National Health Service Act 1977

[F1 Indemnity cover E+W+S

Textual Amendments

F1 S. 43C and cross-heading inserted (1.4.2000) by 1999 c. 8, ss. 9(1); S.I. 1999/2793, art. 2(3)(b); S.I. 2000/1041, art. 2(a)

[F2 43C Indemnity cover. E+W+S

(1) Regulations may make provision for the purpose of securing that, in prescribed circumstances, prescribed Part II practitioners hold approved indemnity cover.

(2) The regulations may, in particular, make provision as to the consequences of a failure to hold approved indemnity cover, including provision—

(a) for securing that a person is not to be added to any list unless he holds approved indemnity cover;

(b) for the removal from a list prepared by a [F3 Primary Care Trust or] Health Authority of a Part II practitioner who does not within a prescribed period after the making of a request by the Health Authority in the prescribed manner satisfy the [F4 Primary Care Trust or] Health Authority that he holds approved indemnity cover.

(3) For the purposes of this section—

• “approved body” means a person or persons approved in relation to indemnity cover of any description, after such consultation as may be prescribed, by the Secretary of State or by such other person as may be prescribed;

• “approved indemnity cover” means indemnity cover made—

  (a)

  on prescribed terms; and

  (b)

  with an approved body;

• “indemnity cover”, in relation to a Part II practitioner (or person who proposes to provide Part II services), means a contract of insurance or other arrangement made for the purpose of indemnifying him and any person prescribed in relation to him to any prescribed extent against any liability which—

  (a)

  arises out of the provision of Part II services in accordance with arrangements made by him with a [F5 Primary Care Trust or] Health Authority under this Part of this Act; and

  (b)

  is incurred by him or any such person in respect of the death or personal injury of a person;

• [F6 “list” means a list of any kind mentioned in paragraphs (a) to (e) of section 49F below;]

• “Part II practitioner” means a person whose name is on a list;

• “Part II services” means general medical services, general dental services, general ophthalmic services or pharmaceutical services;

• “personal injury” means any disease or impairment of a person’s physical or mental condition and includes the prolongation of any disease or such impairment;

and a person holds approved indemnity cover if he has entered into a contract or arrangement which constitutes approved indemnity cover.

(4) The regulations may provide that a person of any description who has entered into a contract or arrangement which is—

(a) in a form identified in accordance with the regulations in relation to persons of that description; and

(b) made with a person or persons so identified,

is to be treated as holding approved indemnity cover for the purposes of the regulations.]

Textual Amendments

F2 S. 43C and cross-heading inserted (1.4.2000) by 1999 c. 8, ss. 9(1); S.I. 1999/2793, art. 2(3)(b); S.I. 2000/1041, art. 2(a)

F3 Words in s. 43C inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 19; S.I. 2002/2478, art. 3(1)(d)

F4 Words in s. 43C inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 19; S.I. 2002/2478, art. 3(1)(d)

F5 Words in s. 43C inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 19; S.I. 2002/2478, art. 3(1)(d)

F6 Definition of "list" in s. 43C(3) substituted (1.10.2002 for E. and 10.10.2002 for W.) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 37(1), 42(3), Sch. 8 para. 3; S.I. 2002/2478, {art, 3(2)(b)(i)}; S.I. 2002/2532, art. 2, Sch.

[F7 43D Supplementary lists E+W+S

(1) The Secretary of State may make regulations providing for the preparation and publication by [F8 each Primary Care Trust and] each Health Authority of one or more lists of persons approved by the [F9 Primary Care Trust or] Health Authority for the purpose of assisting in the provision of general medical services, general dental services, general ophthalmic services and pharmaceutical services.

(2) Such a list is referred to in this section as a “supplementary list”.

(3) The regulations may, in particular, include provision as to—

(a) the [F10 Primary Care Trust or] Health Authority to which an application for inclusion in a supplementary list is to be made,

(b) the procedure for applying for inclusion, including any information to be supplied to the [F10 Primary Care Trust or] Health Authority (whether by the applicant or by arrangement with him),

(c) grounds on which the [F10 Primary Care Trust or] Health Authority may, or must, refuse a person’s application for inclusion in a supplementary list (including his unsuitability for inclusion in such a list), or on which they may defer their decision on the application,

(d) requirements with which a person included in a supplementary list must comply (including the declaration of financial interests and of gifts and other benefits),

(e) grounds on which a [F10 Primary Care Trust or] Health Authority may, or must, suspend or remove a person from a supplementary list, the procedure for doing so, and the consequences of doing so,

(f) payments to or in respect of persons who are suspended from a supplementary list (including provision for the amount of the payments, or the method of calculating the amount, to be determined by the Secretary of State or by another person appointed for the purpose by the Secretary of State),

(g) the supply to the [F10 Primary Care Trust or] Health Authority by an applicant for inclusion in a supplementary list, or by a person included in one, of a criminal conviction certificate under section 112 of the Police Act 1997 (c. 50), a criminal record certificate under section 113 of that Act or an enhanced criminal record certificate under section 115 of that Act,

(h) circumstances in which a person included in a supplementary list may not withdraw from it,

(i) criteria to be applied in making decisions under the regulations,

(j) appeals against decisions of [F11 Primary Care Trusts and] Health Authorities under the regulations,

(k) the disclosure by a [F10 Primary Care Trust or] Health Authority, to prescribed persons or persons of prescribed descriptions, of information of a prescribed description about applicants for inclusion in a supplementary list, refusals of such applications, and suspensions and removals from that list.

(4) The regulations may, in particular, also provide for—

(a) a person’s inclusion in a supplementary list to be subject to conditions determined by the [F12 Primary Care Trust or] Health Authority,

(b) the [F13 Primary Care Trust or] Health Authority to vary the conditions or impose different ones,

(c) the consequences of failing to comply with a condition (including removal from the list), and

(d) the review by the [F14 Primary Care Trust or] Health Authority of their decisions made by virtue of regulations under this subsection.

(5) The imposition of such conditions must be with a view to—

(a) preventing any prejudice to the efficiency of the services to which the supplementary list relates; or

(b) preventing any acts or omissions of the type described in section 49F(3)(a) below.

(6) Regulations made by virtue of subsection (3)(e) may (but need not) make provision corresponding to anything in sections 49F to 49N below.

(7) If the regulations provide under subsection (3)(e) or (4) that a [F15 Primary Care Trust or] Health Authority may suspend or remove a person from a supplementary list, they must include provision—

(a) requiring him to be given notice of any allegation against him;

(b) giving him the opportunity of putting his case at a hearing before the [F15 Primary Care Trust or] Health Authority make any decision as to his suspension or removal; and

(c) requiring him to be given notice of the [F16 decision of the Primary Care Trust or of the Health Authority] and the reasons for it and of any right of appeal under subsection (8) or (9).

(8) If the regulations provide under subsection (3)(c) or (e) that a [F17 Primary Care Trust or] Health Authority may refuse a person’s application for inclusion in a supplementary list, or remove a person from one, the regulations must provide for an appeal (by way of redetermination) to the FHSAA against the [F18 decision of the Primary Care Trust or of the Health Authority] .

(9) If the regulations make provision under subsection (4), they must provide for an appeal (by way of redetermination) by the person in question to the FHSAA against the [F19 decision of the Primary Care Trust or of the Health Authority]—

(a) to impose conditions, or any particular condition,

(b) to vary a condition,

(c) to remove him from the supplementary list for breach of condition,

(d) on any review of an earlier such decision of theirs.

(10) Regulations may require a person (“A”) included in—

(a) a medical list,

(b) a list referred to in section 36(1)(a),

(c) a list referred to in section 39(1)(a),

(d) a list referred to in section 42(2)(a), or

(e) a list referred to in section 43(2A),

not to employ or engage a person (“B”) to assist him in the provision of the relevant service unless B is included in a list referred to in paragraphs (a) to (e), a supplementary list, a services list referred to in section 28DA above or section 8ZA of the National Health Service (Primary Care) Act 1997 (c. 46) or a list corresponding to a services list prepared by a [F20 Primary Care Trust or] Health Authority by virtue of regulations made under section 41 of the Health and Social Care Act 2001 (or, in any of those cases, such a list of a prescribed description).

(11) If regulations do so require, they—

(a) need not require both A and B to be included in lists prepared [F21 by the same Primary Care Trust or] by the same Health Authority, but

(b) may, in particular, require that both A and B be included in lists prepared by [F22 Primary Care Trusts] , or in lists prepared by [F23 Health Authorities] .]]

Textual Amendments

F7 S. 43D inserted (22.11.2001 for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 24, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(1), Sch. 1 Pt. I; S.I. 2002/1475, art. 2(1) Sch. Pt. 1

F8 Words in s. 43D(1) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(2)(a); S.I. 2002/2478, art. 3(1)(d)

F9 Words in s. 43D(1) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(2)(b); S.I. 2002/2478, art. 3(1)(d)

F10 Words in s. 43D(3) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(3)(a); S.I. 2002/2478, art. 3(1)(d)

F11 Words in s. 43D(3)(j) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(3)(b); S.I. 2002/2478, art. 3(1)(d)

F12 Words in s. 43D(4) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(4); S.I. 2002/2478, art. 3(1)(d)

F13 Words in s. 43D(4) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(4); S.I. 2002/2478, art. 3(1)(d)

F14 Words in s. 43D(4) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(4); S.I. 2002/2478, art. 3(1)(d)

F15 Words in s. 43D(7) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(5)(a); S.I. 2002/2478, art. 3(1)(d)

F16 Words in s. 43D(7) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(5)(b); S.I. 2002/2478, art. 3(1)(d)

F17 Words in s. 43D(8) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(6)(a); S.I. 2002/2478, art. 3(1)(d)

F18 Words in s. 43D(8) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(6)(b); S.I. 2002/2478, art. 3(1)(d)

F19 Words in s. 43D(9) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(7); S.I. 2002/2478, art. 3(1)(d)

F20 Words in s. 43D(10) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 20(8); S.I. 2002/2478, art. 3(1)(d)

F21 Words in s. 43D(11)(a) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17) ss. 2(5), 42(3), {Sch. 2 Pt. 1 para. 20(9)(a)}; S.I. 2002/2478, art. 3(1)(d)

F22 Words in s. 43D(11)(b) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17) ss. 2(5), 42(3), {Sch. 2 Pt. 1 para. 20(9)(b)(i)}; S.I. 2002/2478, art. 3(1)(d)

F23 Words in s. 43D(11)(b) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17) ss. 2(5), 42(3), {Sch. 2 Pt. 1 para. 20(9)(b)(ii)}; S.I. 2002/2478, art. 3(1)(d)