The National Health Service (General Medical Services Contracts) Regulations 2015

1. Introductory TextNext Match

2. PART 1 GeneralPrevious MatchNext Match

   1. 1. Citation and commencementPrevious MatchNext Match

   2. 2. ApplicationPrevious MatchNext Match

   3. 3. InterpretationPrevious MatchNext Match

   4. 3A. Variation of core hours while a disease is or in anticipation of a disease being imminently pandemic etc.Previous MatchNext Match

   5. 3B. Amendment and withdrawal of announcements and advice in respect of pandemics etc.Previous MatchNext Match

3. PART 2 Contractors: conditions and eligibilityPrevious MatchNext Match

   1. 4. Conditions: generalPrevious MatchNext Match

   2. 5. Conditions relating solely to medical practitionersPrevious MatchNext Match

   3. 6. General condition relating to all contractsPrevious MatchNext Match

   4. 7. Notice of conditions not being met and reasonsPrevious MatchNext Match

   5. 8. Right of appealPrevious MatchNext Match

4. PART 3 Pre-contract dispute resolutionPrevious MatchNext Match

   1. 9. Pre-contract disputesPrevious MatchNext Match

5. PART 4 Health service body statusPrevious MatchNext Match

   1. 10. Health service body status: electionPrevious MatchNext Match

   2. 11. Health service body status: variation of contractsPrevious MatchNext Match

   3. 12. Cessation of health service body statusPrevious MatchNext Match

6. PART 5 Contracts: required termsPrevious MatchNext Match

   1. 13. Parties to the contractPrevious MatchNext Match

   2. 14. Health service contractPrevious MatchNext Match

   3. 15. Contracts with individuals practising in partnershipPrevious MatchNext Match

   4. 16. DurationPrevious MatchNext Match

   5. 17. Essential servicesPrevious MatchNext Match

   6. 18. Out of hours servicesPrevious MatchNext Match

   7. 19. Minor surgeryPrevious MatchNext Match

   8. 20. Services: generalPrevious MatchNext Match

   9. 20A. Services: remote provision outside practice premisesPrevious MatchNext Match

   10. 21. Membership of a CCGPrevious MatchNext Match

   11. 22. CertificatesPrevious MatchNext Match

   12. 22A. Patients who should not be tested for, or vaccinated against, coronavirus: confirmation of exemptionPrevious MatchNext Match

   13. 23. FinancePrevious MatchNext Match

   14. 24. Fees and chargesPrevious MatchNext Match

   15. 25. Circumstances in which fees and charges may be madePrevious MatchNext Match

   16. 26. Patient participationPrevious MatchNext Match

   17. 27. Publication of earnings informationPrevious MatchNext Match

   18. 27A. Disclosure of information about NHS earnings: contractors and sub-contractorsPrevious MatchNext Match

   19. 27AA. Disclosure of information about NHS earnings: jobholdersPrevious MatchNext Match

   20. 27B. Calculation of NHS earnings for the purposes of regulations 27A and 27AAPrevious MatchNext Match

   21. 28. Sub-contractingPrevious MatchNext Match

   22. 29. Variation of contractsPrevious MatchNext Match

   23. 29A. Variation of contracts: integrated care provider contractsPrevious MatchNext Match

   24. 30. Variation of contracts: registered patients from outside practice areaPrevious MatchNext Match

   25. 31. Termination of a contractPrevious MatchNext Match

   26. 32. Other contractual termsPrevious MatchNext Match

   27. 32A. Suspension of contract terms or of enforcement of contract terms while a disease is or in anticipation of a disease being imminently pandemic etc.Previous MatchNext Match

7. PART 6 Opt outs: additional and out of hours servicesPrevious MatchNext Match

   1. 33. Opt outs: interpretationPrevious MatchNext Match

   2. 34. Opt outs: generalPrevious MatchNext Match

   3. 35. Opt outs: minor surgeryPrevious MatchNext Match

   4. 36. Minor surgery: temporary opt outs and permanent opt outs following temporary opt outsPrevious MatchNext Match

   5. 37. Minor surgery: permanent opt outsPrevious MatchNext Match

   6. 38. Out of hours services: opt outsPrevious MatchNext Match

   7. 39. Informing patients of opt outsPrevious MatchNext Match

8. PART 7 Persons who perform servicesPrevious MatchNext Match

   1. 40. Qualifications of performers: medical practitionersPrevious MatchNext Match

   2. 41. Qualifications of performers: health care professionalsPrevious MatchNext Match

   3. 42. Conditional registration or inclusion in primary care listPrevious MatchNext Match

   4. 43. Clinical experiencePrevious MatchNext Match

   5. 44. Conditions for employment and engagement: medical practitionersPrevious MatchNext Match

   6. 45. Conditions for employment or engagement: health care professionalsPrevious MatchNext Match

   7. 46. Clinical referencesPrevious MatchNext Match

   8. 47. Verification of qualifications and competencePrevious MatchNext Match

   9. 48. TrainingPrevious MatchNext Match

   10. 49. Terms and conditionsPrevious MatchNext Match

   11. 50. Arrangements for GP Specialty RegistrarsPrevious MatchNext Match

   12. 51. Notice requirements in respect of relevant prescribersPrevious MatchNext Match

   13. 52. Signing of documentsPrevious MatchNext Match

   14. 53. Level of skillPrevious MatchNext Match

   15. 54. Appraisal and assessmentPrevious MatchNext Match

9. PART 8 Prescribing and dispensingPrevious MatchNext Match

   1. 55. Prescribing: generalPrevious MatchNext Match

   2. 55A. Prescribing software and supply shortages etc. of medicinesPrevious MatchNext Match

   3. 56. Orders for drugs, medicines or appliancesPrevious MatchNext Match

   4. 57. Electronic prescriptionsPrevious MatchNext Match

   5. 58. Nomination of dispensers for the purposes of electronic prescriptionsPrevious MatchNext Match

   6. 59. Repeatable prescribing servicesPrevious MatchNext Match

   7. 60. Repeatable prescriptionsPrevious MatchNext Match

   8. 60A. Prescribing for electronic repeat dispensingPrevious MatchNext Match

   9. 61. Restrictions on prescribing by medical practitionersPrevious MatchNext Match

   10. 62. Restrictions on prescribing by supplementary prescribersPrevious MatchNext Match

   11. 63. Bulk prescribingPrevious MatchNext Match

   12. 64. Excessive prescribingPrevious MatchNext Match

   13. 65. Provision of drugs, medicines and appliances for immediate treatment or personal administrationPrevious MatchNext Match

10. PART 9 Prescribing and dispensing: out of hours servicesPrevious MatchNext Match

    1. 66. Supply of medicines etc. by contractors providing out of hours servicesPrevious MatchNext Match

11. PART 9A Vaccines and immunisationsPrevious MatchNext Match

    1. 66A. Vaccines and immunisations: duty of co-operationPrevious MatchNext Match

    2. 66B. Vaccines and immunisations: standardsPrevious MatchNext Match

    3. 66C. Vaccines and immunisations: catch-up campaignsPrevious MatchNext Match

    4. 66D. Vaccines and immunisations: additional staff trainingPrevious MatchNext Match

    5. 66E. Vaccines and immunisations: nominated personPrevious MatchNext Match

    6. 66F. Vaccines and immunisations: exception for private arrangementsPrevious MatchNext Match

12. PART 10 Records and informationPrevious MatchNext Match

    1. 67. Patient recordsPrevious MatchNext Match

    2. 67A. Record of ethnicity informationPrevious MatchNext Match

    3. 68. Summary Care RecordPrevious MatchNext Match

    4. 69. Electronic transfer of patient records between GP practicesPrevious MatchNext Match

    5. 69A. Transfer of patient records between GP practices: time limitsPrevious MatchNext Match

    6. 70. Clinical correspondence: requirement for NHS numberPrevious MatchNext Match

    7. 70A. Use of fax machinesPrevious MatchNext Match

    8. 71. Patient online services : appointments and prescriptionsPrevious MatchNext Match

    9. 71ZA. Patient online services: provision of online access to coded information in medical record and prospective medical recordsPrevious MatchNext Match

    10. 71ZB. Patient online services: provision of online access to full digital medical recordPrevious MatchNext Match

    11. 71ZC. Patient online services: providing and updating personal or contact informationPrevious MatchNext Match

    12. 71ZD. Patient online services: provision of an online consultation toolPrevious MatchNext Match

    13. 71ZE. Secure electronic communicationsPrevious MatchNext Match

    14. 71ZF. Video consultationsPrevious MatchNext Match

    15. 71ZG. Meaning of “appropriate software” for the purposes of regulations 71ZD, 71ZE and 71ZFPrevious MatchNext Match

    16. 71A. Patient access to online servicesPrevious MatchNext Match

    17. 71B. Patient access: other availability of directly bookable appointmentsPrevious MatchNext Match

    18. 72. Confidentiality of personal data: nominated personPrevious MatchNext Match

    19. 73. Requirement to have and maintain an online presencePrevious MatchNext Match

    20. 73A. Requirement to maintain profile page on NHS websitePrevious MatchNext Match

    21. 74. Provision of informationPrevious MatchNext Match

    22. 74A. Provision of information: GP access dataPrevious MatchNext Match

    23. 74B. National Diabetes AuditPrevious MatchNext Match

    24. 74C. Information relating to indicators no longer in the Quality and Outcomes FrameworkPrevious MatchNext Match

    25. 74D. Information relating to alcohol related risk reduction and dementia diagnosis and treatmentPrevious MatchNext Match

    26. 74E. NHS England Workforce CollectionsPrevious MatchNext Match

    27. 74F. Information relating to overseas visitorsPrevious MatchNext Match

    28. 74G. Medicines and Healthcare products Regulatory Agency Central Alerting SystemPrevious MatchNext Match

    29. 74H. Collection of data relating to appointments in general practicePrevious MatchNext Match

    30. 74I. Collection of data concerning use of online consultation tools and video consultationsPrevious MatchNext Match

    31. 75. Inquiries about prescriptions and referralsPrevious MatchNext Match

    32. 76. Provision of information to a medical officer etc.Previous MatchNext Match

    33. 77. Annual return and reviewPrevious MatchNext Match

    34. 78. Practice leafletPrevious MatchNext Match

13. PART 11 ComplaintsPrevious MatchNext Match

    1. 79. Complaints procedurePrevious MatchNext Match

    2. 80. Co-operation with investigationsPrevious MatchNext Match

14. PART 12 Dispute resolutionPrevious MatchNext Match

    1. 81. Local resolution of contract disputesPrevious MatchNext Match

    2. 82. Dispute resolution: non-NHS contractsPrevious MatchNext Match

    3. 83. NHS dispute resolution procedurePrevious MatchNext Match

    4. 84. Determination of the disputePrevious MatchNext Match

    5. 85. Interpretation of this PartPrevious MatchNext Match

15. PART 13 Functions of a Local Medical CommitteePrevious MatchNext Match

    1. 86. Functions of a Local Medical CommitteePrevious MatchNext Match

16. PART 14 MiscellaneousPrevious MatchNext Match

    1. 87. Clinical governancePrevious MatchNext Match

    2. 88. Friends and Family TestPrevious MatchNext Match

    3. 89. Co-operation with NHS EnglandPrevious MatchNext Match

    4. 90. Co-operation with the Secretary of State and NHS EnglandPrevious MatchNext Match

    5. 91. InsurancePrevious MatchNext Match

    6. 92. Public liability insurancePrevious MatchNext Match

    7. 93. GiftsPrevious MatchNext Match

    8. 94. Compliance with legislation and guidancePrevious MatchNext Match

    9. 95. Third party rightsPrevious MatchNext Match

17. PART 15 General transitional provision and saving, consequential amendments and revocationsPrevious MatchNext Match

    1. 96. General transitional provision and savingPrevious MatchNext Match

    2. 97. Consequential amendmentsPrevious MatchNext Match

    3. 98. RevocationsPrevious MatchNext Match

18. Signature Previous MatchNext Match

19. 1. SCHEDULE 1Previous MatchNext Match

       Additional servicesPrevious MatchNext Match

       1. 1. Additional services: generalPrevious MatchNext Match

       2. 2. Cervical screeningPrevious MatchNext Match

       3. 3. Contraceptive servicesPrevious MatchNext Match

       4. 4. Vaccines and immunisationsPrevious MatchNext Match

       5. 5. Childhood vaccines and immunisationsPrevious MatchNext Match

       6. 6. Child health surveillancePrevious MatchNext Match

       7. 7. Maternity medical servicesPrevious MatchNext Match

       8. 8. Minor surgeryPrevious MatchNext Match

    2. SCHEDULE 2Previous MatchNext Match

       List of prescribed medical certificatesPrevious MatchNext Match

    3. SCHEDULE 3Previous MatchNext Match

       Other contractual termsPrevious MatchNext Match

       1. PART 1 Provision of servicesPrevious MatchNext Match

          1. 1. PremisesPrevious MatchNext Match

          2. 2. Telephone servicesPrevious MatchNext Match

          3. 2A. New telephone contract or arrangementPrevious MatchNext Match

          4. 3. Cost of relevant callsPrevious MatchNext Match

          5. 4. Contact with the practicePrevious MatchNext Match

          6. 5. Attendance outside practice premisesPrevious MatchNext Match

          7. 6. Newly registered patientsPrevious MatchNext Match

          8. 7. Newly registered patients – alcohol dependency screeningPrevious MatchNext Match

          9. 7A. Patients living with frailtyPrevious MatchNext Match

          10. 8. Accountable GPPrevious MatchNext Match

          11. 9. Patients not seen within three yearsPrevious MatchNext Match

          12. 10. Patients aged 75 and overPrevious MatchNext Match

          13. 11. Patients aged 75 and over: accountable GPPrevious MatchNext Match

          14. 11A. NHS e-Referral Service (e-RS)Previous MatchNext Match

          15. 11B. Direct booking by NHS 111 or via a connected servicePrevious MatchNext Match

          16. 12. Clinical reportsPrevious MatchNext Match

          17. 13. Storage of vaccinesPrevious MatchNext Match

          18. 14. Infection controlPrevious MatchNext Match

          19. 15. Duty of co-operationPrevious MatchNext Match

          20. 15A. Duty of co-operation: Primary Care NetworksPrevious MatchNext Match

          21. 15B. Duty to have regard to Armed Forces Covenant principlesPrevious MatchNext Match

          22. 16. Cessation of service provision: information requestsPrevious MatchNext Match

       2. PART 2 Patients: generalPrevious MatchNext Match

          1. 17. List of patientsPrevious MatchNext Match

          2. 18. Application for inclusion in a list of patientsPrevious MatchNext Match

          3. 19. Inclusion in list of patients: armed forces personnelPrevious MatchNext Match

          4. 19A. Inclusion in list of patients: detained personsPrevious MatchNext Match

          5. 20. Temporary residentsPrevious MatchNext Match

          6. 21. Refusal of applications for inclusion in list of patients or for acceptance as temporary residentPrevious MatchNext Match

          7. 22. Patient preference of a practitionerPrevious MatchNext Match

          8. 23. Removal from the list at the request of the patientPrevious MatchNext Match

          9. 24. Removal from the list at the request of the contractorPrevious MatchNext Match

          10. 25. Removal from the list of patients who are violentPrevious MatchNext Match

          11. 26. Removal from the list of patients registered elsewherePrevious MatchNext Match

          12. 27. Removal from the list of patients who have movedPrevious MatchNext Match

          13. 28. Removal from the list of patients whose address is unknownPrevious MatchNext Match

          14. 29. Removal from the list of patients absent from the United Kingdom etc.Previous MatchNext Match

          15. 30. Removal from the list of patients accepted elsewhere as temporary residentsPrevious MatchNext Match

          16. 31. Removal from the list of pupils etc. of a schoolPrevious MatchNext Match

          17. 32. Termination of responsibility for patients not registered with the contractorPrevious MatchNext Match

       3. PART 2A List of patients: Crown servants posted overseas and their family membersPrevious MatchNext Match

          1. CHAPTER 1 Interpretation of Part 2APrevious MatchNext Match

             1. 32A. Meaning of “qualifying person”Previous MatchNext Match

             2. 32B. Qualifying persons to be treated as previous patients of contractorsPrevious MatchNext Match

             3. 32C. General interpretation of Part 2APrevious MatchNext Match

          2. CHAPTER 2 Crown servants and family members returning to the United Kingdom: registering with original or successor practicePrevious MatchNext Match

             1. 32D. Crown servants and family members returning to the United Kingdom for more than three months: inclusion in list of original or successor practicePrevious MatchNext Match

             2. 32E. Persons returning to the United Kingdom for three months or less: temporary registration with original or successor practicePrevious MatchNext Match

          3. CHAPTER 3 Crown servants and family members returning to the United Kingdom: registration with a new practicePrevious MatchNext Match

             1. 32F. Crown servants and family members returning to the United Kingdom for more than three months: inclusion in list of patients of a new practicePrevious MatchNext Match

             2. 32G. Crown servants and family members returning to the United Kingdom for three months or less: temporary registration with new practicePrevious MatchNext Match

          4. CHAPTER 4 Refusal of applications under this PartPrevious MatchNext Match

             1. 32H. Refusal of an application under paragraphs 32D to 32GPrevious MatchNext Match

       4. PART 3 Lists of patients: closure etc.Previous MatchNext Match

          1. 33. Application for closure of list of patientsPrevious MatchNext Match

          2. 34. Approval of an application to close a list of patientsPrevious MatchNext Match

          3. 35. Rejection of an application to close a list of patientsPrevious MatchNext Match

          4. 36. Application for an extension of a closure periodPrevious MatchNext Match

          5. 37. Re-opening of list of patientsPrevious MatchNext Match

       5. PART 4 Assignment of patients to listsPrevious MatchNext Match

          1. 38. Application of this PartPrevious MatchNext Match

          2. 39. Assignment of patients to list of patients: open and closed listsPrevious MatchNext Match

          3. 40. Factors relevant to assignmentsPrevious MatchNext Match

          4. 40A. Assignment of patients from outside practice areaPrevious MatchNext Match

          5. 41. Assignments to closed lists: composition and determinations of the assessment panelPrevious MatchNext Match

          6. 42. Assignment to closed lists: NHS dispute resolution procedure relating to determinations of the assessment panelPrevious MatchNext Match

          7. 43. Assignments to closed lists: assignments of patients by NHS EnglandPrevious MatchNext Match

       6. PART 5 Sub-contractingPrevious MatchNext Match

          1. 44. Sub-contracting of clinical mattersPrevious MatchNext Match

          2. 45. Sub-contracting out of hours servicesPrevious MatchNext Match

          3. 46. Withdrawal and variation of approval under paragraph 45Previous MatchNext Match

          4. 47. Withdrawal or variation of approval with immediate effectPrevious MatchNext Match

       7. PART 6 Provision of information: practice leaflet, use of NHS primary care logo, marketing campaigns and advertising private servicesPrevious MatchNext Match

          1. 48. Information to be included in practice leafletsPrevious MatchNext Match

          2. 48A. Use of NHS primary care logoPrevious MatchNext Match

          3. 48B. Marketing campaignsPrevious MatchNext Match

          4. 48C. Advertising private servicesPrevious MatchNext Match

       8. PART 7 Notice requirements and rights of entryPrevious MatchNext Match

          1. 49. Notices to NHS EnglandPrevious MatchNext Match

          2. 50. Notice provisions specific to a contract with a company limited by sharesPrevious MatchNext Match

          3. 51. Notice provisions specific to a contract with two or more individuals practising in a partnershipPrevious MatchNext Match

          4. 52. Notice of deathsPrevious MatchNext Match

          5. 53. Notices given to patients following variation of the contractPrevious MatchNext Match

          6. 54. Entry and inspection by NHS EnglandPrevious MatchNext Match

          7. 55. Entry and inspection by the Care Quality CommissionPrevious MatchNext Match

          8. 56. Entry and inspection by Local Healthwatch organisationsPrevious MatchNext Match

       9. PART 8 Variation and termination of contractsPrevious MatchNext Match

          1. 57. Variation: generalPrevious MatchNext Match

          2. 58. Variation provisions specific to a contract with an individual medical practitionerPrevious MatchNext Match

          3. 59. Variation provisions specific to a contract with two or more persons practising in partnershipPrevious MatchNext Match

          4. 60. Termination by agreementPrevious MatchNext Match

          5. 61. Termination on the death of an individual medical practitionerPrevious MatchNext Match

          6. 62. Termination by the contractorPrevious MatchNext Match

          7. 63. Late payment noticesPrevious MatchNext Match

          8. 64. Termination by NHS England: generalPrevious MatchNext Match

          9. 65. Termination by NHS England for breach of conditions in regulation 5Previous MatchNext Match

          10. 66. Termination by NHS England for the provision of untrue etc. informationPrevious MatchNext Match

          11. 67. Other grounds for termination by NHS EnglandPrevious MatchNext Match

          12. 68. Termination by NHS England where patients' safety is seriously at risk or where there is risk of material financial loss to BoardPrevious MatchNext Match

          13. 69. Termination by NHS England for unlawful sub-contractingPrevious MatchNext Match

          14. 70. Termination by NHS England: remedial notices and breach noticesPrevious MatchNext Match

          15. 71. Termination by NHS England: additional provisions specific to contracts with two or more persons practising in partnership and companies limited by sharesPrevious MatchNext Match

          16. 72. Contract sanctionsPrevious MatchNext Match

          17. 73. Contract sanctions and the NHS dispute resolution procedurePrevious MatchNext Match

          18. 74. Termination and the NHS dispute resolution procedurePrevious MatchNext Match

          19. 75. Consultation with the Local Medical CommitteePrevious MatchNext Match

    4. SCHEDULE 3APrevious MatchNext Match

       Suspension and reactivation of general medical services contractsPrevious MatchNext Match

       1. 1. InterpretationPrevious MatchNext Match

       2. 2. Right to suspend a general medical services contractPrevious MatchNext Match

       3. 3. Integrated care provider contractsPrevious MatchNext Match

       4. 4. Notice of intention to suspend a general medical services contractPrevious MatchNext Match

       5. 5. Suspension of a general medical services contract: generalPrevious MatchNext Match

       6. 6. Notice of intention to reactivate a general medical services contractPrevious MatchNext Match

       7. 7. Right to reactivate a general medical services contractPrevious MatchNext Match

       8. 8. Reactivation of a general medical services contract: generalPrevious MatchNext Match

       9. 9. Termination, expiry or variation of an integrated care provider contractPrevious MatchNext Match

    5. SCHEDULE 4Previous MatchNext Match

       Consequential amendmentsPrevious MatchNext Match

       1. 1. Amendment of the National Health Service (General Medical Services Contracts) (Prescription of Drugs etc) Regulations 2004Previous MatchNext Match

       2. 2. Amendment of the Primary Medical Services (Sale of Goodwill and Restrictions on Sub-contracting) Regulations 2004Previous MatchNext Match

       3. 3. Amendment of the NHS Business Services Authority (Awdurdod Gwasanaethau Busnes y GIG) Establishment and Constitution) Order 2005Previous MatchNext Match

       4. 4. Amendment of the Local Authority Social Services and National Health Service Complaints (England) Regulations 2009Previous MatchNext Match

       5. 5. Amendment of the National Health Service (Functions of the First-tier Tribunal relating to Primary Medical, dental and Ophthalmic Services) Regulations 2010Previous MatchNext Match

       6. 6. Amendment of the National Health Service (Clinical Commissioning Groups) Regulations 2012Previous MatchNext Match

       7. 7. Amendment of the National Health Service (Performers Lists) (England) Regulations 2013Previous MatchNext Match

       8. 8. Amendment of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013Previous MatchNext Match

       9. 9. Amendment of the National Health Service (Clinical Commissioning Groups – Disapplication of Responsibility) Regulations 2013Previous MatchNext Match

       10. 10. Amendment of the National Health Service (Procurement, Patient Choice and Competition) (No. 2) Regulations 2013Previous MatchNext Match

    6. SCHEDULE 5Previous MatchNext Match

       List of enactments to be revokedPrevious MatchNext Match

       1. 1. The enactments listed in column 1 of the Table are...Previous MatchNext Match

20. Explanatory Note Previous Match