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National Health Service Act 1977
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This version of this provision is prospective.
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The term provision is used to describe a definable element in a piece of legislation that has legislative effect – such as a Part, Chapter or section. A version of a provision is prospective either:
- where the provision (Part, Chapter or section) has never come into force or;
- where the text of the provision is subject to change, but no date has yet been appointed by the appropriate person or body for those changes to come into force.
Commencement Orders listed in the ‘Changes to Legislation’ box as not yet applied may bring this prospective version into force.
Changes to legislation:
There are outstanding changes not yet made by the legislation.gov.uk editorial team to National Health Service Act 1977. Any changes that have already been made by the team appear in the content and are referenced with annotations.
Changes to Legislation
Revised legislation carried on this site may not be fully up to date. Changes and effects are recorded by our editorial team in lists which can be found in the ‘Changes to Legislation’ area. Where those effects have yet to be applied to the text of the legislation by the editorial team they are also listed alongside the legislation in the affected provisions. Use the ‘more’ link to open the changes and effects relevant to the provision you are viewing.
Changes and effects yet to be applied to Section 28C:
- s. 28C(1)(a) (b) word substituted by 2003 c. 43 Sch. 11 para. 14
- s. 28C(2)(a) (b) word substituted by 2003 c. 43 Sch. 11 para. 14
- s. 28C(3) repealed by 2003 c. 43 Sch. 14 Pt. 4
- s. 28C(4) word substituted by 2003 c. 43 Sch. 11 para. 14
- s. 28C(7) repealed by 2003 c. 43 Sch. 14 Pt. 4
Changes and effects yet to be applied to the whole Act associated Parts and Chapters:
- Act repealed by 2006 c. 43 Sch. 4
Whole provisions yet to be inserted into this Act (including any effects on those provisions):
- s. 3(4) inserted by 2003 c. 43 Sch. 11 para. 8
- s. 3(4)(a) words substituted by 2006 c. 28 Sch. 8 para. 7(4)(a)
- s. 3(4)(b) modified by S.I. 2004/865 art. 109(2)(a)
- s. 3(4)(b) words substituted by 2006 c. 28 Sch. 8 para. 7(4)(b)
- s. 8(9) (10) added by 2006 c. 28 s. 74(1)
- s. 11(4A) (4B) inserted by 2006 c. 28 s. 74(2)(a)
- s. 16CD 16CE inserted by 2006 c. 28 s. 37
- s. 19A(2)(aa) inserted by 2003 c. 43 Sch. 9 para. 9
- s. 21(4) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 9
- s. 22(1A)(e) inserted by 2003 c. 43 Sch. 4 para. 25
- s. 28D(1)(bc)(i) modified by S.I. 2004/865 art. 109(2)(a)
- s. 28D(1)(bc)(iii) words substituted by S.I. 2004/957 Sch. para. 3
- s. 28E(3)(ca) inserted by 2003 c. 43 s. 177(7)
- s. 28E(3A) (3B) inserted by 2003 c. 43 s. 177(8)
- s. 28E(3C) inserted by 2003 c. 43 s. 177(9)
- s. 28E(3D) inserted by 2003 c. 43 s. 177(10)
- s. 28E(3E) (3F) inserted by 2003 c. 43 s. 177(11)
- s. 28M(4) words substituted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 16
- s. 28W(5) applied by S.I. 2004/478 reg. 100(3)
- s. 28W(5) applied by S.I. 2004/478 Sch. 6 para. 100(3)
- s. 28X applied (with modifications) by S.I. 2006/552 Sch. 1 para. 4
- s. 28X heading words substituted by 2006 c. 28 s. 39(5)
- s. 28X(1A) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 17(a)
- s. 28X(2A) inserted by 2006 c. 28 s. 39(2)
- s. 28X(3)(b) words substituted by 2006 c. 28 s. 39(3)
- s. 28X(3)(c) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 17(b)
- s. 28X(6A) inserted by 2006 c. 28 s. 39(4)
- s. 28Y inserted by 2003 c. 43 s. 180
- s. 28Y(1) applied (with modifications) by S.I. 2006/552 Sch. 1 para. 5
- s. 28Y(1)(a) substituted by 2006 c. 28 s. 40(2)
- s. 28Y(1)(b) words substituted by 2006 c. 28 s. 40(3)
- s. 28Y(1)(c) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 18
- s. 28WA-28WF and cross-heading inserted by 2006 c. 28 s. 38
- s. 29-34A repealed by 2003 c. 43 s. 175(2) Sch. 14 Pt. 4
- s. 34A inserted by 1997 c. 46 s. 25(1) (This amendment not applied to legislation.gov.uk. S. 25(1) repealed (1.4.2004) without ever being in force by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 14 Pt. 4 Note; S.I. 2004/288, art. 6(2)(p) (with art. 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); S.I. 2004/480, art. 5(2)(p) (with arts. 6, 7) (as amended by S.I. 2004/1019 and S.I. 2006/345))
- s. 35(3)-(3B) substituted for s. 35(3) by S.I. 2005/2011 Sch. 6 para. 1(2)(a) (This amendment comes into force on a day to be specified in the London, Edinburgh and Belfast Gazettes (see, for example, the London Gazette, issue nos. 57734, 57975, 58050 and 58769, dated respectively 19.8.2005, 5.6.2006, 21.7.2006 and 18.7.2008))
- s. 42(2A) inserted by 2001 c. 15 s. 40(3)
- s. 42(2B) (2C) inserted by 2006 c. 28 s. 35
- s. 42A 42B inserted by 2006 c. 28 s. 34(1)
- s. 43(4)(5) added by 1997 c. 19 Sch. para. 6 (This amendment not applied to legislation.gov.uk. 1997 c. 19 repealed (30.3.2007) by S.I. 2007/289, art. 1(2)(3), Sch. 1 para. 6; commencing date as notified in The Gazette, published 23.3.2007)
- s. 43A inserted by 1984 c. 48 s. 7(1) (This amendment not applied to legislation.gov.uk. S. 7(1) repealed (1.3.2007 immediately before the National Health Service Act 2006 comes into force) without ever being in force by National Health Service (Pre - consolidation Amendments) Order 2006 (S.I. 2006/1407), art. 1(1), Sch. 2 (with art. 4))
- s. 43A 43B substituted by 1999 c. 8 s. 10(1)(2) (This amendment not applied to legislation.gov.uk. S. 10 repealed (1.3.2007) without ever being in force by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1))
- s. 43A 43B substituted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 19
- s. 43A(3) repealed by 1997 c. 46 Sch. 2 para. 77 Sch. 3 Pt. 2 (This amendment not applied to legislation.gov.uk. Sch. 2 para. 77 repealed (E.W.) (1.3.2007 immediately before the National Health Service Act 2006 comes into force) without ever being in force by The National Health Service (Pre-consolidation Amendments) Order 2006 (S.I. 2006/1407), art. 1(1), Sch. 2 (with art. 4))
- s. 43B added by 1984 c. 48 s. 7(3) (This amendment not applied to legislation.gov.uk. S. 7(3) repealed to the extent that it inserts section 43B of the National Health Service Act 1977 (1.3.2007 immediately before the National Health Service Act 2006 comes into force) without that amendment ever being in force by National Health Service (Pre - consolidation Amendments) Order 2006 (S.I. 2006/1407), art. 1(1), Sch. 2 (with art. 4))
- s. 44(3A) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 20(c)
- s. 45A(3) modified by S.I. 2004/865 art. 109(2)(a)
- s. 45A(3)(a) word repealed by 2006 c. 28 Sch. 8 para. 17(2) Sch. 9
- s. 45A(3)(aa) inserted by 2006 c. 28 Sch. 8 para. 17(2)
- s. 45A(4) modified by S.I. 2004/865 art. 109(2)(a)
- s. 45A(4)(a) substituted by 2006 c. 28 Sch. 8 para. 17(3)
- s. 45A(11) modified by S.I. 2004/865 art. 109(2)(a)
- s. 45C inserted by 2006 c. 28 s. 41
- s. 46-46C substituted for s. 46 by 1999 c. 8 s. 40(1) (This amendment not applied to legislation.gov.uk. S. 40 repealed by 2001 c. 15, ss. 67, 70(2), Sch. 6 Pt. 1 (with ss. 64(a), 65(4)), the repeal coming into force immediately before the coming into force of the National Health Service Act 2006 (c. 41) (as to which see s. 227 of that 2006 Act) by virtue of The National Health Service (Pre-consolidation Amendments) Order 2006 (S.I. 2006/1407), arts. 1(1), 2, Sch. 1 Pt. 2 para. 8(c))
- s. 54(1)(c) modified by S.I. 2004/865 art. 109(2)(a)
- s. 72(5)(d) and word(s) inserted by 2003 c. 43 Sch. 11 para. 27(2)
- s. 72(5)(d) modified by S.I. 2004/865 art. 109(2)(a)
- s. 72(5)(d) words substituted by 2006 c. 28 Sch. 8 para. 21(b)(i)
- s. 72(5)(d) words substituted by 2006 c. 28 Sch. 8 para. 21(b)(ii)
- s. 77(4) inserted by 2003 c. 43 Sch. 11 para. 28
- s. 78A inserted by 1997 c. 46 s. 26(1) (This amendment not applied to legislation.gov.uk. S. 26(1) repealed (1.3.2007) without ever being in force by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1))
- s. 79(5)(b) modified by 2003 c. 43 s. 183(4)
- s. 96(4) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 27
- s. 96A(12) inserted by 2003 c. 43 Sch. 4 para. 37
- s. 98(1A) substituted by S.I. 2004/1714 Sch. 2 para. 1(2)
- s. 98(1A)(e) inserted by S.I. 2006/960 Sch. 2 para. 1(2)
- s. 98(1C) words inserted by S.I. 2004/1714 Sch. 2 para. 1(4)
- s. 98(1C) words substituted by S.I. 2006/960 Sch. 2 para. 1(4)
- s. 98(1D) inserted by 2004 c. 23 Sch. 2 para. 2
- s. 98(1BA)(1BB) inserted by S.I. 2004/1714 Sch. 2 para. 1(3)
- s. 98(1BC) inserted by S.I. 2006/960 Sch. 2 para. 1(3)
- s. 98(7)-(10) inserted by S.I. 2005/1074 art. 2(2)
- s. 103(4)(5) inserted by 2001 c. 15 Sch. 5 para. 5(12)(c) (This amendment not applied to legislation.gov.uk. Sch. 5 para. 5(12)(c) repealed (1.3.2007) without ever being in force by 2006 c. 43, s. 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1))
- s. 124A(3)(aa) inserted by 2002 c. 38 Sch. 3 para. 20
- s. 126(1A) inserted by 2003 c. 43 s. 183(3)(b)
- s. 126(4A) inserted by 2001 c. 15 Sch. 5 para. 5(13)(c) (This amendment not applied to legislation.gov.uk. Sch. 5 para. 5(13)(c) repealed (1.3.2007) without ever being in force by 2006 c. 43, s. 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1))
- Sch. 5 para. 12B inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 39(c)
- Sch. 5 para. 10(2A)-(2C) substituted for Sch. 5 para. 10(2A) by S.I. 2005/2011 Sch. 6 para. 1(4) (This amendment comes into force on a day to be specified in the London, Edinburgh and Belfast Gazettes (see, for example, the London Gazette, issue nos. 57734, 57975, 58050 and 58769, dated respectively 19.8.2005, 5.6.2006, 21.7.2006 and 18.7.2008))
- Sch. 5A para. 20(1A) inserted by 2006 c. 28 s. 74(3)
- Sch. 5B para. 19(1A) inserted by 2006 c. 28 s. 74(4)
- Sch. 7A para. 3(1)(fa) inserted by 2003 c. 43 Sch. 11 para. 40(2)(a)
- Sch. 7A para. 3(1)(g) words repealed by 2003 c. 43 Sch. 11 para. 40(2)(b) Sch. 14 Pt. 4
- Sch. 7A para. 3(2) words substituted by 2003 c. 43 Sch. 11 para. 40(3)
- Sch. 9A para. 10(a)(aa) substituted for s. Sch. 9A para. 10(a) by 2003 c. 43 Sch. 11 para. 42(4)(b)
- Sch. 9A para. 6(d)(i)(ii) substituted for words in para. 6(d) by S.I. 2006/1407 Sch. 1 Pt. 1 para. 40(b)
- Sch. 11 para. 5A inserted by S.I. 2004/3363 art. 7
- Sch. 12 para. 2A(6) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 42(g)
- Sch. 12 para. 2B amendment to earlier affecting provision 2006 c. 28, s. 41(3) by S.I. 2006/1407 Sch. 1 Pt. 2 para. 15 (The earlier affecting provision cited is incorrect. The correct provision should be s. 42(3).)
- Sch. 12 para. 2B inserted by 2006 c. 28 s. 42(3)
- Sch. 12 para. 2A(1)(b) (ba) substituted for Sch. 12 para. 2A(1)(b) by 2006 c. 28 s. 42(2)(a)
- Sch. 12B inserted by 2006 c. 28 s. 56(2) Sch. 3
Commencement Orders yet to be applied to the National Health Service Act 1977
Commencement Orders bringing legislation that affects this Act into force:
- S.I. 2004/103 art. 2-4 commences (2001 c. 15)
- S.I. 2004/287 art. 2 3 commences (1997 c. 46)
- S.I. 2004/288 art. 2-6 commences (2003 c. 43)
- S.I. 2004/289 art. 2 commences (1998 c. 8)
- S.I. 2004/480 art. 2-5 commences (2003 c. 43)
- S.I. 2004/759 art. 2-13 commences (2003 c. 43)
- S.I. 2004/874 art. 2 commences (2003 c. 42)
- S.I. 2004/1009 art. 2 commences (2003 c. 43)
- S.I. 2004/1019 art. 2 commences (2003 c. 43)
- S.I. 2004/1859 art. 2-6 commences (1999 c. 8)
- S.I. 2004/2626 art. 2 commences (2003 c. 43)
- S.I. 2005/457 art. 2 commences (2003 c. 43)
- S.I. 2005/558 art. 2 Sch. 1 commences (2004 c. 23)
- S.I. 2005/1432 art. 2 commences (2005 c. 12)
- S.I. 2005/2213 art. 2 3 commences (2002 c. 38)
- S.I. 2005/2800 art. 3-5 commences (2005 c. 10)
- S.I. 2005/2897 art. 2 commences (2002 c. 38)
- S.I. 2005/2925 art. 2 4-11 commences (2003 c. 43)
- S.I. 2005/2926 art. 2 3 commences (1997 c. 46)
- S.I. 2006/345 art. 2-7 commences (2003 c. 43)
- S.I. 2006/481 art. 2 3 commences (2001 c. 15)
- S.I. 2006/1014 art. 2 Sch. 1 2 commences (2005 c. 4)
- S.I. 2006/1407 Sch. 1 Pt. 2 para. 3 6 8 12 13 commences (1997 c. 46)
- S.I. 2006/2603 art. 2-5 commences (2006 c. 28)
- S.I. 2006/3125 art. 2-4 commences (2006 c. 28)
- S.I. 2007/204 art. 2-4 commences (2006 c. 28)
- S.I. 2008/1972 art. 2 commences (2006 c. 28)
Prospective
F128C Personal medical or dental services.E+W+S
(1)A [F2Strategic Health Authority or a] Health Authority may make one or more agreements with respect to their area, in accordance with the provisions of regulations under section 28E, under which—
(a)personal medical services are provided (otherwise than by the Authority); or
(b)personal dental services are provided (otherwise than by the Authority).
(2)An agreement made under this section—
(a)may not combine arrangements for the provision of personal medical services with arrangements for the provision of personal dental services [F3, and may not combine arrangements for the provision of personal medical services or personal dental services with arrangements for the provision of local pharmaceutical services under LPS schemes (within the meaning of paragraph 1(3) of Schedule 8A to this Act) or under pilot schemes made under section 28 of the Health and Social Care Act 2001]; but
(b)may include arrangements for the provision of services—
(i)which are not personal medical services or personal dental services; but
(ii)which may be provided under this Part.
(3)Except to such extent as may be prescribed—
(a)a patient for whom personal medical services are provided in accordance with an agreement made under this section is not to count as a person for whom arrangements must be made by the [F4Primary Care Trust or] Health Authority concerned under section 29;
(b)a patient for whom personal dental services are provided under an agreement made under this section is not to count as a person for whom arrangements must be made by the [F5Primary Care Trust or] Health Authority concerned under section 35.
(4)This Act (and in particular section 17) has effect, in relation to personal medical services or personal dental services provided under an agreement made under this section, as if those services were provided as a result of the delegation by the Secretary of State (by directions given under section [F616D]) of functions of his under this Part.
(5)The functions of a Health Authority in relation to an agreement made under this section are primary functions of the Authority for the purposes of the M1National Health Service and Community Care Act 1990.
(6)Regulations may provide—
(a)for functions which are exercisable by a [F7Strategic Health Authority or a] Health Authority in relation to an agreement made under this section to be exercisable on behalf of the Authority by a Health Board; and
(b)for functions which are exercisable by a Health Board in relation to an agreement made under section 17C of the M2National Health Service (Scotland) Act 1978 to be exercisable on behalf of the Board by a [F7Strategic Health Authority or a] Health Authority.
(7)For the purposes of this section—
“personal medical services” means medical services of a kind that may be provided by a general medical practitioner in accordance with arrangements made under Part II; and
“personal dental services” means dental services of a kind that may be provided by a general dental practitioner in accordance with arrangements made under Part II.
Textual Amendments
F1SS. 28C-28D inserted (prosp.) by 1997 c. 46, ss. 21(1), 41(3)
F2Words in s. 28C(1) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 4(3), 42(3), Sch. 3 Pt. 1 para. 7(2)(a); S.I. 2002/2478, art. 3(1)(c)
F3Words in s. 28C(2)(a) inserted (1.7.2002 for W. and otherwise prosp.) by 2001 c. 15, ss. 67(1), 70(2), Sch. 5 para. 11(4) (with ss. 64(9), 65(4))); S.I. 2002/1475, art. 2, Sch. Pt. 1
F4Words in s. 28C(3)(a) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 4(3), 42(3), Sch. 3 Pt. 1 para. 7(2)(b); S.I. 2002/2478, art. 3(1)(c)
F5Words in s. 28C(3)(b) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 4(3), 42(3), Sch. 3 Pt. 1 para. 7(2)(b); S.I. 2002/2478, art. 3(1)(c)
F6Word in s. 28C(4) substituted (1.10.1999 for E. and 1.12.1999 for W.) by 1999 c. 8, ss. 65(1), Sch. 4 para. 15; S.I. 1999/2540, art. 2(1)(a), Sch. 1; S.I. 1999/3184, art. 2(2), Sch. 2
F7Words in s. 28C(6)(a)(b) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 4(3), 42(3), Sch. 3 Pt. 1 para. 7(2)(c); S.I. 2002/2478, art. 3(1)(c)
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