- Latest available (Revised)
- Original (As enacted)
There are multiple versions of this provision on screen. These apply to different geographical extents.
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.
Sometimes the text of a provision is changed, but the change(s) only apply to a particular geographical area. In some limited cases where this happens, the editorial team create a version for each different geographical area. Multiple versions are only created in this way where the change in question is a substitution so that there are different versions of the text for the different extents. Insertions and repeals of text do not give rise to such multiple versions.
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.
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.
Whole provisions yet to be inserted into this Act (including any effects on those provisions):
Commencement Orders bringing legislation that affects this Act into force:
F1[F2(1)Regulations may require Health Authorities—
(a)in the exercise of their functions under this Part of this Act to consult committees recognised by them under section 44 above,
(b)in the exercise of any of their functions which relate to arrangements under section 28C above to consult committees recognised by them under section 44(A1)(c) or (B1)(c) above,
on such occasions and to such extent as may be prescribed.
[F2(1ZA)Regulations may require—
(a)Primary Care Trusts, in the exercise of their functions under this Part of this Act, to consult committees recognised by them under section 44 above, [F3or
(aa)Primary Care Trusts, in the exercise of any of their functions which relate to LPS arrangements, to consult committees recognised by them under section 44(B2)(b)(ii) above, or]
(b)Strategic Health Authorities, in the exercise of any of their functions which relate to arrangements under section 28C above, to consult committees recognised under section 44(ZA1)(c) or (A2)(c) above by Primary Care Trusts for the area or areas where the personal medical or dental services are provided (or to be provided) under the arrangements,
on such occasions and to such extent as may be prescribed.]
(1A)The [F4powers conferred by subsections (1) and (1ZA) above are] without prejudice to any other power to require a [F5Strategic Health Authority, Primary Care Trust or] Health Authority to consult any committee recognised under section 44 above.
(1B)Committees recognised under section 44 above shall exercise such other functions as may be prescribed.
(1C)A committee recognised for an area under [F6subsection (ZA1)(b) or (c), (A1)(b) or (c), (A2)(b) or (c) [F7, (B1)(b) or (c) or (B2)(b)(ii)]] of section 44 above shall, in respect of each year, determine the amount of its administrative expenses for that year attributable —
[F8(za)in the case of a committee recognised under subsection (ZA1)(b) or (c)(ii) of that section, to the deputy medical practitioners forthe Primary Care Trust’s area;
(zb)in the case of a committee recognised under subsection (ZA1)(c) of that section, to the section 28C medical practitioners for that area;]
(a)in the case of a committee recognised under subsection (A1)(b) or (c)(ii) of that section, to the deputy medical practitioners for the area;
(b)in the case of a committee recognised under subsection (A1)(c) of that section, to the section 28C medical practitioners for the area;
[F9(ba)in the case of a committee recognised under subsection (A2)(b) or (c)(ii) of that section, to the deputy dental practitioners for thePrimary Care Trust’s area;
(bb)in the case of a committee recognised under subsection (A2)(c) of that section, to the section 28C dental practitioners for that area;]
(c)in the case of a committee recognised under subsection (B1)(b) or (c)(ii) of that section, to the deputy dental practitioners for the area;
(d)in the case of a committee recognised under subsection (B1)(c) of that section, to the section 28C dental practitioners for the area.
[F10(e)in the case of a committee recognised under subsection (B2)(b)(ii) of that section, to the persons providing local pharmaceutical services inthe Primary Care Trust’s area.]]
(2)The [F11Primary Care Trust or][F12 Health Authority] may, on the request of any committee recognised under section 44 for their [F12area], allot to that committee such sums for defraying the committee’s administrative expenses [F13(including travelling and subsistence allowances payable to its members)] as may be determined by the [F14Primary Care Trust or][F12Health Authority] . . . F15
(3)Any sums so allotted shall be out of the moneys available to the [F16Primary Care Trust or][F12Health Authority] for the remuneration of persons of whom the committee so recognised is representative and who provide general medical services, general dental services, general ophthalmic services or pharmaceutical services, as the case may be, under this Part of this Act.
The amount of any such sums shall be deducted from the remuneration of those persons in such manner as may be determined by the [F17Primary Care Trust or][F12Health Authority] . . . F15
[F18(4)Where a committee has made a determination under subsection (1C) above, it shall apportion the amount so determined among the deputy medical practitioners, section 28C medical practitioners, deputy dental practitioners [F19, section 28C dental practitioners or persons providing local pharmaceutical services,] as the case may be, for the area and each such practitioner shall pay in accordance with the committee’s directions the amount so apportioned to him.
(5)References in this section to administrative expenses of a committee include references to travelling and subsistence allowances payable to its members; but the reference in subsection (2) above to a committee’s administrative expenses does not include so much of the committee’s administrative expenses as are determined under subsection (1C) above to be attributable to any practitioners mentioned in that subsection.]
Extent Information
E1This version of this provision extends to England only; a separate version has been created for Wales (and any Scotland extent) only.
Textual Amendments
F1S. 45(1)-(1C) substituted (1.9.1999 for E. for specified purposes and 1.4.2000 for specified purposes and otherwise prosp.) for s. 45(1) by 1999 c. 8, ss. 11(6), 67(1); S.I. 1999/2342, art. 2(1), Sch. 1; 2000/1026, art. 2(1), Sch.
F2S. 45(1ZA) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(9), 42(3); S.I. 2002/2478, art. 3(1)(a)
F3S. 45(1ZA)(aa) and preceding word inserted (E.) (12.12.2002) by The National Health Service (Local Pharmaceutical Services Etc.) Regulations 2002 (S.I. 2002/2861), reg. 20(a)
F4Words in s. 45(1A) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(10), 42(3); S.I. 2002/2478, art. 3(1)(a)
F5Words in s. 45(1A) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(10), 42(3); S.I. 2002/2478, art. 3(1)(a)
F6Words in s. 45(1C) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(11)(a), 42(3); S.I. 2002/2478, art. 3(1)(a)
F7Words in s. 45(1C) substituted (E.) (12.12.2002) by The National Health Service (Local Pharmaceutical Services Etc.) Regulations 2002 (S.I. 2002/2861), reg. 20(b)
F8S. 45(1C)(za)(zb) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(11)(b), 42(3); S.I. 2002/2478, art. 3(1)(a)
F9S. 45(1C)(ba)(bb) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(11)(c), 42(3); S.I. 2002/2478, art. 3(1)(a)
F10S. 45(1C)(e) inserted (E.) (12.12.2002) by The National Health Service (Local Pharmaceutical Services Etc.) Regulations 2002 (S.I. 2002/2861), reg. 20(b)
F11Words in s. 45(2) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(12), 42(3); S.I. 2002/2478, art. 3(1)(a)
F12Words in s. 45 substituted (28.6.1995 for specified purposes and otherwise 1.4.1996) by 1995 c. 17, ss. 2(1)(3), 8(1), Sch. 1 Pt. I para. 33 (with Sch. 2 paras. 6, 16)
F13Words in s. 45 omitted (1.9.1999 for E. for specified purposes and 1.4.2000 for specified purposes and otherwise prosp.) by virtue of 1999 c. 8, ss. 11(7), 67(1); S.I. 1999/2342, art. 2(1), Sch. 1; 2000/1026, art. 2(1), Sch. and repealed (1.4.2000 for E.W.) by 1999 c. 8, ss. 65(2), 67(1), Sch. 5; S.I. 2000/1041, art. 2(c)(d), Sch.
F14Words in s. 45(2) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(12), 42(3); S.I. 2002/2478, art. 3(1)(a)
F15Words repealed by Health and Social Security Act 1984 (c. 48, SIF 113:1), ss. 5(4), 24, Sch. 3 para. 7(b)(ii), Sch. 8 Pt. I
F16Words in s. 45(3) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(12), 42(3); S.I. 2002/2478, art. 3(1)(a)
F17Words in s. 45(3) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(12), 42(3); S.I. 2002/2478, art. 3(1)(a)
F18S. 45(4)(5) inserted (1.9.1999 for E. for specified purposes and 1.4.2000 for specified purposes and otherwise prosp.) by 1999 c. 8, ss. 11(8), 67(1); S.I. 1999/2342, art. 2(1), Sch. 1; 2000/1026, art. 2(1), Sch.
F19Words in s. 45(4) inserted (E.) (12.12.2002) by The National Health Service (Local Pharmaceutical Services Etc.) Regulations 2002 (S.I. 2002/2861), reg. 20(c)
Modifications etc. (not altering text)
C4S. 45(1): functions of local authority may be responsibility of an executive of the authority (1.4.2000) by virtue of S.I. 2000/695, reg. 3(2)(b), Sch. 2
F1[F2(1)Regulations may require Health Authorities—
(a)in the exercise of their functions under this Part of this Act to consult committees recognised by them under section 44 above,
(b)in the exercise of any of their functions which relate to arrangements under section 28C above to consult committees recognised by them under section 44(A1)(c) or (B1)(c) above,
on such occasions and to such extent as may be prescribed.
[F2(1ZA)Regulations may require—
(a)Primary Care Trusts, in the exercise of their functions under this Part of this Act, to consult committees recognised by them under section 44 above,
(b)Strategic Health Authorities, in the exercise of any of their functions which relate to arrangements under section 28C above, to consult committees recognised under section 44(ZA1)(c) or (A2)(c) above by Primary Care Trusts for the area or areas where the personal medical or dental services are provided (or to be provided) under the arrangements,
on such occasions and to such extent as may be prescribed.]
(1A)The [F4powers conferred by subsections (1) and (1ZA) above are] without prejudice to any other power to require a [F5Strategic Health Authority, Primary Care Trust or] Health Authority to consult any committee recognised under section 44 above.
(1B)Committees recognised under section 44 above shall exercise such other functions as may be prescribed.
(1C)A committee recognised for an area under [F6subsection (ZA1)(b) or (c), (A1)(b) or (c), (A2)(b) or (c) or (B1)(b) or (c)] of section 44 above shall, in respect of each year, determine the amount of its administrative expenses for that year attributable —
[F8(za)in the case of a committee recognised under subsection (ZA1)(b) or (c)(ii) of that section, to the deputy medical practitioners forthe Primary Care Trust’s area;
(zb)in the case of a committee recognised under subsection (ZA1)(c) of that section, to the section 28C medical practitioners for that area;]
(a)in the case of a committee recognised under subsection (A1)(b) or (c)(ii) of that section, to the deputy medical practitioners for the area;
(b)in the case of a committee recognised under subsection (A1)(c) of that section, to the section 28C medical practitioners for the area;
[F9(ba)in the case of a committee recognised under subsection (A2)(b) or (c)(ii) of that section, to the deputy dental practitioners for thePrimary Care Trust’s area;
(bb)in the case of a committee recognised under subsection (A2)(c) of that section, to the section 28C dental practitioners for that area;]
(c)in the case of a committee recognised under subsection (B1)(b) or (c)(ii) of that section, to the deputy dental practitioners for the area;
(d)in the case of a committee recognised under subsection (B1)(c) of that section, to the section 28C dental practitioners for the area.]
(2)The [F11Primary Care Trust or][F12 Health Authority] may, on the request of any committee recognised under section 44 for their [F12area], allot to that committee such sums for defraying the committee’s administrative expenses [F13(including travelling and subsistence allowances payable to its members)] as may be determined by the [F14Primary Care Trust or][F12Health Authority] . . . F15
(3)Any sums so allotted shall be out of the moneys available to the [F16Primary Care Trust or][F12Health Authority] for the remuneration of persons of whom the committee so recognised is representative and who provide general medical services, general dental services, general ophthalmic services or pharmaceutical services, as the case may be, under this Part of this Act.
The amount of any such sums shall be deducted from the remuneration of those persons in such manner as may be determined by the [F17Primary Care Trust or][F12Health Authority] . . . F15
[F18(4)Where a committee has made a determination under subsection (1C) above, it shall apportion the amount so determined among the deputy medical practitioners, section 28C medical practitioners, deputy dental practitioners or section 28C dental practitioners, as the case may be, for the area and each such practitioner shall pay in accordance with the committee’s directions the amount so apportioned to him.
(5)References in this section to administrative expenses of a committee include references to travelling and subsistence allowances payable to its members; but the reference in subsection (2) above to a committee’s administrative expenses does not include so much of the committee’s administrative expenses as are determined under subsection (1C) above to be attributable to any practitioners mentioned in that subsection.]
Extent Information
E2This version of this provision extends to Wales (and any Scotland extent) only; a separate version has been created for England only.
Textual Amendments
F1S. 45(1)-(1C) substituted (1.9.1999 for E. for specified purposes and 1.4.2000 for specified purposes and otherwise prosp.) for s. 45(1) by 1999 c. 8, ss. 11(6), 67(1); S.I. 1999/2342, art. 2(1), Sch. 1; 2000/1026, art. 2(1), Sch.
F2S. 45(1ZA) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(9), 42(3); S.I. 2002/2478, art. 3(1)(a)
F4Words in s. 45(1A) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(10), 42(3); S.I. 2002/2478, art. 3(1)(a)
F5Words in s. 45(1A) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(10), 42(3); S.I. 2002/2478, art. 3(1)(a)
F6Words in s. 45(1C) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(11)(a), 42(3); S.I. 2002/2478, art. 3(1)(a)
F8S. 45(1C)(za)(zb) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(11)(b), 42(3); S.I. 2002/2478, art. 3(1)(a)
F9S. 45(1C)(ba)(bb) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(11)(c), 42(3); S.I. 2002/2478, art. 3(1)(a)
F11Words in s. 45(2) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(12), 42(3); S.I. 2002/2478, art. 3(1)(a)
F12Words in s. 45 substituted (28.6.1995 for specified purposes and otherwise 1.4.1996) by 1995 c. 17, ss. 2(1)(3), 8(1), Sch. 1 Pt. I para. 33 (with Sch. 2 paras. 6, 16)
F13Words in s. 45 omitted (1.9.1999 for E. for specified purposes and 1.4.2000 for specified purposes and otherwise prosp.) by virtue of 1999 c. 8, ss. 11(7), 67(1); S.I. 1999/2342, art. 2(1), Sch. 1; 2000/1026, art. 2(1), Sch. and repealed (1.4.2000 for E.W.) by 1999 c. 8, ss. 65(2), 67(1), Sch. 5; S.I. 2000/1041, art. 2(c)(d), Sch.
F14Words in s. 45(2) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(12), 42(3); S.I. 2002/2478, art. 3(1)(a)
F15Words repealed by Health and Social Security Act 1984 (c. 48, SIF 113:1), ss. 5(4), 24, Sch. 3 para. 7(b)(ii), Sch. 8 Pt. I
F16Words in s. 45(3) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(12), 42(3); S.I. 2002/2478, art. 3(1)(a)
F17Words in s. 45(3) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 5(12), 42(3); S.I. 2002/2478, art. 3(1)(a)
F18S. 45(4)(5) inserted (1.9.1999 for E. for specified purposes and 1.4.2000 for specified purposes and otherwise prosp.) by 1999 c. 8, ss. 11(8), 67(1); S.I. 1999/2342, art. 2(1), Sch. 1; 2000/1026, art. 2(1), Sch.
Modifications etc. (not altering text)
C4S. 45(1): functions of local authority may be responsibility of an executive of the authority (1.4.2000) by virtue of S.I. 2000/695, reg. 3(2)(b), Sch. 2
The Whole Act you have selected contains over 200 provisions and might take some time to download. You may also experience some issues with your browser, such as an alert box that a script is taking a long time to run.
Would you like to continue?
The Whole Act you have selected contains over 200 provisions and might take some time to download.
Would you like to continue?
The Whole Act without Schedules you have selected contains over 200 provisions and might take some time to download. You may also experience some issues with your browser, such as an alert box that a script is taking a long time to run.
Would you like to continue?
The Whole Act without Schedules you have selected contains over 200 provisions and might take some time to download.
Would you like to continue?
The Whole Act you have selected contains over 200 provisions and might take some time to download. You may also experience some issues with your browser, such as an alert box that a script is taking a long time to run.
Would you like to continue?
The Whole Act without Schedules you have selected contains over 200 provisions and might take some time to download. You may also experience some issues with your browser, such as an alert box that a script is taking a long time to run.
Would you like to continue?
The Schedules you have selected contains over 200 provisions and might take some time to download. You may also experience some issues with your browser, such as an alert box that a script is taking a long time to run.
Would you like to continue?
Latest Available (revised):The latest available updated version of the legislation incorporating changes made by subsequent legislation and applied by our editorial team. Changes we have not yet applied to the text, can be found in the ‘Changes to Legislation’ area.
Original (As Enacted or Made): The original version of the legislation as it stood when it was enacted or made. No changes have been applied to the text.
Geographical Extent: Indicates the geographical area that this provision applies to. For further information see ‘Frequently Asked Questions’.
Show Timeline of Changes: See how this legislation has or could change over time. Turning this feature on will show extra navigation options to go to these specific points in time. Return to the latest available version by using the controls above in the What Version box.
Access essential accompanying documents and information for this legislation item from this tab. Dependent on the legislation item being viewed this may include:
This timeline shows the different points in time where a change occurred. The dates will coincide with the earliest date on which the change (e.g an insertion, a repeal or a substitution) that was applied came into force. The first date in the timeline will usually be the earliest date when the provision came into force. In some cases the first date is 01/02/1991 (or for Northern Ireland legislation 01/01/2006). This date is our basedate. No versions before this date are available. For further information see the Editorial Practice Guide and Glossary under Help.
Use this menu to access essential accompanying documents and information for this legislation item. Dependent on the legislation item being viewed this may include:
Click 'View More' or select 'More Resources' tab for additional information including: