58.—(1) [F1NHS England] may give notice in writing to a contractor terminating the agreement with immediate effect, or from such date as may be specified in the notice, if sub-paragraph (4) applies to the contractor—
(a)during the existence of the agreement; or
(b)if later, on or after the date on which a notice in respect of the contractor's compliance with the conditions in regulation 5 was given under paragraph 46(1)(a) or (b).
(2) Sub-paragraph (4) applies—
(a)where a contractor who is an individual medical practitioner is a party to the agreement, to that medical practitioner; or
(b)where the agreement is with a contractor which is a qualifying body, to—
(i)the qualifying body,
(ii)any person both legally and beneficially owning a share in the qualifying body, or
(iii)any director or secretary of the qualifying body.
(3) In the case of a person who is a party to an agreement made before 1st April 2004 which is deemed to be an agreement made under section 92 of the Act, the reference to “during the existence of the agreement” in sub-paragraph (1) is to be construed as excluding any period before 1st April 2004.
(4) This sub-paragraph applies if—
(a)the contractor is the subject of a national disqualification;
(b)subject to sub-paragraph (5), the contractor has been disqualified or suspended (other than by an interim suspension order or direction pending an investigation or a suspension on the grounds of ill-health) from practising by a licensing body anywhere in the world;
(c)subject to sub-paragraph (6), the contractor has been dismissed (otherwise than by reason of redundancy) from any employment by a health service body unless, before [F1NHS England] has given notice to the contractor terminating the agreement under this paragraph, the contractor is employed by the health service body from which the contractor was dismissed or by another health service body;
(d)the contractor has been removed from, or refused admission to, a primary care list by reason of inefficiency, fraud or unsuitability (within the meaning of section 151(2), (3) and (4) of the Act M1 respectively) unless the contractor's name has subsequently been included in such a list;
(e)the contractor has been convicted in the United Kingdom of murder;
(f)the contractor has been convicted in the United Kingdom of a criminal offence other than murder and has been sentenced to a term of imprisonment of longer than six months;
(g)subject to sub-paragraph (7), the contractor has been convicted elsewhere of an offence which would, if committed in England and Wales constitute murder, and—
(i)the offence was committed on or after 14th December 2001, and
(ii)the contractor was sentenced to a term of imprisonment of longer than six months;
(h)the contractor has been convicted of an offence referred to in Schedule 1 to the Children and Young Persons Act 1933 M2 (offences against children and young persons, with respect to which special provisions of this Act apply) or Schedule 1 to the Criminal Procedure (Scotland) Act 1955 M3 (offences against children under the age of 17 years to which special provisions apply);
(i)the contractor has at any time been included in—
(i)any barred list within the meaning of section 2 of the Safeguarding Vulnerable Groups Act 2006 M4 (barred lists), or
(ii)any barred list within the meaning of the Safeguarding Vulnerable Groups (Northern Ireland) Order 2007 M5 (barred lists),
unless the contractor was removed from the list either on the grounds that it was not appropriate for the contractor to have been included in it or as the result of a successful appeal;
(j)the contractor has within the period of 5 years before the signing of the agreement, been removed from the office of charity trustee or trustee for a charity by an order made by the Charity Commission, the Charity Commission for Northern Ireland or the High Court, and that order was made on the grounds of misconduct or mismanagement in the administration of a charity for which the contractor was responsible or to which the contractor was privy, or which was contributed to, or facilitated by, the contractor's conduct;
(k)the contractor has, within the period of five years before the signing of the agreement or the commencement of the agreement, whichever is the earlier, been removed from being concerned with the management or control of any body in any case where removal was by virtue of section 34(5)(e) of the Charities and Trustees Investment (Scotland) Act 2005 M6 (powers of Court of Session);
(l)the contractor—
(i)has been [F2made] bankrupt and has not been discharged from the bankruptcy or the bankruptcy order has not been annulled, or
(ii)has had sequestration of the contractor's estate awarded and has not been discharged from the sequestration;
(m)the contractor is the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order under Schedule 4A to the Insolvency Act 1986 M7 (bankruptcy restrictions order and undertaking) or in Schedule 2A to the Insolvency (Northern Ireland) Order 1989 M8 (bankruptcy restrictions order and undertaking), or sections 56A to 56K of the Bankruptcy (Scotland) Act 1985 M9 (bankruptcy restrictions order, interim bankruptcy restrictions order and bankruptcy restrictions undertaking) unless the contractor has been discharged from that order or that order has been annulled;
(n)the contractor—
(i)is subject to a moratorium period under a debt relief order under Part VIIA of the Insolvency Act 1986 M10 (debt relief orders) applies, or
(ii)is the subject of a debt relief restrictions order or an interim debt relief restrictions order under Schedule 4ZB to that Act M11 (debt relief restrictions order and undertaking);
(o)the contractor has made a composition agreement or arrangement with, or a trust deed has been granted for, the contractor's creditors and the contractor has not been discharged in respect of it;
(p)the contractor is a company which has been wound up under Part IV of the Insolvency Act 1986 M12(winding up of companies registered under the Companies Acts);
(q)an administrator, administrative receiver or receiver has been appointed in respect of the contractor;
(r)the contractor has had an administration order made in respect of the contractor under Schedule B1 to the Insolvency Act 1986 M13 (administration);
(s)the contractor is subject to—
(i)a disqualification order under section 1 of the Company Directors Disqualification Act 1986 M14 (disqualification orders: general) or a disqualification undertaking under Section 1A of that Act M15 (disqualification undertakings: general), or
(ii)a disqualification order or disqualification undertaking under article 3 (disqualification orders: general) or article 4 (disqualification undertakings: general) of the Company Directors Disqualification (Northern Ireland) Order 2002 M16 unless that order has ceased to have effect or has been annulled, or
(iii)a disqualification order under section 429(2) of the Insolvency Act 1986 M17 (disabilities on revocation of an administration order against an individual); F3...
(t)the contractor has refused to comply with a request made by [F1NHS England] for the contractor to be medically examined because [F1NHS England] is concerned that the contractor is incapable of adequately [F4providing services under the agreement; or]
[F5(u)the contractor’s registration with the Care Quality Commission has been cancelled in accordance with section 17(1) of the Health and Social Care Act 2008, and that cancellation is the final decision of the Commission, or, where an appeal has been launched, is the outcome of that appeal.]
(5) [F1NHS England] may not terminate the agreement in accordance with sub-paragraph (4)(b) where [F1NHS England] is satisfied that the disqualification or suspension imposed by a licensing body outside the United Kingdom does not make the contractor unsuitable to be—
(a)a party to the agreement; or
(b)in the case of an agreement with a qualifying body—
(i)a person both legally and beneficially owning a share in the qualifying body, or
(ii)a director or secretary of the qualifying body,
as the case may be.
(6) [F1NHS England] may not terminate the agreement in accordance with sub-paragraph (4)(c)—
(a)until a period of at least three months has elapsed since the date of the dismissal of the person concerned; or
(b)if, during the period specified in paragraph (a), the person concerned brings proceedings in any competent tribunal or court in respect of the dismissal, until proceedings before that tribunal or court are concluded,
and [F1NHS England] may only terminate the agreement at the end of the period specified in paragraph (b) if there is no finding of unfair dismissal at the end of those proceedings.
(7) [F1NHS England] must not terminate the agreement in accordance with sub-paragraph (4)(g) or, as the case may be (4)(h), where [F1NHS England] is satisfied that the conviction does not make the person unsuitable to be—
(a)a party to the agreement; or
(b)in the case of a qualifying body—
(i)a person both legally and beneficially owning a share in the qualifying body, or
(ii)a director or secretary of the qualifying body,
as the case may be.
Textual Amendments
F1Words in Regulations substituted (6.11.2023) by The Health and Care Act 2022 (Further Consequential Amendments) (No. 2) Regulations 2023 (S.I. 2023/1071), reg. 1(1), Sch. para. 1
F2Word in Sch. 2 Pt. 8 para. 58(4)(l)(i) substituted (6.4.2016) by The Enterprise and Regulatory Reform Act 2013 (Consequential Amendments) (Bankruptcy) and the Small Business, Enterprise and Employment Act 2015 (Consequential Amendments) Regulations 2016 (S.I. 2016/481), reg. 1, Sch. 2 para. 13
F3Word in Sch. 2 para. 58(4) omitted (E.) (1.10.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 14(a)
F4Words in Sch. 2 para. 58(4)(t) substituted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 14(b)
F5Sch. 2 para. 58(4)(u) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 14(c)
Marginal Citations
M1Section 151 was amended by paragraph 79 of Schedule 4 to the Health and Social Care Act 2012 (c.7).
M21933 c.12. Schedule 1 was amended by section 51 of, and Schedule 4 to, the Sexual Offences Act 1956 (c.99); section 170 of, and Schedule 10 to, the Criminal Justice Act 1988 (c.33); section 139 of, and Schedule 6 to, the Sexual Offences Act 2003 (c.42); section 58(1) of, and Schedule 10 to, the Domestic Violence, Crime and Victims Act 2004 (c.28); and section 115(1) of, and Schedule 10 to, the Protection of Freedoms Act 2012 (c. 9).
M71986 c.45. Schedule 4A was inserted by section 257(2) of and Schedule 20 to the Enterprise Act 2002 (c.40).
M8S.I.1989/2405 (N.I. 19). Schedule 2A was inserted by article 13(2) of, and Schedule 5 to, S.I. 2005/455 (N.I.10)).
M91985 c.66. Sections 56A to 56K were inserted by the Bankruptcy and Diligence etc. (Scotland) Act 2007 (asp 3).
M101986 c.45. Part VIIA was inserted by section 108(1) of, and Schedule 17 to, the Tribunals, Courts and Enforcement Act 2007 (c.15).
M11Schedule 4ZB was inserted by section 108(2) of, and Schedule 19 to, the Tribunals, Courts and Enforcement Act 2007.
M121986 c.45. Part IV was substituted by S.I. 2009/1941.
M131986 c.45. Schedule B1 was inserted by section 248(2) of, and Schedule 16 to, the Enterprise Act 2002 (c.40).
M141986 c.46.Section 1 was amended by sections 5(1) and (2) and (8) of the Insolvency Act 2000 (c.40), section 204(1) and (3) of the Enterprise Act 2002 (c.40) and sections 111 and 164 of, and paragraphs 1 and 2 of Schedule 7 to, the Small Business, Enterprise and Employment Act 2015 (c.26)
M15Section 1A was inserted by section 6(1) and (2) of the Insolvency Act 2000 (c.39), and was amended by section 111 of, and paragraphs 1, 3(1) and (2) of Schedule 7 to, the Small Business, Enterprise and Employment Act 2015.
M16S.I. 2002/3150 (N.I. 4); as amended by S.I. 2004/347, S.I. 2005/1454 and 1455.