http://www.legislation.gov.uk/ukpga/1983/54/schedule/4/2004-07-07Medical Act 1983An Act to consolidate the Medical Acts 1956 to 1978 and certain related provisions, with amendments to give effect to recommendations of the Law Commission and the Scottish Law Commission.1983-07-26texttext/xmlenStatute Law Database2025-01-13Expert Participation2004-07-07 SCHEDULES SCHEDULE 4 Proceedings Before Professional Conduct, Health and Preliminary Proceedings CommitteesSection 43.<Substitution ChangeId="key-fc0f6de22ff23241f9815b99a3d06067-1551690341414" CommentaryRef="key-fc0f6de22ff23241f9815b99a3d06067">Procedure of and evidence before the Investigation Committee, Interim Orders Panels and Fitness to Practise Panels</Substitution>11Subject to the provisions of this paragraph, the General Council shall make rules for the Investigation Committee, Interim Orders Panels and Fitness to Practise Panels with respect to—athe reference of cases to the Investigation Committee, an Interim Orders Panel or a Fitness to Practise Panel; andbthe procedure to be followed and rules of evidence to be observed in proceedings before that Committee or such a Panel.2Rules made under this paragraph in connection with the consideration by the Investigation Committee of whether to warn a person regarding his future conduct or performance under section 35C(6) above shall include provision—asecuring that notice shall be given to this effect to the person concerned;bsecuring that the person concerned shall be entitled to make representations in writing to the Committee;csecuring that if the Committee determines that there should be an oral hearing, the person concerned shall, if he so requires, be entitled to be heard by the Committee;denabling the person concerned to be represented before the Committee by counsel or a solicitor, or (if the rules so provide and he so elects) by a person of such other description as may be specified in the rules; andesecuring that notice be served on the person concerned of any decision taken in relation to him by the Committee.3Rules made under this paragraph in connection with the consideration by an Interim Orders Panel or a Fitness to Practise Panel of the making of an interim suspension order or an order for interim conditional registration under section 41A above, or in connection with the review of such an interim order, shall include provision—asecuring that notice that the proceedings are to be brought shall be given, at such time and in such manner as may be specified in the rules, to the person to whom the proceedings relate;bsecuring that a person in relation to whom an order has been made shall, if he so requires, be entitled to be heard by the Panel on each occasion on which they review the order;cenabling the person in relation to whom the order has been made to be represented before the Panel by counsel or a solicitor, or (if the rules so provide and he so elects) by a person of such other description as may be specified in the rules;dfor service on the person to whom the proceedings relate of notice of any decision taken in relation to him by the Panel; andedetermining when proceedings before the Panel are to be held in public and when in private (including provision securing that they are to be held in public if the person to whom the proceedings relate so requests).4Rules made under this paragraph in connection with any other proceedings before a Fitness to Practise Panel shall include provision—asecuring that notice that the proceedings are to be brought shall be given, at such time and in such manner as may be specified in the rules, to the person to whose registration the proceedings relate;bsecuring that any party to the proceedings shall, if he so requires, be entitled to be heard by a Panel;cenabling any party to the proceedings to be represented before the Panel by counsel or a solicitor, or (if the rules so provide and the party so elects) by a person of such other description as may be specified in the rules;din relation to conduct, conviction or determination proceedings, for proceedings before a Panel to be held in public unless and to the extent that the rules provide otherwise; andein relation to health or performance proceedings, requiring proceedings before a Panel to be held in public if the person concerned so requests unless and to the extent that the rules provide otherwise.5Rules made under this paragraph shall specify the relevant date for the purposes of sections 35A and 35B of this Act.6Before making rules under this paragraph the General Council shall consult such bodies of persons representing medical practitioners, or medical practitioners of any description, as appear to the General Council requisite to be consulted.7Rules under this paragraph shall not come into force until approved by order of the Privy Council.8The Privy Council may approve such rules—aas submitted to them; orbsubject to such modifications as appear to them to be requisite.9Where the Privy Council propose to approve rules under this paragraph subject to modifications, they shall—anotify the General Council of the modifications they propose to make; andbconsider any observations which the General Council may make on the modifications.10In this paragraph—“conduct proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(a) above;“performance proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(b) above;“conviction proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(c) above;“health proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(d) above; and“determination proceedings” means proceedings involving an allegation of a kind mentioned in section 35C(2)(e) above.21For the purpose of proceedings before the Interim Orders Committee, the Professional Conduct Committee , the Assessment Referral Committee, the Committee on Professional Performance or the Health Committee in England or Wales or in Northern Ireland the Committee may administer oaths, and any party to the proceedings may issue a writ of sub poena ad testificandum or duces tecum, but no person shall be compelled under any such writ to produce any document which he could not be compelled to produce on the trial of an action.2Section 36 of the Supreme Court Act 1981 or section 67 of the Judicature (Northern Ireland) Act 1978 (which provide a special procedure for the issue of such writs so as to be in force throughout the United Kingdom) shall apply in relation to proceedings before the Interim Orders Committee, the Professional Conduct Committee , the Assessment Referral Committee, the Committee on Professional Performance or the Health Committee in England and Wales or, as the case may be, in Northern Ireland as those provisions apply in relation to causes or matters in the High Court or actions or suits pending in the High Court of Justice in Northern Ireland.3For the purpose of proceedings before the Interim Orders Committee, the Professional Conduct Committee , the Assessment Referral Committee, the Committee on Professional Performance or the Health Committee in Scotland, the Committee may administer oaths and the Court of Session shall on the application of any party to the proceedings have the like power as in any action in that court—ato grant warrant for the citation of witnesses and havers to give evidence or to produce documents before the Committee, and for the issue of letters of second diligence against any witness or haver failing to appear after due citation;bto grant warrant for the recovery of documents; andcto grant commissions to persons to take the evidence of witnesses or to examine havers and receive their exhibits and productions.3Where—aseveral sittings of the Interim Orders Committee, the Professional Conduct Committee of the Assessment Referral Committee, of the Committee on Professional Performance,, of the Health Committee or of the General Council are required to enable the Committee or the Council to dispose of a case; orbon an appeal ... under section 40 of this Act, the case is remitted to the Committee or to the General Council for the Committee or the Council to dispose of the case in accordance with directions given by the court (or the sheriff) ;the validity of the proceedings on the case before the Professional Conduct Committee, the Assessment Referral Committee, the Committee on Professional Performance, the Health Committee or the General Council, as the case may be, shall not be called into question by reason only that members of the Committee or Council who were present at a former meeting were not present at a later meeting of the Committee or Council or that members present at a later meeting were not present at a former meeting of the Committee or Council, as the case may be. Reference and transfer of cases to the Health Committee41Where, in the course of inquiring into the case of a practitioner, it appears to the Professional Conduct Committee , the Assessment Referral Committee or the Committee on Professional Performance that his fitness to practise may be seriously impaired by reason of his physical or mental condition, the Committee may refer that question to the Health Committee for determination.2If, on a reference under this paragraph, the Health Committee determine that the fitness of the practitioner to practise is not seriously impaired by reason of his condition the Health Committee shall certify their opinion to the Professional Conduct Committee , the Assessment Referral Committee or, as the case may be, the Committee on Professional Performance.3If, on a reference under this paragraph, the Health Committee determine that the fitness of the practitioner to practice is seriously impaired by reason of his condition the Health Committee shall certify their opinion to the Professional Conduct Committee , the Assessment Referral Committee or, as the case may be, the Committee on Professional Performance and shall proceed to dispose of the case and the Professional Conduct Committee , the Assessment Referral Committee or, as the case may be, the Committee on Professional Performance shall cease to exercise their functions in relation to the case. Preliminary proceedings51The General Council shall make rules for the Preliminary Proceedings Committee with respect to the times and places of the meetings of the Committee and the mode of summoning the members, and the manner in which the Committee are to discharge their functions.2Rules made under this paragraph for the Preliminary Proceedings Committee shall include provision requiring that before any case is considered by the Committee it shall have been considered by a member of the General Council appointed for the purpose by the Council and referred by that person to the Committee.3Sub-paragraphs (4) and (5) of paragraph 1 above shall apply in relation to rules made under this paragraph as they apply in relation to rules under that paragraph.<Addition ChangeId="d29p7776" CommentaryRef="c13416601"> Professional performance: assessments</Addition>5A1The General Council may make rules—aauthorising the giving of directions by any of—ithe Investigation Committee,iia Fitness to Practise Panel,iiisuch other persons as may be specified in the rules,requiring an assessment of the standard of a registered person’s professional performance to be carried out;bspecifying circumstances in which such an assessment may be carried out otherwise than in accordance with a direction.2An assessment carried out by virtue of this paragraph shall be carried out by an Assessment Panel in accordance with rules under this paragraph; and the rules shall, in particular, provide—afor the constitution and proceedings of Assessment Panels;bfor the procedures to be followed by such panels in carrying out assessments;cfor the procedures to be followed following the making of a report by an Assessment Panel.An assessment carried out by virtue of this paragraph shall be carried out by an Assessment Team in accordance with rules under this paragraph; and the rules shall, in particular, provide—afor the constitution and proceedings of Assessment Teams;bfor the procedures to be followed by such Teams in carrying out assessments; andcfor the procedures to be followed following the making of a report by an Assessment Team.3Rules under this paragraph may authorise a Fitness to Practise Panel to make directions of a kind which may be made under section 35D of this Act, for the suspension of, or the attachment of conditions to a person’s registration, where the person fails to comply with reasonable requirements imposed by an Assessment Team for the purposes of carrying out an assessment of the standard of his professional performance in accordance with a direction made under rules under this paragraph.3ARules under this paragraph may provide for the Investigation Committee to give a direction to the Registrar that a case be referred, or for the Registrar to refer a case, to a Fitness to Practise Panel for the purposes of that Panel making a direction under paragraph (3) above.4An appeal shall lie to the court (within the meaning of section 38 of this Act) from any direction of the Committee on Professional Performance given by virtue of sub-paragraph (3) above, and on an appeal under this sub-paragraph the court may–aquash the direction,bsubstitute for the direction any other direction which the Committee could have made, orcremit a case to the Committee to be disposed of in accordance with the court’s directions;and the decision of the court on any appeal under this sub-paragraph shall be final.5An Assessment Panel, for the purposes of carrying out an assessment of the standard of a person’s professional performance—amay require the production of, inspect and take copies of any records (in whatever form they are held) arising out of or relating to the person’s professional practice;bwhere such records are kept otherwise than in legible form, may require a copy of them to be given to the panel in legible form.6A person who, without reasonable excuse, obstructs an Assessment Panel in the execution of their powers under sub-paragraph (5) above shall be guilty of an offence and liable on summary conviction to a fine not exceeding level 3 on the standard scale.7Nothing in this paragraph shall require or permit any disclosure of information which is prohibited by or under any other enactment; but where information is held in a form in which the prohibition operates by reason of the fact that the information is capable of identifying an individual, an Assessment Panel may, in exercising their powers under sub-paragraph (5) above, require that the information be put into a form in which it is not capable of identifying an individual.8Sub-paragraphs (4) and (5) of paragraph 1 above shall apply in relation to rules made under this paragraph as they apply in relation to rules under that paragraph.9Sub-paragraphs (6) and (7) of paragraph 1 above shall apply in relation to rules made under this paragraph as they apply in relation to rules under that paragraph.5B1A justice of the peace (including, in Scotland, a sheriff) may issue a warrant under this paragraph if satisfied by the evidence on oath of at least two members of an Assessment Panel that there are reasonable grounds for suspecting that the panel will require a warrant for the purposes of carrying out an assessment required by virtue of rules made under paragraph 5A above.2A warrant under this paragraph shall authorise one or more members of the Assessment Panel (who must, if so required, produce documents identifying themselves) together with any constables—ato enter any building specified in the warrant, but not a dwelling-house, using such force as is reasonably necessary for the purpose, andbto search the premises for the purposes of the exercise of the powers under paragraph 5A(5) above.3A warrant under this paragraph shall continue in force until the end of the period of 21 days beginning with the day on which it is issued.4A person who intentionally obstructs the exercise of any rights conferred by a warrant issued under this paragraph shall be guilty of an offence and liable on summary conviction to a fine not exceeding level 3 on the standard scale.<Substitution ChangeId="key-fc0f6de22ff23241f9815b99a3d06067-1551690280978" CommentaryRef="key-fc0f6de22ff23241f9815b99a3d06067">Proceedings for erasure of entries fraudulently or incorrectly made</Substitution>61The General Council shall make rules with respect to the discharge by the Council of their functions under section 39 of this Act.2If the Council delegate their functions under that section to a Fitness to Practise Panel or other committee, rules shall make provision with respect to the discharge of those functions by the Panel or committee.3Sub-paragraph (6) and (7) of paragraph 1 above shall apply in relation to rules made under this paragraph as they apply in relation to rules under that paragraph. Legal assessors71For the purpose of advising the Interim Orders Committee, the Professional Conduct Committee, the Assessment Referral Committee, the Committee on Professional Performance,the Health Committee and the Preliminary Proceedings Committee on questions of law arising in proceedings before them there shall in all such proceedings be an assessor to the Committee who shall be appointed by the General Council and shall be aa person who has a 10 year general qualification, within the meaning of section 71 of the Courts and Legal Services Act 1990;ban advocate or solicitor in Scotland of at least 10 years’ standing; orca member of the Bar of Northern Ireland or solicitor of the Supreme Court of Northern Ireland of at least 10 years’ standing.2An assessor may be appointed under this paragraph either generally or for any particular proceedings or class of proceedings.3The Lord Chancellor or, in relation to proceedings in Scotland, the Secretary of State may make rules as to the functions of assessors appointed under this paragraph, including without prejudice to the generality of the powers to make such rules, the function of advising on the drafting of decisions.4Rules made under this paragraph in connection with proceedings before the Investigation Committee, an Interim Orders Panel or a Fitness to Practise Panel may in particular contain such provisions as appear to the Lord Chancellor or the Secretary of State expedient for—asecuring that where an assessor advises the Committee or a Panel on any question of law as to evidence, procedure or any other matter specified in the rules, he shall either—iso advise in the presence of every party, or person representing a party, to the proceedings who appears at the proceedings, oriiinform every such party or person of the advice that he has tendered, if the advice is tendered after the Committee or the Panel have begun their deliberations;bsecuring that every such party or person shall be informed if in any case the Committee or the Panel do not accept the advice of the assessor on any such question,and may also contain such incidental and supplementary provisions as appear to the Lord Chancellor or the Secretary of State expedient.5The General Council may pay to persons appointed to act as assessors such remuneration as the Council may determine.6The power to make rules under this paragraph shall be exercisable by statutory instrument subject to annulment in pursuance of a resolution of either House of Parliament. Service of notifications of decisions81Any notification required by section 36(6), 36A(7),37(6), 38(3), 39(2) , 41(7), 41A(5), 42(3) or 45(7) or by virtue of section 41B(5) of this Act to be served on a person by the Registrar may be served on him either by delivering it to him or by leaving it at his proper address or by sending it by registered post or by the recorded delivery service.2For the purposes of this paragraph and of section 7 of the Interpretation Act 1978 in its application to this paragraph, a person’s proper address shall be his address in the register or, if his last known address differs from his address in the register and it appears to the Registrar that a letter sent to him there is more likely to reach him, his last known address.3For the purposes of this paragraph service of a notification effected by sending it by post shall be deemed to have been effected at the time when the letter containing it would be delivered in the ordinary course of post, and so much of the said section 7 as relates to the time when service is deemed to have been effected shall not apply to a notification sent by post.Extension of time for appealing9Where any notification required by section 36(6), 36A(7), 37(6) or 39(2) of this Act to be served on a person by the Registrar is served on him by sending it by post then, on an application made at any time by that person, the member of the General Council appointed to act for the purposes of this paragraph, if satisfied that the notification was not received by that person within fourteen days of the giving of the decision to which the notification relates, may if he thinks fit by authorisation in writing extend the time within which an appeal under section 40 of this Act may be brought against the decision. Taking effect of directions for erasure, suspension or conditional registration and of variations of conditions of registration101A direction for erasure, for suspension or for conditional registration given by the Professional Conduct Committee under section 36 of this Act, a direction for suspension or for conditional registration given by the Committee on Professional Performance under section 36A of this Act, a direction for suspension or for conditional registration given by the Health Committee under section 37 of this Act, a variation by any of those Committees of the conditions imposed by a direction for conditional registration under section 36 , 36A or 37 of this Act and a direction for erasure given by the General Council under section 39 of this Act shall take effect—awhere no appeal under section 40 is brought against the direction or variation within the time specified in that section, on the expiration of that time;bwhere such an appeal is so brought but is withdrawn or dismissed for want of prosecution, on the withdrawal or dismissal of the appeal;cwhere such an appeal is so brought and is not withdrawn or dismissed for want of prosecution, if and when the appeal is dismissed.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3Where the time for appealing against a direction or variation such as is mentioned in sub-paragraph (1) ... above is extended by an authorisation under paragraph 9 above, sub-paragraph (1) above ... shall apply to the direction or variation as if the reference in (a) to the time specified in section 40 of this Act were a reference to that time as so extended; and if the authorisation is given after the expiration of the time specified in section 40 of this Act , the direction or variation shall be deemed not to have taken effect on the expiration of that time, and any reference in this Act to the time when such a direction takes effect in accordance with this paragraph shall be construed accordingly.4Any reference in this paragraph to a direction for suspension or for conditional registration includes a reference to a direction extending a period of suspension or conditional registration.111If, while a person’s registration is suspended under section 36 , 36Aor 37 of this Act, a direction is given under subsection (3) of that section, the suspension of his registration shall continue to have effect throughout any period which may intervene between the time when, but for this sub-paragraph, the suspension of his registration would end and the time when the direction takes effect in accordance with paragraph 10 above or an appeal against it under section 40 of this Act is (otherwise than by the dismissal of the appeal) determined.2If, on the determination of an appeal under section 40 of this Act, a direction extending a current period of suspension for a further period takes effect after the time when, but for sub-paragraph (1) above, the current period of suspension would have ended, that further period shall be treated as having started to run from that time.3If, while a person’s registration is subject to conditions imposed under section 36 , 36A or 37 of this Act, a direction is given under subsection (2) or (4) of section 36 or 37 or subsection (2) or (6) of section 36A, the conditions attached to his registration shall continue to attach to it throughout any period which may intervene between the time when, but for this sub-paragraph, his registration would cease to be conditional and the time when the direction takes effect in accordance with paragraph 10 above or an appeal against it under section 40 of this Act (otherwise than by the dismissal of the appeal) determined.4If, on the determination of an appeal under section 40 of this Act, a direction extending a current period of conditional registration for a further period takes effect after the time when, but for sub-paragraph (3) above, the current period of conditional registration would have ended, that further period shall be treated as having started to run from that time. Recording of directions for suspension or conditional registration12Where a direction under section 36 , 36A or 37 of this Act for suspension or for conditional registration takes effect in relation to any person the Registrar shall make a note in the register of the fact that that person’s registration is suspended or subject to conditions. Meaning of “party”13In this Schedule “party”, in relation to proceedings before the Professional Conduct Committee , the Assessment Referral Committee, the Committee on Professional Performance or the Health Committee, means any person to whose registration the proceedings relate, or any person on whose complaint the proceedings are brought, or the Solicitor to the General Council.14In this Schedule “party”, in relation to proceedings before the Interim Orders Committee, means any person to whose registration the proceedings relate, or the Solicitor to the General Council.Words in Sch. 4 para. 2(1)-(3) inserted (3.8.2000) by S.I. 2000/1803, art. 16(d)Words in Sch. 4 para. 2 inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 17; S.I. 1997/1315, art. 21981 c. 53. 1978 c. 23. Words in Sch. 4 para. 3(a) inserted (3.8.2000) by S.I. 2000/1803, art. 16(e)Words in Sch. 4 para. 3 inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 18; S.I. 1997/1315, art. 2Words in Sch. 4 para. 4(1) inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 19(a); S.I. 1997/1315, art. 2Words in Sch. 4 para. 4(2)(3) inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 19(b); S.I. 1997/1315, art. 2Sch. 4 paras. 5A, 5B inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 20; S.I. 1997/1315, art. 2Sch. 4 para. 7; functions of the Lord Advocate transferred to the Secretary of State (19.5.1999) and the property, rights and liabilities of the Lord Advocate in connection with the said functions transferred to the Secretary of State for Scotland by S.I. 1999/678, arts. 2(1), 3, Sch.Sch. 4 para. 7; certain functions conferred on a Minister of the Crown will be exercisable (1.7.1999) by the Scottish Ministers instead of by the Minister of the Crown by S.I. 1999/1750, arts. 1(1), 2, Sch. 1.Words in Sch. 4 para. 7(1) inserted (3.8.2000) by S.I. 2000/1803, art. 16(f)Words in Sch. 4 para. 7(1)(4) inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 21(a)(b); S.I. 1997/1315, art. 2Sch. 4 para. 7(1)(a)(b)(c) substituted by Courts and Legal Services Act 1990 (c. 41, SIF 37), s. 71(2), Sch. 10 para. 53Word in Sch. 4 para. 8(1) inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 22(a); S.I. 1997/1315, art. 2Words in Sch. 4 para. 8(1) substituted (3.8.2000) by S.I. 2000/1803, art. 16(h)1978 c. 30. Words in Sch. 4 para. 9 inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 23; S.I. 1997/1315, art. 2Words in Sch. 4 para. 10(1) inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 24(a); S.I. 1997/1315, art. 2Words in Sch. 4 para. 10(1) substituted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 24(b)(c); S.I. 1997/1315, art. 2Word in Sch. 4 para. 11(1)(3) inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 25(a)(b)(i); S.I. 1997/1315, art. 2Words in Sch. 4 para. 11(3) substituted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 25(b)(ii); S.I. 1997/1315, art. 2Word in Sch. 4 para. 12 inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 26; S.I. 1997/1315, art. 2Words in Sch. 4 para. 13 inserted (1.7.1997) by 1995 c. 51, s. 4, Sch. para. 27; S.I. 1997/1315, art. 2Sch. 4 para. 14 inserted (3.8.2000) by S.I. 2000/1803, art. 16(i)Words in Sch. 4 para. 3(b) repealed (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(a), 42(3), Sch. 9 Pt. 2; S.I. 2003/833, art. 3(a)(c) (with art. 4)Words in Sch. 4 para. 3(b) substituted (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(a), 42(3); S.I. 2003/833, art. 3(a) (with art. 4)Words in Sch. 4 para. 10(1) substituted (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(b)(i), 42(3); S.I. 2003/833, art. 3(a) (with art. 4)Words in Sch. 4 para. 10(1) inserted (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(b)(ii), 42(3); S.I. 2003/833, art. 3(a) (with art. 4)Words in Sch. 4 para. 10(1) substituted (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(b)(iii), 42(3); S.I. 2003/833, art. 3(a) (with art. 4)Sch. 4 para. 10(2) repealed (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(c), 42(3), Sch. 9 Pt. 2; S.I. 2003/833, art. 3(a)(c) (with art. 4)Words in Sch. 4 para. 10(3) repealed (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(d)(i), 42(3), Sch. 9 Pt. 2; S.I. 2003/833, art. 3(a)(c) (with art. 4)Words in Sch. 4 para. 10(3) repealed (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(d)(ii), 42(3), Sch. 9 Pt. 2; S.I. 2003/833, art. 3(a)(c) (with art. 4)Words in Sch. 4 para. 10(3) substituted (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(d)(iii), 42(3); S.I. 2003/833, art. 3(a) (with art. 4)Words in Sch. 4 para. 10(3) substituted (1.4.2003) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 30(3)(d)(iv), 42(3); S.I. 2003/833, art. 3(a) (with art. 4)Sch. 4 substituted (7.7.2004 for the substitution of Sch. 4 para. 5A(2) for specified purposes and paras. 1, 5A(1)(3)(3A)(9), 6, 7(3)(4)(6) as notified in the London Gazette dated 2.7.2004, 1.11.2004 in so far as not already in force as notified in the London Gazette dated 8.10.2004) by The Medical Act 1983 (Amendment) Order 2002 (S.I. 2002/3135), arts. 1(2)(3), 14 (with Sch. 2 and savings in The Medical Act 1983 (Amendment) Order 2002 (Saving Provision) Order of Council 2004 (S.I. 2004/1731), arts. 1(1), 2)