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There are currently no known outstanding effects for the The National Health Service (Charges for Drugs and Appliances) Regulations 2000 (revoked), Section 4.
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4.—(1) A doctor who provides pharmaceutical [F1or dispensing] services to a patient shall, subject to paragraph (3), make and recover from that patient–
(a)in respect of an item of elastic hosiery a charge of [F2£8.05], that is to say a charge of [F3£16.10], per pair;
(b)in respect of the supply of each other appliance and of each quantity of a drug, a charge of [F4£8.05].
[F5(2) Where a charge is paid under paragraph (1), the person making the payment shall on so doing either—
(a)where a non-electronic prescription form has been issued, sign a declaration in writing on the non-electronic prescription form that the relevant charge has been paid; or
(b)where an electronic prescription form has been created, provide a declaration that the relevant charge has been paid on a form provided by [F6the Board and approved by the Secretary of State] for the purpose of recording patient declarations in respect of electronic prescription forms and issued by a doctor.]
(3) No charge shall be made and recovered under paragraph (1) where–
(a)there is exemption under regulation 7 and a declaration of entitlement to exemption F7... is duly completed by or on behalf of the patient [F8either on the [F9non-electronic] prescription form or, in cases [F10involving an electronic prescription form, on a form provided by [F11the Board and approved by the Secretary of State] for the purpose of recording patient declarations in respect of electronic prescription forms and issued by a doctor;]]
(b)there is entitlement to remission of the charge under [F12regulation 5 of the Travel Expenses and Remission of Charges Regulations] and a declaration of entitlement to remission F13... is duly completed by or on behalf of the patient [F14either on the [F9non-electronic] prescription form or, in cases [F10involving an electronic prescription form, on a form provided by [F15the Board and approved by the Secretary of State] for the purpose of recording patient declarations in respect of electronic prescription forms and issued by a doctor;]]
(c)the drugs or appliances are supplied in respect of two or more persons in a school or institution in which at least 20 persons are normally resident of whom at least 10 are his patients [F16; or]
[F17(d)there is exemption under [F18regulations 7A(2) or 7D].]
(4) For the purposes of this regulation, where a drug ordered on a single prescription form is supplied by instalments, the charge of [F19£8.05] payable for that drug shall be payable upon the supply of the first instalment.
(5) A doctor shall be under no obligation to provide pharmaceutical [F20or dispensing] services for which a charge is required to be made and recovered by paragraph (1) unless he is first paid the amount of that charge by the patient.
(6) A doctor who makes and recovers a charge under paragraph (1) shall, if so required by the patient, give him a receipt for the amount received on the form [F21approved by the Secretary of State and] provided for the purpose which form shall contain forms of declaration in support of an application for repayment and information as to whom an application for repayment shall be made.
[F22(7) Any sum which would otherwise be payable by [F23the Board] to a [F24contractor under a GMS contract, a PMS agreement or arrangements made under [F25section 83(2) of the 2006 Act (primary medical services), including under arrangements made under Part 8 of the Pharmaceutical Services Regulations (dispensing doctors),]] shall be reduced by the amount of charges which are required to be made and recovered under paragraph (1).]
(8) Nothing in this regulation shall authorise the payment of a charge where the drug or appliance supplied either–
(a)is needed for immediate treatment and no order for the drug or appliance is made on a prescription form; or
(b)is administered or applied to the patient by the doctor personally.
Textual Amendments
F1Words in reg. 4(1) inserted (1.4.2002) by The National Health Service (Charges for Drugs and Appliances) Amendment Regulations 2002 (S.I. 2002/548), regs. 1(1), 4(2)
F2Sum in reg. 4(1)(a) substituted (1.4.2014) by The National Health Service (Charges, Payments and Remission of Charges) (Uprating, Miscellaneous Amendments and Transitional Provision) Regulations 2014 (S.I. 2014/545), regs. 1(1), 2(2)(b)
F3Sum in reg. 4(1)(a) substituted (1.4.2014) by The National Health Service (Charges, Payments and Remission of Charges) (Uprating, Miscellaneous Amendments and Transitional Provision) Regulations 2014 (S.I. 2014/545), regs. 1(1), 2(3)(b)
F4Sum in reg. 4(1)(b) substituted (1.4.2014) by The National Health Service (Charges, Payments and Remission of Charges) (Uprating, Miscellaneous Amendments and Transitional Provision) Regulations 2014 (S.I. 2014/545), regs. 1(1), 2(2)(b)
F5Reg. 4(2) substituted (1.4.2005) by The National Health Service (Charges for Drugs and Appliances) and (Travel Expenses and Remission of Charges) Amendment Regulations 2005 (S.I. 2005/578), regs. 1(1), 6(2)
F6Words in reg. 4(2)(b) substituted (1.4.2013) by The National Health Service (Charges for Drugs and Appliances), (Dental Charges) and (Travel Expenses and Remission of Charges) (Amendment) Regulations 2013 (S.I. 2013/475), regs. 1(2), 6(2)
F7Words in reg. 4(3)(a) revoked (11.9.2001) by The National Health Service (Charges for Drugs and Appliances) (Electronic Communications) Order 2001 (S.I. 2001/2887), arts. 1(1), 4(b)
F8Words in reg. 4(3)(a) added (11.9.2001) by The National Health Service (Charges for Drugs and Appliances) (Electronic Communications) Order 2001 (S.I. 2001/2887), arts. 1(1), 4(b)
F9Word in reg. 4(3)(a)(b) inserted (1.4.2005) by The National Health Service (Charges for Drugs and Appliances) and (Travel Expenses and Remission of Charges) Amendment Regulations 2005 (S.I. 2005/578), regs. 1(1), 6(3)(a)
F10Words in reg. 4(3)(a)(b) substituted (1.4.2005) by The National Health Service (Charges for Drugs and Appliances) and (Travel Expenses and Remission of Charges) Amendment Regulations 2005 (S.I. 2005/578), regs. 1(1), 6(3)(b)
F11Words in reg. 4(3)(a) substituted (1.4.2013) by The National Health Service (Charges for Drugs and Appliances), (Dental Charges) and (Travel Expenses and Remission of Charges) (Amendment) Regulations 2013 (S.I. 2013/475), regs. 1(2), 6(2)
F12Words in reg. 4(3)(b) substituted (1.4.2005) by The National Health Service (Charges for Drugs and Appliances) and (Travel Expenses and Remission of Charges) Amendment Regulations 2005 (S.I. 2005/578), regs. 1(1), 6(4)
F13Words in reg. 4(3)(b) revoked (11.9.2001) by The National Health Service (Charges for Drugs and Appliances) (Electronic Communications) Order 2001 (S.I. 2001/2887), arts. 1(1), 4(b)
F14Words in reg. 4(3)(b) added (11.9.2001) by The National Health Service (Charges for Drugs and Appliances) (Electronic Communications) Order 2001 (S.I. 2001/2887), arts. 1(1), 4(b)
F15Words in reg. 4(3)(b) substituted (1.4.2013) by The National Health Service (Charges for Drugs and Appliances), (Dental Charges) and (Travel Expenses and Remission of Charges) (Amendment) Regulations 2013 (S.I. 2013/475), regs. 1(2), 6(2)
F16Word in reg. 4(3)(c) substituted for punctuation mark (1.4.2008) by The National Health Service (Charges for Drugs and Appliances) and (Travel Expenses and Remission of Charges) Amendment Regulations 2008 (S.I. 2008/571), regs. 1(1), 5(a)
F17Reg. 4(3)(d) inserted (1.4.2008) by The National Health Service (Charges for Drugs and Appliances) and (Travel Expenses and Remission of Charges) Amendment Regulations 2008 (S.I. 2008/571), regs. 1(1), 5(b)
F18Words in reg. 4(3)(d) substituted (1.8.2010) by The National Health Service (Charges for Drugs and Appliances) and (Travel Expenses and Remission of Charges) Amendment Regulations 2010 (S.I. 2010/1727), regs. 1, 2(b)
F19Sum in reg. 4(4) substituted (1.4.2014) by The National Health Service (Charges, Payments and Remission of Charges) (Uprating, Miscellaneous Amendments and Transitional Provision) Regulations 2014 (S.I. 2014/545), regs. 1(1), 2(2)(b)
F20Words in reg. 4(5) inserted (1.4.2002) by The National Health Service (Charges for Drugs and Appliances) Amendment Regulations 2002 (S.I. 2002/548), regs. 1(1), 4(2)
F21Words in reg. 4(6) inserted (1.4.2013) by The National Health Service (Charges for Drugs and Appliances), (Dental Charges) and (Travel Expenses and Remission of Charges) (Amendment) Regulations 2013 (S.I. 2013/475), regs. 1(2), 6(3)
F22Reg. 4(7) substituted (1.10.2000) by The National Health Service (Charges for Drugs and Appliances) Amendment Regulations 2000 (S.I. 2000/2393), regs. 1(1), 2
F23Words in reg. 4(7) substituted (1.4.2013) by The National Health Service (Charges for Drugs and Appliances), (Dental Charges) and (Travel Expenses and Remission of Charges) (Amendment) Regulations 2013 (S.I. 2013/475), regs. 1(2), 6(4)(a)
F24Words in reg. 4(7) substituted (1.4.2004) by The General Medical Services and Personal Medical Services Transitional and Consequential Provisions Order 2004 (S.I. 2004/865), art. 1(1), Sch. 1 para. 26(5)
F25Words in reg. 4(7) substituted (1.4.2013) by The National Health Service (Charges for Drugs and Appliances), (Dental Charges) and (Travel Expenses and Remission of Charges) (Amendment) Regulations 2013 (S.I. 2013/475), regs. 1(2), 6(4)(b)
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