
33.—(1) A person may apply to a doctor—
(a)who is—
(i)the doctor on whose list he is included (in this paragraph referred to as “his own doctor”),
(ii)a doctor with whom his own doctor practises in partnership, or
(iii)a doctor with whom his own doctor is associated in a group practice; and
(b)whose name is included in any medical list and in the minor surgery list of the Board,
for the provision of any procedure specified in Schedule 4.
(2) A doctor whose name is included in the medical list may, in respect of any person on his list or on the list of a doctor with whom he practises in partnership or with whom he is associated in a group practice, undertake to provide minor surgery services, provided that his name is included in the minor surgery list.
(3) A doctor who has undertaken, pursuant to paragraph (2), to provide minor surgery services in respect of any patient shall provide, or at least offer to provide, any of the procedures described in Schedule 4 which it is, in his opinion, appropriate for him to provide in respect of that patient.
(4) Where a doctor provides minor surgery services in respect of a patient who is not included on his list, he shall inform in writing the doctor on whose list the patient is included of the outcome of the procedure.
(5) A doctor who provides minor surgery services shall ensure that at all times he has available suitable and adequate premises, equipment and facilities for use by him in providing such services.
(6) A doctor shall not be required to provide minor surgery services for a patient unless, following an application pursuant to paragraph (1), he has accepted that patient for the provision of such services.
(7) Nothing in this regulation shall prevent any doctor personally performing, in the course of providing general medical services (otherwise than by way of minor surgery services) for the benefit of a patient, a procedure described in Schedule 4.
PART VIsupply of drugs etc., by doctors
Arrangements for supply by doctors of drugs and appliances
34.—(1) Where the Board after consultation with the Area Pharmaceutical Committee is satisfied that a person, by reason of distance or inadequacy of means of communication or other exceptional circumstances, will have serious difficulty in obtaining from a pharmacist any drugs, not being scheduled drugs, or appliances required for his treatment under these Regulations, the Board shall require the doctor who is responsible for the treatment of the person to supply such drugs and appliances to that person until further notice.
(2) Notwithstanding anything contained in this regulation—
(a)a doctor shall not be required to undertake the supply of drugs and appliances under this regulation if he satisfies the Board, or, on appeal, the Secretary of State, that he is not in the habit of dispensing drugs for his patients; and
(b)a doctor shall be entitled to receive reasonable notice from the Board that he is required to undertake the supply of drugs and appliances under this regulation or that such supply is to be discontinued.
PART VIIpayments to doctors
Payments
35.—(1) For each financial year ending on 31st March a Board shall make payments to doctors with whom arrangements exist for the provision of general medical services in its area in accordance with such rates and subject to such conditions as the Secretary of State in a Statement may determine after such consultation with such organisations as he may recognise as representing doctors with whom arrangements exist for the provision of general medical services. The Statement shall make provision for the following matters:—
(a)basic practice allowance, and additional allowances for designated areas, seniority and employment of assistants;
(b)standard capitation fees, capitation fees for elderly patients, and fees for night visits;
(c)fees for items of service, and for temporary residents;
(d)fees and allowances for the supply of drugs and appliances and for rural practice, fees for contraceptive services and fees for maternity medical services;
(e)allowances for training doctors and for initial practice or inducement to practise;
(f)allowances for practice expenses and for improvement of premises;
(g)payments in relation to the making of arrangements for, and payments for, the temporary provision of general medical services;
(h)capitation fees in respect of patients who participate in a consultation in accordance with paragraph 14 of Schedule 1;
(i)capitation fees in respect of patients to whom child health surveillance services are provided;
(j)capitation fees in respect of patients who are resident in deprived areas;
(k)a fee for each minor surgery session undertaken;
(l)payments in respect of health promotion programmes approved by the Board;
(m)payments in respect of disease management programmes approved by the Board;
(n)target payments in respect of immunisations provided;
(o)target payments in respect of cervical cytology;
(p)allowances for the employment of locums by doctors during confinement, sickness or study leave;
(q)allowances for undergoing approved postgraduate education;
(r)allowances for the employment of doctors by isolated single-handed doctors;
(s)allowances in respect of providing placements in practices for undergraduate medical students;
(t)transitional payments in consequence of changes to the terms of service;
and may be amended from time to time by the Secretary of State after consultation with such organisations as aforesaid.
(2) Where a doctor is on the medical list of more than one Board any payment due to the doctor may, where the Statement so provides, be made by one Board on behalf of all Boards concerned.
Claims and overpayments
36.—(1) Any claim for fees, allowances or other remuneration by doctors shall be made in accordance with the provisions of the Statement under regulation 35.
(2) Where the Board considers that a payment has been made in circumstances when it was not due, the Board, except to the extent that the Secretary of State on the application of the Board directs otherwise, shall draw the overpayment to the attention of the doctor and—
(a)where the overpayment is admitted by him; or
(b)where the overpayment is not so admitted but, the matter having been referred under regulation 8(1) of the National Health Service (Service Committees and Tribunal) (Scotland) Regulations 1992(17) for investigation, the Board, or the Secretary of State on appeal under regulation 12 of those Regulations, decides that there has been an overpayment,
the amount overpaid shall be recoverable either by deduction from the doctor’s remuneration or in some other manner.
(3) Recovery of an overpayment under this regulation shall be without prejudice to the investigation of an alleged breach of the terms of service.
PART VIIImiscellaneous
Publication of particulars
37.—(1) A Board shall make available for inspection at its office copies of—
(a)the medical list,
(b)the terms of service,
(c)the Statement published under the provisions of regulation 35,
(d)the Local Directory,
(e)a compendium of practice leaflets provided to it by doctors whose names are included in its medical list,
and shall keep them up-to-date.
(2) A Board may make any of the documents described in paragraph (1) available for inspection at such other places in its area as appear convenient for informing all persons interested, or may publish at such places a notice of the places and times at which copies of any of those documents may be inspected; provided always that in the case of the medical list that document may be made available for inspection without the names of the doctors who would otherwise be listed there only temporarily by virtue of appointment under regulation 24, or who do not provide general medical services in the locality of that other place.
(3) The Board shall—
(a)send a copy of the medical list to the Secretary of State, the Medical Practices Committee, the Area Medical and Pharmaceutical Committees and to all pharmacists providing pharmaceutical services in the area; and
(b)at intervals of not more than 90 days notify them of any alterations.
(4) Notwithstanding paragraph (3), if the Board considers that only parts of the medical list, or that only some alterations, are likely to concern any such persons or bodies, it may send to those persons or bodies a copy of only those parts or alterations.
Guidance to doctors
38.—(1) Subject to paragraph (2) a Board may issue guidance to doctors whose names are included in its medical list to assist them in assessing, in accordance with paragraph 22 of Schedule 1, the qualifications, experience and competence of any employee or prospective employee.
(2) Any guidance issued under paragraph (1) shall—
(a)be issued only after consultation with the Area Medical Committee, and
(b)have regard to standards adopted either by an appropriate national regulatory body for a profession or occupation or by a similar body.
Exercise of choice of doctor in certain cases
39.—(1) The right to choose the person by whom general medical services under Part II of the Act are to be provided shall be exercised—
(a)subject to sub-paragraph (c) on behalf of any child by the mother, or in her absence, the father, or in the absence of both parents, the guardian or other person who has care of the child;
(b)on behalf of any other person who is incapable on account of sickness or other infirmity of choosing a person to provide such services, by a relative or any person who has the care of such person;
(c)on behalf of any person under the age of 18 in the care of a local authority under Part II of the Social Work (Scotland) Act 1968(18) or under the relevant provisions of the said Part II as applied by section 44(5) of the said Act(19), by a person duly authorised by that authority.
(2) The right of choice in paragraph (1) shall not be exercised by the person to whom the application for general medical services is made.
Fraser of Carmyllie
Minister of State, Scottish Office
St Andrew’s House,
Edinburgh
21st February 1995
Regulation 3(2)
SCHEDULE 1TERMS OF SERVICE FOR DOCTORS
1.Interpretation.
2.Incorporation of provisions of regulations, etc.
3.Exercise of professional judgment.
4-5.Persons for whose treatment the doctor is responsible.
6-8.Acceptance of patients.
9.Right of a doctor to have patient removed from his list.
10.Evidence of person’s title to obtain treatment.
11.Services to patients.
12.Practice leaflet.
13.Treatment of patients.
14.Newly registered patients.
15.Patients not seen within 3 years.
16.Patients aged 75 years and over.
17-21.Absences, deputies, assistants and partners.
22.Employees.
23.Arrangements at practice premises.
24.Doctors' availability to patients.
25.Doctors available for only 4 days a week.
26.Variation of doctors' availability to patients.
27.Availability to patients outside normal hours.
28.Practice area.
29-31.Prescribing and dispensing.
32-33.Records.
34.Reports to the medical officer.
35.Annual reports.
36.Acceptance of fees.
Interpretation
1. In this Schedule, unless the context otherwise requires—
(a)“associate” means a doctor employed by a single-handed isolated practitioner with the consent of the Board;
(b)“patient” means a person for whose treatment a doctor is responsible under paragraph 4 of these terms of service;
(c)“deputising service” means any person or body carrying on a business which consists of or includes the provision of deputies for periods which normally do not exceed 72 consecutive hours:
(d)“prescription form” means a form provided by the Board or, where the doctor is on the medical list of more than one Board, by the Board which is responsible for the supply of that form for issue by a doctor to enable a person to obtain pharmaceutical services as defined by section 27 of the Act(20);
(e)unless the context otherwise requires any reference in a paragraph in this Schedule to a numbered sub-paragraph is a reference to the sub-paragraph bearing that number in that paragraph.
Incorporation of provisions of regulations, etc.
2. Any provisions of the following affecting the rights and obligations of doctors shall be deemed to form part of the terms of service:—
(a)these Regulations;
(b)any Statement made under regulation 35;
(c)any provisions of Part II of the National Health Service (Service Committees and Tribunal) (Scotland) Regulations 1992(21).
Exercise of professional judgment
3. Where a decision whether any, and if so what, action is to be taken under these terms of service requires the exercise of professional judgment, a doctor shall not, in reaching that decision, be required to exercise a higher degree of skill, knowledge and care than—
(a)in the case of a doctor providing child health surveillance services under regulation 29 or minor surgery services under regulation 33, that which any general practitioner included in the child health surveillance list or, as the case may be, the minor surgery list might reasonably be expected to exercise; and
(b)in any other case, that which general practitioners as a class might reasonably be expected to exercise.
Persons for whose treatment the doctor is responsible
4.—(1) The persons for whose treatment a doctor is responsible are—
(a)all persons whom he has accepted or agreed to accept for inclusion in his list and who have not been notified to him by the Board as having ceased to be on his list;
(b)all persons whom he has accepted or agreed to accept as temporary residents;
(c)all persons who have been assigned to him and who have not been notified to him by the Board as having ceased to be on his list;
(d)all persons for whom he may be required in terms of sub-paragraph (2) to provide treatment pending their acceptance by or assignment to a doctor;
(e)all persons for whom he may be required in terms of sub-paragraph (3) to provide treatment which is immediately required in case of accident or other emergency;
(f )all persons to whom the doctor is required to give necessary treatment under paragraph 10;
(g)all persons in respect of whom he is acting as a deputy under the provisions of paragraph 18(6);
(h)during the period of an appointment under regulation 24 persons whom he has been appointed to treat temporarily;
(i)in respect of contraceptive services and maternity medical services women for whom he has undertaken to provide such services;
(j)in respect of services specified in regulations 29 and 33 and paragraph 8, persons to whom he has undertaken to provide those services;
(k)during the hours agreed with the Board, any person whose own doctor has been relieved of responsibility during those hours specified in paragraph 5 and for whom he has accepted responsibility.
(2) If a doctor refuses to accept, for inclusion in his list or as a temporary resident, a person who lives in his practice area and who is not in the list of, or has not been accepted as a temporary resident by, another doctor practising in that area, he may inform him of the name and address of any neighbouring doctor to whom he may apply for acceptance and shall inform him of the name and address of the Board and of his right to apply to it for assignment, and he shall give that person any treatment which he may require until that person has been accepted by or assigned to another doctor.
(3) Where a doctor has notified the Board that he wishes to have a person removed from his list in accordance with paragraph 9(2), he shall on request give that person any immediately necessary treatment until the expiry of 14 days beginning with the date of the notification or until that person has been accepted by or assigned to another doctor, whichever occurs first.
(4) If a doctor notifies the Board in writing of his refusal to accept for inclusion in his list or as a temporary resident, a person specified in sub-paragraph (2) and states the person’s name and address, the Board shall forthwith inform the person that he should at once apply to another doctor, or to the Board for assignment to a doctor and, if he has not been accepted by another doctor and has not applied for assignment before the expiry of 14 days after receipt of the Board’s communication, he shall be deemed to have applied to the Board for assignment and shall be assigned by the Board to a doctor in accordance with the provisions of regulation 20(1), and the obligation to give treatment in sub-paragraph (2) shall cease on the date of the assignment.
(5) If a doctor is requested to provide treatment, and is available, he shall provide treatment immediately required, by reason of accident or other emergency, by a person who is not on the list of and who has not been accepted as a temporary resident by or assigned to, any doctor practising in the locality, or who is on the list of or has been accepted as a temporary resident by or assigned to, such a doctor, but neither the said doctor nor any deputy whom he may have appointed is available.
(6) Notwithstanding anything contained in this paragraph, a doctor shall not be responsible under these terms of service for the treatment in hospital of a person admitted thereto for treatment by the staff of the hospital.
5. A doctor who is elderly or infirm or who has been exempted by the Board under regulation 20(2) from the liability to have persons assigned to him may be relieved by the Board of any liability for emergency calls arising between 7 pm on weekdays and 8 am on the following morning and between 1 pm on Saturday and 8 am on the following Monday to persons who—
(a)are not on his list, or
(b)are not temporary residents for whom he is responsible, or
(c)have not been accepted by him for the provision of maternity medical services.
Acceptance of patients
6.—(1) A doctor may agree to accept a person on his list if the person is eligible to be accepted by him.
(2) A doctor shall indicate his acceptance of an applicant by signing either his medical card or a form of application for acceptance which has been completed by the applicant or on his behalf, and sending the card or form to the Board within 14 days of receiving it. Where any person is authorised by the doctor to sign the card or form on behalf of that doctor, he shall say so accordingly and in addition to his own signature, add the doctor’s name.
7. A doctor may—
(a)undertake to provide contraceptive services to a woman who has applied to him in accordance with regulation 30;
(b)accept as a temporary resident a person who has applied to him in accordance with regulation 26(1);
(c)undertake to provide maternity medical services to a woman who has made an arrangement with him in accordance with regulation 31(1).
8. Notwithstanding that the person concerned is not on his list, a doctor may—
(a)take a cervical smear from a woman who would be eligible for acceptance by him as a temporary resident or for whom he has undertaken to provide maternity medical services or contraceptive services;
(b)vaccinate or immunise a person who would be eligible for acceptance by him as a temporary resident.
Right of a doctor to have patient removed from his list
9.—(1) Subject to sub-paragraphs (2) to (5), a doctor may have the name of any person removed from his list by giving notice to the Board and the removal shall take effect on the date of acceptance of that person by, or assignment to, another doctor or on the eighth day after the Board receives such notice, whichever first occurs. If the doctor at the date when removal would take effect is providing treatment to the person (otherwise than at intervals of more than 7 days because of the chronic nature of the person’s illness), the doctor shall notify the Board accordingly, and removal shall take place on the eighth day after the Board receives notice from him that the person no longer requires such treatment or upon acceptance by, or assignment to, another doctor, whichever first occurs.
(2) Where—
(a)a person on a doctor’s list has committed an act of violence against the doctor or has behaved in such a way that the doctor has feared for his safety; and
(b)the doctor has reported the incident to the police or the Procurator Fiscal
the doctor may notify the Board that he wishes to have that person removed from his list with immediate effect.
(3) Notification under sub-paragraph (2) may be given by any means including telephone or fax, but if not given in writing shall subsequently be confirmed in writing within 7 days (and for this purpose a faxed notification is not a written one).
(4) The time at which the doctor notifies the Board shall be the time at which he makes the telephone call or sends or delivers the notification to the Board.
(5) Where pursuant to this paragraph a doctor has notified the Board that he wishes to have a person’s name removed from his list with immediate effect, he shall take all reasonable steps to inform the person concerned.
Evidence of person’s title to obtain treatment
10.—(1) A doctor is entitled to require a person claiming to be on his list and applying for treatment, regarding whose identity he has reasonable doubts, to produce his medical card.
(2) If such a person fails on request to produce his medical card, the doctor is required to give any necessary treatment (including the supply of any drugs or appliances which he would be required to supply to a person on his list) but the doctor may charge the applicant a reasonable fee for any treatment given, including any drugs or appliances supplied, provided that he renders the applicant an account, or gives him a receipt for the fee. The doctor may order any drugs or appliance required for the treatment of the applicant in the same way as for a person on his list.
(3) If the applicant applies to the Board within 14 days after receiving the account or paying the fee, as the case may be (or within such longer period not exceeding 30 days as may be allowed by the Board if it is satisfied that the failure to make application within the period of 14 days was occasioned by some reasonable cause) and the Board is satisfied that he was on the doctor’s list, the Board may require the doctor to withdraw his account, or if the fee has been paid, may recover the fee from the doctor by deduction from his remuneration or otherwise and repay it to the applicant. If the doctor has supplied any drug or appliance for which, in the case of a person on his list, he would have been entitled to payment from the Board, the Board shall credit him with the payment to which he would have been so entitled.
Services to patients
11.—(1) Subject to paragraphs 3, 13 and 31 a doctor shall render to his patients all necessary and appropriate personal medical services of the type usually provided by general medical practitioners.
(2) The services which a doctor is required by sub-paragraph (1) to render shall include the following:—
(a)the administration of anaesthetics or the rendering of any other assistance at an operation performed by, and of the kind usually performed by, a general medical practitioner;
(b)where appropriate giving advice personally to patients, either individually or in groups, relating to their general health, and in particular on the significance of diet, exercise, the use of tobacco, the consumption of alcohol and the misuse of drugs and solvents;
(c)offering to patients consultations and, where appropriate, physical examinations for the purpose of identifying, or reducing the risk of, disease or injury;
(d)offering to patients, where appropriate, vaccination or immunisation against Measles, Mumps, Rubella, Pertussis, Poliomyelitis, Diphtheria and Tetanus;
(e)arranging for the referral of patients, as appropriate, for the provision of any other services provided under the Act;
(f)giving advice, as appropriate, to enable patients to avail themselves of social work services provided by a local authority.
(3) A doctor shall not be required under sub-paragraph (1) or (2) to provide to any person—
(a)services which involve the application of such special skill or experience of a degree or kind which general medical practitioners as a class cannot reasonably be expected to possess;
(b)the administration of an anaesthetic at an operation performed by a doctor in the course of providing maternity medical services;
(c)contraceptive services, child health surveillance services, minor surgery services nor, except in an emergency, maternity medical services, unless he has previously undertaken to provide such services to that person; or
(d)where he is a restricted services principal, any category of general medical services which he has not undertaken to provide.
(4) In the case of maternity medical services the expression “all necessary and appropriate personal medical services” includes the provision of all necessary medical services (other than services which involve the application of special skill or experience of a degree or kind which general medical practitioners as a class cannot reasonably be expected to possess) during and following pregnancy and labour in respect of all conditions arising therefrom and in particular the following services:—
(a)antenatal services, i.e. full antenatal care, supervision and examination, including full medical and obstetric examination of the patient as soon as possible after the doctor’s engagement to provide maternity medical services and such further examination as the condition of the patient requires;
(b)services during the confinement and lying-in period including—
(i)attendance at some stage of labour either before or at delivery, or at such early time thereafter as is reasonably possible in the light of clinical circumstances;
(ii)attendance within twelve hours of completion of labour or as soon thereafter as practicable and as often as the condition of the patient or her child requires throughout a lying-in period of 14 days;
(iii)attendance at any time when summoned by the midwife attending the case;
(c)post-puerperal services, i.e., medical and pelvic examination of the patient at or about six weeks after confinement.
(5) The doctor providing the maternity medical services shall, if he is not the doctor on whose list the name of the person is included—
(a)comply with any request by the doctor on whose list the name of the woman is included to examine or give other assistance to the woman and her child if and so far as the practitioner providing the services considers it necessary and appropriate that he should do so;
(b)issue, in accordance with the provisions of paragraph 13(7) to the woman or her personal representative certificates of pregnancy, expected confinement and confinement, being certificates reasonably required by her.
(6) The doctor providing the services shall also, subject always to paragraph 4(5) administer an anaesthetic or render other assistance, as required, in connection with any service or operation performed by another doctor otherwise than as part of the general medical services, if the administration of the anaesthetic or the rendering of such other assistance does not involve the application of special skill or experience of a degree or kind which general medical practitioners as a class cannot reasonably be expected to possess.
(7) Nothing in the foregoing shall affect the responsibility of the doctor on whose list the name of the woman receiving maternity medical services is included for the provision of treatment necessary for her general health.
(8) In the case of emergency, the doctor is required to render whatever services are, having regard to the circumstances, in the best interest of the patient.
(9) In determining whether a particular service involves the application of such special skill and experience as aforesaid, regard is to be had to the question whether services of the kind are or are not usually undertaken by general medical practitioners practising in the area in which the question arose.
Practice leaflet
12.—(1) Subject to sub-paragraph (2), a doctor whose name is included in the medical list shall compile in relation to his practice a document (in this paragraph called a “practice leaflet”) which shall include the information specified in Schedule 5.
(2) Sub-paragraph (1) shall, in relation to a doctor referred to in regulation 4(5)(f), apply only to the extent that the Board sees fit.
(3) A doctor shall review his practice leaflet at least once in every period of 12 months and shall make any amendments necessary to maintain its accuracy.
(4) A doctor shall make available a copy of the most recent edition of his practice leaflet to the Board, to each patient on his list and to any other person who, in the doctor’s opinion, reasonably requires one.
(5) A doctor who practises in partnership with other doctors whose names are included in the medical list shall satisfy the requirements of this paragraph if he makes available a practice leaflet, compiled and, where appropriate, revised in accordance with sub-paragraphs (1) and (3) which relates to the partnership as a whole; and in such a case a doctor may, if he so wishes, also produce a practice leaflet relating to his own activities.
Treatment of patients
13.—(1) If the condition of a patient is such that he requires treatment which is not within the scope of the doctor’s obligations under these terms of service, but such treatment is to the knowledge of the doctor available under the National Health Service, the doctor shall inform the patient of the fact and if the patient so wishes, the doctor shall take all necessary steps to enable him to receive such treatment. The doctor shall also give his patients such advice or assistance as he may consider appropriate to enable them to take advantage of other medical services available under the National Health Service.
(2) Subject to the following provisions of this paragraph, a doctor shall render the services referred to in paragraph 11 (in this paragraph called the “relevant services”) during the hours for which he is normally available pursuant to paragraph 24 (in this paragraph referred to as “normal hours”)—
(a)at his practice premises; or
(b)in the case of a patient whose condition is such that in the doctor’s reasonable opinion it would be inappropriate for the patient to attend at the practice premises, at whichever is appropriate of the places set out in sub-paragraph (5).
(3) Outside normal hours the doctor shall consider, in the light of the patient’s medical condition, whether a consultation is needed, and if so, when.
(4) If in the doctor’s reasonable opinion a consultation is needed before the next time at which the patient could be seen during normal hours, he shall render the relevant services—
(a)at his practice premises;
(b)at such other place as the Board has agreed, pursuant to paragraph 27 and he has informed the patient, pursuant to paragraph 27(5), is a place where he will treat patients outside normal hours; or
(c)in the case of a patient whose condition is such that in the doctor’s reasonable opinion it would be inappropriate for the patient to attend either at the practice premises or at such other place, at whichever is appropriate of the places set out in sub-paragraph (5).
(5) The places referred to in sub-paragraphs (2)(b) and (4)(c) are—
(a)the place where the patient was residing when he was accepted by the doctor pursuant to paragraph 6 or, as the case may be, when he was assigned to the doctor pursuant to regulation 20 or, in the case of a patient who was previously on the list of a doctor in a practice declared vacant, when the doctor succeeded to the vacancy;
(b)such other place as the doctor has informed the patient and the Board is the place where he has agreed to visit and treat the patient;
(c)some other place in the doctor’s practice area.
(6) Nothing in this paragraph prevents the doctor from—
(a)arranging for the referral of a patient pursuant to paragraph 11(2)(e) without first seeing the patient, in a case where the medical condition of the patient makes that course of action appropriate; or
(b)visiting the patient in circumstances where this paragraph does not place him under an obligation to do so.
(7) A doctor shall issue to a patient or his personal representatives free of charge any certificate of a description prescribed in the first column of Schedule 9 which is reasonably required by him under or for the purposes of the enactments specified in the second column of the said Schedule opposite and in relation to the description of the certificate in the first column. Any certificate issued under this sub-paragraph for the purposes of:
(a)the Social Security Act 1975(22); or
(b)section 17(2) of the Social Security and Housing Benefits Act 1982(23); or
(c)Part V of and Schedule 4 Part I to the Social Security Act 1986(24)
shall be issued in accordance with any regulations made under those Acts.
(8) A doctor shall not be required to issue a certificate under this paragraph where the patient is receiving treatment otherwise than from or under the supervision of a doctor.
(9) A doctor, except when providing maternity medical services, is responsible for providing the services of another doctor for the administration of an anaesthetic, when necessary, in connection with any service or operation on his patient undertaken by him under these terms of service whenever such administration does not involve the application of special skill or experience of a degree or kind which general medical practitioners as a class cannot reasonably be expected to possess.
(10) A doctor providing maternity medical services is responsible for providing the services of another doctor for the administration of an anaesthetic when necessary in connection with any operation performed by him on his patient and undertaken by him under these terms of service.
(11) The provisions of sub-paragraphs (2) and (3) shall not apply in the case of a patient who attends when an appointment system is in operation and who has not previously made, and is not given, an appointment. In such a case the doctor may decline to attend the patient during that surgery period, if the patient’s health would not thereby be jeopardised and the patient is offered an appointment to attend within a reasonable time having regard to all circumstances. The doctor shall take all reasonable steps to ensure that a consultation is not so deferred except in accordance with his instructions.
Newly registered patients
14.—(1) Subject to sub-paragraphs (4) to (9), where a patient has been accepted on the list of a doctor under paragraph 6 or assigned to such a list under regulation 20, the doctor shall, in addition and without prejudice to his other obligations in respect of that patient under these terms of service, within 30 days of the date of such acceptance or assignment, invite the patient to participate in a consultation either at his practice premises or, if the condition of the patient so warrants, at such other place as the doctor is obliged, under paragraph 13(4)(b), to render personal medical services to that patient.
(2) Where a patient (or, in the case of a patient who is a child, the appropriate person in relation to that child) agrees that he, or in the case of a child, that the child will participate in such a consultation as is mentioned in sub-paragraph (1), the doctor shall, in the course of that consultation—
(a)seek details as to the medical history of the patient and, so far as may be relevant to the patient’s medical history, as to that of his consanguineous family, in respect of—
(i)illnesses, immunisations, allergies, hereditary conditions, medication and tests carried out for breast or cervical cancer,
(ii)social factors (including employment or unemployment, housing and family circumstances) which may affect his health,
(iii)factors of his lifestyle (including diet, exercise, use of tobacco, consumption of alcohol, and misuse of drugs or solvents) which may affect his health, and
(iv)the current state of his health;
(b)offer to undertake a physical examination of the patient, comprising—
(i)the measurement of his blood pressure,
(ii)the taking of a urine sample and its analysis to identify the presence of albumin and glucose, and
(iii)the measurements necessary to detect any changes in his body mass index;
(c)record, in the records maintained in relation to the patient pursuant to paragraph 32, his findings arising out of the details supplied by or in relation to, and any examination of, the patient under this sub-paragraph;
(d)assess whether and, if so, in what manner and to what extent he should render personal medical services to the patient; and
(e)in so far as it would not, in the opinion of the doctor, be likely to cause serious damage to the physical or mental health of the patient to do so, discuss with the patient (or, where the patient is a child, the appropriate person) the conclusions the doctor has drawn as a result of the consultation as to the state of the patient’s health.
(3) In sub-paragraphs (2) and (4) and in paragraph 15(3)(e) “the appropriate person”, in relation to a child, is a person who has the right under regulation 39 to choose on behalf of the child the person by whom general medical services are to be provided for the child.
(4) On each occasion where a doctor invites a patient or, where the patient is a child, the appropriate person, to participate in a consultation pursuant to sub-paragraph (1), he shall—
(a)make the invitation in writing or, if the invitation is initially made orally, confirm it in writing, by a letter either handed to the patient or his representative or sent to the patient or, where the patient is a child, to the appropriate person, at the address recorded in the medical records kept for the patient as being his last home address or that of the appropriate person, as the case may be;
(b)record in the patient’s medical records the date of each such invitation and whether or not it was accepted;
(c)where, as a result of making the invitation, the doctor becomes aware that the patient is no longer residing at the address shown in his medical records, advise the Board accordingly.
(5) A doctor shall not be obliged to offer a consultation pursuant to sub-paragraph (1)—
(a)if he is a restricted services principal;
(b)in respect of a child under the age of 5 years;
(c)to any patient who, immediately before joining the list of a doctor, was a patient of a partner of the doctor and who, during the year immediately preceding the date of his acceptance or assignment to his current doctor’s list, had participated in a consultation pursuant to sub-paragraph (1); or
(d)to the extent allowed by the Board, to any patient within a class of patients in respect of which the Board or, on appeal, the Secretary of State, has pursuant to sub-paragraphs (6) to (9), deferred the doctor’s obligation under sub-paragraph (1).
(6) Where a doctor assumes responsibility for a list of patients on his succession to a vacant medical practice or otherwise becomes responsible for a significant number of new patients within a short period, he may apply, in accordance with sub-paragraph (7), to the Board for the deferment of his obligation under sub-paragraph (1) for a period not exceeding 2 years from the date of the application.
(7) An application pursuant to sub-paragraph (6) shall be made in writing and shall be accompanied by a statement of the doctor’s proposals by reference to particular classes of patients, with a view to securing that all eligible patients are invited to participate in a consultation pursuant to sub-paragraph (1) by the end of the period of the deferment.
(8) Within 60 days of receiving an application the Board shall decide it—
(a)by approving the application;
(b)by approving the application subject to conditions; or
(c)by refusing the application,
and shall give written notice of its decision and, where it refuses the application or grants it subject to conditions, of its reasons for refusal or for such conditions, and of the doctor’s right of appeal under sub-paragraph (9).
(9) A doctor may appeal in writing to the Secretary of State against any refusal of an application, or against any condition subject to which an application is approved by a Board pursuant to sub-paragraph (8)(b), and on determining such an appeal the Secretary of State shall—
(a)either confirm the Board’s decision or substitute his own determination for the decision of the Board, and
(b)give to the doctor written notice of his decision and of his reasons therefor.
(10) In this paragraph and paragraph 15 “body mass index” means the figure produced by dividing the number of kilograms in the patient’s weight by the square of the number of metres in his height.
Patients not seen within 3 years
15.—(1) Subject to sub-paragraph (2), where a patient who—
(a)has attained the age of 16 years but has not attained the age of 75 years; and
(b)within the preceding 3 years has attended neither a consultation with, nor a clinic provided by, any doctor in the course of his provision of general medical services, requests a consultation for the purposes of assessing whether he needs personal medical services, a doctor shall, in addition to and without prejudice to any other obligation under these terms of service, provide such a consultation.
(2) Sub-paragraph (1) shall not apply in the case of a doctor who is a restricted services principal.
(3) Where a doctor provides a consultation mentioned in sub-paragraph (1), the doctor shall, in the course of that consultation—
(a)where appropriate seek details from the patient as to the medical history of the patient, and, so far as may be relevant to the patient’s medical history, as to that of his consanguineous family, in respect of—
(i)illnesses, immunisations, allergies, hereditary conditions, medication and tests carried out for breast or cervical cancer,
(ii)social factors (including employment or unemployment, housing and family circumstances) which may affect his health,
(iii)factors of his lifestyle (including diet, exercise, use of tobacco, consumption of alcohol, and misuse of drugs or solvents) which may affect his health, and
(iv)the current state of his health;
(b)offer to undertake a physical examination of the patient, comprising—
(i)the measurement of his blood pressure,
(ii)the taking of a urine sample and its analysis to identify the presence of albumin and glucose, and (iii)the measurements necessary to detect any changes in his body mass index;
(c)record, in the records maintained in relation to the patient pursuant to paragraph 32, his findings arising out of the details supplied by or in relation to, and any examination of, the patient under this sub-paragraph;
(d)assess whether and, if so, in what manner and to what extent he should render personal medical services to the patient; and
(e)in so far as it would not, in the opinion of the doctor, be likely to cause serious damage to the physical or mental health of the patient to do so, discuss with the patient (or, where the patient is a child, the appropriate person) the conclusions the doctor has drawn as a result of the consultation as to the state of the patient’s health.
Patients aged 75 years and over
16.—(1) Subject to sub-paragraph (2), a doctor shall, without prejudice and in addition to any other obligations under the terms of service, in each year beginning on 1st April—
(a)invite each patient on his list who has attained the age of 75 years to participate in a consultation, and
(b)offer to make a domiciliary visit to each such patient,
for the purpose of assessing whether he needs to render personal medical services to such a patient.
(2) Sub-paragraph (1) shall not apply in the case of any doctor who is a restricted services principal.
(3) Any consultation pursuant to sub-paragraph (1) may take place in the course of a domiciliary visit made pursuant to sub-paragraph (1).
(4) In the case of a patient who is accepted by a doctor pursuant to paragraph 6, or assigned to him pursuant to regulation 20 and who has attained the age of 75 years when he is so accepted or assigned, an invitation and an offer pursuant to sub-paragraph (1) shall be made within a year of the date of his acceptance or assignment.
(5) A doctor shall, when making an assessment following a consultation under sub-paragraph (1), record in the patient’s medical records kept pursuant to paragraph 32 his observations made of any matter which appears to him to be affecting the patient’s general health, including where appropriate, the patient's—
(a)sensory functions,
(b)mobility,
(c)mental condition,
(d)physical condition, including continence,
(e)social environment, and
(f)use of medicines.
(6) A doctor shall keep with the patient’s medical records a report of any observations made in the course of a domiciliary visit made pursuant to sub-paragraph (1) which are relevant to the patient’s general health.
(7) When inviting a patient to participate in a consultation or offering him a domiciliary visit, pursuant to sub-paragraph (1), a doctor shall comply with the requirements of paragraph 14(4), as if that sub-paragraph referred to an offer as well as to an invitation.
(8) Where a patient has participated in a consultation pursuant to sub-paragraph (1), the doctor shall offer to discuss with him the conclusions he has drawn, as a result of the consultation, as to the state of the patient’s health, unless to do so would, in the opinion of the doctor, be likely to cause serious harm to the physical or mental health of the patient.
Absences, deputies, assistants and partners
17.—(1) Subject to sub-paragraph (2) a doctor is responsible for ensuring the provision to each of his patients of the services referred to in paragraph 11 throughout each day during which his name is included in the medical list.
(2) A doctor who was, prior to 1st April 1990, relieved by the Board of such responsibility in respect of his patients during times approved by the Board may continue to enjoy such relief for so long as his name is included in the medical list.
18.—(1) Subject to the provisions of sub-paragraphs (2), (3) and (4) a doctor shall give treatment personally.
(2) If reasonable steps are taken to ensure continuity of treatment the practitioner shall be under no obligation to give treatment personally to a patient and such treatment may be given—
(a)by a partner or assistant;
(b)by a deputy; or
(c)if it is treatment which it is reasonable in the circumstances to delegate to a person who is competent to carry out such treatment, by such person.
(3) In the case of child health surveillance services a doctor who has, pursuant to regulation 29(3), undertaken to provide such services may employ for the purposes of providing such services a deputy, associate or assistant general practitioner whose name is included in a child health surveillance list or, with the consent of the Board, some other deputy or assistant.
(4) In the case of minor surgery services a doctor who has, pursuant to regulation 33(2), undertaken to provide such services may employ a deputy, associate or assistant whose name is included in a minor surgery list to conduct a procedure described in Schedule 4.
(5) Without prejudice to paragraph 17(1), in relation to his obligations under these terms of service, a doctor is responsible for all acts and omissions of any doctor acting as his deputy, whether or not he is a partner or assistant, or of any deputising service, while acting on his behalf, or of any person employed by, or acting on behalf of, him or such a deputy or deputising service; but a doctor shall not be responsible for any act or omission for which a deputy is responsible under sub-paragraph (6).
(6) Where a doctor whose name is included in the medical list of any Board or of a Family Health Services Authority established under section 10(1) of the National Health Service Act 1977(25) is acting as deputy to another doctor whose name is included in the medical list of a Board the deputy alone is responsible for—
(a)his own acts and omissions in relation to the obligations under these terms of service of the doctor for whom he acts as deputy; and
(b)the acts and omissions of any person employed by him or acting on his behalf.
(7) A doctor shall make all necessary arrangements for the treatment of his patients. He shall inform the Board of any standing deputising arrangements. When he proposes to be absent from his practice for more than 14 days he shall inform the Board of the arrangements he has made for the provision of general medical services to his patients during his absence. If he has undertaken the provision of contraceptive services or maternity medical services he shall ensure that the doctor or doctors providing general medical services on his behalf will also provide such services.
(8) Where such absence is to exceed 90 days he shall before the expiry of that period obtain the consent of the Board to such arrangement in respect of any period beyond the 90th day of his absence. In giving consent the Board may also impose such conditions as it thinks necessary or expedient to ensure the adequacy of such arrangements.
(9) The provisions of paragraph 19(8) and (9) shall apply with respect to the Board’s consent and conditions under sub-paragraph (8) as they apply under paragraph 19.
(10) A doctor shall not except with the consent of the Board employ any one or more assistants for a total period of more than 90 days in any period of 1 year and where such consent has been given it shall be subject to periodic review and may be withdrawn by the Board. Where the Board refuses or withdraws its consent the doctor may appeal against such refusal or withdrawal to the Medical Practices Committee by sending to the Committee notice of appeal within 14 days or such longer period as the Committee may allow from the date on which the Board notifies the doctor of its decision, and the Committee after such inquiry as it may think necessary shall determine the appeal.
(11) A doctor shall notify the Board as soon as possible of the name of any assistant he employs and of the termination of such employment.
(12) A doctor shall not, without the consent of the Secretary of State, employ as a deputy or assistant any doctor who is disqualified for inclusion in the medical list of the Board under section 29 of the Act(26).
(13) A doctor acting as a deputy shall be entitled to treat patients at places and at times other than those arranged by the doctor for whom he is acting, due regard being had to the convenience of the patients.
(14) A doctor acting as a deputy for another doctor may not treat the other doctor’s patients at any place approved under paragraph 27 unless it is so approved for the other doctor.
(15) A deputy or assistant (other than a partner or assistant whose name is included on the medical list or an associate) shall, in addition to signing with his own name any certificate, prescription form or other document issued by him under these terms of service, insert therein if it does not already appear the name of the doctor for whom he is acting as deputy or assistant.
(16) For the purposes of this paragraph the word “partner” shall include any partner who is otherwise deemed under the Regulations to be an assistant and the word “assistant” shall not include such a person.
19.—(1) Before entering into regular or standing arrangements with a deputising service for the provision of a deputy or deputies, a doctor shall—
(a)obtain the written agreement of the deputising service that any doctor provided to him by the deputising service will be suitably experienced within the meaning of section 21 of the Act (other than by virtue of being a restricted services principal) or will have the acquired right specified in regulation 5(1)(d) of the Vocational Training for General Medical Practice (European Requirements) Regulations 1994(27); and
(b)obtain the consent of the Board.
(2) The Board shall refuse its consent if the doctor has not obtained the written agreement of the deputising service as referred to in sub-paragraph (1)(a).
(3) In giving such consent the Board shall impose the condition that the agreement referred to in sub-paragraph (1)(a) remain in force, and may impose such other conditions, including conditions in relation to the standards and the facilities provided by the deputising service, having regard to the advice of the Area Medical Committee on these standards and facilities, as it considers necessary or expedient to ensure—
(a)that the doctor’s patients will receive all proper and necessary treatment, and
(b)that the arrangements with the deputising service will have due regard to the provisions of these terms of service.
(4) References below in this paragraph to refusing consent and to conditions do not include refusing consent under sub-paragraph (2) or the condition set out in sub-paragraph (3).
(5) Before refusing or withdrawing such consent or imposing or varying such conditions, the Board shall consult the Area Medical Committee.
(6) The Board may at any time, and shall periodically, review in consultation with the Area Medical Committee any such consent given or conditions imposed and may withdraw such consent or vary such conditions.
(7) Where the Board decides to withdraw consent given to a doctor under this paragraph, it shall so far as is reasonably practicable, give the doctor not less than 30 days' notice of the date on which the Board’s decision is to come into effect; but the Board may dispense with such notice if it is satisfied that it is in the interests of patients to do so.
(8) A doctor may appeal to the Secretary of State against the refusal of consent or the imposition of a condition or against withdrawal of consent or variation of conditions under this paragraph by sending to him notice of appeal within 30 days from the date on which the Board notifies the doctor of its decision.
(9) In determining an appeal under this paragraph the Secretary of State may substitute for the Board’s decision such decision and conditions as he thinks fit.
20.—(1) A doctor shall not engage another doctor as a deputy, or employ one as an assistant (other than as a trainee general practitioner), unless the other doctor—
(a)is suitably experienced within the meaning of section 21 of the Act (other than by virtue of being a restricted services principal); or
(b)has the acquired right specified in regulation 5(1)(d) of the Vocational Training for General Medical Practice (European Requirements) Regulations 1994.
(2) A doctor shall from time to time, and at any time when there are grounds for doing so, take reasonable steps to satisfy himself that a deputising service with which he has entered into arrangements for the provision of any deputy continues to comply with the agreement referred to in paragraph 19(1)(a).
(3) If the Board so requests, a doctor shall furnish it with evidence that such a deputising service is continuing to comply with that agreement.
21.—(1) Nothing in paragraphs 18, 19 and 20 requires a doctor to terminate or vary any existing contract of employment or contract for services, or any existing arrangement he has with a deputising service, before he has the right to do so under the terms of the contract or arrangement.
(2) In paragraph (1), “existing” means existing on 1st January 1995.
Employees
22.—(1) A doctor, before employing any person to assist him in the provision of general medical services, shall take reasonable care to satisfy himself that the person in question is both competent and suitably qualified to discharge the duties for which he is to be employed.
(2) The duty imposed by sub-paragraph (1) is in addition to the duty imposed by paragraph 19(1) so far as it relates to assistants.
(3) When considering the competence and suitability of any person for the purpose of sub-paragraph (1) a doctor shall have regard, in particular, to—
(a)that person’s academic and vocational qualifications;
(b)that person’s training and his experience in employment;
(c)any guidance issued by the Board in accordance with regulation 38.
(4) A doctor shall afford to each employee reasonable opportunities to undertake appropriate training with a view to maintaining that employee’s competence.
Arrangements at practice premises
23.—(1) A doctor shall—
(a)provide proper and sufficient accommodation—
(i)at his practice premises, having regard to the circumstances of his practice, and
(ii)at any other premises at which the Board, in accordance with paragraph 27, has agreed he may treat his patients; and
(b)on receipt of a written request from the Board, allow inspection of those premises at a reasonable time by a member or officer of the Board or the Area Medical Committee or both, authorised by the Board for the purpose.
(2) The accommodation referred to in sub-paragraph (1) shall not except with the consent of the Board or, on appeal, of the Secretary of State, be in premises occupied by a pharmacist.
(3) Where a doctor proposes to cease to practise at an address in respect of which he is included in the medical list, he shall inform the Board whether or not in the event of consent being given, he would propose to give notice under regulation 21(10) for the removal of the persons who would attend for treatment at that address. Approval may be given subject to such conditions as seem necessary to the Board or in the case of appeal, the Secretary of State, to enable the doctor to carry out his obligations under these terms of service and to a condition that the doctor inform his patients, at his own expense, of any special arrangements for the conduct of his practice or of any changes in his practice arrangements.
(4) A doctor shall obtain the approval of the Board (who shall consult the Area Medical Committee) or, on appeal, the Secretary of State to the introduction of an appointment system.
(5) Without prejudice to sub-paragraph (4) a doctor who succeeds to a practice where an appointment system is in force shall be required only to notify the Board that he intends to continue to operate an appointment system.
(6) A doctor whose name is included in the medical list shall notify the Board in writing of any change in his place of residence not later than 30 days after such change takes place.
Doctors' availability to patients
24.—(1) Any doctor whose name is included in a medical list shall—
(a)be available normally at such times and places as, following an application by the doctor, the Board shall approve after consultation with the Area Medical Committee, or, on appeal the Secretary of State shall determine in his case, in accordance with the requirements of the following provisions of this paragraph; and
(b)inform his patients about his availability in such manner as the Board may require in accordance with sub-paragraph (16).
(2) Subject to sub-paragraphs (3), (4), (5) and (6), a Board shall not approve any application submitted by a doctor in relation to the times at which he is to be available unless it is satisfied that—
(a)the times proposed are such that the doctor will be available normally—
(i)in 42 weeks in any period of 12 months;
(ii)for no less than the number of hours in any such week which are specified in the condition in relation to him under regulation 15; and
(iii)on 5 days in any such week; and
(b)the hours for which the doctor will be available normally in any week are to be allocated between the days on which he will be available normally in that week in such a manner as is likely to be convenient to his patients;
(c)where the doctor is a three-quarter-time doctor or a half-time doctor, he is practising in partnership with—
(i)another doctor whose name is included in the medical list and who is himself a full-time doctor; or
(ii)two job-sharing doctors whose names are included in the medical list and whose hours are aggregated for the purpose of head (d) of this sub-paragraph;
(d)where the doctor is a job-sharing doctor—
(i)he is practising in partnership with another doctor whose name is included in the medical list, and
(ii)the hours for which both doctors will be available normally will in aggregate be not less than 26 hours in any week referred to in head (a)(i) of this sub-paragraph.
(3) On any application made pursuant to sub-paragraph (1) by a three-quarter-time doctor or a half-time doctor—
(a)head (a)(iii) of sub-paragraph (2) shall not apply; and
(b)any approval of the application shall be subject to the condition that the approval shall lapse after the expiry of a period of 6 months from the date on which that doctor ceases to satisfy sub-paragraph (2)(c).
(4) On any application made pursuant to sub-paragraph (1) by a job-sharing doctor—
(a)head (a)(iii) of sub-paragraph (2) shall apply so as to require either the job-sharing doctor or the other doctor referred to in sub-paragraph (2)(d) to be available normally on each of the days mentioned in that head; and
(b)any approval of the application shall be subject to the condition that the approval shall lapse after the expiry of a period of 6 months from the date on which the doctor ceases to satisfy sub-paragraph (2)(d).
(5) On any application made pursuant to sub-paragraph (1) by a doctor who is a restricted list principal or a restricted services principal, sub-paragraph (2)(a)(i) and (iii), (c) and (d) shall not apply.
(6) The Board may, in relation to the application of any full-time doctor who seeks to be available normally on only 4 days in any week referred to in sub-paragraph (2)(a)(i), excuse the doctor from the requirement of head (a)(iii) of that sub-paragraph and approve the application to the extent allowed by paragraph 25.
(7) In this paragraph and in paragraphs 25 and 26, “available” means, in relation to a doctor, available to provide general medical services to his patients, and for the purposes of calculating the times at which the doctor is to be regarded as available—
(a)account may be taken of any period when the doctor is attending at his practice premises or at any clinic provided by him for his own patients, and of any time spent when he is making a domiciliary visit; but
(b)no account shall be taken of time spent by the doctor when he is holding himself in readiness to make a domiciliary visit if required by any patient;
and “availability” shall be construed accordingly.
(8) An application by a doctor in relation to any place at which he is to be available shall not be approved by the Board unless it is satisfied that the place at which the doctor proposes to be available normally is likely to be convenient to his patients.
(9) An application for approval pursuant to sub-paragraph (1) shall be made in writing to the Board and shall—
(a)include the information specified in Part I of Schedule 6; and
(b)where appropriate, also include—
(i)in the case of a doctor to whom sub-paragraph (3) applies, the additional information specified in Part II of that Schedule,
(ii)in the case of a doctor to whom sub-paragraph (4)(a) applies, the additional information specified in Part III of that Schedule.
(10) The Board shall decide an application under sub-paragraph (1) within 30 days of receiving it.
(11) In deciding upon any application, the Board shall either—
(a)grant approval;
(b)grant approval subject to such conditions as the Board sees fit to impose for the purpose of securing that the doctor is available at such times and places as are convenient to his patients; or
(c)refuse approval.
(12) The Board shall notify the doctor in writing of its decision, and, where it refuses an application or grants an application subject to conditions, it shall send the doctor a statement in writing of the reasons for its decision and of the doctor’s right of appeal under sub-paragraph (13).
(13) A doctor may within 30 days of receiving a notification pursuant to sub-paragraph (12) appeal in writing to the Secretary of State against any refusal of approval or against any condition imposed pursuant to sub-paragraph (11)(b).
(14) The Secretary of State may, when determining the appeal, either confirm the decision of the Board or substitute his own determination for the decision of the Board.
(15) The Secretary of State shall give written notice to the doctor of his determination and of his reasons therefor.
(16) The Board may, as it considers appropriate, require a doctor to inform his patients, either by displaying a notice in his waiting room or by sending notices to them, about the times and places at which he is available.
Doctors available for only 4 days a week
25.—(1) Subject to sub-paragraph (3), where the Board is satisfied that, by reason of a doctor’s participation in health-related activities (other than the provision of general medical services to his patients) he would be likely to suffer an unreasonable degree of inconvenience if paragraph 24(2)(a)(iii) applied in his case, it may give its approval for the doctor to be available normally on only 4 days in any week referred to in sub-paragraph (2)(a) of that paragraph.
(2) For the purposes of sub-paragraph (1), “health-related activities” means activities connected with—
(a)the organisation of the medical profession or the training of its members;
(b)the provision of medical care or treatment;
(c)the improvement of the quality of such care or treatment; or
(d)the administration of services under Part I of the Act, or of arrangements pursuant to section 19 of the Act for the provision of general medical services,
and in reaching a decision as to whether any activity is a health-related activity, the Board shall have regard to the illustrative list in Part IV of Schedule 6.
(3) The Board shall not give its approval in accordance with sub-paragraph (1) if, in its opinion—
(a)the effectiveness of the doctor’s services to his patients is likely to be significantly reduced; or
(b)his patients are likely to suffer significant inconvenience,
by reason of the doctor’s having been relieved from the requirements of paragraph 24(2)(a)(iii).
Variation of doctors' availability to patients
26.—(1) A doctor may apply to a Board for a variation of the times and places at which, in accordance with a determination under paragraph 24 (“the earlier determination”), he is required to be available normally, and sub-paragraphs (2) to (15) of that paragraph shall apply for the making and determination (“the subsequent determination”) of an application under this paragraph as if it were the first application by that doctor for the purposes of this paragraph.
(2) Where an application made under sub-paragraph (1) is approved or is approved subject to conditions, for the purposes of sub-paragraphs (1) and (16) of paragraph 24 the earlier determination shall cease to have effect and the subsequent determination shall have effect instead—
(a)where the subsequent determination is made by a Board and no appeal is made from that determination, from the day falling 60 days after the date on which the doctor receives notification of that Board’s determination;
(b)where the subsequent determination is made on appeal, from the day falling 60 days after the date on which the doctor receives notification of the Secretary of State’s determination.
(3) Where it appears to a Board that a doctor’s hours of availability are allocated for the purposes of paragraph 24(2)(b) in a manner which may no longer be convenient to his patients, it may, subject to sub-paragraph (10), review the terms of—
(a)any approval granted under sub-paragraph (11)(a) or (b) of paragraph 24; or
(b)any direction given under sub-paragraph (9)(a),
by the Board or the Secretary of State as to such allocation.
(4) On any review under sub-paragraph (3) the Board shall—
(a)give notice to the doctor of its proposed re-allocation of his hours of availability; and
(b)allow him 30 days within which to make representations to that Board about its proposals.
(5) After considering any representations made in accordance with sub-paragraph (4)(b), the Board shall either—
(a)direct the doctor to revise the allocation of his hours of availability in the manner specified in the direction; or
(b)confirm that the existing allocation of the doctor’s hours of availability continues to be convenient to his patients.
(6) A Board shall notify the doctor in writing of its determination under sub-paragraph (5), and where it gives a direction under head (a) of that sub-paragraph, it shall include with the notice a statement in writing of the reasons for its determination and of the doctor’s right of appeal under sub-paragraph (7).
(7) A doctor may, within 30 days of receiving notification under sub-paragraph (6), appeal in writing to the Secretary of State against a direction under sub-paragraph (5)(a).
(8) Without prejudice to the generality of sub-paragraph (1), sub-paragraphs (14) and (15) of paragraph 24 shall apply to any appeal made under sub-paragraph (7).
(9) A doctor in respect of whom a direction is given under sub-paragraph (5) shall revise the allocation of his hours of availability so as to give effect to the direction—
(a)where the direction is given by a Board and no appeal is made, not later than 60 days after the date on which he receives notification under sub-paragraph (6);
(b)where the direction is given or confirmed on appeal, not later than 60 days after the date on which he receives notification of the Secretary of State’s decision,
and the allocation of hours as so revised shall be regarded as having been approved for the purposes of sub-paragraphs (1) and (15) of paragraph 24.
(10) No Board shall undertake a review under sub-paragraph (3) on more than one occasion in any period of 2 years.
Availability to patients outside normal hours
27.—(1) Subject to the provisions of this paragraph, a doctor may apply to the Board for approval to treat patients at premises other than his practice premises outside the hours for which he is normally available pursuant to paragraph 24 (in this paragraph referred to as “normal hours”).
(2) An application under sub-paragraph (1) shall be made in writing and shall state the address of the premises.
(3) An application under sub-paragraph (1) shall not be approved by the Board unless it is satisfied that—
(a)having regard to the fact that the premises are for the treatment of patients outside normal hours and to all other relevant circumstances, the premises to which the application relates are likely to be reasonably convenient to the doctor’s patients; and
(b)the location of those premises is in accordance with any condition imposed in relation to the doctor making the application pursuant to section 23(4)(b)(28) of the Act (distribution of general medical services).
(4) Sub-paragraphs (1) to (16) of paragraph 24 shall apply to an application under sub-paragraph (1) of this paragraph as they apply to an application under paragraph 24(1).
(5) Where the Board determines an application under sub-paragraph (1) by granting approval (with or without conditions), the doctor shall inform his patients by displaying a notice at his practice premises, stating the address of the premises for which approval has been granted.
(6) A doctor may apply to the Board for a variation of any approval granted under this paragraph, and any such application shall be made and determined as if it were the first application for the purposes of this paragraph.
(7) Where it appears to the Board that premises which it has approved under this paragraph may no longer be reasonably convenient to the doctor’s patients, it may give notice to the doctor that it proposes to review the terms of the approval.
(8) On any review under sub-paragraph (7), the Board shall allow the doctor a period of 30 days beginning with the date on which he receives the notice within which to make representations to the Board about its proposals.
(9) After considering any representations made in accordance with sub-paragraph (8), the Board may determine to—
(a)continue its approval;
(b)continue its approval subject to such new or varied conditions as it sees fit to impose; or
(c)withdraw its approval.
(10) The Board shall notify the doctor in writing of its determination under sub-paragraph (9); and where it determines to withdraw its approval or to continue it subject to new or varied conditions, it shall include with the notice a statement in writing of the reasons for its determination and of the doctor’s right of appeal under sub-paragraph (11).
(11) A doctor may, within the period of 30 days beginning with the date on which he receives the notice referred to in sub-paragraph (10), appeal in writing to the Secretary of State against the withdrawal of approval or against any condition imposed pursuant to sub-paragraph (9); and sub-paragraphs (14) and (15) of paragraph 24 shall apply to any such appeal as they apply to an appeal under that paragraph.
Practice area
28.—(1) Subject to sub-paragraph (2) a doctor may at any time with the consent of the Board or, on appeal, the Secretary of State alter the extent of his practice area.
(2) A doctor shall not, contrary to any condition imposed by the Medical Practices Committee, or, on appeal, the Secretary of State under section 23(4) or 23(5), as the case may be, of the Act, extend his practice area or open practice premises in any area or part of an area where, at the time of his application to open such premises, the Medical Practices Committee is of the opinion that the number of doctors undertaking to provide general medical services in that area or part is already adequate.
Prescribing and dispensing
29.—(1) A doctor shall supply any drugs, not being a scheduled drug, or appliances for the immediate treatment of a patient if such treatment is necessary before a supply can be obtained otherwise, and he may supply any other drug, not being a scheduled drug, which he administers in person, or an appliance listed in the Drug Tariff or a pessary which is an appliance.
(2) A doctor, who is required by the Board to supply drugs and appliances under regulation 34 to a patient, in the course of treating that patient under these terms of service—
(a)shall, subject to paragraph 31, record on a prescription form completed in accordance with paragraph 30(2), an order for supply of any drugs or appliances which are needed for the treatment of that patient, but shall not be required to issue that form to that patient;
(b)shall supply those drugs and appliances for that patient under regulation 34 but—
(i)shall not supply under regulation 34 for that patient any scheduled drug except that, where he has ordered a drug which has an appropriate non-proprietary name either by that name or by its formula, he may supply a drug which has the same specification notwithstanding that it is a scheduled drug (but, in the case of a drug which combines more than one drug, only if the combination has an appropriate non-proprietary name);
(ii)shall supply under regulation 34 for that patient a drug specified in Schedule 11 only where the conditions in paragraph 31 are satisfied;
(c)may supply for that patient with his consent, in respect of that treatment but otherwise than under regulation 34, any scheduled drug.
(3) A doctor shall comply with any arrangements made by the Secretary of State, or made by the Board after consultation with the Area Medical Committee and the Area Pharmaceutical Committee and approved by the Secretary of State, under which he may obtain and have available any drugs or appliances which he is required or entitled to supply in terms of this paragraph.
(4) A drug supplied by a doctor unless administered in person shall be supplied in a suitable container.
30.—(1) Subject to paragraphs 29 and 31 a doctor shall order any drugs or appliances which are needed for the treatment of any patient to whom he is providing treatment under these terms of service by issuing for that patient a prescription form, and such a form shall not be used in any other circumstances.
(2) A prescription form shall be signed by the doctor with his own hand and shall not be written in such a manner as to necessitate reference on the part of the person supplying the drugs or appliances to a previous order, and in the case of an appliance which requires to be of a size suitable for the individual patient shall include the necessary measurements. A separate prescription form shall be used for each patient.
(3) In a case of urgency a doctor may request a pharmacist to dispense a drug, or an appliance, before a prescription form is issued, only if—
(a)that drug is not a scheduled drug;
(b)that drug is not a controlled drug within the meaning of the Misuse of Drugs Act 1971(29) other than a drug which is for the time being specified in Schedule 5 to the Misuse of Drugs Regulations 1985(30); and
(c)in any case, the doctor undertakes to furnish the pharmacist, within 72 hours, with a prescription form completed in accordance with sub-paragraphs (1) and (2).
31.—(1) In the course of treating a patient to whom he is providing treatment under these terms of service, a doctor shall not order on a prescription form a scheduled drug, but may with the consent of the patient otherwise prescribe such a drug or other substance for that patient in the course of that treatment.
(2) In the course of treating such a patient, a doctor shall not order on a prescription form a drug specified in Schedule 11 unless—
(a)that patient is a person mentioned in column 2 of that entry; and
(b)that drug is prescribed for that patient only for the purpose specified in column 3 of that entry; and
(c)the doctor endorses the face of that form with the reference “SLS”, but may with the consent of the patient otherwise prescribe such a drug for that patient in the course of that treatment.
Records
32.—(1) A doctor is required—
(a)to keep records of the illnesses of his patients and of his treatment of them in such form as the Secretary of State may from time to time determine after consultation with an organisation which is in his opinion representative of the general body of doctors;
(b)to send such records with reasonable promptness when they are called for by the Board;
(c)upon knowledge of the death of a person on his list to send such record to the Board within 30 days.
(2) Records to be kept by a doctor providing maternity medical services shall contain such particulars, including particulars of the services rendered by the doctor, as may be determined by the Secretary of State after such consultation as is mentioned in sub-paragraph (1).
33. Where a doctor provides general medical services for pupils or staff at a school or for inmates or staff at a residential institution he shall on signing such person’s medical card or form of application for acceptance indicate that person’s status at such school or institution, and if the Board, after consultation with the Area Medical Committee, request him to give the names of persons on his list who are pupils, staff or inmates of such school or institution on a specific date he shall within 30 days give such particulars to the Board.
Reports to the medical officer
34. A doctor is required—
(a)to furnish in writing to the medical officer within such reasonable period as the latter may specify any information which he may require with regard to the case of any patient to whom the doctor has issued or declined to issue a medical certificate,
(b)to meet the medical officer, at his request, for the purpose of examining in consultation any patient in respect of whom the doctor has sought the advice of the medical officer, and
(c)to make available to the medical officer, upon notice being given, the records kept by the doctor under these terms of service and to furnish to the medical officer any information desired by him with regard to any entry therein or with regard to any prescription or certificate issued by the doctor under these terms of service.
Annual reports
35.—(1) A doctor whose name is included in the medical list shall, in accordance with the provisions of this paragraph, provide annually to each Board in whose medical list his name is included, a report relating to the provision by him of personal medical services (in this paragraph called an “annual report”).
(2) An annual report shall contain—
(a)the information specified in paragraphs 1 and 2 of Schedule 7;
(b)where the Board, having considered whether the information is available from another source, and having consulted the Area Medical Committee, so requests, the information specified in paragraph 3 of Schedule 7; and
(c)where the Board so requests, in the case of a doctor who is not already supplying that information to the Board in order to qualify for payments in respect of health promotion or disease management, the information specified in paragraph 4 of Schedule 7.
(3) An annual report shall be compiled in respect of each year ending on 31st March and shall be sent to the Board not later than 30th June of that year.
(4) In the case of a doctor who practises in partnership with other doctors whose names are included in the medical list the information referred to in sub-paragraph (2) may alternatively be provided in the form of an annual report in respect of the partnership as a whole instead of by each doctor in the partnership individually and in such a case a doctor may, if he so wishes, also provide his own annual report.
(5) When a Board requires that the information referred to in sub-paragraph (2) be provided on a form supplied by the Board the doctor shall provide that information on that form.
(6) A Board shall not disclose any annual report to any person unless empowered or required in accordance with any provision or rule of law to do so.
Acceptance of fees
36.—(1) A doctor shall not demand or accept any fee, remuneration or charge, other than payments due to him under these Regulations, or any charge payable in accordance with the National Health Service (Charges for Drugs and Appliances) (Scotland) Regulations 1989(31), in respect of any treatment rendered or any drug or appliance supplied, whether under these terms of service or not, to a patient of his or of his partner or assistant, except—
(a)under paragraph 10 of these terms of service;
(b)from any statutory body for services rendered for the purpose of that body’s statutory functions;
(c)from any school, employer or body for the medical examination of persons for whose welfare that school, employer or body is responsible, such examination being either a routine medical examination or for the purpose of advising the school, employer or body of any administrative action they might take;
(d)for treatment not included within the range of service defined in paragraph 11 given—
(i)pursuant to the provisions of section 57 of the Act,(32), or
(ii)in a registered nursing home which is not providing services under the Act,
if in either case the doctor is serving on the staff of a hospital providing services under the Act as a specialist providing treatment of the kind required by the patient and if within 7 days after the date on which the treatment is given he gives the Board, on a form to be supplied by it for the purpose, such information about the treatment as it may require;
(e)under section 158 of the Road Traffic Act 1988(33);
(f)from a dental practitioner in respect of the provision at his request of an anaesthetic for a person for whom the dental practitioner is providing general dental services;
(g)from a partner or assistant in respect of the provision of an anaesthetic to a patient of the partner or assistant;
(h)for attending and examining (but not otherwise treating) a patient at his request at a police station;
(i)for treatment consisting of an immunisation in connection with travel abroad when no fee is payable by the Board under the Statement referred to in regulation 35(1);
(j)for circumcising a patient for whom such an operation is requested on religious grounds and is not needed on any medical ground;
(k)for providing a prescription (other than by way of an order under paragraph 30 of these terms of service) for drugs for chemoprophylaxis or for medicine for a patient who intends to take the medicine abroad in circumstances where the medicine is required solely in respect of an ailment that might occur while the patient is abroad and that will then,
(i)be occurring for the first time, or
(ii)has previously occurred but from which the patient is not suffering at the time of going abroad;
(l)for a medical examination to enable a decision to be made whether or not it is inadvisable on medical grounds for a person to wear a seat belt;
(m)where the doctor has been required by the Board to supply any drugs and appliances for a patient under regulation 34 and he supplies for that patient in accordance with paragraph 29(2)(c) any scheduled drug;
(n)where the person is not one to whom any of paragraphs (a), (b) and (c) of section 26(1) of the Act(34) applies, including any person to whom any of those paragraphs does not apply by virtue of regulations made under section 26(1E) of the Act(35), for testing the sight of that person;
(o)pursuant to an arrangement with him for the provision of services in accordance with regulation 18 of the National Health Service (Fund-Holding Practices) (Scotland) Regulations 1993(36);
(p)for prescribing or providing drugs for malaria chemoprophylaxis.
(2) A doctor shall take all practicable steps to ensure that any partner, deputy or assistant of his, whether or not such partner, deputy or assistant is providing general medical services, shall not demand or accept any fee, remuneration or charge in respect of treatment rendered, or any drug or appliance supplied to the doctor’s patients unless the partner, deputy or assistant would have been entitled to payment if the patient had been on his own list.
(3) In this paragraph, the expression “treatment” includes the provision of personal medical services during and following pregnancy and labour in respect of conditions arising therefrom.
Regulation 9(2)
SCHEDULE 2
PART Iinformation and undertakings to be included in an application for inclusion in the medical list
Regulation 16(2)
PART IIinformation to be included in an application for the variation of a condition imposed in connection with inclusion in a medical list
Regulation 9(4)
PART IIIform of application to provide contraceptive services
Regulation 28(3)
PART IVinformation to be supplied by doctor applying for inclusion in a child health surveillance list
Regulation 32(3)
PART Vinformation to be supplied by doctor applying for inclusion in a minor surgery list
Regulation 29
SCHEDULE 3CHILD HEALTH SURVEILLANCE SERVICES
1. The services referred to in regulation 29(4)(a) shall comprise—
(a)the monitoring—
(i)by the consideration of information concerning the child received by or on behalf of the doctor, and
(ii)on any occasion when the child is examined or observed by or on behalf of the doctor (whether pursuant to sub-paragraph (b) or otherwise)
of the health, well-being and physical, mental and social development (all of which characteristics for the purpose of child health surveillance shall be referred to as “development”) of the child while under the age of 5 years with a view to detecting any deviations from normal development;
(b)the examination of the child by or on behalf of the doctor on so many occasions and at such intervals as shall be determined by the Board in whose area the child resides for the purposes of the provision of child health surveillance services generally in that area.
2. The records mentioned in regulation 29(4)(b) shall comprise an accurate record of—
(a)the development of the child while under the age of 5 years, compiled as soon as is reasonably practicable following the first examination mentioned in paragraph 1(b) of this Schedule and, where appropriate, amended following each subsequent examination mentioned in that sub-paragraph; and
(b)the responses if any to offers made to an appropriate person for the child to undergo any examination referred to in paragraph 1(b) of this Schedule.
3. The information mentioned in regulation 29(4)(c) shall comprise—
(a)a statement, to be prepared and dispatched to the Board referred to in paragraph 1(b) of this Schedule as soon as is reasonably practicable following any examination referred to in the said paragraph 1(b), of the procedures undertaken in the course of that examination and of the doctor’s findings in relation to each such procedure;
(b)such further information regarding the development of the child while under the age of 5 years as that Board may request.
Regulation 32
SCHEDULE 4MINOR SURGERY PROCEDURES
Injections | intra articular peri articular varicose veins haemorrhoid |
Aspirations | joints cysts bursae hydrocele |
Incisions | abscesses cysts thrombosed piles |
Excisions | sebaceous cysts lipoma skin lesions for histology intradermal naevi, papilloma, dermatofibroma and similar conditions warts removal of toe nails (partial and complete) |
Curette, cautery and cryocautery | warts and verrucae other skin lesions (eg molluscum contagiosum) |
Other | removal of foreign bodies nasal cautery |
Regulation 3(2) Schedule 1, paragraph 12(1)
SCHEDULE 5INFORMATION TO BE INCLUDED IN PRACTICE LEAFLETS
Personal and Professional Details of Doctor
1. Full name.
2. Sex.
3. Medical qualifications registered by the General Medical Council.
4. Date and place of first registration as medical practitioner.
Practice Information
5. The times approved by the Board during which the doctor is normally personally available for consultation by his patients at his practice premises.
6. Whether an appointment system is operated by the doctor for surgery consultations at his practice premises.
7. If there is an appointment system, the method of obtaining a non-urgent appointment and the method of obtaining an urgent appointment.
8. The method of obtaining a non-urgent domiciliary visit and the method of obtaining an urgent domiciliary visit.
9. The doctor’s arrangements for providing personal medical services when he is not personally available.
10. The address of any premises approved under paragraph 23 of Schedule 1 at which patients may be invited to attend for treatment outside the hours for which the doctor is normally available pursuant to paragraph 24 of that Schedule.
11. The method by which patients may obtain repeat prescriptions from the doctor.
12. Whether the doctor’s practice is a dispensing practice, and if so, the arrangements for dispensing prescriptions.
13. Whether the doctor provides clinics for his patients, and if so, their frequency, duration and purpose.
14. The numbers of staff, other than doctors, assisting the doctor in his practice, and a description of their roles.
15. Whether the doctor provides (1) maternity medical services, (2) contraceptive services, (3) child health surveillance services, or (4) minor surgery services.
16. Whether the doctor works single-handed, in partnership, part-time or on a job share basis, or within a group practice.
17. Details of any arrangements whereby the doctor or his staff receive comments by patients on the provision by him of general medical services.
18. The geographical boundary of his practice area by reference to a sketch, diagram or plan of an appropriate scale.
19. Whether the doctor’s practice premises have suitable access for all disabled patients and, if not, the limitations on access for particular types of disability.
20. Personal and professional details as in paragraphs 1 to 4 in relation to any assistant or associate general practitioner who is employed.
21. If the practice either—
(a)is a general practitioner training practice for the purposes of the National Health Service (Vocational Training) (Scotland) Regulations 1980(37), or
(b)undertakes the teaching of undergraduate medical students,
details of any arrangements for drawing this to the attention of patients.
Regulation 3(2) Schedule 1, paragraph 24
SCHEDULE 6DOCTORS' HOURS
PART Iinformation to be included with any application under paragraph 24 of schedule i
1. The address of the proposed practice premises.
2. The days in each week during which the doctor will be in attendance normally at the practice premises and available for consultation by his patients.
3. The hours of each such attendance by the doctor.
4. The hours of any attendance by the doctor on those occasions when he is not usually available to provide the full range of services specified in paragraph 11 of the terms of service (for example, for providing emergency treatment only).
5. The frequency, duration and purpose of any clinic provided by the doctor.
6. The estimated total time to be spent each week making any domiciliary visits.
7. The doctor’s proposals for notifying patients of the times and places approved by the Board at which he will be available to patients for consultation.
8. In the case of a doctor to whom paragraph 17(2) of the terms of service does not apply, his proposals for discharging his continuous responsibility for his patients.
PART IIadditional information to be included in any application by a doctor who is a restricted services principal or a restricted list principal
1. In the case of a restricted services principal—
(a)the proposed allocation, between each category of services provided, of the total number of hours for which he is to be available normally in any week; and
(b)where different services are to be provided at different places, the place at which each category of services is to be provided.
2. In the case of a restricted list principal, the name, address and nature of the establishment(s) or organisation(s) with which his patients are connected.
PART IIIadditional information to be included in any application by a doctor who seeks to be available normally on only 4 days in each week
1. A brief description of each health-related activity with reference to which the application is made.
2. The days in each week during which the doctor will be undertaking that activity.
3. The number of hours in each week which are likely to be occupied in the course of such activity.
PART IVillustrative list of health-related activities
1. Appointments concerning medical education or training.
2. Medical appointments within the health service other than in relation to the provision of general medical services.
3. Medical appointments under the Crown, with Government Departments or Agencies, or public or local authorities.
4. Appointments concerning the regulation of the medical profession or the Medical Practices Committee.
Regulation 3(2) Schedule 1, paragraph 35
SCHEDULE 7INFORMATION TO BE PROVIDED IN ANNUAL REPORTS
1. Particulars of the doctor’s other commitments as a medical practitioner, including—
(a)a description of any posts held, and
(b)a description of all works undertaken,
and including, in each case, the annual hourly commitment, except that where a doctor has notified the Board of such other commitments in a previous annual report, the report need only contain information relating to any changes in those commitments.
2. As respects orders for drugs and appliances, the doctor’s arrangements for the issue of repeat prescriptions to patients.
3. Information relating to the referral of patients to other services under the National Health Service (Scotland) Act 1978 during the period of the report—
(a)as respects those by the doctor to specialists—
(i)the total number of patients referred as in-patients;
(ii)the total number of patients referred as out-patients;
by reference in each case to which clinical specialty applies, and specifying in each case the name of the hospital concerned; and
(b)the total number of cases of which the doctor is aware (by reference to the clinical specialty) in which a patient referred himself to services under the National Health Service (Scotland) Act 1978.
4. Information relating to the numbers of patients on the doctor’s list—
(a)who are diabetic;
(b)who are asthmatic; and
(c)to whom the doctor has given advice, in accordance with paragraph 11(2)(b) of Schedule 1, about—
(i)the patient’s weight;
(ii)the use of tobacco; or
(iii)the consumption of alcohol.
SCHEDULE 8
Regulation 18
FORM OF CERTIFICATE TO BE ISSUED BY SCOTTISH MEDICAL PRACTICES COMMITTEE UNDER SCHEDULE 9 TO THE NATIONAL HEALTH SERVICE (SCOTLAND) ACT 1978
Schedule 1, paragraph 13
SCHEDULE 9LIST OF PRESCRIBED MEDICAL CERTIFICATES
Column 1 Description of Medical Certificate | Column 2 Short title of enactment under or for the purpose of which certificate required |
---|---|
1. To support a claim or to obtain payment either personally or by proxy; to prove inability to work or incapacity for self-support for the purposes of an award by the Secretary of State; or to enable proxy to draw pensions etc. | Naval and Marine Pay and Pensions Act 1865 (c. 73 (28 & 29 Vict.)) Air Force (Constitution) Act 1917 (c. 51 (7 & 8 Geo.5)) Pensions (Navy, Army, Air Force and Mercantile Marine) Act 1939 (c. 83 (2 & 3 Geo.6)) Personal Injuries (Emergency Provisions) Act 1939 (c. 82 (2 & 3 Geo.6)) Pensions (Mercantile Marine) Act 1942 (c. 26 (5 & 6 Geo.6)) Polish Resettlement Act 1947 (c. 19 (10 & 11 Geo.6)) Home Guard Act 1951 (c. 8 (15 & 16 Geo.6 and 1 Eliz.2)) Social Security Act 1975 (c. 14) Industrial Injuries and Diseases (Old Cases) Act 1975 (c. 16) Parts I and III of the Social Security and Housing Benefits Act 1982 (c. 24) Part II of, and Part V of, and Schedule 4 to, the Social Security Act 1986 (c. 50) |
2. To establish pregnancy for the purpose of obtaining welfare foods | Section 13 of the Social Security Act 1988 (c. 7) |
3. To establish fitness to receive inhalational analgesia in childbirth | Nurses, Midwives and Health Visitors Act 1979 (c. 36) |
4. To secure registration of still-birth | Registration of Births, Deaths and Marriages (Scotland) Act 1965 (c. 49) |
5. To enable payment to be made to an institution or other person in case of mental disorder of persons entitled to payment from public funds | Section 142 of the Mental Health Act 1983 (c. 20) |
6. To establish unfitness for jury service | Criminal Procedure (Scotland) Act 1975 (c. 21) Court of Session Act 1988 (c. 36) |
7. To support late application for reinstatement in civil employment or notification of non-availability to take up employment, owing to sickness | Reserve Forces Act 1980 (c. 9) |
8. To enable a person to be registered as an absent voter on grounds of physical incapacity | Representation of the People Act 1983 (c. 2) |
9. To support application for certificates conferring exemption from charges in respect of drugs, medicines and appliances | National Health Service (Scotland) Act 1978 (c. 29) |
10. To support a claim by or on behalf of a severely mentally impaired person for exemption from liability to pay the community charge | Abolition of Domestic Rates etc. (Scotland) Act 1987 (c. 47) |
11. To support a claim by or on behalf of a severely mentally impaired person for exemption from liability to pay the council tax or eligibility for a discount in respect of the amount payable | Local Government Finance Act 1992 (c. 14) |
Regulation 2(1)
SCHEDULE 10DRUGS AND OTHER SUBSTANCES NOT TO BE SUPPLIED BY GENERAL MEDICAL PRACTITIONERS OR PRESCRIBED FOR SUPPLY UNDER PHARMACEUTICAL SERVICES
10 Day Slimmer Tablets 10 Hour Capsules 10.10 Cleaning and Disinfecting Solution 10.10 Rinsing and Neutralising Solution 4711 Cologne Abidec Capsules Acarosan Foam Acarosan Moist Powder Acclaim Flea Control Aerosol Plus Acnaveen Bar Acne Aid Bar Actal Suspension Actal Tablets Actifed Compound Linctus Actifed Cough Relief Actifed Expectorant Actifed Linctus with Codeine Actifed Syrup Actifed Tablets Actomite Actonorm Gel Actonorm Powder Actonorm Tablets Actron Tablets Adult Cough Balsam (Cupal) Adult Meltus Cough & Catarrh Linctus Adult Tonic Mixture (Thornton & Ross) Advanced Nutrition Bee Pollen Granules Advanced Nutrition Bee Propolis Tablets Advanced Nutrition Chromium Compound Liquid Advanced Nutrition Ener-B NSL Gel Advanced Nutrition Herbal Aloe Juice Advanced Nutrition L-Arginine Capsules Advanced Nutrition Linseed Oil Advanced Nutrition Silica-Organic Capsules Advanced Nutrition Sulphur Capsules Advanced Nutrition Vitamin E Capsules Aerocide 2 Spray 400 ml Afrazine Nasal Drops Afrazine Nasal Spray Afrazine Paediatric Nasal Drops Agarol Emulsion Agiolax Granules Airbal Breathe Easy Vapour Inhaler AL Tablets Alagbin Tablets Alcin Tablets Alcon Salette Aerosol Saline Solution Aletres Cordial (Potters) Alexitol Sodium Suspension 360 mg/5 ml Alexitol Sodium Tablets Algipan Rub Algipan Tablets Alka-Donna P Mixture Alka-Donna P Tablets Alka-Donna Suspension Alka-Donna Tablets Alka-Mints Alka-Seltzer Tablets Alket Powders All Clear Shampoo All Fours Cough Mixture (Harwood) | All Fours Mixture (Glynwed Wholesale Chemists) All Fours Mixture (Roberts Laboratories) Allbee with C Capsules Allbee with C Elixir Allinson’s Wholemeal Flour Almasilate Tablets 500 mg Almay Aftersun Soother Almay Face Powder Almay Sun Protection Cream SPF 12 Almay Ultra Protection Lotion SPF 12 Almazine Tablets 1 mg Almazine Tablets 2.5 mg Aloin Tablets 40 mg Alophen Pills Alpine Tea Alprazolam Tablets 0.25 mg Alprazolam Tablets 0.5 mg Alprazolam Tablets 1 mg Altacaps Altacite Plus Tablets Altacite Suspension Altacite Tablets Altelave Liquid Aludrox Gel Aludrox M H Suspension Aludrox S A Suspension Aludrox Suspension Aludrox Tablets Aluhyde Tablets Aluminium Hydroxide & Silicone Suspension Aluminium Phosphate Gel Aluminium Phosphate Tablets 400 mg Alupent Expectorant Mixture Alupent Expectorant Tablets Aluphos Gel Aluphos Tablets Alupram Tablets 2 mg Alupram Tablets 5 mg Alupram Tablets 10 mg Aluzyme Tablets Alzed Tablets Ambre Solaire High Protection Cream SPF10 Ambre Solaire Cream Factor 8 Ambre Solaire Cream Factor 10 American Nutrition Strezz B-Vite Tablets AMI-10 Rinsing and Storage Solution Amiclear Contact Lens Cleanser Tablets Amidose Saline Solution 30 ml Amin-Aid Amisyn Tablets Ammonium Chloride and Morphine Mixture BP Amplex Mint Capsules Amplex Mouthwash Amplex Original Capsules Anadin Analgesic Capsules Maximum Strength Anadin Analgesic Tablets Anadin Extra Analgesic Tablets Anadin Extra Soluble Anadin Ibuprofen Tablets |
Anadin Paracetamol Tablets Anadin Tablets Soluble Andrews Answer Andrews Antacid Tablets Andrews Liver Salts (Diabetic Formula) Effervescent Powder Andrews Liver Salts Effervescent Powder Andursil Liquid Andursil Tablets Anestan Bronchial Tablets Aneurone Mixture Angiers Junior Aspirin Tablets Angiers Junior Paracetamol Tablets Anorvit Tablets Antasil Liquid Antasil Tablets Antistin-Privine Nasal Drops Antistin-Privine Nasal Spray Antitussive Linctus (Cox) Antoin Tablets Antussin Liquid (Sterling Winthrop) Anxon Capsules 15 mg Anxon Capsules 30 mg Anxon Capsules 45 mg Aperient Tablets (Brome and Schimmer) Aperient Tablets (Kerbina) Apodorm Tablets 2.5 mg Apodorm Tablets 5 mg APP Stomach Powder APP Stomach Tablets Appleford’s Gluten-Free Rice Cakes Arnica Lotion Arocin Capsules Arret Capsules Ascorbef Tablets Ascorbic Acid & Hesperidin Capsules (Regent Laboratories) Asilone Liquid | Asilone Orange Tablets Asilone Tablets Askit Capsules Askit Powders Askit Tablets Aspergum Chewing Gum Tablets 227 mg Aspirin Chewing-Gum Tablets 227 mg Aspirin Tablets, Effervescent Soluble 300 mg Aspirin Tablets, Effervescent Soluble 500 mg Aspirin Tablets, Slow (Micro-Encapsulated) 648 mg Aspro Clear Extra Tablets Aspro Clear Tablets Aspro Extra Strength Tablets 500 mg Aspro Junior Tablets Aspro Microfined Tablets Aspro Paraclear Junior Tablets Aspro Paraclear Tablets Asthma Tablets (Cathay) Astral Moisturising Cream Astroplast Analgesic Capsules Atensine Tablets 2 mg Atensine Tablets 5 mg Atensine Tablets 10 mg Ativan Tablets 1 mg Ativan Tablets 2.5 mg Atrixo Audax Ear Drops Autan Insect Repellent Aveeno Baby Aveeno Bar Atensine Tablets 10 mgAveeno Bar Atensine Tablets 10 mg Aveeno Bar Oilated Aveeno Emulave Bar Aveenobar Ayrtons Analgesic Balm Ayrtons Macleans Formula Tablets |
B Complex Capsules (Rodale) B Complex Super Capsules (Rodale) B Extra Tablets (British Chemotherapeutic Products) Babezone Syrup Baby Chest Rub Ointment (Cupal) Babylix Syrup Babysafe Tablets Badedas Bath Gelee Balm of Gilead (Robinsons) Balm of Gilead Cough Mixture (Wicker Herbal Stores) Balm of Gilead Liquid (Culpeper) Balm of Gilead Mixture (Potters) Banfi Hungarian Hair Tonic Banimax Tablets Barker’s Liquid of Life Solution Barker’s Liquid of Life Tablets Barkoff Cough Syrup Barnes-Hind Cleaning and Soaking Solution Barnes-Hind Intensive Cleaner Barnes-Hind No.4 Cleaner Barnes-Hind Wetting and Soaking Solution Bausch and Lomb Cleaning Tablets Bausch and Lomb Concentrated Cleaner (for Hard Lenses) Bausch and Lomb Daily Lens Cleaner Bausch and Lomb Saline Solution | Bausch and Lomb Soaking and Wetting Solution Bayer Aspirin Tablets 300 mg BC500 Tablets BC500 Vitamin Sachets Effervescent BC500 with Iron Tablets Becosym Forte Tablets Becosym Syrup Becosym Tablets Becotab Tablets Beecham Analgesic Cream Beechams Catarrh Capsules Beechams Day Nurse Capsules Beechams Day Nurse Syrup Beechams Night Nurse Capsules Beechams Night Nurse Cold Remedy Beechams Pills Beechams Powders Beechams Powders Capsule Form Beechams Powders Mentholated Beechams Powders Tablet Form Beehive Balsam Bekovit Tablets Belladonna and Ephedrine Mixture, Paediatric, BPC Bellocarb Tablets Bemax Natural Wheatgerm Benadon Tablets 20 mg |
Benadon Tablets 50 mg Benafed Linctus Benerva Compound Tablets Benerva Injection 25 mg/ml Benerva Injection 100 mg/ml Benerva Tablets 3 mg Benerva Tablets 10 mg Benerva Tablets 25 mg Benerva Tablets 50 mg Benerva Tablets 100 mg Benerva Tablets 300 mg Bengers Food Bengue’s Balsam Benylin Chesty Coughs Original Benylin Children’s Coughs Benylin Children’s Cough Linctus Benylin Cough & Congestion Benylin Day & Night Cold Treatment Benylin Day & Night Tablets Benylin Dry Coughs Original Benylin Expectorant Benylin Fortified Linctus Benylin Mentholated Cough & Decongestant Linctus Benylin Non-Drowsy Cough Linctus Benylin Paediatric Benylin with Codeine Benzedrex Inhaler Benzoin Inhalation BP Bepro Cough Syrup Bergasol After Sun Soother Bergasol Ultra Protection Tanning Lotion Best Royal Jelly Capsules Biactol Anti-Bacterial Face Wash Bile Beans Formula 1 Pill Bio Science Basic Health AM Capsules Bio Science Basic Health PM Capsules Bio Science Bio-C Powder Bio Science Cal-Mag Alkaline Capsules Bio Science Chelated Cal-Mag Compound Capsules Bio Science Chelated Zinc Capsules Bio Science Full Spectrum Aminos Powder Bio Science Lipid Enzyme Capsules Bio Science Lo-pH Complete Spectrum Digestive Enzyme Capsules Bio Science Lo-pH Digestive Enzyme Capsules Bio Science MSM Organic Sulphur Capsules Bio Science Non-Acidic Sustained Release Vitamin C Tablets Bio Science Organic Iron Capsules Bio Science Pro Enzyme Capsules Bio Science Pyroxidal 5 Phosphate Capsules Bio Science Selenium Plus Capsules Bio Science Timed Release Vitamin C Tablets Bio Science Vitamin B1 Capsules Bio Science Vitamin B3 Nicotinamide Capsules Bio Science Vitamin B5 Calcium Pantothenate Capsules Bio Science Vitamin B6 Capsules Bio Science Vitamin E Capsules Bio-Antioxidant Tablets Bio-Carotene Softgel Capsules Bio-Health Buffered C500 Capsules Bio-Health Extra Calcium Capsules Bio-Health Zinc Gluconate Capsules | Bio-Light Slimming Food Supplement Bio-Quinone Q10 Softgel Capsules Bio-Quinone Q10 Super Softgel Capsules Bio-Selenium + Zinc Tablets Bio-Strath Drops Bio-Strath Elixir Biocare Adreno-Zyme Capsules Biocare Allicin Compound Capsules Biocare Amino-Plex Capsules Biocare Artemisia Compound Capsules Biocare ATP Factor Capsules Biocare Beetroot Concentrate (Bioflavour Complex) Capsules Biocare Beta-Carotene Capsules Biocare Betaine HCL/Pepsin Capsules 200/100 mg Biocare Bio Acidophilus Milk Free Capsules Biocare Bio-A Emulsifying Liquid Biocare Bio-Magnesium Capsules 100 mg Biocare Bio-Manganese Capsules Biocare Biogard Capsules Biocare Butyric Acid Compound Capsules Biocare Calcidophilus Capsules Biocare Calcium EAP2 Capsules Biocare Catalase Compound Liquid Biocare Cellguard Forte Capsules Biocare Cervagyn Vaginal Cream Biocare Children’s Multi Vitamin/Mineral Capsules Biocare Cholesteraze Capsules Biocare Chromium Polynicotinate Liquid Biocare Colleginase Capsules Biocare Colon Care Capsules Biocare Cystoplex Powder Biocare Digestaid Capsules Biocare DMSA Capsules Biocare Efaplex Linseed/GLA Blend Capsules Biocare Enteroplex Powder Biocare Femforte Capsules Biocare Garlicin Capsules Biocare GLA/Co Q10 Catalase Capsules Biocare GLA Complex Tablets Biocare Glutenzyme Capsules Biocare HCL Pepsin Capsules Biocare HEP 194 (Hepaguard) Capsules Biocare Histazyme Capsules Biocare IMU Power Pack Biocare Iron EAP2 Capsules Biocare Kalmar Capsules Biocare Lactase Enzyme Liquid Biocare Ligazyme Capsules Biocare Linseed Oil Emulsifying Capsules Biocare Lipazyme Capsules Biocare Magnesium Calcium 2:1 Capsules Biocare Magnesium EAP2 Capsules Biocare Mega GLA Complex Capsules 163 mg Biocare Molybdenum Liquid Biocare Multi-Mineral Complex Capsules Biocare Multivitamin Mineral Capsules Biocare Mycopryl 250 Junior Strength Capsules Biocare Mycopryl 400 Capsules Biocare Mycopryl 680 Capsules Biocare Neurotone Capsules Biocare Organic Selenium Capsules 100 mcg Biocare Oxy Pro Liquid Biocare Oxy-B15 Complex Capsules Biocare Oxyplex Tablets |
Biocare Pit-Enzyme Capsules Biocare Prolactazyme Capsules Biocare Prolactazyme Tablets Biocare Reduced Glutathione Capsules Biocare Sea Plasma Capsules 500 mg Biocare Selenium Complex Tablets 50 mcg Biocare Selenium Liquid Biocare Shiitake Mushroom Extract Capsules Biocare Thioproline Capsules Biocare Uritol Capsules Biocare Vitamin B Compound Capsules Biocare Vitamin B6 Capsules Biocare Vitamin B12 Timed Release Capsules Biocare Vitamin C Capsules Biocare Vitamin C Magnesium Ascorbate Powder Biocare Vitamin E Emulsifying Capsules Biocare Zinc Tablets Bioflav Complex Tablets Bioflav Complex & C Tablets Bioflavonoid C Capsules Bioscal Hair Formula Biovital Tablets Biovital Vitamin Tonic Birley’s Antacid Powder Bis-Mag Lozenge Bis-Peps Tablets Bisma-Calna Cream Bisma-Rex Powder Bisma-Rex Tablets Bismag Antacid Powder Bismag Tablets Bismuth Compound Lozenges BPC Bismuth Dyspepsia Lozenges Bismuth Pepsin and Pancreatin Tablets Bismuth, Soda and Pepsin Mixture Bisodol Antacid Powder Bisodol Extra Tablets Bisodol Tablets Bisolvomycin Capsules Bisolvon Elixir Bisolvon Tablets Blackcurrant Cough Elixir (Thornton & Ross) Blackcurrant Syrup Compound (Beben) Blackmore’s Acidophilus & Pectin Tablets lackmore’s Bio C Tablets Blackmore’s Celloid CS36 Calcium Sulphate Tablets Blackmore’s Celloid IP82 Iron pH Tablets Blackmore’s Celloid SS69 Sodium Sulphate Tablets Blackmore’s Citrus C & Acrerola Tablets Blackmore’s Duocelloid PP/MP Tablets Blackmore’s Duocelloid PS/MP Tablets Blackmore’s Duocelloid S/CF Tablets Blackmore’s Duocelloid SP/S Tablets Blackmore’s Sodical Plus Tablets Blandax Suspension Blavig Tablets Blood Tonic Mixture (Thompsons) Boldolaxine Tablets Bonemeal Calfos, Vit A Ester, Vit D Tablets Bonomint Chewing Gum Bonomint Tablets Booth’s Cough & Catarrh Elixir Boots Aromatherapy Massage Oil Boots Baby Oil | Boots Cold Relief Powder for Solution Boots Compound Laxative Syrup of Figs Boots Cough Relief for Adults Boots Glycerin & Blackcurrant Soothing Cough Relief Boots Hard Lens Soaking Solution Boots Hard Lens Wetting Solution Boots Health Salts Boots Indigestion Plus Mixture Boots Indigestion Powder Boots Lip Salve Boots Menthol & Wintergreen Embrocation Boots Nasal Spray Boots No.7 Vitamin E Skin Cream Boots Orange Drink Boots Soft Lens Cleaning Solution Boots Soft Lens Comfort Solution Boots Soft Lens Soaking Solution Boots Soya Milk Boots Vapour Rub Ointment Boston Lens Cleaning Solution Boston Lens Wetting and Soaking Solution Box’s Balm of Gilead Cough Mixture Bravit Capsules Bravit Tablets Breoprin Tablets 648 mg Brewers Yeast Tablets (3M Health Care) Brewers Yeast Tablets (Phillips Yeast Products) Brewers Yeast-Super B Tablets (Rodale) Bricanyl Compound Tablets Bricanyl Expectorant Brogans Cough Mixture Brogans Cough Syrup Bromazepam Tablets 1.5 mg Bromazepam Tablets 3 mg Bromazepam Tablets 6 mg Bromhexine Hydrochloride Elixir 4 mg/5 ml Bromhexine Hydrochloride Tablets 8 mg Bronalin Decongestant Bronalin Dry Cough Linctus Bronalin Expectorant Bronalin Paediatric Cough Syrup Bronchial & Cough Mixture (Worthington Walter) Bronchial Balsam (Cox) Bronchial Catarrh Syrup (Rusco) Bronchial Cough Mixture (Evans Medical) Bronchial Emulsion (Three Flasks) (Thornton & Ross) Bronchial Emulsion AS Extra Strong (Ayrton Saunders) Bronchial Mixture (Rusco) Bronchial Mixture Extra Strong (Cox) Bronchial Mixture Sure Shield Brand Bronchial Tablets (Leoren) Bronchialis Mist Liquid (IndustrialPharmaceutical Services) Bronchialis Mist Nig Double Strength (Phillip Harris Medical) Bronchisan Childrens Cough Syrup Bronchisan Cough Syrup Broncholia Mixture Bronchotone Solution Bronkure Cough & Bronchitis Mixture (Jacksons) Brontus Syrup Brontus Syrup for Children Brontussin Cough Suppressant Mixture |
Brooklax Tablets Brotizolam Tablets 0.125 mg Brotizolam Tablets 0.25 mg Bufferin Tablets | Buttercup Baby Cough Linctus Buttercup Syrup Buttercup Syrup Honey and Lemon |
Cabdrivers Adult Linctus Cabdrivers Diabetic Linctus Cabdrivers Junior Linctus Cabdrivers Nasal Decongestant Tablets Cadbury’s Coffee Compliment Cafadol Tablets Caffeine & Dextrose Tablets Cal-A-Cool Aftersun Moisturising Cream Calamage Calcia Calcium Supplement Tablets Calcimax Syrup Calcinate Tablets Calcium Syrup (Berk Pharmaceuticals) California Syrup of Figs Calpol Extra Tablets Calpol Infant Suspension Calpol Six Plus Suspension Calpol Tablets Calsalettes Sugar Coated Tablets Calsalettes Uncoated Tablets Camfortix Linctus P1 Camphor Spirit Canderel Intense Sweetner Spoonful Candermyl Lyposome Cream Cantaflour Cantamac Tablets Cantamega 1000 Tablets Cantamega 2000 Divided Dose Tablets ¼ Size Cantamega 2000 Naturtab Tablets Cantassium Amino M.S. Tablets Cantassium Discs Cantassium Fructose Cantassium Multivitamin Tablets Capramin Tablets Carbellon Tablets Carisoma Compound Tablets Carnation Coffeemate Carnation Instant Build-Up Carnation Slender Meal Replacement (All flavours) Carrzone Powder Carters Little Pills Cascara Evacuant Liquid Mixture Cascara Tablets BP Castellan No.10 Cough Mixture Catarrh & Bronchial Syrup (Thornton & Ross) Catarrh Cough Syrup (Boots) Catarrh-Ex Tablets Catarrh Mixture (Herbal Laboratories) Catarrh Syrup for Children (Boots) Catarrh Tablets (Cathay) Ce-Cobalin Syrup Ceeyees Tablets Celaton CH3 Strong & Calm Tablets Celaton CH3 Triplus Tablets Celaton CH3+ Ease & Vitality Tablets Celaton Rejuvenation Tablets Celaton Whole Wheat Germ Capsules Celavit 1 Powder Celavit 2 Powder Celavit 3 Powder | Celevac Granules Centrax Tablets 10 mg Cephos Powders Cephos Tablets Cetaphil Lotion Charabs Tablets Charvita Tablets Cheroline Cough Linctus Cherry Bark Cough Syrup Childrens (Loveridge) Cherry Bark Linctus Adults (Loveridge) Cherry Cough Balsam (Herbal Laboratories) Cherry Cough Linctus (Savory & Moore) Cherry Cough Mixture (Rusco) Cherry Flavoured Extract of Malt (Distillers) Chest & Cough Tablets (Brome & Schimmer) Chest & Cough Tablets (Kerbina) Chest & Throat Tablets No 8,000 (English Grains) Chest Pills (Brome & Schimmer) Chest Tablets (Kerbina) Chesty Cough Syrup (Scott & Bowne) Chickweed Ointment Chilblain Tablets (Boots) Child’s Cherry Flavoured Linctus (Cupal) Children’s Blackcurrant Cough Syrup (Rusco) Children’s Cherry Cough Syrup (Thornton & Ross) Children’s Cough Linctus (Ransoms) Children’s Cough Mixture (Beecham) Children’s Cough Mixture (Loveridge) Children’s Cough Syrup (Ayrton Saunders) Children’s Cough Syrup (Cox) Children’s Cough Syrup (Evans Medical) Children’s Cough Syrup (Thornbers) Children’s Medicine Liquid (Hall's) Children’s Phensic Tablets Children’s Wild Cherry Cough Linctus (Evans Medical) Chivlax Tablets Chocolate Laxative Tablets (Isola) Chocovite Tablets Christy’s Rich Lanolin Christy’s Skin Emulsion Cidal Cidex Longlife Cidex Sterilising Solution Cinnamon Essence Medicinal Mixture (Langdale) Cinnamon Tablets Medicinal (Langdale) Cinota Drops Citrosan Powder Claradin Effervescent Tablets Clarkes Blood Mixture Clean and Soak Cleansing Herb Dried (Potters) Cleansing Herbs (Brome & Schimmer) Cleansing Herbs Powder (Dorwest) Clen-Zym Tablets Clerz Lubricating and Rewetting Eye Drops Clerz Lubricating, Cleaning and Comfort Sachets |
Clinique Clarifying Lotion Clinique Continuous Coverage Clinique Crystal Clear Cleaning Oil Clinique Dramatically Different Moisturising Lotion Clinique Facial Mild Soap Clinisan Skin Cleansing Foam Clinisan Skin Cleansing Foam Aerosol 500 ml Clorazepate Dipotassium Capsules 7.5 mg Clorazepate Dipotassium Capsules 15 mg Clorazepate Dipotassium Tablets 15 mg Cobalin H Injection 250 mcg/ml Cobalin H Injection 1000 mcg/ml Cobalin Injection 100 mcg/ml Cobalin Injection 250 mcg/ml Cobalin Injection 500 mcg/ml Cobalin Injection 1000 mcg/ml Cod Liver Oil & Creosote Capsules (5 Oval) (R P Scherer) Cod Liver Oil & Creosote Capsules (10 Oval) (R P Scherer) Cod Liver Oil 0.3 ml Capsules ( R P Scherer) Cod Liver Oil 0.6 ml Capsules ( R P Scherer) Cod Liver Oil Caps 10 Minims (Woodward) Cod Liver Oil High Potency Capsules (R P Scherer) Cod Liver Oil with Malt Extract & Hypophosphite Syrup (Distillers) Coda-Med Tablets Codalax Codalax Forte Codanin Analgesic Tablets Codis Soluble Tablets Codural Tablets Cojene Tablets Cold & Influenza Capsules (Regent Laboratories) Cold & Influenza Mixture (Boots) Cold & Influenza Mixture (Davidson) Cold & Influenza Mixture (Rusco) Cold & Influenza Mixture (Thornton & Ross) Cold Relief (Blackcurrant Flavour) Granular Powder (Boots) Cold Relief Capsules (Scott & Bowne) Cold Relief Tablets (Boots) Cold Tablets (Roberts) Coldrex Powder Coldrex Tablets Colgard Emergency Essence (Lane Health Products) Colgate Dental Cream with MFP Fluoride Colgate Disclosing Tablets Collins Elixir Colocynth & Jalap Tablets Compound BPC 1963 Colocynth Compound Pills BPC 1963 Cologel Liquid Communion Wafers Complan Comploment Continus Tablets Compound Fig Elixir BP Compound Rhubarb Oral Powder BP Compound Rhubarb Tincture BP Compound Syrup of Glycerophosphates BPC 1963 Compound Syrup of Hydophosphites BPC 1963 | Comtrex Capsules Comtrex Liquid Comtrex Tablets Concavit Capsules Concavit Drops Concavit Injection Concavit Syrup Confiance Dietary Supplement Tablets Congreves Balsamic Elixir Constipation Herb Dried (Potters) Constipation Herbs (Hall's) Constipation Herbs (Mixed Herbs) (Brome & Schimmer) Constipation Mixture No.105 (Potters) Contac Coughcaps Contact 400 Capsules Contactaclean Cleaning Solution Contactasoak Disinfecting and Soaking Solution Contactasol 02 Care Solution Contactasol Complete Care All-In-One Solution Contactasol Solor Saline Spray Contactasol Wetting Solution Co-op Aspirin Tablets BP 300 mg Co-op Bronchial Mixture Co-op Halibut Liver Oil Capsules BP Co-op Paracetamol Tablets BP 500 mg Co-op Soluble Aspirin Tablets BP 300 mg Co-Q 10 Tablets Copholco Cough Syrup Copholcoids Coppertone Apres Plage Aftersun Milk Coppertone Children’s Cream SPF 25 Coppertone Children’s Lotion SPF 15 Coppertone Dark Tanning Lotion SPF 4 Coppertone Sun Tanning Lotion SPF6 Coppertone Water Resistant Tanning Cream SPF 8 Core Level Adrenal Tablets Core Level Auto Sym Tablets Core Level C Timed Release Tablets Core Level Health Reserve Tablets Core Level Ilioduodenal Tablets Core Level Magnesium Tablets Core Level Zinc Tablets Corrective Tablets (Ayrton Saunders) Correctol Tablets Cosalgesic Tablets Cosylan Syrup Coterpin Syrup Cough & Bronchitis Mixture (Davidson) Cough & Cold Mixture (Beecham) Cough Balsam (Abernethy's) Cough Balsam (Thornbers) Cough Expectorant Elixir (Regent Laboratories) Cough Linctus (Sanderson's) Cough Linctus Alcoholic (Thomas Guest) Cough Linctus for Children (Boots) Cough Medicine for Infants & Children Solution (Boots) Cough Mixture (Tingles) Cough Mixture Adults (Thornton & Ross) Cough Mixture Adults (Wicker Herbal Stores) Cough Syrup Best (Diopharm) |
Cough Tablets (Kerbina) Country Basket Rice Cakes Covermark Removing Cream Covonia Bronchial Balsam Linctus Cow & Gate Baby Milk Plus Cow & Gate Babymeals Stage One Cow & Gate Premium Baby Food Cox Pain Tablets Crampex Tablets Cranberry Juice Cream of Magnesia Tablets 300 mg Cremaffin Emulsion Cremalgin Balm Creosote Bronchial Mixture (Loveridge) Crookes One-a-Day Multivitamins with Iron Crookes One-a-Day Multivitamins without Iron Crookes Wheat Germ Oil Capsules Croupline Cough Syrup (Roberts) Cullen’s Headache Powders Culpepper Healing Ointment Culpepper Rheumatic Cream Cupal Health Salts Cupal Nail Bite Lotion Cupanol Over Six Paracetamol Suspension Cupanol Under Six Suspension Cuprofen Soluble Tablets Cuprofen Tablets Cuticura Medicated Foam Bath Cuticura Talcum Powder Cyanocobalamin Solution (any strength) Cytacon Liquid Cytacon Tablets Cytamen 250 Injection | Cytamen 1000 Injection Cytoplan Acidophilus/Bifidophilus 50%/50% Capsules Cytoplan Acidophilus Capsules (Milk Free) Cytoplan Betaine & Pepsin Capsules 345 mg/10 mg Cytoplan Biotin Capsules 100 mcg Cytoplan Children’s Chewable Mineral/Vitamin Tablets Cytoplan Choline/Inositol Capsules 250 mg/250 mg Cytoplan Co-Factor Compound Plus Capsules Cytoplan Cytomin Mineral/Vitamin Tablets Cytoplan Cytophilus Milk Free Capsules Cytoplan De-Toxifying Compound Capsules Cytoplan EPA Capsules Cytoplan Lecithin Capsules Cytoplan Magnesium Ascorbic Capsules Cytoplan Magnesium/Calcium Capsules 250 mg/250 mg Cytoplan Magnesium Citric Capsules Cytoplan Magnesium Complex Capsules Cytoplan Manganese Complex Capsules Cytoplan Potassium Pantothenate Capsules Cytoplan Pryoxidal-5-pH Complex Capsules Cytoplan Selenium Capsules Cytoplan Supermag-Plus Capsules Cytoplan Vitamin A Capsules Cytoplan Vitamin C 1000 mg + Bioflavour 50 mg Capsules Cytoplan Vitamin C Powder Cytoplan Vitamin E Capsules Cytoplan Zinc Lozenge Wafers |
D001 Capsules D002 Capsules D004 Capsules D006 Capsules D007 Capsules D009 Capsules D010 Capsules D011 Capsules D012 Capsules D013 Capsules D014 Capsules D017 Capsules D018 Capsules D019 Capsules D020 Capsules D021 Capsules D024 Capsules D029 Capsules D030 Capsules D031 Capsules D032 Capsules D033 Capsules D034 Capsules D036 Capsules Dakin’s Golden Vitamin Malt Syrup Dalivit Capsules Dalivit Syrup Dalmane Capsules 15 mg Dalmane Capsules 30 mg Dansac Skin Lotion Davenol Linctus Daxaids Tablets | Day-Vits Multivitamin & Mineral Tablets Dayovite De Witt’s Analgesic Pills De Witt’s Antacid Powder De Witt’s Antacid Tablets De Witt’s Baby Cough Syrup De Witt’s Cough Syrup De Witt’s PL Pills Dead Sea Natural Mineral Soap Deakin and Hughes Cough and Cold Healer Mixture Deakin’s Fever and Inflammation Remedy Mixture Delax Emulsion Delial Lotion SPF 2 Delial Lotion SPF 6 Water Resistant Delimon Deltasoralen Bath Lotion Dentakit Toothache First Aid Kit Dentu-Hold Liquid Derbac Soap Derl Dermatological Soap Dermablend Chromatone Fade Creme Plus Dermablend Maximum Moisturiser Dermacolor 6 Colour Palette Dermacolor Body Cover Dermacolor Cleansing Cream Dermacolor Cleansing Lotion Dermacolor Cleansing Milk Dermacolor Creme Effective No.2 Dermacolor Fixier Spray Dermacolor Skin Plastic |
Dermacort Cream Dermo-Care Soapless Soap Desiccated Liver Tablets Desiccated Liver USNF Tablets Detox Tablets (Hursdrex) Dettox Antibacterial Cleanser Dextro Energy Glucose Tablets Dextrogesic Tablets Dextromethorphan Hydrobromide Solution 3.75 mg/5 ml Dextromethorphan Hydrobromide Solution 7.5 mg/5 ml Dextromethorphan Hydrobromide Syrup 6.6 mg/5 ml Dextromethorphan Hydrobromide Syrup 13.5 mg/5 ml Dextropropoxyphene and Paracetamol Dispersible Tablets Dextropropoxyphene and Paracetamol Soluble Tablets DF 118 Elixir DF 118 Injection DF 118 Tablets DGL 1 Suspension DGL 2 Suspension DGT 1 Tablets DGT 2 Tablets DHL Rheumatic Massage Cream Diabetic Bronal Syrup Dialar Forte Syrup 5 mg/5 ml Dialar Syrup 2 mg/5 ml Dialume Capsules 500 mg Diazepam Capsules, Slow 10 mg Diazepam Elixir 5 mg/5 ml Diazepam Oral Solution 5 mg/5 ml Diazepam Oral Suspension 5 mg/5 ml Dietade Diabetic Jam Dietade Diabetic Marmalade Dietade Diabetic Squash Dietade Dietary Foods Fruit Sugar Dietade Fruit Sugar Dietade Jelly Crystals Digesprin Antacid Tablets Digestelles Lozenges Dihydroxyaluminium Sodium Carbonate Tablets Dijex Liquid Dijex Tablets Dimotane Expectorant Dimotane Expectorant DC Dimotane with Codeine Elixir Dimotane with Codeine Paediatric Elixir Dimotapp Elixir Dimotapp Elixir Paediatric | Dimotapp LA Tablets Dimotapp P Tablets Dimyril Linctus Dinnefords Gripe Mixture Diocalm Ultra Capsules Dioctyl Ear Drops Disprin Direct Tablets Disprin Extra Tablets Disprin Solmin Tablets Disprin Tablets Disprinex Tablets Disprol Infant Suspension Disprol Tablets Distalgesic Soluble Tablets Distalgesic Tablets Do-Do Linctus Do-Do Tablets Dolasan Tablets Doloxene Capsules Doloxene Compound Pulvules Dolvan Tablets Dorbanex Capsules Dorbanex Liquid Dorbanex Liquid Forte Dormonoct Tablets 1 mg Dove Cleansing Bar Dr Brandreth’s Pills Dr D E Jongh’s Cod Liver Oil with Malt Extract & Vitamins Fortified Syrup Dr William’s Pink Pills Dragon Balm Drastin Tablets Dristan Decongestant Tablets with Antihistamine Dristan Nasal Spray Droxalin Tablets Dry Cough Linctus (Scott & Bowne) Dual-Lax Extra Strong Tablets Dual-Lax Tablets Dubham Cream Dubham Spray Relief Dulca Tablets Dulcodos Tablets Dulco-Lax Suppositories Dulco-Lax Tablets Duo-Gastritis Mixture (Baldwin's) Duphalac Syrup Duralin Capsules Extra Strength Duralin Tablets Dusk Insect Repellent Cream Duttons Cough Mixture Dynese Aqueous Suspension Dynese Tablets |
E001 Capsules E015 Capsules E018 Capsules E021 Capsules E031 Capsules E032 Capsules Earthlore Vitamin B Compound Tablets Ecdilyn Sryup Educol Tablets Efamol Efamol Capsules | Efamol Marine Capsules Efamol Oil Efamol Plus Capsules Efamol PMP Efamolia Enriched Moisture Cream Efamolia Moisture Cream Efamolia Night Cream Efavite Tablets Efavite Vitamin & Zinc Supplement Tablets Effer-C Tablets Effico Syrup Elagen |
Eldermint Cough Mixture (Herbal Laboratories) Elgydium Toothpaste Elizabeth Arden Flawless Finish Elizabeth Arden Sunblock Cream Factor 15 Elizabeth Arden Sunscience Superblock Cream SPF 34 Elkamol Tablets Ellimans Universal Embrocation Elsan Blue Liquid Emuwash Endet Powders Ener-G Gluten-free and Soya-free Macaroon Cookies Ener-G Gluten-free Rice Peanut-Butter Cookies Ener-G Gluten-free Rice Walnut Cookies Ener-G Low-Protein and Gluten-free Egg Replacer Energen Starch Reduced Crispbread Enfamil Human Milk Fortifier English Grains Mixed Gland Compound Tablets English Grains Red Kooga Multivitamins & Minerals Engran HP Tablets Engran Tablets Eno Fruit Salts EP Tablets EPOC Capsules Equagesic Tablets Eskornade Spansule Capsules | Eskornade Syrup Eso-Col Cold Treatment Tablets Esoterica Fortified Cream Ester-C Powder Ester-C Tablets Euhypnos Capsules 10 mg Euhypnos Elixir 10 mg/5 ml Euhypnos Forte Capsules 20 mg Evacalm Tablets 2 mg Evacalm Tablets 5 mg Evans Cough Balsam Evening Primrose Oil Evening Primrose Oil Capsules Evian Mineral Water Evident Disclosing Cream Ex-Lax Chocolate Laxative Tablets Ex-Lax Pills Expectorant Cough Mixture (Beecham) Expulin Cough Linctus Expulin Paediatric Cough Linctus Expurhin Paediatric Decongestant Extil Compound Linctus Extravite Tablets Extren Tablets Exyphen Elixir E001 Capsules E015 Capsules E018 Capsules E021 Capsules E031 Capsules E032 Capsules |
Fabrol Granules Fade Out Skin Lightening Cream Fairy Household Liquid Falcodyl Linctus Falkamin Fam Lax Tablets Famel Expectorant Famel Linctus Famel Original Linctus Family Cherry Flavoured Linctus (Cupal) Family Health Multivitamin Tablets Family Herbal Pills Fanalgic Syrup Fanalgic Tablets Farex Fingers Farley’s Farex Weaning Food Farley’s Junior Milk Farley’s Premcare Farley’s Premcare Ready-to-Feed Farley’s Rusks Farley’s Tea Timer Father Pierre’s Monastery Herbs Fe-Cap C Capsules Feac Tablets Feen-a-Mint Tablets Fefol Spansule Capsules Fefol Z Spansule Capsules Fefol-Vit Spansules Femafen Capsules Femerital Tablets Feminax Tablets Fendamin Tablets Fennings Adult Cooling Powders Fennings Children’s Cooling Powders | Fennings Little Healers Pills Fennings Mixture Fennings Soluble Junior Aspirin Tablets Fenox Nasal Drops Fenox Nasal Spray Feospan Spansule Capsules Ferfolic Tablets Fergluvite Tablets Fergon Tablets Ferraplex B Tablets Ferrlecit Tablets/Dragees Ferrocap Capsules Ferrocap F-350 Capsules Ferroglobin B12 Vitamin/Mineral Compound Ferrograd C Tablets Ferrol Ferrol Compound Mixture Ferromyn B Elixir Ferromyn B Tablets Ferrous Gluconate Compound Tablets Fesovit Spansules Fesovit Z Spansules Fibre Biscuits Fibrosine Analgesic Balm Fiery Jack Cream Fiery Jack Ointment Filetti Sensitive Skin Soap Fine Fare Aspirin Tablets 300 mg Fine Fare Hot Lemon Powders Fink Linusit Gold Pure Golden Linseeds Flar Capsules Flavelix Syrup Flexcare Soft Lens Solution Flexsol Solution |
Flora Margarine Floradix Formula Liquid Floradix Tablets Floral Arbour Tablets (Cathay) Flu-Rex Tablets Flucaps Fluimucil Granules Flunitrazepam Tablets 1 mg Fluralar Capsules 15 mg Fluralar Capsules 30 mg Flurazepam Capsules 15 mg Flurazepam Capsules 30 mg Flurazepam Hydrochloride Capsules 15 mg Flurazepam Hydrochloride Capsules 30 mg Flurex Bedtime Cold Remedy Flurex Capsules Flurex Decongestant Inhalant Capsules Flurex Hot Lemon Concentrate Flurex Tablets Folicin Tablets Folped Foresight Tablets Mineral Formula Foresight Tablets Vitamin (Multivitamins) Formula M.E. (Multiple Elevator) Formula M.E. No.1 Capsules Formula M.E. No.2 Capsules Formula M.E. No.3 Capsules Formule B Spot Treatment Roll On Formulix Forprin Tablets Fort-E-Vite 1000 Capsules | Fort-E-Vite Capsules Fort-E-Vite Cream Fort-E-Vite Plus Capsules Fort-E-Vite Super Plus Capsules Fortagesic Tablets Fortison Low Sodium Fortral Capsules 50 mg Fortral Injection Fortral Suppositories Fortral Tablets 25 mg Fortral Tablets 50 mg Fortris Solution Fosfor Syrup Franol Expectorant Franolyn Sed Liquid Frisium Capsules 5 mg Frisium Capsules 10 mg Frisium Capsules 20 mg FSC Beta Plus Capsules FSC Betaine HCL Capsules FSC Lactobacillus Acidophilus Capsules FSC Multivitamin Addlife For Over 50s Capsules FSC Organic Linseed Oil Capsules FSC Super B-Supreme High-Potency Tablets FSC Super Calcium 200 mg + Vitamin A & D Tablets FSC Super Vitamin D Tablets FSC Vitamin B6 Tablets Fybranta Tablets Fynnon Calcium Aspirin Tablets Fynnon Salt |
G Brand Linctus Galake Tablets Gale’s Honey Galfer—Vit Capsules Galloway’s Baby Cough Linctus Galloway’s Bronchial Cough Care Galloway’s Bronchial Expectorant Galloway’s Cough Syrup Gamophen Gastalar Tablets Gastric Ulcer Tablets No.1001 Gastrils Pastilles Gastritabs Gastrovite Tablets Gatinar Syrup Gaviscon 250 Tablets Gaviscon Granules Gelusil Lac Powder Gelusil Tablets Genasprin Tablets Genatosan Gentian Acid Mixture with Nux Vomica Gentian Alkaline Mixture with Nux Vomica Gentian & Rhubarb Mixture BPC Georges Vapour Rub Ointment Gericaps Capsules Gerimax Original Korean Panax Ginseng with Vitamins, Minerals and Amino Acid Geriplex Capsules Germolene Ointment Gevral Capsules Gevral Tablets GF Brand Baking Powder GF Brand Banana Cake | GF Brand Chocolate Nut Cookies GF Brand Cooking Crumbs GF Brand Date and Walnut Cake GF Brand English Style Mustard GF Brand Fruit Bran Biscuits GF Brand Ginger Cake GF Brand Ginger Cookies GF Brand Gluten-free Coconut Cookies GF Brand Gluten-free Maize Biscuits with Chocolate GF Brand Gluten-free Maize Biscuits with Hazel-Nut GF Brand Gluten-free Pastry Mix GF Brand Gluten-free Thin Wafer Bread GF Brand Gravy Mix GF Brand Lemon Cake GF Brand Muesli GF Brand Muesli Fruit Biscuits GF Dietary Gluten-free Carob Marble Cake GF Dietary Gluten-free Christmas Pudding GF Dietary Low Protein Pizza Mix with Tomato Topping Mix and Baking Dish GF Dietary Low Protein Vegetable Burgers in Low Protein Sauce GF Dietary Low Protein Vegetable Casserole Ginkgo Biloba Extract Capsules 40 mg Ginkgo Biloba Liquid Givitol Capsules Gladlax Tablets Glemony Balsam (Baldwin's) Glenco Elixir Gluca-Seltzer Effervescent Powder Glucodin |
Glycerin Honey & Lemon Cough Mixture (Isola) Glycerin Honey & Lemon Linctus (Boots) Glycerin Honey & Lemon Linctus with Ipecacuanha (Boots) Glycerin Lemon & Honey and Ipecacuanha (Thomas Guest) Glycerin Lemon & Honey Linctus (Rusco) Glycerin Lemon & Honey Syrup (Cupal) Glycerin Lemon & Honey Syrup (Thomas Guest) Glycerin Lemon & Honey Syrup (Waterhouse) Glycerin Lemon & Ipecacuanha Cough Mixture (Isola) Glykola Elixir Glykola Infants Elixir Glymiel Hand Care Goat’s Milk Spray Dried Powder | Goddards White Oils Embrocation Golden Age Vitamin & Mineral Capsules Golden Health Feverfew Tablets Golden Health Super Sea Kelp Tablets Golden Health Tablets (Kerbina) Gon Tablets Gonfalcon Tablets Grangewood Insomnia Tablets Granogen Granose Liquid Soya Milk Granose Soya Yogert Granoton Emulsion Gregovite C Tablets GS Tablets Guaiphenesin Syrup (any strength) Guanor Expectorant Gynovite Plus Nutritional Supplement Tablets |
H-Pantoten Tablets Hactos Chest & Cough Mixture (Thomas Hubert) Halaurant Syrup Halcion Tablets 0.125 mg Halcion Tablets 0.25 mg Haliborange Syrup Haliborange Tablets Halibut Liver Oil A & D Capsules (Rodale) Halibut Oil A & D Capsules (G R Lane Health Products) Halin Tablets Halocaps Inhalant Capsules Halycitrol Emulsion Harvestime Malt Extract with Cod Liver Oil and Butterscotch Hayphryn Nasal Spray HC45 Cream Head and Shoulders Shampoo Health Aid Children’s Multivitamin + Mineral Tablets Health Aid DL-Phenylalanine Tablets 500 mg Health Aid Dolomite Tablets Health Aid EPO Forte Capsules 1000 mg Health Aid Halibut Liver Oil Capsules Health Aid Magnesium & Calcium Tablets Health Aid Multivitamins & Minerals Tablets Health Aid Super Cod Liver Oil Capsules Health Aid Super Lecithin Capsules Health Aid Vitamin A Capsules Health Aid Vitamin A + D Capsules Health Aid Vitamin B Complex Supreme Tablets Health Aid Vitamin B6 Tablets Prolonged Release Health Aid Vitamin C Tablets Health Aid Vitamin E Capsules Health Aid Vitamin E Cream Health Aid Vitamin E Hand and Body Lotion Health Aid Vitamin E Natural Capsules Health Aid Vitamin E Oil Health Aid Zinc Sulphate Tablets 200 mg Health Aid Zinc Tablets 10 mg Health+Plus Absorb Plus Capsules Health+Plus Absorb Plus Tablets | Health+Plus Chromium GTF & B3 Tablets Health+Plus Co-Q Plus Tablets Health+Plus Complex B Tablets Health+Plus Dolomite + D Tablets Health+Plus E500 Tablets Health+Plus Immunade Tablets Health+Plus Multiminerals Tablets Health+Plus Multivite Tablets Health+Plus Nutrient Pack, Metabolic Pack Health+Plus Pregnancy Pack Health+Plus Selenium Tablets 50 mcg Health+Plus Super B6 + Zinc Tablets Health+Plus Super C1000 Tablets + Bioflavour Health+Plus Supercholine Tablets Health+Plus Vitamin E Capsules High-Potency Health+Plus VV Pack Health+Plus Ziman Plus (Manganese & Zinc) Tablets Health Salts (Wicker Herbal Stores) Health Tonic Mixture (Hall's) Healthcrafts Aminochel Calcium Tablets Healthcrafts Aminochel Chelated Magnesium Tablets Healthcrafts Aminochel Zinc Tablets 1.3 mg Healthcrafts Aminochel Zinc Tablets 5 mg Healthcrafts Arteroil Tablets Healthcrafts Betacarotene Capsules Healthcrafts Brewers Yeast Tablets Healthcrafts Calcium Chewable Tablets Healthcrafts Calcium Pantothenate Super Tablets Healthcrafts Cod Liver Oil Capsules Healthcrafts Cod Liver Oil Compleat Tablets Healthcrafts Dolomite Tablets 500 mg Healthcrafts EPA Forte Capsules Healthcrafts Kelp Tablets Healthcrafts Lecithin Capsules Healthcrafts Multivitamin + Iron & Calcium Tablets Healthcrafts Natural Vitamin C 1 g Tablets (High Potency) Healthcrafts Prolonged Release Nutrition Mega B-Complex Tablets Healthcrafts Prolonged Release Nutrition Mega-B6 Tablets |
Healthcrafts Prolonged Release Nutrition Mega C 1500 Tablets Healthcrafts Prolonged Release Nutrition Mega Multis Tablets Healthcrafts Vitamin E Capsules Healthcrafts Vitamin E Capsules HighPotency Healthcrafts Vitamin E Capsules Mega Healthcrafts Vitamin E Capsules Super Healthcrafts Vitamin E One-A-Day Capsules Healthcrafts Zinc One-A-Day Capsules Healtheries Rice Crispbread Healthilife Dolomite Tablets 60 mg Healthilife Halibut Oil Capsules Healthilife Rutin Tablets 60 mg Healthilife Sunfloweer Seed Oil Capsules 500 mg Healthilife Vitamin A Capsules Healthilife Vitamin E Soya Free Capsules Healthilife Wild Sea Kelp Tablets 300 mg Healthlink Loosemore Herbal Capsules Healthlink Magnesium Acetate Capsules Healthlink Psyllium Husks Healthwise Halibut Oil Capsules Healthwise Vitamin E Capsules Heart Shape Indigestion Tablets Heath & Heather Feverfew Tablets Heath & Heather Garlic Perles (Odourless) Hedamol Capsules Hedex Extra Caplets Hedex Plus Capsules Hedex Seltzer Granules Hedex Soluble Granules Hedex Tablets Heinz Weight Watcher Baked Beans Hemingways Catarrh Syrup Hemoplex Injection Hepacon B12 Injection Hepacon Liver Extract Injection Hepacon-B-Forte Injection Hepacon-Plex Hepanorm Tablets Herbal Aperient Tablets (Cathay) Herbal Aperient Tablets (Kerbina) Herbal Bronchial Cough Tablets (English Grains) | Herbal Laboratories Feverfew Tablets Herbal Laxative Naturtabs Herbal Pile Tablets Herbal Quiet Nite Sleep Naturtabs Herbal Syrup (Baldwin's) Herbalene Herbs Hermesetas (Blue) Hermesetas Gold Hermesetas Light Hermesetas Liquid Sweetner Hermesetas Sprinkle Sweet Hexidin Solution Hi-g-ah Tea Hi-pro Liver Tablets Hill’s Adult Balsam Hill’s Balsam Children’s Mixture For Chesty Coughs Hip C Rose Hip Syrup Histalix Expectorant Hofels Cardiomax Garlic Pearles Hofels Garlic Pearles Hofels One-A-Day Garlic Pearles Hofels One-A-Day Neo Garlic Pearles Honey & Molasses Cough Mixture (Lane Health Products) Hot Blackcurrant Cold Remedy (Beechams) Hot Lemon Cold Remedy (Beechams) Hot Lemon Cold Treatment (Scott & Bowne) Hot Measure Solution (Reckitt & Colman) Hydrex Hand Rub Hydrocare Boiling/Rinsing Solution Hydrocare Cleaning and Soaking Solution Hydrocare Preserved Saline Solution Hydrocare Protein Remover Tablets Hydroclean Solution Hydron Europe Cleaning Solution Hydron Europe Comfort Soaking Solution Hydron Europe Solusal Hydron Europe Solution Comfort Hydrosoak Disinfecting and Soaking Solution Hydrosol Comfort Solution Hymosa Vitamin E Cream Hypon Tablets |
Iberet 500 Tablets Iberol Tablets Ibrufhalal Tablets ICC Analgesic Tablets Iliadin Mini Nasal Drops Iliadin Mini Paediatric Nasal Drops Imarale Agba Suspension Imarale Omode Suspension Importal Inabrin Tablets 200 mg Indian Brandy Solution Indigestion Mixture (Boots) Indigestion Mixture (Thornton & Ross) Indigestion Mixture (William Ransom) Indigo Indigestion Lozenges Infa-Care Baby Bath Influenza and Cold Mixture 2315 (Wright Layman & Umney) Inhalit Liquid Inhalation | Innoxa Concealing Cream Innoxa Creme Satin Foundation Innoxa Finishing Touch Loose Powder Innoxa Foundation Innoxa Moisturised Liquid Make-up Innoxa Sensitive/Dry Range: Enriched Moisture Cream Innoxa Sensitive/Normal Range: Creamy Moisturiser Innoxa Young Solution Spot Gel Inoven Caplets Iodinated Glycerol Elixir 60 mg/5 ml Iodised Vitamin Capsules Iodo-Ephedrine Mixture Ipecacuanha and Morphine Mixture BP Ipecacuanha and Squill Linctus Paediatric BPC Ipecacuanha Pills 20 mg Ipsel Hygienic Babysalve |
Irofol C Iron & Brewers Yeast Tablets (3M Health Care) Iron & Vitamin Tablets (Davidson) Iron Formula Tablets (Rodale) Iron Jelloids Tablets Iron Tonic Tablets (Boots) | Ironorm Capsules Ironorm Tonic Ironplan Capsules Isoaminile Linctus Isocal Ivy Tablets (Ayrton Saunders) |
Jaap’s Health Salts Jacksons All Fours Cough Mixture Jacksons Febrifuge Jambomins Tablets Jenners Suspension Jenners Tablets Jochem Hormone Hair Preparation Johnson & Johnson Baby Bath Johnson & Johnson Baby Cream Johnson & Johnson Baby Lotion Johnson & Johnson Baby Oil Johnson & Johnson Baby Powder Johnson & Johnson Baby Shampoo Johnson & Johnson Baby Sunblock Stick Johnson & Johnson Prickly Heat Powder Jolen Creme Bleach Jordans Crunchy Bar | Junamac Jung Junipah Tablets Jungle Formula Insect Repellent Gel Jungle Formula Insect Repellent Pump Spray Junior Cabdrivers Linctus Junior Disprin Tablets Junior Disprol Tablets Junior Ex-Lax Chocolate Tablets Junior Lemsip Powder Junior Meltus Cough & Catarrh Linctus Junior Mucron Liquid Junior Paraclear Tablets Junior Tablets (Rodale) Juno-Junipah Mineral Salts Juvel Elixir Juvel Tablets Juvela Gluten-Free Sage and Onion Stuffing Mix |
K'an Herbal Preparations Kamillosan Baby Cleansing Bar Kaodene Suspension Karvol Capsules Kelsoak 2 Solution Kelvinol 2 Wetting Solution Kenco Instant Decaffeinated Coffee Kendales Adult Cough Syrup Kendales Cherry Linctus Kest Tablets Ketazolam Capsules 15 mg | Ketazolam Capsules 30 mg Ketazolam Capsules 45 mg Keybells Linctus of Glycerine, Lemon & Ipecacuanha Kingo Cough Syrup Koladex Tablets Kolanticon Tablets Kolanticon Wafers Kolantyl Gel Kolynos Denture Fixative Krauses Cough Linctus Kruschen Salts Kuralax Herbs Kwai Garlic Tablets |
L-Threonine Capsules L-Threonine Tablets Labiton Kola Tonic Laboprin Tablets Lac Bismuth Mixture Lactaid Lactase Enzyme for Milk Drops Lactaid Lactase Enzyme Tablets Lactaid Lactose Reduced Skimmed and Whole Milk UHT Lacto Calamine Ladycare No.2 (Menopausal) Tablets Laevoral Lamberts Acidophilus Extra Capsules Lamberts Evening Primrose Oil 250 mg Capsules Lamberts Evening Primrose Oil 500 mg Capsules Lamberts Evening Primrose Oil 1000 mg Capsules Lamberts L-Threonine 500 mg Capsules Lamberts Playfair Tablets Lamberts PMT Supplement Optivite Tablets Lamberts Protein Deficiency Formula Capsules Lamberts Senior Capsules Lanacort Cream Lanacort Ointment | Lance B & C Tablets Lane’s Cut-a-Cough Lane’s Glanolin Capsules 250/500 Lane’s Laxative Herb Tablets Lane’s Lecigran Granules Lane’s Sage & Garlic Catarrh Remedy Lantigen B Lavender Bath Laxaliver Pills Laxatabs Leoren Laxipurg Tablets Laxoberal Elixir LC 65 Cleaning Solution Lecithin Capsules Ledercort Cream Lederplex Capsules Lederplex Liquid Lejfibre Biscuit Lemeze Cough Syrup Lemon Eno Powder Lemon Flu-Cold Concentrated Syrup Lemon Glycerine & Honey Cough Syrup Compound (Carter Bond) Lemon Glycerine & Honey Lung Mixture (Whitehall Laboratories) Lemon Glycerine & Ipecac Cough Syrup Compound (Carter Bond) |
Lemon Juice, Glycerine & Honey A S Syrup (Ayrton Saunders) Lemon Linctus 1-472 Lem-Plus Capsules Lem-Plus Hot Lemon Drink Lemsip Cold Relief Capsules Lemsip Expectorant Lemsip Flu Strength Lemsip Linctus Lemsip Flu Strength Night Time Formula Lemsip Powder Lendormin Tablets 0.125 mg Lendormin Tablets 0.25 mg Lensept Solution Lensine 5 All in One Solution Lensplus Sterile Saline Spray Lensrins Solution Leoren Tonic Tablets Lexotan Tablets 1.5 mg Lexotan Tablets 3 mg Lexotan Tablets 6 mg Libraxin Tablets Librium Capsules 5 mg Librium Capsules 10 mg Librium Tablets 5 mg Librium Tablets 10 mg Librium Tablets 25 mg Librofem Tablets Lifeplan Acidophilus Capsules Lifeplan Boron 3 Tablets Lifeplan Cod Liver Oil One-A-Day Capsules Lifeplan DL-Phenylalanine (DLPA) Tablets 500 Lifeplan Dolomite (Natural) Tablets Lifeplan Dolomite Tablets 500 mg Lifeplan Dolomite Tablets 800 mg Lifeplan Super Galanol Capsules Lifeplan Vitamin B6 Tablets Lightning Cough Remedy Solution (Potters) Limbitrol Capsules 5 Limbitrol Capsules 10 Linctifed Expectorant | Linctifed Expectorant Paediatric Linctoid C Linituss Linoleic Acid Linus Vitamin C Powder Lipoflavonoid Capsules Lipotriad Capsules Lipotriad Liquid Liqufruta Blackcurrant Cough Medicine Liqufruta Honey & Lemon Cough Medicine Liqufruta Medica Liqufruta Medica Garlic Flavoured Cough Medicine Liquid Formula (Food Concentrate) (Rodale) Liquid Paraffin & Phenolphthalein Emulsion BP Liquid Paraffin Emulsion with Cascara BPC Liquifilm Wetting Solution Listerine Antiseptic Mouthwash Listermint Mouthwash Liver Herbs (Hall's) Livibron Mixture Lloyds Cream (Odourless) Lloyds Heat Spray Loasid Tablets Lobak Tablets Lofthouse’s Original Fisherman’s Friend Honey Cough Syrup London Herb and Spice Herbal Tea Bags Loramet Capsules 1 mg Loramet Tablets 0.5 mg Loramet Tablets 1 mg Lotil Facial Cream Lotussin Cough Syrup Lucozade Luma Bath Salts Lung Balsam (Rusco) Lyons Ground Coffee Beans Lypsyl Lemon Lypsyl Mint Lypsyl Original Lysaldin |
M & B Children’s Cough Linctus Maalox Concentrate Suspension Maalox Plus Tablets Mackenzies Smelling Salts Maclean Indigestion Powder Maclean Indigestion Tablets Macleans Toothpaste Magaldrate Tablets Mainstay Pure Cod Liver Oil Male Gland Double Strength Supplement Tablets Male Sex Hormone Tablets (Diopharm) Malinal Plus Tablets Malinal Suspension 500 mg/5 ml Malinal Tablets 500 mg Malt Extract with Cod Liver Oil BPC & Hypophosphites (Distillers) Malt Extract with Cod Liver Oil & Chemical Food (Distillers) Malt Extract with Cod Liver Oil BPC Soft Extract (Jeffreys Miller) Malt Extract with Haemoglobin & Vitamins Syrup (Distillers) | Malt Extract with Halibut Liver-Oil Syrup (Distillers) Malvern Water Mandarin Tablets Manna Herbal Rheumapainaway Tablets Marvel Matthew Cough Mixture Maturaplus Tablets Maws Sterilising Tablets Max Factor Face Powder Max Factor Pan-Stik Maxivits Tablets Medathlon Aspirin Tablets 300 mg Medazepam Capsules 5 mg Medazepam Capsules 10 mg Medex Elixir Mediclean Soft Lens Solution Medilax Tablets Medipain Tablets Medised Suspension Medised Tablets Medisoak Soft Lens Solution Meditus Syrup |
Medocodene Tablets Meggeson Dyspepsia Tablets Melissin Syrup Melo Brand Glycerin Lemon & Honey with Ipecacuanha Meloids Lozenges Meltus Adult Dry Cough Elixir Meltus Adult Expectorant Meltus Baby Cough Linctus Meltus Honey & Lemon Cough Linctus Meltus Junior Expectorant Memo Boost Capsules Menopace Capsules Menthacol Liquid Menthells Pellet/Pill Menthol & Benzoin Inhalation BP Menthol & Eucalyptus (M in P) Pastilles (Thomas Guest) Menthol Inhalation Mentholated Balsam (Loveridge) Mentholated Balsam (Savory & Moore) Mentholated Balsam (Wright Layman & Umney) Mentholated Balsam Mixture (Pilsworth Manufacturing) Mentholatum Balm Mentholatum Deep Freeze Spray Mentholatum Deep Heat Massage Liniment Mentholatum Deep Heat Maximum Strength Rub Mentholatum Deep Heat Rub Mentholatum Nasal Inhaler Metatone Methylcisteine Tablets 100 mg Micaveen Midro-Tea Powder Migrafen Tablets Mijex Cream Mil-Par Suspension Milgard Baby Cleansing Milk Milk of Magnesia Tablets Milton Sterilising Tablets Milumil Baby Milk Milupa 7 Cereal Breakfast Milupa Aptamil Baby Milk Milupa Braised Steak & Vegetable Infant Food Milupa Camomile Infant Drink Milupa Cauliflower Cheese Special Infant Food Milupa Country Chicken & Vegetable Casserole Milupa Fennel Variety Infant Drink Milupa Harvest Muesli Breakfast Milupa Infant Dessert, Banana & Apple Yoghurt Milupa Infant Dessert, Caribbean Fruit Milupa Infant Dessert, Semolina & Honey Milupa Infant Tea-Time, Cheese & Tomato | Milupa Modified Yogurt Milupa Special Formula HN25 Milupa Sunripe Banana Breakfast Infant Food Milupa Sunshine Orange Breakfast Milupa Vegetable Hotpot Infant Food Minadex Chewable Vitamin Tablets Minadex Syrup Minamino Syrup Minivits Tablets Minoxidil Cream Minoxidil Lotion Minoxidil Ointment Minoxidil Solution (for external use) Mira Flow Cleaning Solution Mira Flow Soft Lens Solution Mira Soak Lens Soaking Solution Mira Sol Soft Lens Solution Mitchell’s Wool Fat Soap Modifast Nutritionally Complete Supplemented Fasting Formula Mogadon Capsules 5 mg Mogadon Tablets 5 mg Moorland Indigestion Tablets Morning Glory Tablets Morny Lavender Talc Mosquito Milk Mosquito Repellent Tropical Formula Mrs Cullen’s Lemsoothe Powder Mrs Cullen’s Powders Mucodyne Capsules Mucodyne Forte Syrup Mucodyne Forte Tablets Mucodyne Paediatric Syrup Mucodyne Syrup Mucofalk Sachets Mucolex Syrup Mucolex Tablets Mu-cron Junior Syrup Mu-cron Tablets Mucron Liquid Muflin Linctus Multi-Vitamin Tablets (English Grains) Multivitamin Capsules (Regent Laboratories) Multivitamin Tablets (Approved Prescription Services) Multivitamin Tablets (Chemipharm) Multivitamin Tablets (Evans Medical) Multivitamin Tablets (UAC International) Multivitamin with Mineral Capsules (Potters) Multivitamin with Minerals Tablets (Chemipharm) Multivite Pellets Multone Tablets My Baby Cough Syrup Mycolactine Tablets Mylanta Liquid Mylanta Tablets Myolgin Tablets |
N Tonic Syrup (Cupal) N-300 Capsules Nair Depilatory Cream Napca Skin Lotion Napisan Nappy Treatment Napoloids Tablets Napsalgesic Tablets Nasal Drops For Children (Boots) | Natex 12A Tablets Natural Bran Natural Flow Acidophilus Capsules Natural Flow Animal Fun Children’s Chewable Tablets Natural Flow Boron + Calcium & Silica Tablets Natural Flow Calcium Ascorbate Tablets |
Natural Flow Calcium & Magnesium Chelated Tablets Natural Flow Calcium/Magnesium Tablets Natural Flow Candiforte Capsules Natural Flow Digestive Enzyme Compound Tablets Natural Flow Dolomite + A & D Tablets Natural Flow Green Magma Powder Natural Flow Liquid B Complex & Iron Natural Flow Mega B Complex Tablets Natural Flow Mega C Tablets Natural Flow Mega Multi Tablets Natural Flow Multimineral Tablets Natural Flow Organic Germanium Capsules Natural Flow Primedophilus Powder Natural Flow Probion Bifidus Powder Natural Flow Probion Tablets Natural Flow Psyllium Husks Natural Flow Psyllium Husk Capsules Natural Flow Rutin Tablets 500 mg Natural Flow Selenium Chelated Tablets Natural Flow Selenium Tablets Natural Flow Super B50 Capsules Natural Flow Super Vitamin C Complex Tablets Natural Flow Super Vitamin C Tablets Natural Flow Tangerine C Chewable Tablets Natural Flow Thiamin Tablets (Vitamin B1) Natural Flow Vega Mins Tablets Natural Flow Vitamin A Tablets Natural Flow Vitamin C Powder Natural Flow Zinc Chelated Tablets Natural Herb Laxative Tablets (Brome & Schimmer) Natural Herb Laxative Tablets (Kerbina) Natural Herb Tablets (Dorwest) Natural Herb Tablets (Kerbina) Natural Herb Tablets (Lane) Naturavite Tablets Naturtabs Choline Naturtabs Nicotinamide Naturtabs Nicotinic Acid Naturtabs Paba Natusan Baby Ointment Naudicelle Nella Red Oil Liniment Neo-Cytamen Injection 250 mcg/ml Neo-Cytamen Injection 1000 mcg/ml Neoklenz Powder Neophryn Nasal Drops Neophryn Nasal Spray Nescafe Instant Coffee Nestle Nativa HA Nethaprin Expectorant Neuro Phosphates Neurodyne Capsules Neutradol Concentrated Air Deodoriser Neutradonna Powder Neutradonna Sed Powder Neutradonna Sed Tablets Neutradonna Tablets Neutrogena Body Oil (Scented and Unscented) Neutrogena Conditioner Neutrogena Hand Cream Neutrogena Lip Care Neutrogena Liquid | Neutrogena Moisture Neutrogena Norwegian Formula Body Emulsion Neutrogena Rainbath Shower and Bath Gel Neutrogena Shampoo Neutrogena Soap Neutrolactis Tablets New Formula Beechams Powders Capsules New Life Herbs New Life Tablets Newton’s Childrens Cough Treatment Newton’s Cough Mixture for Adults Nezcaam Syrup Nezeril Nose Drops (single dose pipette) Nicabate Nicotine Transdermal Patch Nico Patch Nicobrevin Nicodex Patch Niconil Transdermal Patch Nicorette Nicorette Patch Nicorette Plus Nicostop Patch Nicotine Patch (QHR Limited) Nicotinell TTS Patches Niferex 150 Tablets Nilbite Nirolex Expectorant Linctus Nitrados Tablets 5 mg Nitrazepam Capsules 5 mg Nivea No 177 Tablets (Leoren) Nobacter Medicated Shaving Foam Nobrium Capsules 5 mg Nobrium Capsules 10 mg Nocold Tablets Noctamid Tablets 0.5 mg Noctamid Tablets 1 mg Noctesed Tablets 5 mg Noradran Bronchial Syrup Norgesic Tablets Normax Capsules Normison Capsules 10 mg Normison Capsules 20 mg Norvits Syrup Noscapine Linctus BP Novaprin Tablets Novasil Antacid Tablets Novasil Antacid Viscous Suspension Noxzema Medicated Skin Cream Nu-soft Baby Oil Nucross Coconut Oil Nulacin Tablets Nurodol Tablets Nurofen Soluble Tablets Nurofen Tablets 200 mg Nurse Sykes Bronchial Balsam Nurse Sykes Powders Nutricare Beta Carotene Capsules Nutricare Capricin Capsules Nutricare Selenium Tablets Nutricare Vitamin C Tablets Nutricare Zinc Orotate Tablets Nux Vomica Acid Mixture Nux Vomica Alkaline Mixture Nux Vomica Elixir BPC Nylax Tablets |
Octovit Tablets Oilatum Bar Oilatum Soap Olbas Oil Omeiri Iron Tonic Tablets Omilcaf Suspension Onadox 118 Tablets One Gram C Capsule Opas Powder Opas Tablets Opobyl Bailly Pills Optivite Tablets Oral B Plaque Check Disclosing Tablets Orange & Halibut Vitamins (Kirby Warrick Pharmaceuticals) Organidin Elixir Organidin Solution Organidin Tablets Original Indigestion Tablets (Boots) Orovite 7 Orovite Elixir Orovite Tablets Orthoxicol Syrup Osteocare Calcium & Magnesium Tablets Ostermilk Complete Formula | Ostermilk Two Milk Powder Otrivine Nasal Drops 0.05% Otrivine Nasal Drops 0.1% Otrivine Nasal Spray 0.1% Otrivine-Antistin Nasal Drops Otrivine-Antistin Nasal Spray Overnight Bedtime Cold Medicine Owbridge’s Cough Mixture Oxanid Tablets 10 mg Oxanid Tablets 15 mg Oxanid Tablets 30 mg Oxy Clean Facial Wash Gel Oxy Clean Medicated Cleanser Oxymetazoline Hydrochloride Nasal Drops 0.025% Oxymetazoline Hydrochloride Nasal Drops 0.05% Oxymetazoline Hydrochloride Nasal Spray 0.05% Oxysept 1 Disinfecting Solution Oxysept 2 Rinsing, Neutralising and Storing Solution Ozium 500 Air Sanitizer Ozium 1500 Air Sanitizer Ozium 3000 |
Pacidal Tablets Pacifene Tablets Paedo-Sed Syrup Pain Relief Tablets (Cox) Pain Relief Tablets (Davidson) Paldesic Elixir Pameton Tablets Panacron Nasal Spray Panacron Tablets Panadeine Co Tablets Panadeine Forte Tablets Panadeine Soluble Effervescent Tablets Panadeine Tablets Panadol Baby & Infant Suspension Panadol Caplets Panadol Extra Tablets Panadol Extra-Soluble Tablets Panadol Junior Sachets Panadol Soluble Tablets Panadol Tablets Panaleve Junior Panaleve Six Plus Suspension Panasorb Tablets Panax 600 Ginseng Tablets Panerel Tablets Panets Tablets Pango Pain Paracetamol Codeine Tablets (Cupal) Pantene Hair Tonic Papain Compound Tablets Paprika Tablets (Kerbina) Para-Seltzer Effervescent Tablets Paracetamol & Caffeine Capsules Paracetamol & Caffeine Tablets Paracetamol DC Tablets Paracetamol Tablets Soluble (Boots) Paracetamol Tablets, Sorbitol Basis 500 mg Paracets Tablets 500 mg Paraclear Tablets Paracodol Capsules Paracodol Tablets Paradeine R Tablets | Paragesic Effervescent Tablets Parahypon Tablets Parake Tablets Paralgin Tablets Paramin Capsules Paramol Tablets Paranorm Cough Syrup Pardale Tablets Parenamps Intramuscular Injection Pastilaids Pastilles Pavacol Cough Syrup Paxadon Tablets Paxalgesic Tablets Paxidal Tablets Paynocil Tablets PEM Linctus Penetrol Inhalant Pentazocine-Aspirin Compound Tablets Peplax Peppermint Flavoured Laxative Tablets Peppermint Indigestion Tablets (Boots) Pepto-Bismol Suspension Perform 1 Disinfecting Solution Perform 2 Rinsing and Neutralising Solution Pernivit Tablets Perrier Mineral Water Persomnia Tablets Pestroy Flea and Insect Powder Petrolagar Emulsion Plain Petrolagar Emulsion with Phenolphthalein PF Plus Tablets Pharmacin Capsules Pharmacin Effervescent Plus C Tablets Pharmacin Effervescent Tablets 325 mg Pharmaton Capsules Pharmidone Tablets Phenergan Compound Expectorant Linctus Phenolphthalein Compound Pills BPC Phenolphthalein Compound Tablets BPC 1963 Phenolphthalein Tablets BP Phensedyl Cough Linctus Phensic Tablets Phensic 2 Tablets |
Phenylephrine Hydrochloride Nasal Drops 0.25% Phenylephrine Hydrochloride Nasal Spray 0.5% Phillips Brewers Yeast Tablets Phillips Iron Tonic Tablets Phillips Tonic Yeast Tablets Phillips' Toothpaste Phisoderm Phisohex System Medicated Face Wash Pholcolix Syrup Pholcomed D Linctus Pholcomed Diabetic Forte Linctus Pholcomed Expectorant Pholcomed Forte Linctus Pholcomed Linctus Pholcomed Pastilles Pholtex Syrup Pholtussa Mixture Phor Pain Phor Pain Double Strength Phosferine Liquid Phosferine Multi-Vitamin Liquid Phosferine Tablets Phygeine Liquid Phyllosan Tablets Physeptone Linctus Pickles Nail Bite Lotion Pile Mixture (Ayrton Saunders) Pile Tablets (Ayrton Saunders) Pine Bath Milk Pine Catarrh Drops Lozenges Piz Buin After Sun Lotion Piz Buin After Sun Shower Gel Piz Buin Childrens Balm SPF 8 Piz Buin Cream Factor 6 Piz Buin Creme Factor 8 Piz Buin Creme Factor 12 Piz Buin Factor 4 Cold Air Protection Cream Piz Buin Lip Protection Stick SPF 8 Piz Buin SPF 6 Lotion Piz Buin SPF 8 Lotion Piz Buin Sun Allergy Lotion SPF 12 Piz Buin Sun Protection Lotion SPF 12 Plax Anti-Plaque Pre-Brushing Rinse Plenamin Super Plenivite with Iron Tablets Pliagel Soft Lens Solution Plurivite M Tablets Plurivite Tablets Poli-grip Denture Fixative Cream Polyalk Gel Polyalk Tablets Polyvite Capsules Potaba +6 Capsules Potaba +6 Tablets | Potassium Bromide & Nux Vomica Mixture BPC 1963 Potters Household Liniment Potters Nine Rubbing Oils Powdered Bran Tablets 2 g Power Cranberry Juice Capsules Power Cranberry Juice Concentrated Powder Power Dolomite Tablets Power Dophilus Capsules Power Feverfew Capsules Power GLA 65 (Borage Oil) Capsules Power Halibut Liver Oil Capsules Power Kelp Tablets 500 mg Power Nature Vitamin E Cream Power Nutrimental 24 Tablets Power Plus Super Multivitamin and Mineral Capsules Powerin Tablets PP Tablets PR Freeze Spray PR Heat Spray PR Tablets Prazepam Tablets 10 mg PRD 200 Tablets 600 mg Preflex Solution Pregaine Shampoo Pregnacare Capsules Pregnadon Tablets Pregnavite Forte Tablets Pregnavite Forte F Tablets Prematil with Milupan Premence-28 Capsules Premit Tablets 20 mg Prenatal Dri-Kaps Capsules Prenatol Anti Stretch Mark Cream Primes Premiums Tablets Priory Cleansing Herbs Powder Pro-Plus He-Vite Elixir Pro-Vitamin A Capsules (Rodale) Probase 3 Cream Procol Capsules Proctofibre Tablets Prodexin Tablets Proflex Capsules Proflex Tablets 200 mg Progress Powder Propain Tablets Proteolised Liver Tablets Pru Sen Tablet Bar Prymecare Tablets for Soft and Gas Permeable Lenses Prymeclean Cleaning Solution for Soft Lenses Prymesoak Soaking Solution for Soft Lenses Pulmo Bailly Liquid Purgoids Tablets Pyridoxine Tablets, Slow 100 mg |
Quest Balanced Ratio Cal-Mag Tablets Quest Beta Carotene Capsules Quest Gamma EPA Capsules 1000 mg Quest Herbal Range Feverfew Formula Capsules Quest Improved Once-A-Day Tablets Quest Kyolic High Potency 102 Tablets Quest Mega B Complex Plus 1000 mg C Tablets Quest Mega B50 Tablets | Quest Mega B-100 Timed Release Tablets Quest Multi B Complex Plus 500 mg C Tablets Quest Multi C Complex Tablets Quest Non-Dairy Acidophilus Plus Capsules Quest Once-A-Day Tablets Quest Super Mega B + C Tablets Quest Super Mega B-50 Timed Release Tablets |
Quest Super Once-A-Day Divided Dose Tablets Quest Super Once-A-Day Tablets Quest Synergistic Boron Tablets Quest Synergistic Iron Capsules Quest Synergistic Magnesium Tablets Quest Synergistic Selenium Capsules | Quest Synergistic Zinc Capsules Quest Vitamin C Tablets Quest Vitamin C Tablets Sustained Release Quest Vitamin E Capsules Quick Action Cough Cure (Brian C Spencer) Quiet Life Tablets |
Rabenhorst Tomato Juice Radian-B Liniment Radian-B Mineral Bath Liquid Radian-B Mineral Bath Salts Radian-B Rub Ralgex Cream Ralgex Stick Ointment Rapell Head Louse Repellent Pump Spray Rasberry Tablets No B039 Rayglo Chest Rub Ointment Rayglo Laxative Tablets Reach Mouthwash Reactivan Tablets Red Catarrh Pastilles (Baldwin) Redelan Effervescent Tablets Redoxon Adult Multivitamin Tablets Redoxon C Effervescent Tablets 1 g Redoxon C Tablets 25 mg Redoxon C Tablets 50 mg Redoxon C Tablets 200 mg Redoxon C Tablets 250 mg Redoxon C Tablets 500 mg Redoxon Childrens Multivitamin Tablets Redoxon Effervescent Tablets 1 g Reg-U-Lett Tablets Regaine Regina Royal Jelly Capsules Relanium Tablets 2 mg Relanium Tablets 5 mg Relanium Tablets 10 mg Relcofen Tablets Relcol Tablets Remegal Tablets Remnos Tablets 5 mg Remnos Tablets 10 mg Rennie Gold Tablets Rennie Plus Tablets Rennie Rap-Eze Tablets Rennie Tablets Replens Vaginal Moisturiser Resolve Granules Respaton Revlon Nutrasome Shampoo Revlon ZP11 Medicated Shampoo Rheumavit Tablets Rhuaka Herbal Syrup Rhuaka Tablets Rhubarb & Soda Mixture Ammoniated BP Rhubarb Compound Mixture BPC Rhubarb Mixture Compound Paediatric BPC Ribena Riddovydrin Liquid Rinurel Linctus Rinurel Tablets Rite-Diet Diabetic Cherry Cake Rite-Diet Diabetic Fruit Cake Rite-Diet Egg White Replacer Rite-Diet Gluten-Free Baking Powder Rite-Diet Gluten-Free Banana Cake | Rite-Diet Gluten-Free Biscuits (chocolate chip cookies; custard cream biscuit; half covered chocolate digestive biscuit; Lincoln biscuit; milk chocolate biscuit; milk chocolate digestive biscuit; shortcake biscuit; sultana biscuit; soya bran) Rite-Diet Gluten-Free Coconut Cookies Rite-Diet Gluten-Free Crunchy Bars Rite-Diet Gluten-Free Date and Walnut Cake Rite-Diet Gluten-Free Ginger Cake Rite-Diet Gluten-Free Gingernut Cookies Rite-Diet Gluten-Free Muesli Cookies Rite-Diet Gluten-Free Rich Fruit Cake Rite-Diet Hot Breakfast Cereal Rite-Diet Lemon Cake Rite-Diet Macaroni in Mushroom Sauce, Low Protein/Gluten-Free Rite-Diet Spaghetti with Tomato Sauce, Low Protein/Gluten-Free Robaxisal Forte Tablets Roberts Aspirin & Caffeine Tablets Robinsons Baby Rice Robinsons Instant Baby Foods Baby Breakfast Robinsons Instant Baby Foods Baby Dessert Robitussin AC Liquid Robitussin Cough Soother Robitussin Cough Soother Junior Formula Robitussin Expectorant Robitussin Expectorant Plus Robitussin Liquid Robitussin Plus Liquid Robitussin Syrup RoC Amino Moisturising Cream RoC Compact Cleanser RoC Eye Make-Up Remover Lotion RoC Face Powder Loose RoC Foundation Cream RoC High Protection Sun Cream SPF 7/9 RoC Hydra and Body Cream RoC Hydra Plus RoC Intensive Hand Cream RoC Invisible Sunscreen SPF 10/15 RoC Lipo Moisturising Treatment RoC Lipo Vitamin Treatment RoC Pre-Tanning Lotion RoC Soap for Delicate Skin RoC Soothing After Sun Lotion RoC Soothing Eye Gel RoC Treatment Lipstick RoC Vitamin Cream Rock Salmon Cough Mixture Rohypnol Tablets 1 mg Roscorbic Effervescent Tablets Roscorbic Tablets 25 mg Roscorbic Tablets 50 mg Roscorbic Tablets 200 mg Roscorbic Tablets 500 mg Rose Hip C-100 Capsules Rose Hip C-200 Capsules |
Rose Hip Tablets (English Grains) Rose Hip Tablets (Potters) Rose Hip Tablets (Roberts) Rosemary Bath Roskens Ultracare 3 Rosmax Syrup Roter Tablets Rovigon | RRC1 Cream Rubelix Syrup Rubraton B Elixir Ruby Tonic Tablets (Jacksons) Rum Cough Elixir Ruthmol Rutin Plus Tablets (Gerard) |
Safapryn Tablets Safapryn-Co Tablets Safflower Seed Oil Sainsbury’s Aspirin Tablets 300 mg Sainsbury’s Cold Powders with Blackcurrant Sainsbury’s Hot Lemon Powders Sainsbury’s Indigestion Tablets Sainsbury’s Junior Soluble Aspirin Tablets Sainsbury’s Paracetamol Tablets 500 mg Sainsbury’s Soluble Aspirin Tablets Salonair Spray Salzone Syrup Salzone Tablets 500 mg Sanatogen Childrens Vitamins Plus Minerals Sanatogen Cod Liver Oil Capsules Sanatogen Garlic Oil Perle One-A-Day Sanatogen Junior Vitamins Tablets Sanatogen Multivitamins & Calcium Tablets Sanatogen Multivitamins Plus Iron (Formula One) Tablets Sanatogen Multivitamins Tablets Sanatogen Nerve Tonic Powder Sanatogen Selected Multivitamins Plus Iron (Formula Two) Tablets Sanatogen Tonic Sanatogen Vitamin B6 Capsules Sanatogen Vitamin E Capsules Sancos Compound Linctus Sancos Syrup Savant Tablets Savlon Dry Skin Cream Saxin SBL Junior Cough Linctus SBL Soothing Bronchial Linctus Schar Gluten-Free Sponge Cake Scholl Foot Refresher Spray Scott’s Cod Liver Oil Capsules Scott’s Emulsion Scott’s Husky Biscuits Seatone Capsules Seatone Super Strength Capsules Seaweed Vitamin A Ester BP & Vitamin D BP Capsules (Regent Laboratories) Seba-Med Cleansing Bar Seba-Med Cream Seba-Med Facial Wash Seba-Med Lotion Sebbix Shampoo Seclodin Capsules Sedazin Tablets 1 mg Sedazin Tablets 2.5 mg Selora Sodium-free Salt Substitute Selsun Soft Conditioner Senlax Tablets Senna Laxative Tablets (Boots) Senna Tablets (Potters) Senokot Tablets Senotabs Tablets Senselle Natural Feminine Moisture | Sensodyne Toothpaste Serenid D Tablets 10 mg Serenid D Tablets 15 mg Serenid Forte Capsules 30 mg Sergeant’s Dust Mite Patrol Powder Sertin Tablets Setamol Soluble Tablets Setlers Extra Strength Tablets Setlers Liquid Setlers Tablets Seven Seas Calcium Berries with Vitamin D Seven Seas Cod Liver Oil Seven Seas Formula 70 Multivitamin-Multimineral Capsules Seven Seas Garlic Oil Perles Seven Seas Iron Berries with Vitamin C Seven Seas Korean Ginseng Capsules Seven Seas Lecithin Capsules Seven Seas Magnesium Berries Seven Seas Malt and Cod Liver Oil Seven Seas Multivitamin & Mineral Capsules Seven Seas Natural Beta Carotene Capsules Seven Seas Natural Vitamin E in Wheatgerm Capsules Seven Seas Orange Syrup & Cod Liver Oil Seven Seas Pulse Capsules Seven Seas Pure Cod Liver Oil Capsules Seven Seas Selenium E & Cod Liver Oil Capsules Seven Seas Start Right Cod Liver Oil for Babies Seven Seas Super Vitamin E Capsules Seven Seas Vitamin and Mineral Tonic Seven Seas Wheatgerm Oil Capsules Seven Seas Zinc Berries with Vitamin C Sidros Tablets Silk-Lax Tablets Siloxyl Suspension Siloxyl Tablets Simeco Suspension Simeco Tablets Simple Hair Conditioner Simple Moisturising Lotion Simple Moisturising Shower Gel Simple Night Cream Simple Shampoo Simple Soap Simple Sun Block Simple Talcum Powder Sine-Off Tablets Sinitol Capsules Sinutab Tablets Sionon Sweetner Skin Glow Capsules Slim-fast Meal Replacement SMA Gold Cap Powder and Ready-to-Feed SMA Powder and Concentrated Liquid Snufflebabe Vapour Rub Soaclens Solution |
Softab Soft Lens Care Tablets Solis Capsules 2 mg Solis Capsules 5 mg Solis Capsules 10 mg Solmin Tablets Solpadeine Capsules Solpadeine Forte Tablets Solpadeine Tablets Solpadeine Tablets Effervescent Solprin Tablets Soluble Aspirin Tablets for Children (Boots) Soluble Phensic Tablets Solusol Solution Somnite Suspension 2.5 mg/5 ml Somnite Tablets 5 mg Soquette Soaking Solution Sovol Liquid Sovol Tablets Soya Powder & Nicotinamide Tablets SP Cold Relief Capsules Special E Moisture Cream Special Stomach Powder (Halls) Spectraban 4 Lotion SPHP Tablets Squill Linctus Opiate BP (Gee’s Linctus) Squill Linctus Opiate, Paediatric, BP Squire’s Soonax Tablets SR Toothpaste (Gibbs) SR2310 Expectorant St Clements Fruit Juice Concentrate Staffords Mild Aperient Tablets Staffords Strong Aperient Tablets Steradent Mouthwash Steri-Clens Solution Steri-Solve Soft Lens Solution Sterling Health Salts Effervescent Sterling Indigestion Tablets Sterling Paracetamol Tablets Sterogyl Alcoholic Solution Stomach Aids Tablets Stomach Mixture (Herbal Laboratories) Stomach Mixture H138 (Southon Laboratories) Stomach Powder (Diopharm) | Stomach Tablets (Ulter) Stop 'N' Grow Nail Biting Deterrent Street’s Cough Mixture Strengthening Mixture (Hall's) Stress B Supplement Tablets Strychnine & Iron Mixture BPC 1963 Strychnine Mixture BPC 1963 Stute Diabetic Blackcurrant Jam Stute Diabetic Marmalade Sudafed Co Tablets Sudafed Expectorant Sudafed Linctus Sudafed Nasal Spray Sun E45 Lotion SPF 8 Sun Yums Gluten Free & Dairy Free Almond & Coconut Cake Sun Yums Gluten Free & Dairy Free Banana & Sesame Seed Cake Sun Yums Gluten Free & Dairy Free Carob & Mint Cake Sun Yums Gluten Free & Dairy Free Ginger & Pecan Nut Cake Sun Yums Gluten Free & Dairy Free Jaffa Spice Cake Sunerven Tablets Sunnyvale Gluten-Free Rich Plum Pudding Super Plenamins Tablets Super Yeast + C Tablets Superdrug Health Salts Superdrug Heat Spray Supradyn Capsules Supradyn Effervescent Tablets Supradyn Tablets for Children Surbex-T Tablets Surelax Laxative Tablets Surem Capsules 5 mg Surem Capsules 10 mg Sweetex Sylopal Suspension Sylphen Tablets Syn-Ergel Syndol Tablets Syrtussar Cough Syrup |
T-Zone Decongestant Tablets Tabasan Tablets Tablets No B006 Tablets No B011 Tablets No B015 Tablets No B024 Tablets No B025 Tablets No B029 Tablets No B034 Tablets No B035 Tablets No B036 Tablets No B037 Tablets No B038 Tablets No B040 Tablets No B041 Tablets No B045 Tablets No B048 Tablets No B070 Tablets No 268A (Potters) Tablets to Formula A10 Tablets to Formula A11 Tablets to Formula A18 Tablets to Formula A19 | Tablets to Formula A20 Tablets to Formula A22 Tablets to Formula A23 Tablets to Formula A31 Tablets to Formula A32 Tablets to Formula A33 Tablets to Formula A45 Tablets to Formula A51 Tablets to Formula A63 Tablets to Formula A67 Tablets to Formula A68 Tablets to Formula A69 Tablets to Formula A70 Tablets to Formula A71 Tablets to Formula A105 Tablets to Formula A111 Tablets to Formula A114 Tablets to Formula A120 Tablets to Formula A147 Tablets to Formula A157 Tablets to Formula A158 Tablets to Formula A161 Tablets to Formula A162 |
Tablets to Formula A164 Tablets to Formula A165 Tablets to Formula A166 Tablets to Formula A167 Tablets to Formula A169 Tablets to Formula A175 Tablets to Formula A183 Tablets to Formula A184 Tablets to Formula A190 Tablets to Formula A195 Tablets to Formula A202 Tablets to Formula A203 Tablets to Formula A213 Tablets to Formula A221 Tablets to Formula A244 Tablets to Formula A245 Tablets to Formula A246 Tablets to Formula A247 Tablets to Formula A248 Tablets to Formula A249 Tablets to Formula A250 Tablets to Formula A264 Tablets to Formula A266 Tablets to Formula A270 Tablets to Formula A271 Tablets to Formula A272 Tablets to Formula A273 Tablets to Formula A274 Tablets to Formula A275 Tablets to Formula A276 Tablets to Formula A277 Tablets to Formula A298 Tablets to Formula A301 Tablets to Formula A316 Tablets to Formula BA6 Tablets to Formula B10 Tablets to Formula B15 Tablets to Formula B18 Tablets to Formula B19 Tablets to Formula B20 Tablets to Formula B21 Tablets to Formula B22 Tablets to Formula B25 Tablets to Formula B26 Tablets to Formula B29 Tablets to Formula B41 Tablets to Formula B48 Tablets to Formula B51 Tablets to Formula B56 Tablets to Formula B58 Tablets to Formula B64 Tablets to Formula B65 Tablets to Formula B66 Tablets to Formula B67 Tablets to Formula B68 Tablets to Formula B70 Tablets to Formula B71 Tablets to Formula B72 Tablets to Formula B73 Tablets to Formula B74 Tablets to Formula B75 Tablets to Formula B76 Tablets to Formula B77 Tablets to Formula B78 Tablets to Formula B79 Tablets to Formula B80 Tablets to Formula B81 Tablets to Formula B82 | Tablets to Formula B83 Tablets to Formula B85 Tablets to Formula B86 Tablets to Formula B87 Tablets to Formula B90 Tablets to Formula B91 Tablets to Formula B93 Tablets to Formula B94 Tablets to Formula B96 Tablets to Formula B98 Tablets to Formula B100 Tablets to Formula B102 Tablets to Formula B104 Tablets to Formula B117 Tablets to Formula B118 Tablets to Formula B120 Tablets to Formula B122 Tablets to Formula B124 Tablets to Formula B128 Tablets to Formula B141 Tablets to Formula B143 Tablets to Formula B145 Tablets to Formula B148 Tablets to Formula B156 Tablets to Formula B157 Tablets to Formula B158 Tablets to Formula B160 Tablets to Formula B163 Tablets to Formula B169 Tablets to Formula B178 Tablets to Formula B180 Tablets to Formula B181 Tablets to Formula B182 Tablets to Formula B190 Tablets to Formula B193 Tablets to Formula B207 Tablets to Formula B209 Tablets to Formula B210 Tablets to Formula B211 Tablets to Formula B212 Tablets to Formula B213 Tablets to Formula B214 Tablets to Formula B215 Tablets to Formula B216 Tablets to Formula B217 Tablets to Formula B218 Tablets to Formula B222 Tablets to Formula B223 Tablets to Formula B224 Tablets to Formula B225 Tablets to Formula B227 Tablets to Formula B228 Tablets to Formula B231 Tablets to Formula B234 Tablets to Formula B235 Tablets to Formula B236 Tablets to Formula B243 Tablets to Formula B248 Tablets to Formula B250 Tablets to Formula B251 Tablets to Formula B252 Tabmint Anti-Smoking Chewing Gum Tablets Tanacet Feverfew 125 Tancolin Childrens Cough Linctus Tedral Expectorant Temazepam Gelthix Capsules Temazepam Planpak |
Tenaset Wash Cream Tenaset Wash Cream (Unperfumed) Tensium Tablets 2 mg Tensium Tablets 5 mg Tensium Tablets 10 mg Tercoda Elixir Tercolix Elixir Terpalin Elixir Terperoin Elixir Terpoin Antitussive Terrabron Thermogene Medicated Rub Three Noughts Cough Syrup Tidmans Bath Sea Salt Tidman’s Sea Salt Coarse Tiger Balm Liquid Tiger Balm Red Ointment Tiger Balm White Ointment Timotei Herbal Shampoo Titan Hard Cleaser Tixylix Cough and Cold Linctus Tixylix Cough Linctus Tixylix Day-Time Cough Linctus Tixylix Decongestant Inhalant Capsules Tolu Compound Linctus Paediatric BP Tolu Solution BP Tolu Syrup BP Tonatexa Mixture Tonic Tablets (Thomas Guest) Tonic Wines Tonivitan A & D Syrup Tonivitan B Syrup Tonivitan Capsules Top C Tablets Topfit Amino Acid Powder Topfit L-Threonine + Vitamin B6 Capsules 500/12.5 mg Toptabs | Total All Purpose Solution Totavit D R Capsules Totolin Paediatric Cough Syrup Tramil Capsules Trancoprin Tablets Transclean Cleaning Solution Transdrop Transoak Solution Transol Solution Tranxene Capsules 7.5 mg Tranxene Capsules 15 mg Tranxene Tablets 15 mg Triocos Linctus Triogesic Elixir Triogesic Tablets Triominic Syrup Triominic Tablets Triopaed Linctus Triotussic Suspension Triovit Tablets Triple Action Cold Relief Tablets Tritamyl Gluten-Free Bread Mix Tropium Capsules 5 mg Tropium Capsules 10 mg Tropium Tablets 5 mg Tropium Tablets 10 mg Tropium Tablets 25 mg Trufree Crispbran Trufree Tandem IQ Tablets Trufree Vitamin & Minerals Tablets Tudor Rose Bay Rhum Tums Tablets Tusana Linctus Tussifans Syrup Tussimed Liquid Two—A—Day Iron Jelloids Tablets Tymasil Tysons Catarrah Syrup |
Udenum Gastric Vitamin Powder Ultracach Analgesic Capsules Ultradal Antacid Stomach Tablets Ultralief Tablets Uncoated Tablets to Formula A323 Uncoated Tablets to Formula A325 Unicap M Tablets Unicap T Tablets Unichem Baby Oil Unichem Chesty Cough Linctus Unichem Children’s Dry Cough Linctus Unichem Cold Relief Capsules Unichem Cold Relief Day-Time Liquid Unichem Cold Relief Night-Time Liquid | Unichem Cold Relief Powders Unichem Dry Cough Linctus Unichem Extract of Malt with Cod Liver Oil Unichem Multivitamins + Iron Tablets Uniflu Tablets Unigesic Capsules Unigest Tablets Unisomnia Tablets 5 mg United Skin Care Programme (Uni-Derm; Uni-Salve; Uni-Wash) Uvistat Baby Sun Cream SPF 12 Uvistat Lipscreen SPF 5 Lipstick Uvistat SPF 8 Suncream Uvistat SPF 10 Suncream |
Vadarex Wintergreen Heat Rub Vagisil Feminine Powder Valium Capsules 2 mg Valium Capsules 5 mg Valium Syrup 2 mg/5 ml Valium Tablets 2 mg Valium Tablets 5 mg Valium Tablets 10 mg Valonorm Tonic Solution Valrelease Capsules Vanamil Tablets | Vantage Baby Shampoo Vantage Garlic One-A-Day Capsules Vantage Halibut Fish Oil One-A-Day Capsules Vantage Sterilising Fluid Vapex Tablets Vaseline Intensive Care Lotion Vaseline Intensive Care Lotion Herbal and Aloe Veganin Tablets Veno’s Adult Formula Cough Mixture |
Veno’s Cough Mixture Veno’s Honey & Lemon Cough Mixture Veracolate Tablets Verdiviton Elixir Vervain Compound Tablets Vi-Daylin Syrup Vichy Total Sunscreen Vicks Coldcare Capsules Vicks Cremacoat Syrup Vicks Cremacoat Syrup with Doxylamine Succinate Vicks Cremacoat Syrup with Guaiphenesin Vicks Cremacoat Syrup with Paracemtamol & Dextromethorphan Vicks Daymed Vicks Formula 44 Cough Mixture Vicks Inhaler Vicks Medinite Vicks Pectorex Solution Vicks Sinex Nasal Spray Vicks Vapo-Lem Powder Sachets Vicks Vaposyrup Childrens Dry Cough Vicks Vaposyrup for Chesty Coughs Vicks Vaposyrup for Chesty Coughs and Nasal Congestion Vicks Vaposyrup for Dry Coughs Vicks Vaposyrup for Dry Coughs and Nasal Congestion Vicks Vapour Rub Videnal Tablets Vigour Aids Tablets Vigranon B Complex Tablets Vigranon B Syrup Vikelp Coated Tablets Vikonon Tablets Villescon Liquid Villescon Tablets Viobin Octacosanol Tablets 50000 mcg Viobin Pancreatin Tablets 325 mg Vipro Vegetable Protein Virvina Elixir Visclair Tablets Vita Diem Multi Vitamin Drops Vita-E 200 (D-Alpha Tocopherol) Capsules Vita-Six Capsules Vitabrit Beta Carotene Capsules Vitalia Calcium Formula A + D Tablets Vitalia Lecithin Capsules High Potency Vitalia Multivitamins & Minerals Children’s Chewable Sugar-Free Tablets Vitalia Multivitamins & Minerals Tablets without Iron Vitalia Multivitamins & Minerals with Iron Tablets Vitalia Natural E Capsules Vitalia Vitamin A Tablets Vitalia Vitamin B Complex Super Tablets Vitalia Vitamin B6 Tablets Vitalia Vitamin C Chewable Tablets Vitalia Vitamin E Tablets | Vitalia Zinc Amino Acid Chelated Tablets 15 mg Vitalia Zinc Chelated Tablets Vitalife Vital E Capsules Vitalife Vitamin B Complex Tablets Vitalife Vitamin B6 Capsules Vitalin Tablets Vitamin & Iron Tonic (Epitone) Solution Vitamin A & D Capsules BPC 1968 (Regent Laboratories) Vitamin A 4500 Units & Vitamin D2 Capsules (Regent Laboratories) Vitamin A 6000 Units & Vitamin D2 Capsules (Regent Laboratories) Vitamin A, C & D Tablets (Approved Prescription Services) Vitamin A, D & C Tablets (Regent Laboratories) Vitamin A Ester & Vitamin D2 Capsules (Regent Laboratories) Vitamin A Ester Capsules (Regent Laboratories) Vitamin A Ester Conc, Alpha Tocopherol Acetate Nat Capsules (Regent Laboratories) Vitamin B Complex Tablets (English Grains) Vitamin B Complex with Brewer’s Yeast Tablets (English Grains) Vitamin B1 Dried Yeast Powder (Distillers) Vitamin B1 Yeast Tablets (Distillers) Vitamin B12 Tablets 0.01 mg Vitamin B12 Tablets 0.025 mg Vitamin B12 Tablets 0.05 mg Vitamin B12 Tablets 0.10 mg Vitamin B12 Tablets 0.25 mg Vitamin B12 Tablets 0.5 mg Vitamin B12 Tablets 1 mg Vitamin C Tablets Effervescent 1 gramme Vitamin Capsules (Regent Laboratories) Vitamin Malt Extract with Orange Juice (Distillers) Vitamin Mineral Capsules (Regent Laboratories) Vitamin Tablets No B077 Vitamin Tablets No B081 Vitamin Tablets No B084 Vitaminised Iron & Yeast Tablets (Kirby Warrick Pharmaceuticals) Vitanorm Malt Extract Vitanorm Malt Extract Syrup Vitapointe Conditioner Vitasafe’s CF Kaps Tablets Vitasafe’s WCF Kaps Tablets Vitathone Chilblain Tablets Vitatrop Tablets Vitavel Powder for Syrup Vitavel Solution Vitepron Tablets Vitorange Tablets Vitrite Multi-Vitamin Syrup Vykmin Fortified Capsules |
W L Tablets Wallachol Syrup Wallachol Tablets Wate-on Emulsion Wate-on Emulsion Super Wate-on Tablets Wate-on Tablets Super | Wate-on Tonic Waterhouses All Fours Wines Woodwards Nursery Cream Wrights Glucose with Vitamin D Powder Wrights Vaporizing Fluid |
Xanax Tablets 0.25 mg Xanax Tablets 0.5 mg | Xanax Tablets 1.0 mg |
Yeast & B12 Tablets (English Grains) Yeast Plus Tablets (Thomas Guest) Yeast-Vite Tablets | Yellow Phenolphthalein Tablets (any strength) Yestamin Vitamin B5 Tablets |
Zactirin Tablets Zam Buk Ointment Zefringe Sachets Zemaphyte Chinese Herbal Eczema Remedy Zendium Toothpaste | Zenoxone Cream Zubes Expectorant Cough Syrup Zubes Original Cough Mixture Zyriton Expectorant Linctus |
Regulation 2(1)
SCHEDULE 11DRUGS TO BE SUPPLIED BY GENERAL MEDICAL PRACTITIONERS OR PRESCRIBED FOR SUPPLY UNDER PHARMACEUTICAL SERVICES ONLY IN CERTAIN CIRCUMSTANCES
1 Drug | 2 Patient | 3 Purpose |
---|---|---|
Acetylcysteine Granules | Any patient | Treatment of abdominal complications associated with cystic fibroses |
Carbocisteine | A patient under the age of 18 who has undergone a tracheostomy | Treatment of any condition which, through damage or disease, affects the airways and has required a tracheostomy |
Clobazam | Any patient | Treatment of epilepsy |
Cyanocobalamin Tablets | Any patient who is a vegan or who has a proven vitamin B12 deficiency of dietary origin | Treatment or prevention of vitamin B12 deficiency |
Niferex Elixir 30 ml Paediatric Dropper Bottle | Infants Born Prematurely | Prophylaxis and Treatment of Iron Deficiency |
Nizoral Cream | Any Patient | Treatment of Seborrhoeic Dermatitis and Pityriasis Versicolor |
Explanatory Note
(This note is not part of the Regulations)
These Regulations consolidate, with amendments, those provisions of the National Health Service (General Medical and Pharmaceutical Services) (Scotland) Regulations 1974 (“the 1974 Regulations”) which relate to general medical services. The provisions of the 1974 Regulations which relate to pharmaceutical services are consolidated in the National Health Service (Pharmaceutical Services) (Scotland) Regulations 1995 (S.I. 1995/414). The 1974 Regulations and all subsequent amendments are revoked by regulation [13] and Schedule [5] to the National Health Service (Pharmaceutical Services) (Scotland) Regulations 1995. These Regulations therefore regulate the terms on which general medical services are provided under the National Health Service (Scotland) Act 1978.
The principal changes effected by these Regulations are:—
(a)to rationalise various time limits applicable under the existing Regulations; in some cases time limits have been extended to allow more time for the relevant requirements to be met; and
(b)the removal of the right of a Health Board to vary the terms of service for doctors.
These Regulations also make a number of minor or consequential drafting amendments.
1978 c. 29; section 2(5) was amended by the National Health Service and Community Care Act 1990 (c. 19) (“the 1990 Act”), Schedule 9, paragraph 19(1); section 19 was amended by the Health Services Act 1980 (c. 53) (“the 1980 Act”), section 7, by the Health and Social Services and Social Security Adjudications Act 1983 (c. 41) (“the 1983 Act”), Schedule 7, paragraph 2, by the Medical Act 1983 (c. 54), Schedule 5, paragraph 17(a) and by the 1990 Act, section 37 and is to be read with the Health and Medicines Act 1988 (c. 49), section 17; section 20(1) was amended by the 1980 Act, Schedule 6, paragraph 3 and S.I. 1981/432; section 23 (2A) was inserted by and subsection (4) amended by the 1990 Act, section 39(2) and (3); section 24 was amended by the 1990 Act, section 39(7); section 28(1) was amended by the National Health Service (Amendment) Act 1986 (c. 66), section 3(4); section 28A was inserted by the Health and Social Security Act 1984 (c. 48), section 7(2) and was amended by the Health and Medicines Act 1988 (c. 49), section 15; section 105(7) was amended by the 1980 Act, Schedule 6, paragraph 5 and Schedule 7 and by the 1983 Act, Schedule 9, paragraph 24; see section 108(1) for the definitions of “prescribed” and “regulations”.
Section 27(1) was amended by the Health Services Act 1980 (c. 53), section 20 and by the 1990 Act, Schedule 9, paragraph 19(7)(a).
Section 29 was amended by the Health and Social Security Act 1984 (c. 48), Schedule 8, Part I.
Section 20(1A) was added by S.I. 1981/432.
S.I. 1980/30, amended by S.I. 1981/55, 1982/770, 1983/948, 1984/1258, 1986/1657, 1991/576 and 1994/3130.
Section 23(4) was amended by the 1990 Act, section 39(3).
Section 23(2A) was inserted by the 1990 Act, section 39(2).
Section 23(4)(a) was inserted by the 1990 Act, section 39(3).
Section 23(5) was amended by S.I. 1981/432, by the Health and Medicines Act 1988 (c. 49), Schedule 2, paragraph 10 and by the 1990 Act, section 39(4).
Subsection (7) of section 19 was inserted by the Health and Social Services and Social Security Adjudications Act 1983 (c. 41), Schedule 7, paragraph 2 and was amended by the Medical Act 1983 (c. 54), Schedule 5, paragraph 17(a).
Section 20(1A) was inserted by S.I. 1981/432.
S.I. 1992/434, amended by S.I. 1994/3038.
Section 44(5) was amended by the Children Act 1975 (c. 72), Schedule 3, paragraph 56 and by the Law Reform (Miscellaneous Provisions) (Scotland) Act 1985 (c. 73), section 28.
Section 27 was amended by the Health Services Act 1980 (c. 53), section 20(2), by the National Health Service (Amendment) Act 1986 (c. 66), section 3(3) and by the 1990 Act, Schedule 9, paragraph 19(7).
S.I. 1992/434, amended by S.I. 1994/3038.
1982 c. 24; section 17 was amended by section 20 of the Social Security Act 1985 (c. 53).
1977 c. 49; section 10 was substituted by the Health and Social Security Act 1984 (c. 48), section 5(1) and was amended by the 1990 Act, section 2.
Section 29 was amended by the Health and Social Security Act 1984 (c. 48), Schedule 8, Part I.
Section 23(4) was amended by the 1990 Act, section 39(3).
S.I. 1985/2066, the relevant amending instrument is S.I. 1986/2330.
S.I. 1989/326, amended by S.I. 1990/468, 1990/787, 1991/574, 1992/394, 1993/522 and 1994/697.
Section 57 was substituted by the Health and Medicines Act 1988 (c. 49), section 7(11) and amended by the 1990 Act, Schedule 9, paragraph 19(10) and Schedule 10.
Section 26 was amended by the Health and Social Security Act 1984 (c. 48), Schedules 1 and 8 and by the Health and Medicines Act 1988, section 13(4).
Section 26(1E) was inserted by the Health and Medicines Act 1988 (c. 49), section 13(4).
S.I. 1993/488; amended by S.I. 1993/1369.
S.I. 1980/30, amended by S.I. 1981/55, 1982/770, 1983/948, 1984/1258, 1986/1657, 1991/576 and 1994/3130.