The National Health Service (General Ophthalmic Services) (Scotland) Regulations 2006

1.  An application shall contain the following information:–

(a) the applicant’s full name, sex, date of birth and private address and telephone number;

(b) a full description of the applicant’s qualifications including the institution which awarded them;

(c) the applicant’s professional registration number and date of first registration;

(d) whether the applicant is an ophthalmic medical practitioner, a registered optometrist or a body corporate;

(e) address of proposed premises and, in the case of any mobile practice, the address to which correspondence may be sent and the addresses of any day centres and residential centres to be visited more than once;

(f) whether the premises may be reached without use of stairs;

(g) whether the premises have wheelchair access;

(h) proposed days and hours of attendance at these premises and, in the case of any mobile practice, the month in which visits are intended to take place and the planned interval between such visits;

(i) the name of each ophthalmic medical practitioner or optician who is regularly engaged as a deputy, director or employee in the provision of general ophthalmic services;

(j) chronological details of the applicant’s professional experience (including the starting and finishing dates of each appointment together with explanation of any gaps between appointments) with any additional supporting particulars, and an explanation of why the applicant was dismissed from any post;

(k) details of any list or equivalent list from which the applicant has ever been disqualified, conditionally disqualified, removed, suspended, contingently removed or suspended or to which admission was refused or conditionally granted together with reasons for such disqualification, conditional disqualification, removal, suspension or refusal;

(l) name and addresses of two referees who are willing to provide clinical references relating to two recent posts as an ophthalmic medical practitioner or optometrist each of which lasted at least 3 months without a significant break and which may include a current post, or, where this is not possible a full explanation and name and address of an alternative referee or referees;

(m) if the applicant is a national of an EEA state, evidence that the applicant has a knowledge of English which, in the interests of the applicant and of patients who may receive general ophthalmic services from the applicant, is necessary for providing general ophthalmic services;

(n) if the applicant is the director or one of the persons with control of a corporate body, the name and registered office of that body;

(o) if the applicant is, or has been where the outcome was adverse, the subject of any investigation by the Agency in relation to fraud;

(p) whether the applicant has–

(i) had sequestration of the applicant’s estate awarded, or been adjudged bankrupt;

(ii) been made the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order under Schedule 4A to the Insolvency Act 1986(1);

(iii) made a composition or arrangement with, or granted a trust deed for, the applicant’s creditors;

(q) where the applicant is a body corporate, whether–

(i) an administrator, administrative receiver or receiver has been appointed in respect of it; or

(ii) an administration order has been made in respect of it under Schedule B1 to the Insolvency Act 1986; or

(iii) it has been wound up under Part IV of the Insolvency Act 1986; or

(r) whether the applicant is subject to a disqualification order under the Company Directors Disqualification Act 1986(2), the Companies (Northern Ireland) Order 1986(3) or to an order made under section 429(2)(b) of the Insolvency Act 1986(4) (failure to pay under county court administration order).

(1)

1986 c. 45.

(2)

1986 c. 46 as amended by the Insolvency Act 2000 (2000 c. 39).

(3)

S.I. 1986/1032 (N.1.6).

(4)

1986 c. 45.