The National Health Service (Optical Charges and Payments) Regulations 2013

Regulations 1(2), 9(4)(a), 10(2)(a) and 17(2)(b) and (3)(b)

SCHEDULE 1 E+W VOUCHER LETTER CODES AND FACE VALUES—SUPPLY AND REPLACEMENT

(1) Type of Optical Appliance	(2) Letter Code	(3) Face value of Voucher
1 Glasses with single vision lenses of a spherical power of not more than 6 dioptres with a cylindrical power of not more than 2 dioptres.	A	[F1 £41.70]
2 Glasses with single vision lenses— (a) of a spherical power of more than 6 dioptres but less than 10 dioptres with a cylindrical power of not more than 6 dioptres; (b) of a spherical power of less than 10 dioptres with a cylindrical power of more than 2 dioptres but not more than 6 dioptres.	B	[F2 £63.20]
3 Glasses with single vision lenses of a spherical power of 10 or more dioptres but not more than 14 dioptres with a cylindrical power of not more than 6 dioptres.	C	[F3 £92.60]
4 Glasses with single vision lenses— (a) of a spherical power of more than 14 dioptres with any cylindrical power; (b) of a cylindrical power of more than 6 dioptres with any spherical power.	D	[F4 £208.90]
5 Glasses with bifocal lenses of a spherical power of not more than 6 dioptres with a cylindrical power of not more than 2 dioptres.	E	[F5 £71.90]
6 Glasses with bifocal lenses— (a) of a spherical power of more than 6 dioptres but less than 10 dioptres with a cylindrical power of not more than 6 dioptres; (b) of a spherical power less than 10 dioptres with a cylindrical power of more than 2 dioptres but not more than 6 dioptres.	F	[F6 £91.20]
7 Glasses with bifocal lenses of a spherical power of 10 or more dioptres but not more than 14 dioptres with a cylindrical power of not more than 6 dioptres.	G	[F7 £118.50]
8 Glasses with prism-controlled bifocal lenses of any power or with bifocal lenses— (a) of a spherical power of more than 14 dioptres with any cylindrical power; (b) with a cylindrical power of more than 6 dioptres with any spherical power.	H	[F8 £229.70]
9 Glasses not falling within any of paragraphs 1 to 8 for which a prescription is given in consequence of a sight test by an NHS trust or NHS foundation trust.	I	[F9 £214.00]
10 A contact lens for which a prescription is given in consequence of a sight test by an NHS trust or NHS foundation trust.	J	[F10 £60.75]

Textual Amendments

F1 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(a) (with reg. 3)

F2 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(b) (with reg. 3)

F3 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(c) (with reg. 3)

F4 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(d) (with reg. 3)

F5 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(e) (with reg. 3)

F6 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(f) (with reg. 3)

F7 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(g) (with reg. 3)

F8 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(h) (with reg. 3)

F9 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(i) (with reg. 3)

F10 Sum in Sch. 1 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(3)(j) (with reg. 3)

For the purposes of this Schedule ––

(a) where an optical appliance has lenses described in different paragraphs in column 1, the face value of a voucher for the appliance must be determined according to whichever lens would provide the greater face value;

(b) subject to paragraph (c), where an optical appliance has a bifocal lens, the power of the lens must be determined according to the power of that segment of the lens designed to correct a defect in distant sight;

(c) where an optical appliance has a bifocal lens, the reading segment of which is more than 4 dioptres more powerful than the distance segment, the power of the lens must be determined according to the power of the reading segment; and

(d) a monocle must be treated as though it were glasses.

Regulations 1(2), 14(2) and 20(2)(b)

SCHEDULE 2 E+W PRISMS, TINTS, PHOTOCHROMIC LENSES, SMALL AND SPECIAL GLASSES AND COMPLEX APPLIANCES

1.—(1) The amounts in column 3 of Schedule 1 and column 2 of Schedule 3 and paragraph 2(a) and (b) of this Schedule must be increased as follows— E+W

(a) by [F11 £13.45] in respect of each single vision lens containing a necessary prism;

(b) by [F12 £16.40] in respect of each other lens containing a necessary prism;

(c) by [F13 £4.70] in respect of each necessary single vision tinted or photochromic lens;

(d) by [F14 £5.20] in respect of each necessary other tinted or photochromic lens;

(e) by [F15 £68.45] in the case of supply or replacement of the glasses or repair of the whole frame, by [F16 £60.75] in the case of repair of the front of the frame and by [F17 £32.80] in the case of repair of a side of a frame in respect of small glasses;

[F18 (f) where the voucher is issued by a GOS contractor, an NHS trust or NHS foundation trust in respect of glasses, the frame of which is certified by the GOS contractor, the NHS trust or NHS foundation trust issuing that voucher as being required to be specially manufactured on account of the person’s facial characteristics—

(i) by [F19 £68.45] in the case of the supply or replacement of the glasses or repair of the whole frame,

(ii) by [F20 £60.75] in the case of repair of the front of the frame; and

(iii) by [F21 £32.80] in the case of repair of a side of a frame.]

(2) The increase provided for by sub-paragraph (1)(e) and (f) of this paragraph do not apply in the case of a voucher relating to glasses if it is accepted in connection with the supply or replacement of contact lenses.

[F22 (3) In sub-paragraph (1)—

(i) “GOS contractor” means a party to a general ophthalmic services contract within the meaning of section 117 of the 2006 Act, and

(ii) “necessary” in relation to a prism or a tinted or photochromic lens means that the prism, tint or photochromic quality has been prescribed on the basis of clinical need.]

(4) Where the face value of a voucher is increased in accordance with sub-paragraph (1)(f) of this paragraph, it may not be further increased in accordance with sub-paragraph (1)(e) of this paragraph.

Textual Amendments

F11 Sum in Sch. 2 para. 1(1)(a) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(i) (with reg. 3)

F12 Sum in Sch. 2 para. 1(1)(b) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(ii) (with reg. 3)

F13 Sum in Sch. 2 para. 1(1)(c) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(iii) (with reg. 3)

F14 Sum in Sch. 2 para. 1(1)(d) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(iv) (with reg. 3)

F15 Sum in Sch. 2 para. 1(1)(e) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(v)(aa) (with reg. 3)

F16 Sum in Sch. 2 para. 1(1)(e) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(v)(bb) (with reg. 3)

F17 Sum in Sch. 2 para. 1(1)(e) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(v)(cc) (with reg. 3)

F18 Sch. 2 para. 1(1)(f) substituted (1.4.2016) by The National Health Service (Charges and Payments) (Uprating, Miscellaneous Amendments and Transitional Provision) Regulations 2016 (S.I. 2016/325), regs. 1(2), 2(4)(f) (with reg. 3)

F19 Sum in Sch. 2 para. 1(1)(f)(i) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(vi)(aa) (with reg. 3)

F20 Sum in Sch. 2 para. 1(1)(f)(ii) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(vi)(bb) (with reg. 3)

F21 Sum in Sch. 2 para. 1(1)(f)(iii) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(a)(vi)(cc) (with reg. 3)

F22 Sch. 2 para. 1(3) substituted (1.4.2016) by The National Health Service (Charges and Payments) (Uprating, Miscellaneous Amendments and Transitional Provision) Regulations 2016 (S.I. 2016/325), regs. 1(2), 2(4)(g) (with reg. 3)

2.  The minimum complex appliance payment is— E+W

(a) for a complex appliance with single vision lenses only, [F23 £15.55];

(b) for any other complex appliance, [F24 £39.90];

(c) plus, in each case, the amount of any increase provided for by paragraph 1 of this Schedule.

Textual Amendments

F23 Sum in Sch. 2 para. 2(a) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(b)(i) (with reg. 3)

F24 Sum in Sch. 2 para. 2(b) substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(4)(b)(ii) (with reg. 3)

Regulation 20(2) and (3)

SCHEDULE 3 E+W VOUCHER VALUES —REPAIR

[F25 (1)	(2)
Nature of repair	Letter code – value of voucher
	A	B	C	D	E	F	G	H	I
	£	£	£	£	£	£	£	£	£
Repair or replacement of one lens	12.95	23.70	38.40	96.55	28.05	37.70	51.35	106.95	99.10
Repair or replacement of two lenses	25.90	47.40	76.80	193.10	56.10	75.40	102.70	213.90	198.20
Repair or replacement of the front of a frame	13.25	13.25	13.25	13.25	13.25	13.25	13.25	13.25	13.25
Repair or replacement of the side of a frame	7.85	7.85	7.85	7.85	7.85	7.85	7.85	7.85	7.85
Repair or replacement of the whole of a frame	15.80	15.80	15.80	15.80	15.80	15.80	15.80	15.80	15.80]

Textual Amendments

F25 Sch. 3 Table substituted (1.4.2023) by The National Health Service (Optical Charges and Payments) (Amendment) Regulations 2023 (S.I. 2023/244), regs. 1(2), 2(5) (with reg. 3)

Regulation 29

SCHEDULE 4 E+W REGULATIONS REVOKED

Column 1 Regulations revoked	Column 2 Series number	Column 3 Extent of revocation
The National Health Service (Optical Charges and Payments) Regulations 1997	1997/818	To the extent they apply to England
The National Health Service (Optical Charges and Payments) Amendment Regulations 1997	1997/2488	To the extent they apply to England
The National Health Service (Optical Charges and Payments) Amendment Regulations 1998	1998/499	To the extent they apply to England
The National Health Service (Optical Charges and Payments) Amendment Regulations 1999	1999/609	To the extent they apply to England
The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) (Amendment) Regulations 1999	1999/2562	The whole regulations
The National Health Service (Optical Charges and Payments) Amendment Regulations 2000	2000/594	The whole regulations
The National Health Service (Optical Charges and Payments) Amendment (No.2) Regulations 2000	2000/3029	The whole regulations
The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) Amendment Regulations 2001	2001/414	The whole regulations
The National Health Service (Optical Charges and Payments) Amendment Regulations 2001	2001/749	The whole regulations
The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) Amendment (No 2) Regulations 2001	2001/3066	The whole regulations
The National Health Service (Optical Charges and Payments) Amendment (England) Regulations 2002	2002/35	The whole regulations
The National Health Service (Optical Charges and Payments) Amendment (No. 2) Regulations 2002	2002/547	The whole regulations
The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) Amendment Regulations 2003	2003/657	The whole regulations
The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) Amendment (No 2) Regulations 2003	2003/2381	The whole regulations
The National Health Service (Optical Charges and Payments) Amendment Regulations 2008	2008/553	The whole regulations
The National Health Service (Optical Charges and Payments) Amendment (No.2) Regulations 2008	2008/1657	The whole regulations
The Primary Ophthalmic Services and National Health Service (Optical Charges and Payments) Amendment Regulations 2008	2008/2449	Regulation 3
The National Health Service (Amendments Relating to Optical Charges and Payments) Regulations 2009	2009/409	The whole regulations
The National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) Regulations 2010	2010/634	Regulation 4