National Health Service Act 1977

Changes over time for: National Health Service Act 1977 (without Schedules)

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Changes to legislation:

National Health Service Act 1977 is up to date with all changes known to be in force on or before 14 April 2026. There are changes that may be brought into force at a future date. Changes that have been made 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.

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Changes and effects yet to be applied to :

s. 41B(2) words inserted by S.I. 2006/1056 Sch. para. 3(a) (This amendment comes into force on the day on which 2005 asp 13, s. 20 comes into force, see art. 1(2)(b))
s. 41B(6)(b) words omitted by S.I. 2006/1056 Sch. para. 3(b) (This amendment comes into force on the day on which 2005 asp 13, s. 20 comes into force, see art. 1(2)(b))
s. 43(2) substituted by 2006 c. 28 s. 36(1)

F1Part IE+W+S Services and Administration

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Textual Amendments

F1Act repealed (except ss. 57, Sch. 11 and ss. 126, 128 so far as they relate to those provisions, which are repealed only for E.W., see s. 7(3) of the repealing Act; and except s. 41B(2)(6)(b) as amended by S.I. 2006/1056, which is repealed immediately after that amendment comes into force, see s. 8(4)-(6); and except ss. 19, 28J, 38, 39, 41, 41B(2)(6)(b), 42(2B)(2C), 42A, 42B, 43(2), 49F, 49H, 98, 128, Sch. 8 para. 2(2B), Sch. 8A, Sch. 9A para. 6, Sch. 12 paras. 2A(1)(b)(ba), 2B, Sch. 12B as amended by Health Act 2006 (c. 28) which are repealed immediately after those amendments come into force on 1.8.2008 and 9.5.2013, see s. 8(4)-(6); and except ss. 3, 15, 16CD, 16CE, 18A, 26, 28WA-28WF, 28X, 28Y, 38, 39, 43D, 44, 45A, 45C, 72, 103 as amended by Health Act 2006 (c. 28) and to the extent that they relate to primary ophthalmic services, which are repealed immediately after those amendments come into force on 1.8.2008, see s. 8(4)-(6)) (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with saving for s. 126 in Sch. 2 para. 7 and general savings and transitional provisions in Sch. 2 Pt. 1 and transitory modifications relating to primary ophthalmic services in Sch. 3 para. 1); S.I. 2008/1972, art. 2; S.I. 2013/1112, art. 2

Act: specified provisions amended and repealed and specified amendments and repeals by specified legislation commenced (1.3.2007 immediately before the National Health Service Act 2006 (c. 41) comes into force) by virtue of The National Health Service (Pre-consolidation Amendments) Order 2006 (S.I. 2006/1407), arts. 1-3, Schs. 1, 2 (with art. 4)

F1Part IIE+W+S General Medical, General Dental, General Ophthalmic, and Pharmaceutical Services

F1 General medical servicesE+W+S

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F1 General dental servicesE+W+S

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F1 General ophthalmic servicesE+W+S

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F1 Pharmaceutical servicesE+W+S

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F1 Indemnity coverE+W+S

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F1 Local representative committeesE+W+S

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F1 Provisions as to disqualification of practitionersE+W+S

F146 Disqualification of practitioners.E+W+S

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F147 Removal of disqualification.E+W+S

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F148 Disqualification provisions in Scotland or Northern Ireland.E+W+S

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F149 Regulations as to ss. 46 to 48.E+W+S

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F149A Applications for interim suspension.E+W+S

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F149B Continuation of suspension pending appeal.E+W+S

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F149C Sections 49A and 49B: procedure etc.E+W+S

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F149D Suspension provisions in Scotland or Northern Ireland.E+W+S

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F149E Payments in consequence of suspension.E+W+S

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F149F Disqualification of practitionersE+W+S

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F149GContingent removalE+W+S

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F149H Fraud and unsuitability cases: supplementaryE+W+S

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F149I SuspensionE+W+S

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F149J Suspension pending appealE+W+S

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F149K Effect of suspensionE+W+S

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F149L Review of decisionsE+W+S

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F149M AppealsE+W+S

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F149N National disqualificationE+W+S

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F149O Notification of decisionsE+W+S

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F149P Withdrawal from listsE+W+S

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F149Q RegulationsE+W+S

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F149R Corresponding provision in Scotland and Northern IrelandE+W+S

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F1 The Family Health Services Appeal AuthorityE+W+S

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F1 Other provisions supplementary to Part IIE+W+S

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Part IIIU.K. Other Powers of the Secretary of State as to theHealth Service

Control of maximum prices for medical suppliesU.K.

F1[F257 Maximum price of medical supplies may be controlled.U.K.

(1)The Secretary of State may by order provide for controlling maximum prices to be charged for any medical supplies required for the purposes of this Act.

(2)The Secretary of State may by direction given with respect to any undertaking, or by order made with respect to any class or description of undertakings, being an undertaking or class or description of undertakings concerned with medical supplies required for the purposes of this Act, require persons carrying on the undertaking or undertakings of that class or description—

(a)to keep such books, accounts and records relating to the undertaking as may be prescribed by the direction or, as the case may be, by the order or a notice served under the order;

(b)to furnish at such times, in such manner and in such form as may be so prescribed such estimates, returns or information relating to the undertaking as may be so prescribed.

(3)The additional provisions set out in Schedule 11 to this Act have effect in relation to this section; and

“medical supplies” in this section includes surgical, dental and optical materials and equipment; and
“undertaking” in this section and that Schedule means any public utility undertaking or any undertaking by way of trade or business.]

Textual Amendments

F2S. 57 ceases to have effect in relation to health service medicines (1.9.1999 for specified purposes otherwise 1.11.1999) by virtue of 1999 c. 8, s. 38(5); S.I. 1999/2177, art. 2(3)(b)(4)

Additional powers as to services and supplies; and the use of those services and supplies for private patientsE+W+S

F358. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

Textual Amendments

F3S. 58 repealed by Health and Medicines Act 1988 (c. 49, SIF 113:2), s. 25(2), Sch. 3

F459, 60.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

Textual Amendments

F4Ss. 6(1)(2)(6)(7), 30(2), 59, 60, 67-71, 73-76, Sch. 4 para. 1, Sch. 15 paras. 11, 41, 68-70 repealed by Health Services Act 1980 (c. 53, SIF 113:2), Sch. 7

F561. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

Textual Amendments

F5S. 61 repealed by Health and Medicines Act 1988 (c. 49, SIF 113:2), s. 25(2), Sch. 3

F162 Restriction of powers under ss. 25, 58 and 61.E+W+S

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Textual Amendments

Further provisions as to payments by patients for health service accommodation and servicesE+W+S

F163 Hospital accommodation on part payment.E+W+S

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Textual Amendments

F164 Expenses payable by remuneratively employed resident patients.E+W+S

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Textual Amendments

F165 Accommodation and services for private patients.E+W+S

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Textual Amendments

F666A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

Textual Amendments

F6S. 66A repealed by Health and Medicines Act 1988 (c. 49, SIF 113:2), s. 25(2), Sch. 3

F767—71.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

Textual Amendments

F7Ss. 6(1)(2)(6)(7), 30(2), 59, 60, 67–71, 73–76, Sch. 4 para. 1, Sch. 15 paras. 11, 41, 68—70 repealed by Health Services Act 1980 (c. 53, SIF 113:2), Sch. 7

Use by practitioners of health service facilities for private PracticeE+W+S

F172 Permission for use of facilities in private practice.E+W+S

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Textual Amendments

73—76.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F8E+W+S

Textual Amendments

F8Ss. 6(1)(2)(6)(7), 30(2), 59, 60, 67–71, 73–76, Sch. 4 para. 1, Sch. 15 paras. 11, 41, 68—70 repealed by Health Services Act 1980 (c. 53, SIF 113:2), Sch. 7

Regulations as to certain chargesE+W+S

F177 Charges for drugs, medicines or appliances, or pharmaceutical services.E+W+S

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Textual Amendments

F178 Charges for ... optical appliances.E+W+S

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Textual Amendments

F179Dental chargingE+W+S

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Textual Amendments

F179A Calculation of charges for dental appliances and treatment.E+W+S

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Textual Amendments

F180 Charges for designated facilities.E+W+S

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Textual Amendments

F181 Charges for more expensive supplies.E+W+S

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Textual Amendments

F182 Charges for repairs and replacements in certain cases.E+W+S

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Textual Amendments

F183 Sums otherwise payable to those providing services.E+W+S

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Textual Amendments

F183A Remission and repayment of charges and payment of travelling expenses.E+W+S

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Textual Amendments

Inquiries, and default and emergency powersE+W+S

F984Inquiries.E+W+S

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Textual Amendments

F9S. 84 repealed (7.6.2005) by Inquiries Act 2005 (c. 12), s. 51(1), Sch. 2 para. 7, Sch. 3 (with ss. 44, 50); S.I. 2005/1432, art. 2

F184A Intervention ordersE+W+S

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Textual Amendments

F184B Intervention orders: effectE+W+S

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Textual Amendments

F185 Default powers.E+W+S

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Textual Amendments

F186 Emergency powers.E+W+S

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Textual Amendments

F1Part IVE+W+S Property and Finance

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F10Part VU.K.

Textual Amendments

F10 Ss. 106-120 (Pt. V) repealed (5.2.1994) by 1993 c. 46, ss. 20, 22(4), Sch. 3

F10106 Appointment and tenure of office of Commissioners.E+W+S

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F10107 Salaries and pensions of Commissioners.E+W+S

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F10108 Administrative provisions.E+W+S

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F10108A Appointment of acting Commissioners.E+W+S

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F10109 Bodies subject to investigation.E+W+S

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F10110 Investigations for England, and for Wales.E+W+S

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F10111 Who may complain.E+W+S

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F10112 Reply.E+W+S

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F10113 Commissioner’s discretion.E+W+S

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F10114 Procedure, and additional procedural provisions.U.K.

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F10115 Matters subject to investigation.E+W+S

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F10116 Matters not subject to investigation.E+W+S

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F10117 Reference to Commissioner by relevant body.E+W+S

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F10118 Consultations between Commissioners and Local Commissioners.E+W+S

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F10119 Reports by Commissioners.U.K.

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F10120 Interpretation of Part V.U.K.

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Part VIU.K. Miscellaneous and Supplementary

General provisions as to chargesE+W+S

F1121 Charges in respect of non-residents.E+W+S

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Textual Amendments

F1122 Recovery of charges.E+W+S

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Textual Amendments

F1122A Recovery of other charges and payments.E+W+S

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Textual Amendments

F1122B Penalties.E+W+S

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Textual Amendments

F1122C Offences.E+W+S

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Textual Amendments

MiscellaneousE+W+S

F1123 Persons displaced by health service development.E+W+S

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Textual Amendments

F1124 Special notices of births and deaths.E+W+S

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Textual Amendments

F1124A Provision of information by Registrar General.E+W+S

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Textual Amendments

F1125Protection of members and officers of authorities.E+W+S

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Textual Amendments

SupplementaryU.K.

[F1126 Orders and regulations, and directions.E+W+S

(1)Any power to make orders [F11, rules] or regulations conferred by this Act shall be exercisable by statutory instrument, and a statutory instrument made by virtue of this Act shall [F12, unless it is a PCT order [F13or an instrument to which subsection (1A) applies] [F14or an instrument made by the National Assembly for Wales],] be subject to annulment in pursuance of a resolution of either House of Parliament.

This subsection—

F15(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(b)does not apply to [F16an order made under section 28EE(2) [F17or section 84A] above, paragraph 20, 21 or 23 of Schedule 5A to this Act [F18, paragraph 19, 20 or 22 of Schedule 5B to this Act] or to] paragraph 10 of Schedule 11 to this Act.

[F19(1A)The Secretary of State may not make a statutory instrument containing the first regulations made under section 79(1) above (as substituted by the Health and Social Care (Community Health and Standards) Act 2003) unless a draft of the instrument has been laid before, and approved by resolution of, each House of Parliament.]

(2)Any power to make regulations conferred on the Secretary of State by this Act [F20or Part I of the National Health Service and Community Care Act 1990] is, if the Treasury so directs, exercisable by the Treasury and the Secretary of state acting jointly, except in the case of—

F21(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(b)regulations made under section 77(1) above in respect of charges for the drugs, medicines or appliances referred to in paragraph (a) of that subsection, or under paragraphs 1(1) of Schedule 12 to this Act [F20or Part I of the National Health Service and Community Care Act 1990] in respect of the remission or repayment of any charge payable under that section in the cases provided for in paragraph 1(1) of that Schedule;

(c)regulations made under paragraph 2(2) of that Schedule;

(d)regulations made under paragraph 2(6) of that Schedule.

(3)Where under [F22or by virtue of] any provision of this Act [F20or Part I of the National Health Service and Community Care Act 1990]—

(a)power to make an order may be exercisable, or

(b)directions may be given,

that provision includes power to vary or revoke the order or direction, as the case may be, by subsequent order or by subsequent directions.

[F23(3A)Directions given by the Secretary of State [F24or by a [F25Strategic Health Authority or] Health Authority] in pursuance of any provision of this Act or Part I of the M1National Health Service and Community Care Act 1990 shall be given by an instrument in writing.

(3B)In relation to directions given in pursuance of [F26section 16BB or] sections [F2716D to 17B] above section 18 above applies in place of subsections (3) and (3A) above.]

[F28(3C)Any person or body to whom directions are given in pursuance of any provision of this Act or Part I of the M2National Health Service and Community Care Act 1990 shall comply with the directions.]

(4)Any power conferred by this Act [F20or Part I of the National Health Service and Community Care Act 1990] to make orders [F29, rules], regulations or schemes, and any power conferred by [F30section 16BB, 18] [F31or 19A(7)] above [F32, or by section 28E(3A), 28N, 28T [F33, 28U or 28WD] above,] [F34or by section 42A or 42B above,] to give directions by an instrument in writing, may unless the contrary intention appears, be exercised—

(a)either in relation to all cases to which the power extends, or in relation to all those cases subject to specified exceptions, or in relation to any specified cases or classes of case, and

(b)so as to make, as respects the cases in relation to which it is exercised—

(i)the full provision to which the power extends or any less provision (whether by way of exception or otherwise),

(ii)the same provision for all cases in relation to which the power is exercised, or different provision for different cases or different classes of case, or different provision as respects the same case or class of case for different purposes of this Act [F20or Part I of the National Health Service and Community Care Act 1990] or that section,

(iii)any such provision either unconditionally, or subject to any specified condition,

and includes power to make such [F35supplementary, incidental, consequential, transitory, transitional or saving] provision in the orders [F29, rules], regulations, schemes or directions as the persons making or giving them consider appropriate.

This subsection does not only apply to F36... an order made under section 57 above (but without prejudice to paragraph 1(1) of Schedule 11 to this Act [F20or Part I of the National Health Service and Community Care Act 1990])

[F37(4A)Supplementary, incidental, consequential, transitory, transitional or saving provision made by virtue of subsection (4) above in connection with an order under section 20A above, or regulations under Schedule 7A to this Act, may include provision amending or repealing any provision made by or under an enactment.]

[F38(5)Without prejudice to the generality of subsection (4) above, any power which may be exercised as mentioned in paragraphs (a) and (b) of that subsection [F39(other than a power to make rules)] may make different provision for different areas.]]

Textual Amendments

F11Word in s. 126(1) inserted (1.10.2001 for certain purposes for E., 1.12.2001 for all other purposes for E. and 26.8.2002 for W.) by 2001 c. 15, ss. 67(1), 70(2), Sch. 5 para. 5(13)(a) (with ss. 64(9), 65(4)); S.I. 2001/3294, art. 4(1), Sch. Pt. I (subject to transitional provisions in Sch. Pt. II); S.I. 2002/1919, art. 3(1) (subject to art. 3(2))

F12Words in s. 126(1) inserted (4.1.2000 for E. and 1.3.2007 immediately before the National Health Service Act 2006 (c. 41) in so far as not already in force) by 1999 c. 8, ss. 65, 67, Sch. 4 para. 37(2)(a); S.I. 1999/2342, art. 2(3)(a), Sch. 2; S.I. 2006/1407, Sch. 1 Pt. 2 para. 6

F13Words in s. 126(1) inserted (1.11.2005 for E. for specified purposes) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), ss. 183(3)(a), 199(1)(4); S.I. 2005/2925, art. 7(1)

F14Words in s. 126(1) inserted (10.10.2002 for W.) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 6(3)(a)(i), 42(3); S.I. 2002/2532, art. 2, Sch.

F15S. 126(1)(a) repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 5 (with Sch. 2 para. 6)

F16Words in s. 126(1)(b) inserted (4.1.2000 for E. and 1.3.2007 immediately before the National Health Service Act 2006 (c. 41) in so far as not already in force) by 1999 c. 8, ss. 65, 67, Sch. 4 para. 37(2)(b); S.I. 1999/2342, art. 2(3)(a), Sch. 2; S.I. 2006/1407, Sch. 1 Pt. 2 para. 6

F17Words in s. 126(1) inserted (1.8.2001 for E. and 17.3.2003 for W.) by 2001 c. 15, ss. 13(2), 70(2) (with ss. 64(9), 65(4)); S.I. 2001/2804, art. 2(1)(a); S.I. 2003/713, art. 2

F18Words in s. 126(1)(b) inserted (10.10.2002 for W.) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 6(3)(a)(ii), 42(3); S.I. 2002/2532, art. 2, Sch.

F19S. 126(1A) inserted (1.11.2005 for E. for specified purposes) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), ss. 183(3)(b), 199(1)(4); S.I. 2005/2925, art. 7(1)

F20Words inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 65(2)

F21S. 126(2)(a) omitted (30.9.2005 as notified in the London Gazette dated 26.8.2005) by virtue of The General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 (S.I. 2003/1250), art. 1(2)(3), Sch. 9 para. 2(c)

F22Words in s. 126(3) inserted (15.8.1997) by 1997 c. 46, s. 41(10), Sch. 2 para. 27; S.I. 1997/1780, art. 2(1), Sch.

F23S. 126(3A)(3B) substituted (28.6.1995 for certain purposes and otherwise 1.4.1996) for the second sentence of (3) by 1995 c. 17, ss. 2(1)(3), 8(1), Sch. 1 Pt. I para. 57 (with Sch. 2 para. 6)

F24Words in s. 126(3A) inserted (4.1.2000 for E. and 1.3.2007 immediately before the National Health Service Act 2006 (c. 41) in so far as not already in force) by 1999 c. 8, ss. 65, 67, Sch. 4 para. 37(3); S.I. 1999/2342, art. 2(3)(a), Sch. 2; S.I. 2006/1407, Sch. 1 Pt. 2 para. 6

F25Words in s. 126(3A) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 1(3), 42(3), Sch. 1 Pt. 1 para. 32; S.I. 2002/2478, art. 3(1)(c)

F26Words in s. 126(3B) inserted (10.10.2002 for W.) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 6(3)(b), 42(3); S.I. 2002/2532, art. 2, Sch.

F27Words in s. 126(3B) substituted (4.1.2000 for E. and 1.3.2007 immediately before the National Health Service Act 2006 (c. 41) in so far as not already in force) by 1999 c. 8, ss. 65, 67, Sch. 4 para. 37(4); S.I. 1999/2342, art. 2(3)(a), Sch. 2; S.I. 2006/1407, Sch. 1 Pt. 2 para. 6

F28S. 126(3C) inserted (1.9.1999 for E. and 1.11.1999 for W.) by 1999 c. 8, s. 65, Sch. 4 para. 37(5); S.I. 1999/2342, art. 2(1), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

F29Words in s. 126(4) inserted (1.10.2001 for certain purposes for E., 1.12.2001 for all other purposes for E. and 26.8.2002 for W.) by 2001 c. 15, ss. 67(1), 70(2), Sch. 5 para. 5(13)(b) (with ss. 64(9), 65(4)); S.I. 2001/3294, art. 4(1), Sch. Pt. I (subject to transitional provisions in Sch. Pt. II); S.I. 2002/1919, art. 3(1) (subject to art. 3(2))

F30Words in s. 126(4) substituted (10.10.2002 for W.) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), {ss. 6(3)(c}, 42(3); S.I. 2002/2532, art. 2, Sch.

F31Words in s. 126(4) inserted (10.10.2002 for W. and 1.9.2003 in so far as not in force) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 37(1), 42(3), Sch. 8 para. 10(a); S.I. 2002/2532, art. 2, Sch.; S.I. 2003/2246, art. 2(b)

F32Words in s. 126(4) inserted (3.2.2004 for E. and 28.2.2004 for W.) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 11 para. 38; S.I. 2004/288, art. 2(1)(c) (with arts. 7, 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); W.S.I. 2004/480, art. 2(1)(c) (with arts. 6,7) (as amended by W.S.I. 2004/1019 and W.S.I. 2006/345))

F33Words in s. 126(4) substituted (1.8.2008) by Health Act 2006 (c. 28), s. 83(7), Sch. 8 para. 23; S.I. 2008/1972, art. 2(b)

F34Words in s. 126(4) inserted (28.2.2007 for specified purposes) by Health Act 2006 (c. 28), ss. 34(2), 83(5)(b)(7); S.I. 2006/3125, art. 3(a)

F35Words in s. 126(4) substituted (1.9.1999 for E. and 1.11.1999 for W.) by 1999 c. 8, s. 65, Sch. 4 para. 37(6); S.I. 1999/2342, art. 2(1), Sch. 1; S.I. 1999/3184, art. 2(1), Sch. 1

F36Words in s. 126(4) repealed (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 14 Pt. 4; S.I. 2004/288, art. 6(2)(d) (with arts. 7, 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); S.I. 2004/480, art. 5(2)(d) (with arts. 6, 7) (as amended by S.I. 2004/1019 and S.I. 2006/345)

F37S. 126(4A) inserted (20.10.2003 for W.) by Health (Wales) Act 2003 (c. 4), ss. 1(2), 10(2); S.I. 2003/2660, art. 2(1)(i)(2)

F38S. 126(5) added by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 65(2)

F39Words in s. 126(5) inserted (1.10.2001 for certain purposes for E., 1.12.2001 for all other purposes for E. and 26.8.2002 for W.) by 2001 c. 15, ss. 67(1), 70(2), Sch. 5 para. 5(13)(d) (with ss. 64(9), 65(4)); S.I. 2001/3294, art. 4(1), Sch. Pt. I (subject to transitional provisions in Sch. Pt. II); S.I. 2002/1919, art. 3(1) (subject to art. 3(2))

Modifications etc. (not altering text)

C1S. 126 applied (28.6.1995 for specified purposes and otherwise 1.4.1996) by 1968 c. 46, s. 63(5A) (as inserted (28.6.1995 for specified purposes and otherwise 1.4.1996) by 1995 c. 17, ss. 2(1)(3), 8(1), Sch. 1 Pt. III para. 95(2)(c) (with Sch. 2 para. 6)

C2S. 126(4)(5) applied (3.8.1999 for E. and W. and otherwise 1.10.1999) by 1999 c. 8, ss. 62(4)(5), 67; S.I. 1999/2177, art. 2(1); S.S.I. 1999/90, art. 2(a), Sch. 1

C3S. 126(4)(5) extended (28.6.1995) by 1995 c. 17, s. 6(6) (with Sch. 2 para. 6)

C4S. 126(4) extended by Health and Social Security Act 1984 (c. 48, SIF 113:1), s. 28(3)

C5S. 126(4) applied (28.9.2006 for specified purposes) by Health Act 2006 (c. 28), ss. 70(3), 83(3); S.I. 2006/2603, art. 4(2)

Marginal Citations

M11990 c. 19.

M2S.I. 1990 c.19.

F1127 Supplementary regulatory powers.E+W+S

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

[F1128 Interpretation and construction.E+W+S

(1)In this Act [F40and Part I of the National Health Service and Community Care Act 1990], unless the contrary intention appears—

F41. . .
F42. . .
F43. . .
F44...
“dental practitioner” means a person registered in the dentists register under the M3Dentists Act [F451984];
[F46“disabled persons” means persons who are blind, deaf or dumb or who suffer from mental disorder of any description and other persons who are substantially and permanently handicapped by illness, injury or congenital deformity or such other disability as may be prescribed;]
“dispensing optician” means a person who is registered in the register kept under section 2 of the M4Opticians Act 1958 of dispensing opticians or a body corporate enrolled in the list kept under section 4 of that Act of such bodies carrying on business as dispensing opticians;
“equipment” includes any machinery, apparatus or appliance, whether fixed or not, and any vehicle;
[F47“the FHSAA” means the Family Health Services Appeal Authority;]
[F48“financial year” means a period of 12 months ending with 31st March in any year;]
“functions” included powers and duties;
F49. . .
F41. . .
[F50“general dental services contract” has the meaning given by section 28K above;]
[F50“general medical services contract” has the meaning given by section 28Q above;]
“the health service” means the health service established in pursuance of [F51section 1 of the M5National Health Service Act 1946 and continued under] section 1(1) above;
[F52“health service body” has the same meaning as in section 4 of the M6National Health Service and Community Care Act 1990;]
“health service hospital” means a hospital vested in the Secretary of State [F53for the purposes of his functions] under this Act [F54or vested in [F55a Primary Care Trust] [F56, an NHS trust or an NHS foundation trust]];
[F57“high security psychiatric services” has the meaning given by section 4 above]
F42. . .
“hospital” means—
(a)
any institution for the reception and treatment of persons suffering from illness,
(b)
any maternity home, and
(c)
any institution for the reception and treatment of persons during convalescence or persons requiring medical rehabilitation,
and includes clinics, dispensaries and out-patient departments maintained in connection with any such home or institution, and hospital accommodation shall be construed accordingly;
“illness” includes mental disorder within the meaning of [F58the M7Mental Health Act 1983] and any injury or disability requiring medical or dental treatment or nursing;
“local authority” means a county council, F59. . . a district council, [F60a county borough council,] a London borough council, and the Common Council of the City of London; F61. . .
“local education authority” has the same meaning as in the [F62the Education Act 1996];
[F63“local pharmaceutical services” means such services of a kind which may be provided under section 41 or by virtue of section 41A (except the provision of drugs, medicines or listed appliances by a medical practitioner or dental practitioner to a patient of his pursuant to arrangements made by virtue of section 43(1)) as are prescribed by regulations under section 28 of the Health and Social Care Act 2001;
“LPS arrangements” means arrangements made under a pilot scheme established under section 28 of the Health and Social Care Act 2001;]
“local social services authority” means the council of a non-metropolitan county, [F64of a county borough]or of a metropolitan district or London borough, or the Common Council of the City of London;
“medical” includes surgical;
F44...
[F65“medical practitioner” means a registered medical practitioner within the meaning of Schedule 1 to the M8Interpretation Act 1978]
“medicine” includes such chemical re-agents as are included in a list for the time being approved by the Secretary of State for the purposes of section 41 above;
“modifications” includes additions, omissions and amendments;
[F66“NHS contract” has the meaning assigned by section 4(1) of the National Health Service and Community Care Act 1990;
“National Health Service trust” has the meaning assigned by section 5 of the National Health Service and Community Care Act 1990 and “NHS trust” shall be construed accordingly]
“officer” includes servant;
[F67“operational date”, in relation to an NHS trust, shall be construed in accordance with paragraph 3(1)(e) of Schedule 2 to the National Health Service and Community Care Act 1990]
[F68[F69“optometrist”] means a person registered in the register of optometrists maintained under section 7 of the Opticians Act 1989 [F70, or in the register of visiting optometrists from relevant European States maintained under section 8B(1)(a) of that Act ,] or a body corporate registered in the register of bodies corporate maintained under section 9 of that Act carrying on business as an optometrist;]
“patient” includes an expectant or nursing mother and a lying-in woman;
F44...
F44...
[F71“pharmaceutical services” has the meaning assigned by section 41 of this Act]
“prescribed” means prescribed by regulations made by the Secretary of State under this Act [F72or Part I of the National Health Service and Community Care Act 1990;]
[F73“PCT order” has the meaning given by section 16A above]
[F50“primary dental services” means services which are primary dental services for the purposes of Part 1 (see section 16CA);]
[F74“primary functions” shall be construed in accordance with section 3 of the National Health Service and Community Care Act 1990]
[F50“primary medical services” means services which are primary medical services for the purposes of Part 1 (see section 16CC).]
“property” includes rights; F43. . .
“registered pharmacist” means a pharmacist registered in the register of pharmaceutical chemists;
“regulations” means regulations made by the Secretary of State under this Act [F75or Part I of the National Health Service and Community Care Act 1990];
[F52“section 28C arrangements” means arrangements made under section 28C];
F76. . .
“superannuation benefits” means annual superannuation allowances, gratuities and periodical payments payable on retirement, death or incapacity, and similar benefits;
[F77“terms of service” means the terms upon which by virtue of regulations a person undertakes to provide F44... general ophthalmic services or pharmaceutical services.]
“university” includes a university college;
[F78“voluntary organisation” means a body the activities of which are carried on otherwise than for profit, but does not include any public or local authority;]

F42. . .

[F79(1A)So far as is necessary or expedient in consequence of a direction under section 16D or 17A above providing for the exercise by a [F80Strategic Health Authority,] Health Authority, Special Health Authority or Primary Care Trust of a function exercisable by another person, any reference in any enactment, instrument or other document to that other person is to be read as a reference to the [F80Strategic Health Authority,] Health Authority, Special Health Authority or Primary Care Trust.]

(2)References in this Act to the purposes of a hospital shall be construed as referring both to the general purposes of the hospital and to any specific purpose of the hospital.

(3)Any reference in this Act to any enactment is a reference to it as amended or applied by or under any other enactment including this Act.]

Textual Amendments

F40Words inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 26(2)

F41Definitions of “District Health Authority” and “health authority” in s. 128(1) repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3 (with Sch. 2 para. 6)

F42Definition repealed by Health Services Act 1980 (c. 53, SIF 113:2), Sch. 2, para. 10, Sch. 7

F43Definition repealed by Nurses, Midwives and Health Visitors Act 1979 (c. 36, SIF 83:1), Sch. 7, para. 28, Sch. 8

F44Words in s. 128(1) repealed (1.4.2004 in so far as it relates to the definitions of “medical list”, “personal medical services” and “terms of service” and 1.4.2006 in so far as not already in force) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 14 Pt. 4; S.I. 2004/288, art. 6(2)(d) (with arts. 7, 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); S.I. 2004/480, art. 5(2)(d) (with arts. 6, 7) (as amended by S.I. 2004/1019 and S.I. 2006/345); S.I. 2005/2925, art. 11; S.I. 2006/345, art. 7(2)(a)

F45Words substituted by Dentists Act 1984 (c. 24, SIF 83:1), s. 54(1), Sch. 5 para. 9

F46Definition inserted by Health and Social Services and Social Security Adjudications Act 1983 (c. 41, SIF 113:3), s. 29(1), Sch. 9 Pt. I para. 22

F47S. 128(1): Definition of "the FHSAA" inserted (1.10.2001 for certain purposes for E., 1.12.2001 for all other purposes for E. and 26.8.2002 for W.) by 2001 c. 15, ss. 27(3), 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3294, art. 4(1), Sch. Pt. I (subject to transitional provisions in Sch. Pt. II); S.I. 2002/1919, art. 3(1), Sch. Pt. II (subject to art. 3(2))

F48Words in s. 128(1) inserted (1.10.2006 except so far as relating to Welsh NHS bodies, 1.2.2007 in so far as not already in force) by Health Act 2006 (c. 28), s. 83(4)(b), Sch. 8 para. 24(a); S.I. 2006/2603, art. 5(b); S.I. 2007/204, art. 4(b)

F49Definition of “fund-holding practice” in s. 128(1) repealed (1.10.1999 for E. and otherwise 1.4.2000) by 1999 c. 8, s. 65, Sch. 5; S.I. 1999/2540, art. 2(1), Sch. 1; S.I. 2000/1041, art. 2(d), Sch.

F50Words in s. 128(1) inserted (3.2.2004 for E. for specified purposes, 28.2.2004 for W. for specified purposes, 1.12.2005 for E. so far as not already in force, 15.2.2006 for W. in so far as not already in force) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 11 para. 39; S.I. 2004/288, arts. 2(1)(c), 3(1)(d) (with arts. 7, 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); S.I. 2004/480, arts. 2(1)(c), 3(c) (with arts. 6, 7) (as amended by S.I. 2004/1019 and S.I. 2006/345); S.I. 2005/2925, arts. 4(1)(c), 5(1)(e); S.I. 2006/345, arts. 2(1)(b), 3(1)(d)

F51Words inserted by Health Services Act 1980 (c. 53, SIF 113:2), Sch. 1, para. 77(c)

F52Definitions in s. 128(1) inserted (1.4.1998 in relation to the definition of “section 28C arrangements”, 10.12.1998 in relation to the definition of “medical list”, 24.6.2002 for E. in relation to the definition of “health service body, 1.4.2004 for W. in relation to the definition of “health service body and otherwise prosp.) by 1997 c. 46, s. 41(10), Sch. 2 para. 28; S.I. 1998/631, art. 2(b), Sch. 2 (with arts. 3-5); S.I. 1998/2840, art. 2(3), Sch. (with art. 3); S.I. 2002/1616, art. 2; S.I. 2004/287, art. 3

F53Words inserted by Health Services Act 1980 (c. 53, SIF 113:2), Sch. 1, para. 77(d)

F54Words inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 26(2)(c)

F55Words in the definition of “health service hospital” in s. 128(1) inserted (4.1.2000 for E. and 1.3.2007 immediately before the National Health Service Act 2006 (c. 41) in so far as not already in force) by 1999 c. 8, ss. 65, 67, Sch. 4 para. 38(2)(a); S.I. 1999/2342, art. 2(3)(a), Sch. 2; S.I. 2006/1407, Sch. 1 Pt. 2 para. 6

F56Words in s. 128(1) substituted (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 4 para. 42; S.I. 2004/759, art. 2

F57Definition of “high security psychiatric services” in s. 128(1) inserted (1.4.2000) by 1999 c. 8, s. 65, Sch. 4 para. 38(2)(b); S.I. 1999/2793, art. 2(3)(a), Sch. 3

F58Words substituted by Mental Health Act 1983 (c. 20, SIF 85), s. 148, Sch. 4 para. 47(d)

F59Words repealed by Local Government Act 1985 (c. 51, SIF 81:1), s. 102(2), Sch. 17

F60Words in the definition of “local authority” in s. 128(1) inserted (1.4.1996) by 1994 c. 19, s. 22(4), Sch. 10 para. 11(3)(a) (with ss. 54(5)(7), 55(5), Sch. 17 paras. 22(1), 23(2)); S.I. 1996/396, art. 3, Sch. 1

F61Words in the definition of “local authority” in s. 128(1) repealed (1.4.1996) by 1995 c. 17, s. 5(1)(2), Sch. 3 (with Sch. 2 para. 6)

F62Words in the definition of “local education authority” in s. 128(1) substituted (1.11.1996) by 1996 c. 56, ss. 582(1), 583(1), Sch. 37 para. 45 (with s. 1(4), Sch. 39)

F63 S. 128(1): definitions of "local pharmaceutical services" and "LPS arrangements" inserted (E.) (12.12.2002) by The National Health Service (Local Pharmaceutical Services Etc.) Regulations 2002 (S.I. 2002/2861), reg. 24

F64Words in the definition of “local social services authority” in s. 128(1) inserted (1.4.1996) by 1994 c. 19, s. 22(4), Sch. 10 para. 11(3)(b) (with ss. 54(4)(7), 55(5), Sch. 17 paras. 22(1), 23(2)); S.I. 1996/396, art. 3, Sch. 1

F65Definition substituted by Medical Act 1983 (c. 45, SIF 83:1), s. 56(1), Sch. 5 para. 16(b)

F66Definitions inserted (the insertion not being in force until 1.4.1991 so far as it relates to the definition of “NHS contract”) by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 26(2)(d)

F67Definition inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 26(2)(e)

F68Words in s. 128(1) substituted (30.6.2005 as notified in the London Gazette dated 3.6.2005) by The Opticians Act 1989 (Amendment) Order 2005 (S.I. 2005/848), Sch. 1 para. 9 (with Sch. 2)

F69Word in s. 128(1) substituted (1.8.2008) by Health Act 2006 (c. 28), s. 83(7), Sch. 8 para. 24(b); S.I. 2008/1972, art. 2(b)

F70Words in s. 128(1) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 189

F71Definition inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 26(2)(f)

F72Words inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 26(2)(g)

F73Definition of “PCT order” in s. 128(1) inserted (4.1.2000 for E. and 1.3.2007 immediately before the National Health Service Act 2006 (c. 41) in so far as not already in force) by 1999 c. 8, ss. 65, 67, Sch. 4 para. 38(2)(c); S.I. 1999/2342, art. 2(3)(a), Sch. 2; S.I. 2006/1407, Sch. 1 Pt. 2 para. 6

F74Definition inserted (1.4.1991) by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 26(2)(h)

F75Words inserted by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), s. 26(2)(i)

F76Definition of “special hospital” in s. 128(1) repealed (1.4.2000) by 1999 c. 8, s. 65, Sch. 5; S.I. 1999/2793, art. 2(3)(a), Sch. 3

F77S. 128(1): definition of “terms of service” inserted (22.11.2001 for certain purposes for E., 14.12.2001 for all other purposes and 1.2.2003 for E. in so far as not already in force by 2001 c. 15, ss. 67(1), 70(2), Sch. 5 Pt. 1 para. 5(14) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(2), Sch. 1 Pt. II; S.I. 2003/53, art. 4(d)

F78Definition substituted by Health Services Act 1980 (c. 53, SIF 113:2), Sch. 1, para. 77(e)

F79S. 128(1A) inserted (1.9.1999 for E. for specified purposes, 1.12.1999 for W. for specified purposes, 4.1.2000 for E. for other specified purposes and 1.3.2007 immediately before the National Health Service Act 2006 (c. 41) in so far as not already in force) by 1999 c. 8, ss. 65, 67, Sch. 4 para. 38(3); S.I. 1999/2342, art. 2(1)(3)(a), Schs. 1, 2; S.I. 1999/3184, art. 2(2), Sch. 2; S.I. 2006/1407, Sch. 1 Pt. 2 para. 6

F80Words in s. 128(1A) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 1(3), 42(3), Sch. 1 Pt. 1 para. 33; S.I. 2002/2478, art. 3(1)(c)

Modifications etc. (not altering text)

C6S. 128(1) applied (with modifications) (1.4.2006) by The National Health Service (Local Pharmaceutical Services etc.) Regulations 2006 (S.I. 2006/552), reg. 1(1), Sch. 1 para. 9

Marginal Citations

M31984 c. 24(83:1).

M41958 c. 32(83:1).

M51946 c. 81.

M61990 c. 19.

M71983 c. 20(85).

M81978 c. 30(115:1).

F1129 Transitional provisions and savings, consequential amendments, and repeals.U.K.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F1130 Short title, extent and commencement.U.K.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

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National Health Service Act 1977

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Changes over time for: National Health Service Act 1977 (without Schedules)

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F1Part IE+W+S Services and Administration

F1Part IIE+W+S General Medical, General Dental, General Ophthalmic, and Pharmaceutical Services

F1 General medical servicesE+W+S

F1 General dental servicesE+W+S

F1 General ophthalmic servicesE+W+S

F1 Pharmaceutical servicesE+W+S

F1 Indemnity coverE+W+S

F1 Local representative committeesE+W+S

F1 Provisions as to disqualification of practitionersE+W+S

F146 Disqualification of practitioners.E+W+S

F147 Removal of disqualification.E+W+S

F148 Disqualification provisions in Scotland or Northern Ireland.E+W+S

F149 Regulations as to ss. 46 to 48.E+W+S

F149A Applications for interim suspension.E+W+S

F149B Continuation of suspension pending appeal.E+W+S

F149C Sections 49A and 49B: procedure etc.E+W+S

F149D Suspension provisions in Scotland or Northern Ireland.E+W+S

F149E Payments in consequence of suspension.E+W+S

F149F Disqualification of practitionersE+W+S

F149GContingent removalE+W+S

F149H Fraud and unsuitability cases: supplementaryE+W+S

F149I SuspensionE+W+S

F149J Suspension pending appealE+W+S

F149K Effect of suspensionE+W+S

F149L Review of decisionsE+W+S

F149M AppealsE+W+S

F149N National disqualificationE+W+S

F149O Notification of decisionsE+W+S

F149P Withdrawal from listsE+W+S

F149Q RegulationsE+W+S

F149R Corresponding provision in Scotland and Northern IrelandE+W+S

F1 The Family Health Services Appeal AuthorityE+W+S

F1 Other provisions supplementary to Part IIE+W+S

Part IIIU.K. Other Powers of the Secretary of State as to theHealth Service

Control of maximum prices for medical suppliesU.K.

F1[F257 Maximum price of medical supplies may be controlled.U.K.

Additional powers as to services and supplies; and the use of those services and supplies for private patientsE+W+S

F358. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

F459, 60.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

F561. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

F162 Restriction of powers under ss. 25, 58 and 61.E+W+S

Further provisions as to payments by patients for health service accommodation and servicesE+W+S

F163 Hospital accommodation on part payment.E+W+S

F164 Expenses payable by remuneratively employed resident patients.E+W+S

F165 Accommodation and services for private patients.E+W+S

F666A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

F767—71.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E+W+S

Use by practitioners of health service facilities for private PracticeE+W+S

F172 Permission for use of facilities in private practice.E+W+S

73—76.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F8E+W+S

Regulations as to certain chargesE+W+S

F177 Charges for drugs, medicines or appliances, or pharmaceutical services.E+W+S

F178 Charges for ... optical appliances.E+W+S

F179Dental chargingE+W+S

F179A Calculation of charges for dental appliances and treatment.E+W+S

F180 Charges for designated facilities.E+W+S

F181 Charges for more expensive supplies.E+W+S

F182 Charges for repairs and replacements in certain cases.E+W+S

F183 Sums otherwise payable to those providing services.E+W+S

F183A Remission and repayment of charges and payment of travelling expenses.E+W+S

Inquiries, and default and emergency powersE+W+S

F984Inquiries.E+W+S

F184A Intervention ordersE+W+S

F184B Intervention orders: effectE+W+S

F185 Default powers.E+W+S

F186 Emergency powers.E+W+S

F1Part IVE+W+S Property and Finance