The National Health Service (General Medical Services Contracts) (Wales) Regulations 2004

PART 1 GENERAL

Citation, commencement and application

1.—(1) These Regulations may be cited as the National Health Service (General Medical Services Contracts) (Wales) Regulations 2004 and shall come into force on 1st March 2004.

(2) These Regulations apply in relation to Wales only.

Interpretation

2.—(1) In these Regulations —

“the Act” means the National Health Service Act 1977;

“the 1990 Act” means the National Health Service and Community Care Act 1990;

[F1 “the 2010 Order” means the Postgraduate Medical Education and Training Order of Council 2010;]

“Abolition of the Tribunal Regulations” means the Abolition of the National Health Service Tribunal (Consequential Provisions) Regulations 2001 M1 ;

“Abolition of the Tribunal (Wales) Regulations” means the Abolition of the National Health Service Tribunal (Consequential Provisions) Regulations 2002 M2 ;

[F2 “accredited course” means a course accredited by the Nursing and Midwifery Council;]

“additional services” means one or more of —

(a)

cervical screening services,

(b)

contraceptive services,

(c)

vaccinations and immunisations,

(d)

childhood vaccinations and immunisations,

(e)

child health surveillance services,

(f)

maternity medical services, and

(g)

minor surgery;

“adjudicator” means the Assembly or a person or persons appointed by the Assembly under section 4(5) of the 1990 Act or [F3 paragraph 99(5)] of Schedule 6;

“appliance” means an appliance which is included in a list for the time being approved by the Assembly for the purposes of section 41 of the Act;

“approved medical practice” shall be construed in accordance with section 11(4) of the Medical Act 1983 M3 ;

“Assembly” means the National Assembly for Wales;

“assessment panel” means a committee or sub-committee of a Local Health Board (other than the Local Health Board which is a party to the contract in question) appointed to exercise functions under paragraphs 31 and 35 of Schedule 6;

“bank holiday” means any day that is specified or proclaimed as a Bank holiday [F4 in England and Wales] pursuant to section 1 of the Banking and Financial Dealings Act 1971 M4 ;

“batch issue” means a form provided by a Local Health Board and issued by a prescriber at the same time as a repeatable prescription to enable a chemist to receive payment for the provision of repeat dispensing services which is in the format specified in Part 2 of Schedule 1, and which —

(a)

is generated by a computer and not signed by a prescriber,

(b)

relates to a particular repeatable prescription and contains the same dates as that prescription,

(c)

is issued as one of a sequence of forms, the number of which is equal to the number of occasions on which the drugs, medicines or appliances ordered on the repeatable prescription may be provided, and

(d)

specifies a number denoting its place in the sequence referred to in paragraph (c);

“CCT” means Certificate of Completion of Training awarded under [F5 section 34L(1) of the Medical Act 1983] F6 ...;

“cervical screening services” means the services described in paragraph 2(2) of Schedule 2;

“charity trustee” means one of the persons having the general control and management of a charity;

“chemist” means —

(a)

a registered pharmacist,

(b)

a person lawfully conducting a retail pharmacy business in accordance with section 69 of the Medicines Act 1968 M5 , or

(c)

a supplier of appliances,

who is included in the list of a Local Health Board or [F7 the National Health Service Commissioning Board] under section 42 of the Act, or who provides local pharmaceutical services in accordance with LPS arrangements;

“CHC” means a Community Health Council retained or established under section 20A of the Act M6 ;

“child” means a person who has not attained the age of 16 years;

“child health surveillance services” means the services described in paragraph 6(2) of Schedule 2;

“childhood vaccinations and immunisations” means the services described in paragraph 5(2) of Schedule 2;

[F8 “clinical commissioning group” means a body established under section 14D of the National Health Service Act 2006;]

“closed”, in relation to the contractor’s list of patients, means closed to applications for inclusion in the list of patients other than from immediate family members of registered patients;

“contraceptive services” means the services described in paragraph 3(2) of Schedule 2;

“contract” means, except where the context otherwise requires, a general medical services contract under section 28Q of the Act;

“contractor’s list of patients” means the list prepared and maintained by the Local Health Board under paragraph 14 of Schedule 6;

“core hours” means the period beginning at 8am and ending at 6.30pm on any day from Monday to Friday except Good Friday, Christmas Day or bank holidays;

“dispensing services” means the provision of drugs, medicines or appliances that may be provided as pharmaceutical services by a medical practitioner in accordance with arrangements made under regulation 20 of the Pharmaceutical Regulations; M7

“Drug Tariff” has the same meaning as in regulation 18 of the Pharmaceutical Regulations;

“enhanced services” are —

(a)

services other than essential services, additional services or out of hours services, or

(b)

essential services, additional services or out of hours services or an element of such a service that a contractor agrees under the contract to provide in accordance with specifications set out in a plan, which requires of the contractor an enhanced level of service provision compared to that which it needs generally to provide in relation to that service or element of service;

“essential services” means the services required to be provided in accordance with regulation 15;

F9 ...M8

[F10 “general medical practitioner” means, unless the context otherwise requires, a medical practitioner whose name is included in the General Practitioner Register kept by the General Medical Council;]

F11 ...

“global sum” has the same meaning as in the GMS Statement of Financial Entitlements;

“GMS Statement of Financial Entitlements” means the directions given by the Assembly under section 28T of the Act M9 on 1st April 2004;

[F10 “GP Registrar” means a medical practitioner who is being trained in general practice by a general medical practitioner who is approved under section 34I of the Medical Act 1983 for the purpose of providing training under that section, whether as part of training leading to the award of a CCT or otherwise;]

F12 ...

(a)

(b)

“Health and Social Services Board” means a Health and Social Services Board established under the Health and Personal Social Services (Northern Ireland) Order 1972 M10 ;

“Health and Social Services Trust” means a Health and Social Services Trust established under Article 10(1) of the Health and Personal Social Services (Northern Ireland) Order 1991 M11 ;

“Health Board” means a Health Board established under section 2 of the National Health Service ( Scotland) Act 1978 M12 ;

“health care professional” has the same meaning as in section 28M of the Act and “health care profession” shall be construed accordingly;

“health service body” has, unless the context otherwise requires, the meaning given to it in section 4(2) of the 1990 Act;

[F13 “home oxygen order form” means a form provided by a Local Health Board and issued by a health care professional to authorise a person to supply home oxygen services to a patient requiring oxygen therapy at home;]

[F13 “home oxygen services” means any of the following forms of oxygen therapy or supply—

(a)

ambulatory oxygen supply,

(b)

urgent supply,

(c)

hospital discharge supply,

(d)

long term oxygen therapy, and

(e)

short burst oxygen therapy;]

“immediate family member” means —

(a)

a spouse [F14 or civil partner],

(b)

a person (whether or not of the opposite sex) whose relationship with the registered patient has the characteristics of the relationship between husband and wife,

(c)

a parent or step-parent,

(d)

a son,

(e)

a daughter,

(f)

a child of whom the registered patient is —

(i)

the guardian, or

(ii)

the carer duly authorised by a local authority to whose care the child has been committed under the Children Act 1989 M13 , or

(g)

a grandparent;

[F15 “independent nurse prescriber” means a person —

(a)

who is either engaged or employed by the contractor or is a party to the contract,

(b)

who is registered in the Nursing and Midwifery Register, and

(c)

against whose name in that register is recorded an annotation or entry signifying that he or she is qualified to order drugs, medicines and appliances as a community practitioner nurse prescriber;]

“licensing authority” shall be construed in accordance with section 6(3) of the Medicines Act 1968 M14 ;

“licensing body” means any body that licenses or regulates any profession;

“limited partnership” means a partnership registered in accordance with section 5 of the Limited Partnerships Act 1907 M15 ;

“Local Health Board” means, unless the context otherwise requires, the Local Health Board which is a party, or prospective party, to the contract M16 ;

“Local Medical Committee” means a committee recognised under section 45A of the Act;

“local pharmaceutical services” has the same meaning as in regulation 2 of the National Health Service (Local Pharmaceutical Services and Pharmaceutical Services) Regulation 2002 M17 .

“maternity medical services” means the services described in paragraph 7(1) of Schedule 2;

“medical card” means a card issued by a Local Health Board,F16 ... Health Authority, Health Board or Health and Social Services Board [F17 or the National Health Service Commissioning Board] to a person for the purpose of enabling him to obtain, or establishing his title to receive, primary medical services;

F9 ...

(a)

(b)

“medical performers list” means a list of medical practitioners prepared in accordance with regulations made under section 28X of the Act M18 ;

“Medical Register” means the registers kept under section 2 of the Medical Act 1983 M19 ;

“minor surgery” means the services described in paragraph 8(2) of Schedule 2;

F18 ...

“national disqualification” means —

(a)

a decision made by the [F19 First-tier Tribunal] under section 49N of the Act [F20 or under regulations corresponding to that section made under section 28X(4) of the Act (persons performing primary medical and dental services)],

(b)

a decision under provisions in force in Scotland or Northern Ireland corresponding to section 49N of the Act, or

(c)

a decision by the NHS Tribunal which [F21 was treated as a national disqualification by the Family Health Services Appeal Authority] by virtue of regulation 6(4)(b) of the Abolition of the Tribunal Regulations or regulation 6(4)(b) of the Abolition of the Tribunal (Wales) Regulations;

“NHS contract” has the meaning assigned to it in section 4 of the 1990 Act;

“the NHS dispute resolution procedure” means the procedure for resolution of disputes specified —

(a)

in paragraphs 99 and 100 of Schedule 6; or

(b)

in a case to which paragraph 36 of Schedule 6 applies, in that paragraph.

[F22 “NHSLA” means the National Health Service Litigation Authority established as a Special Health Authority by the National Health Service Litigation Authority (Establishment and Constitution) Order 1995;]

“the NHS Tribunal” means the Tribunal constituted under section 46 of the Act M20 for England and Wales, and which, except for prescribed cases, had effect in relation to England only until 14th December 2001 and in relation to Wales only until 26th August 2002 M21 ;

“normal hours” means those days and hours on which and the times at which services under the contract are normally made available and may be different for different services;

F23 ...

[F24 “nurse independent prescriber” means a person —

(a)

who is either engaged or employed by the contractor or is a party to the contract,

(b)

whose name is registered in the Nursing and Midwifery Register, and

(c)

against whose name in that register is recorded an annotation or entry signifying that he or she is qualified to order drugs, medicines and appliances as—

(i)

a nurse independent prescriber, or

(ii)

a nurse independent/ supplementary prescriber, and

(d)

who, in respect of a person practising in Wales on or after 19 July 2010, has passed an accredited course to practise as a nurse independent prescriber;]

“Nursing and Midwifery Register” means the register maintained by the Nursing and Midwifery Council under the Nursing and Midwifery Order 2001 M22 ;

“open”, in relation to a contractor’s list of patients, means open to applications from patients in accordance with paragraph 15 of Schedule 6;

“out of hours period” means —

(a)

the period beginning at 6.30pm on any day from Monday to Thursday and ending at 8am on the following day;

(b)

the period between 6.30pm on Friday and 8am on the following Monday, and

(c)

Good Friday, Christmas Day and bank holidays,

and “part” of an out of hours period means any part of any one or more of periods described in paragraphs (a) to (c);

“out of hours services” means services required to be provided in all or part of the out of hours period which —

(a)

would be essential services if provided [F25 by a contractor to its registered patients] in core hours, and

(b)

are included in the contract as additional services funded under the global sum;

“parent” includes, in relation to any child, any adult who, in the opinion of the contractor, is for the time being discharging in respect of that child the obligations normally attaching to a parent in respect of his or her child;

“patient” means —

(a)

a registered patient,

(b)

a temporary resident,

(c)

persons to whom the contractor is required to provide immediately necessary treatment under regulation 15(6) or (8) respectively,

(d)

any other person to whom the contractor has agreed to provide services under the contract,

(e)

any person for whom the contractor is responsible under regulation 31, and

(f)

any person for whom the contractor is responsible under arrangements made with another contractor in accordance with Schedule 7;

“Pharmaceutical Regulations” means the National Health Service (Pharmaceutical Services) Regulations 1992 M23 ;

[F2 “pharmacist independent prescriber” means a person—

(a)

who is either engaged or employed by the contractor or is a party to the contract,

(b)

who is a pharmacist, and

(c)

against whose name is recorded in the relevant register an annotation signifying that he or she is qualified to order drugs, medicines and appliances as a pharmacist independent prescriber;”.]

“pilot scheme” means an agreement made under Part 1 of the National Health Service (Primary Care) Act 1997 M24 ;

F26 ...M25

“practice” means the business operated by the contractor for the purpose of delivering services under the contract;

“practice area” means the area referred to in regulation 18(1)(d);

“practice leaflet” means a leaflet drawn up in accordance with paragraph 75 of Schedule 6;

“practice premises” means an address specified in the contract as one at which services are to be provided under the contract;

“prescriber” means —

(a)

a medical practitioner,

(b)

an independent nurse prescriber, F27 ...

(c)

a supplementary prescriber,

(d)

[F28 a nurse independent prescriber, and

(e)

a pharmacist independent prescriber,]

who is either engaged or employed by the contractor or is a party to the contract;

“prescription form” means a form provided by the Local Health Board and issued by a prescriber to enable a person to obtain pharmaceutical services or local pharmaceutical services and does not include a repeatable prescription;

“prescription only medicine” means a medicine referred to in [F29 regulation 5(3) (classification of medicinal products) of the Human Medicines Regulations 2012];

“primary care list” means —

(a)

a list of persons performing primary medical or dental services prepared in accordance with regulations made under section 28X of the Act M26 ,

(b)

a list of persons undertaking to provide general medical services, general dental services, general ophthalmic services or, as the case may be, pharmaceutical services prepared in accordance with regulations made under sections 29, 36, 39, 42 or 43 of the Act,

(c)

a list of persons approved for the purposes of assisting in the provision of any services mentioned in paragraph (b) prepared in accordance with regulations made under section 43D of the Act M27 ,

(d)

a services list referred to in section 8ZA of the National Health Service (Primary Care) Act 1997 M28 ,

(e)

a list corresponding to a services list prepared by virtue of regulations made under section 41 of the Health and Social Care Act 2001 M29 , or

(f)

a list corresponding to any of the above lists in Scotland or Northern Ireland;

F30 ...

“primary carer” means, in relation to an adult, the adult or organisation primarily caring for that adult;

“registered patient” means —

(a)

a person who is recorded by the Local Health Board as being on the contractor’s list of patients, or

(b)

a person whom the contractor has accepted for inclusion on its list of patients, whether or not notification of that acceptance has been received by the Local Health Board and who has not been notified by the Local Health Board as having ceased to be on that list;

“relevant register” means —

(a)

in relation to a nurse, the Nursing and Midwifery Register, and

(b)

in relation to a pharmacist, [F31 Part 1 of the register maintained under article 19 of the Pharmacy Order 2010] or the register maintained in pursuance of Articles 6 and 9 of the Pharmacy (Northern Ireland) Order 1976 M30 ;

(c)

[F32 in relation to a person whose name is registered in the part of the register maintained by the Health Professions Council in pursuance of Article 5 of the [F33 Health and Social Work Professions Order 2001] relating to—

(i)

chiropodists and podiatrists;

(ii)

physiotherapists; or

(iii)

radiographers: diagnostic or therapeutic; that register; and

(d)

in relation to a registered optometrist, the register of optometrists maintained under section 7(a) of the Opticians Act 1989;]

“repeat dispensing services” means pharmaceutical services or local pharmaceutical services which involve the provision of drugs, medicines or appliances by a chemist in accordance with a repeatable prescription;

“repeatable prescribing services” means services which involve the prescribing of drugs, medicines or appliances on a repeatable prescription;

“repeatable prescription” means a prescription contained in a form provided by a Local Health Board and issued by a prescriber to enable a person to obtain pharmaceutical services or local pharmaceutical services, which is in the format specified in Part 1 of Schedule 1 and which —

(a)

is generated by a computer but signed by a prescriber, and

(b)

indicates that the drugs, medicines or appliances ordered on that form may be provided more than once and specifies the number of occasions on which they may be provided;

“restricted availability appliance” means an appliance which is approved for particular categories of persons or particular purposes only;

“Scheduled drug” means —

(a)

a drug, medicine or other substance specified in any directions given by the Assembly under section 28U of the Act M31 as being a drug, medicine or other substance which may not be ordered for patients in the provision of medical services under the contract, or

(b)

except where the conditions in paragraph 42(2) of Schedule 6 are satisfied, a drug, medicine or other substance which is specified in any directions given by the Assembly under section 28U of the Act as being a drug, medicine or other substance which can only be ordered for specified patients and specified purposes;

“section 28C provider” means a person who is providing services under a pilot scheme or in accordance with section 28C arrangements;

“supplementary prescriber” means a person —

(a)

who is either engaged or employed by the contractor or is a party to the contract,

(b)

whose name is registered in —

(i)

the Nursing and Midwifery Register,

(ii)

[F34 Part 1 of the register maintained under article 19 of the Pharmacy Order 2010, or]

(iii)

the register maintained in pursuance of Articles 6 and 9 of the Pharmacy (Northern Ireland) Order 1976, F35 ...

(iv)

[F36 the part of the register maintained by the Health Professions Council in pursuance of article 5 of the [F37 Health and Social Work Professions Order 2001] relating to-

(aa)

chiropodists and podiatrists;

(bb)

physiotherapists; or

(cc)

radiographers: diagnostic or therapeutic, or

(v)

the register of optometrists maintained by the General Optical Council in pursuance of section 7 of the Opticians Act 1989, and]

(c)

and against whose name is recorded in the relevant register an annotation [F38 or entry] signifying that he or she is qualified to order drugs medicines and appliances as a supplementary prescriber[F39 , save in the case of the Nursing and Midwifery Register, where the annotation signifies qualification as a nurse independent/supplementary prescriber];

“temporary resident” means a person accepted by the contractor as a temporary resident under paragraph 16 of Schedule 6 and for whom the contractor’s responsibility has not been terminated in accordance with that paragraph;

“walk-in centre” means a centre at which information and treatment for minor conditions is provided to the public under arrangements made by or on behalf of the Assembly;

“working day” means any day apart from Saturday, Sunday, Christmas Day, Good Friday or a bank holiday;

“writing”, except in paragraph 102(1) of Schedule 6 and unless the context otherwise requires, includes electronic mail and “written” shall be construed accordingly.

(2) In these Regulations, the use of the term “it” in relation to the contractor shall be deemed to include a reference to a contractor that is an individual medical practitioner or two or more individuals practising in partnership and related expressions shall be construed accordingly.

[F40 (3) Where the term “community practitioner nurse prescriber” appears in [F41 the Human Medicines Regulations 2012] or the Nursing and Midwifery Register it is to be construed for the purposes of these Regulations as a reference to an “independent nurse prescriber”.]

Textual Amendments

F1 Words in reg. 2(1) substituted (1.4.2010) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2010 (S.I. 2010/729), regs. 1(1), 2(a)

F2 Words in reg. 2(1) inserted (1.2.2007) by The National Health Service (Miscellaneous Amendments Concerning Independent Nurse Prescribers, Supplementary Prescribers, Nurse Independent Prescribers and Pharmacist Independent Prescribers) (Wales) Regulations 2007 (S.I. 2007/205), regs. 1(2), 4(3)

F3 Words in reg. 2(1) substituted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(2) (with reg. 14)

F4 Words in reg. 2(1) inserted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(3) (with reg. 14)

F5 Words in reg. 2(1) substituted (1.4.2010) by The General and Specialist Medical Practice (Education, Training and Qualifications) Order 2010 (S.I. 2010/234), art. 1(3)(4), Sch. 3 para. 12(2)(b); S.I. 2010/478, art. 2(c)

F6 Words in reg. 2 omitted (1.7.2008) by virtue of The National Health Service (Primary Medical Services) and (Performers Lists) (Miscellaneous Amendments) (Wales) Regulations 2008 (S.I. 2008/1425), regs. 1(2), 2

F7 Words in reg. 2(1) substituted (1.4.2013) by The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(2)(a)

F8 Words in reg. 2(1) inserted (1.4.2013) by The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(2)(b)

F9 Words in reg. 2(1) omitted (1.4.2010) by virtue of The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2010 (S.I. 2010/729), regs. 1(1), 2(b)

F10 Words in reg. 2(1) substituted (1.4.2010) by The General and Specialist Medical Practice (Education, Training and Qualifications) Order 2010 (S.I. 2010/234), art. 1(3)(4), Sch. 3 para. 12(2)(c); S.I. 2010/478, art. 2(c)

F11 Words in reg. 2(1) omitted (1.4.2010) by virtue of The General and Specialist Medical Practice (Education, Training and Qualifications) Order 2010 (S.I. 2010/234), art. 1(3)(4), Sch. 3 para. 12(2)(a); S.I. 2010/478, art. 2(c)

F12 Words in reg. 2(1) omitted (1.3.2006) by virtue of The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(6) (with reg. 14)

F13 Words in reg. 2(1) inserted (16.6.2008) by The National Health Service (General Medical Services Contracts) (Wales) (Amendment) Regulations 2008 (S.I. 2008/1329), regs. 1(2), 2

F14 Words in reg. 2(1) inserted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(7) (with reg. 14)

F15 Words in reg. 2(1) substituted (19.7.2010) by The National Health Service (Miscellaneous Amendments Relating to Independent Prescribing) (Wales) Regulations 2010 (S.I. 2010/1647), regs. 1(1), 3(2)(a) (with reg. 5)

F16 Words in reg. 2(1) omitted (1.4.2013) by virtue of The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(2)(c)(i) (with Sch. 3 para. 8)

F17 Words in reg. 2(1) inserted (1.4.2013) by The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(2)(c)(ii) (with Sch. 3 para. 8)

F18 Words in reg. 2(1) omitted (1.3.2006) by virtue of The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(8) (with reg. 14)

F19 Words in reg. 2(1) substituted (18.1.2010) by The Transfer of Tribunal Functions Order 2010 (S.I. 2010/22), art. 1(1), Sch. 3 para. 46

F20 Words in reg. 2(1) inserted (1.4.2006) by The National Health Service (Performers Lists) (Wales) (Amendment) Regulations 2006 (S.I. 2006/945), regs. 1(1), 12(4) (with Sch. 1)

F21 Words in reg. 2(1) substituted (1.4.2010) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2010 (S.I. 2010/729), regs. 1(1), 2(c)

F22 Words in reg. 2(1) inserted (1.4.2013) by The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(2)(d)

F23 Words in reg. 2(1) omitted (1.4.2013) by virtue of The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(2)(e)

F24 Words in reg. 2(1) substituted (19.7.2010) by The National Health Service (Miscellaneous Amendments Relating to Independent Prescribing) (Wales) Regulations 2010 (S.I. 2010/1647), regs. 1(1), 3(2)(b) (with reg. 5)

F25 Words in reg. 2(1) inserted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(10) (with reg. 14)

F26 Words in reg. 2(1) omitted (14.8.2012) by virtue of The Human Medicines Regulations 2012 (S.I. 2012/1916), reg. 1(2), Sch. 34 para. 86(2)(a)(i) (with Sch. 32)

F27 Word in reg. 2(1) omitted (1.2.2007) by virtue of The National Health Service (Miscellaneous Amendments Concerning Independent Nurse Prescribers, Supplementary Prescribers, Nurse Independent Prescribers and Pharmacist Independent Prescribers) (Wales) Regulations 2007 (S.I. 2007/205), regs. 1(2), 4(5)

F28 Words in reg. 2(1) inserted (1.2.2007) by The National Health Service (Miscellaneous Amendments Concerning Independent Nurse Prescribers, Supplementary Prescribers, Nurse Independent Prescribers and Pharmacist Independent Prescribers) (Wales) Regulations 2007 (S.I. 2007/205), regs. 1(2), 4(5)

F29 Words in reg. 2(1) substituted (14.8.2012) by The Human Medicines Regulations 2012 (S.I. 2012/1916), reg. 1(2), Sch. 34 para. 86(2)(a)(ii) (with Sch. 32)

F30 Words in reg. 2(1) omitted (1.4.2013) by virtue of The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(2)(f)

F31 Words in reg. 2(1) substituted (27.9.2010) by The Pharmacy Order 2010 (S.I. 2010/231), art. 1(5), Sch. 4 para. 41(a) (with Sch. 5); S.I. 2010/1621, art. 2(1), Sch.

F32 Words in reg. 2(1) inserted (1.2.2007) by The National Health Service (Miscellaneous Amendments Concerning Independent Nurse Prescribers, Supplementary Prescribers, Nurse Independent Prescribers and Pharmacist Independent Prescribers) (Wales) Regulations 2007 (S.I. 2007/205), regs. 1(2), 4(4)

F33 Words in reg. 2(1) substituted (1.8.2012) by The Health and Social Care Act 2012 (Consequential ProvisionSocial Workers) Order 2012 (S.I. 2012/1479), art. 1(2), Sch. para. 37(2)(a)

F34 Words in reg. 2(1) substituted (27.9.2010) by The Pharmacy Order 2010 (S.I. 2010/231), art. 1(5), Sch. 4 para. 41(b) (with Sch. 5); S.I. 2010/1621, art. 2(1), Sch.

F35 Word in reg. 2(1) omitted (1.3.2006) by virtue of The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(11)(b) (with reg. 14)

F36 Words in reg. 2(1) inserted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(11)(c) (with reg. 14)

F37 Words in reg. 2(1) substituted (1.8.2012) by The Health and Social Care Act 2012 (Consequential ProvisionSocial Workers) Order 2012 (S.I. 2012/1479), art. 1(2), Sch. para. 37(2)(b)

F38 Words in reg. 2(1) inserted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 2(11)(d) (with reg. 14)

F39 Words in reg. 2(1) inserted (19.7.2010) by The National Health Service (Miscellaneous Amendments Relating to Independent Prescribing) (Wales) Regulations 2010 (S.I. 2010/1647), regs. 1(1), 3(2)(c) (with reg. 5)

F40 Reg. 2(3) inserted (19.7.2010) by The National Health Service (Miscellaneous Amendments Relating to Independent Prescribing) (Wales) Regulations 2010 (S.I. 2010/1647), regs. 1(1), 3(3) (with reg. 5)

F41 Words in reg. 2(3) substituted (14.8.2012) by The Human Medicines Regulations 2012 (S.I. 2012/1916), reg. 1(2), Sch. 34 para. 86(2)(b) (with Sch. 32)

Marginal Citations

M1 S.I. 2001/3744 amended by S.I. 2002/2469.

M2 S.I. 2002/1920.

M3 1983 c. 54; section 11(4) was amended by the National Health Service (Primary Care) Act 1997 (c. 46), section 35(4) and Schedule 2, paragraph 61(2).

M4 1971 c. 80.

M5 1968 c. 67; section 69 was amended by the Statute Law (Repeals) Act 1993 (c. 50) and the Pharmacists (Fitness to Practise) Act 1997 (c. 19), Schedule 5, paragraph 5.

M6 Section 20A was inserted by section 1 of the Health (Wales) Act 2003 (c. 4).

M7 Section 49S was inserted into the Act by section 27(1) of the Health and Social Care Act 2001 (c. 15) (“the 2001 Act”).

M8 1978 c. 29

M9 S.I. 1997/2817 as amended by S.I, 1998/669.

M10 S.I. 1991/194 (N.I. 1).

M11 1978 c. 29.

M12 Section 4(2) was amended by the Health Authorities Act 1995 (c. 17) Schedule 1, paragraph 68, the Health Act 1999 (c. 8), Schedule 4, paragraph 76(a) and Schedule 5, the National Health Service Reform and Health Care Professions Act 2002 (c. 17), Schedule 1, paragraph 40, and Schedule 5, paragraph 31.

M13 1989 c. 41.

M14 1968 c. 67.

M15 1907 c. 24.

M16 Local Health Boards were established under section 16BA of the Act; SI 2003/148 (W.18)

M17 1989 c. 41.

M18 Section 28X was inserted into the Act by section 179(1) of the 2003 Act.

M19 1983 c. 54; section 2 was amended by S.I. 1996/1591 and 2002/3135.

M20 Section 46 was revoked by the 2001 Act, section 67, Schedule 5, paragraphs 5 and Schedule 6, Part 1.

M21 See S.I. 2001/3738, article 2(5) and (6)(b), which sets out the prescribed cases for England and S.I. 2002/1919, article 2(2) and (3)(b), which sets out the prescribed cases for Wales.

M22 S.I. 2002/253.

M23 S.I. 1992/662 as amended by S.I. 1993/2451, 1994/2402, 1995/644, 1996/698, 1998/681, 1999/696 and 2563, 2000/593, 2001/1396 and 2888, 2002/551, 888, 2016, 2469 and 2861 and 2003/699 and 1084.

M24 1997 (c. 46).

M25 S.I. 1997/1830 as amended by S.I 1997/2044, 1998/108, 1178 and 2081, 1999/1044 and 3463, 2000/1917, 2889 and 3231, 2001/2777, 2889 and 3942, 2002/549 and 2469 and 2003/696.

M26 Section 28X was inserted into the Act by section 179(1) of the 2003 Act.

M27 Section 43D was inserted into the Act by section 24 of the 2001 Act.

M28 1997 c. 46. Section 8ZA was inserted into that Act by section 26(2) of the 2001 Act.

M29 2001 c. 15.

M30 S.I. 1976/1213 (N.I. 22).

M31 Section 28U was inserted into the Act by section 171 of the 2003 Act. The current directions are...

PART 2 CONTRACTORS

3.  Subject to the provisions of any order made by the Assembly under section 176 of the Health and Social Care (Community Health and Standards) Act 2003 (general medical services : transitional) a Local Health Board may only enter into a contract if the conditions set out in regulations 4 and 5 are met.

Conditions : General

4.—(1) In the case of a contract to be entered into with a medical practitioner, that practitioner must be a general medical practitioner.

(2) In the case of a contract to be entered into with two or more individuals practising in partnership —

(a) at least one partner (who must not be a limited partner) must be a general medical practitioner; and

(b) any other partner who is a medical practitioner must —

(i) be a general medical practitioner, or

(ii) be employed by a Local Health Board, F42 ... (in England and Wales and Scotland) NHS Trust, an NHS foundation trust, (in Scotland) a Health Board or (in Northern Ireland) a Health and Social Services Trust.

(3) In the case of a contract to be entered into with a company limited by shares —

(a) at least one share in the company must be legally and beneficially owned by a general medical practitioner; and

(b) any other share or shares in the company that are legally and beneficially owned by a medical practitioner must be so owned by —

(i) a general medical practitioner, or

(ii) a medical practitioner who is employed by a Local Health Board, F43 ... (in England and Wales and Scotland) a NHS Trust, a NHS foundation trust, (in Scotland) a Health Board or (in Northern Ireland) a Health and Social Services Trust.

[F44 (4) In paragraphs (1), (2)(a) and (3)(a), “general medical practitioner” does not include a medical practitioner whose name is included in the General Practitioner Register by virtue of—

(a) article 4(3) of the 2010 Order (general practitioners eligible for entry in the General Practitioner Register) because of an exemption under regulation 5(1)(d) of one or more of the sets of Regulations specified in paragraph (5);

(b) article 6(2) of the 2010 Order (persons with acquired rights) by virtue of being a restricted services principal (within the meaning of one or more of the sets of Regulations specified in paragraph (6)) included in a list specified in that article; or

(c) article 6(6) of the 2010 Order.]

(5) The regulations referred to in [F45 paragraph (4)(a)] are the National Health Service (Vocational Training for General Medical Practice) Regulations 1997, the National Health Service (Vocational Training for General Medical Practice) (Scotland) Regulations 1998 and the Medical Practitioners (Vocational Training) Regulations (Northern Ireland) 1998.

[F46 (6) The Regulations referred to in paragraph (4)(b) are the National Health Service (General Medical Services) Regulations 1992, the National Health Service (General Medical Services) (Scotland) Regulations 1995 and the General Medical Services Regulations (Northern Ireland) 1997.]

Textual Amendments

F42 Words in reg. 4(2)(b)(ii) omitted (1.4.2013) by virtue of The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(3)(a)

F43 Words in reg. 4(3)(b)(ii) omitted (1.4.2013) by virtue of The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(3)(b)

F44 Reg. 4(4) substituted (1.4.2010) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2010 (S.I. 2010/729), regs. 1(1), 3(2)

F45 Words in reg. 4(5) substituted (1.4.2010) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2010 (S.I. 2010/729), regs. 1(1), 3(3)

F46 Reg. 4(6) substituted (1.4.2010) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2010 (S.I. 2010/729), regs. 1(1), 3(4)

General condition relating to all contracts

5.—(1) It is a condition in the case of a contract to be entered into —

(a) with a medical practitioner, that the medical practitioner;

(b) with two or more individuals practising in partnership, that any individual or the partnership; and

(c) with a company limited by shares that —

(i) the company,

(ii) any person legally and beneficially owning a share in the company, and

(iii) any director or secretary of the company,

must not fall within paragraph (2).

(2) A person falls within this paragraph if —

(a) he, she or it is the subject of a national disqualification;

(b) subject to paragraph (3), he, she or it is disqualified or suspended (other than by an interim suspension order or direction pending an investigation) from practising by any licensing body anywhere in the world;

(c) within the period of five years prior to the signing of the contract or commencement of the contract, whichever is the earlier, he or she has been dismissed (otherwise than by reason of redundancy) from any employment by a health service body and paragraph (4) applies to him or her unless he or she has subsequently been employed by that health service body or another health service body or that dismissal was the subject of a finding of unfair dismissal by any competent tribunal or court;

(d) within the period of five years prior to signing the contract or commencement of the contract, whichever is the earlier, he, she or it has been removed from, or refused admission to, a primary care list by reason of inefficiency, fraud or unsuitability (within the meaning of section 49F(2), (3) and (4) of the Act respectively) unless his or her name has subsequently been included in such a list;

(e) he or she has been convicted in the United Kingdom of murder;

(f) he or she has been convicted in the United Kingdom of a criminal offence other than murder, committed on or after 26th August 2002, and has been sentenced to a term of imprisonment of over six months;

(g) subject to paragraph (5) he or she has been convicted elsewhere of an offence

(i) which would, if committed in England and Wales, constitute murder; or

(ii) committed on or after 26th August 2002, which would if committed in England and Wales constitute a criminal offence other than murder, and had been sentenced to a term of imprisonment of over six months;

(h) he or she has been convicted of an offence referred to in Schedule 1 to the Children and Young Persons Act 1933 M32 (offences against children and young persons with respect to which special provisions of this Act apply) or Schedule 1 to [F47 the Criminal Procedure (Scotland) Act 1995] (offences against children under the age of 17 years to which special provisions apply) M33 committed on or after 1st March 2004.

(i) he, she or it has been —

(i) adjudged bankrupt or had sequestration of his or her estate awarded [F48 or a moratorium period under a debt relief order (under Part 7A of the Insolvency Act 1986) applies in relation to him or her] unless F49 ... he or she has been discharged [F50 from the bankruptcy or the sequestration] or the bankruptcy order has been annulled;

(ii) made the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order under Schedule 4A to the Insolvency Act 1986 M34 [F51 or Schedule 2A to the Insolvency (Northern Ireland) Order 1989] unless that order has ceased to have effect or has been annulled, F52 ...

[F53 (iia) been made the subject of a debt relief restrictions order or interim debt relief restrictions order under Schedule 4ZB to the Insolvency Act 1986 unless that order has ceased to have effect or has been annulled, or]

(iii) made a composition or arrangement with, or granted a trust deed for, his, her or its creditors unless he, she or it has been discharged in respect of it;

(j) [F54 within the period of five years prior to signing the contract or commencement of the contract, whichever is the earlier,] he or she has been —

(i) removed from the office of charity trustee or trustee for a charity by an order made by the Charity Commissioners or the High Court on the grounds of any misconduct or mismanagement in the administration of the charity for which he or she was responsible or to which he or she was privy, or which he or she by his or her conduct contributed to or facilitated, or

(ii) removed under section 7 of the Law Reform (Miscellaneous Provisions) (Scotland) Act 1990 M35 (powers of the Court of Session to deal with management of charities) [F55 or under section 34 of the Charities and Trustee Investment (Scotland) Act 2005 (powers of Court of Session)], from being concerned in the management or control of any body; or

(k) he or she is subject to a disqualification order under the Company Directors Disqualification Act 1986 M36 , the Companies (Northern Ireland) Order 1986 M37 or to an order made under section 429(2)(b) of the Insolvency Act 1986 M38 (failure to pay under county court administration order).

(3) A person shall not fall within paragraph (2)(b) where the Local Health Board is satisfied that the disqualification or suspension from practising is imposed by a licensing body outside the United Kingdom and it does not make the person unsuitable to be —

(a) a contractor;

(b) a partner, in the case of a contract with two or more individuals practising in partnership;

(c) in the case of a contract with a company limited by shares?

(i) a person legally and beneficially holding a share in the company, or

(ii) a director or secretary of the company,

as the case may be.

(4) Where a person has been employed as a member of a health care profession any subsequent employment must also be as a member of that profession if the exception in paragraph(2)(c) is to apply to him or her.

(5) A person shall not fall within paragraph (2)(g) where the Local Health Board is satisfied that the conviction does not make the person unsuitable to be ?

(a) a contractor;

(b) a partner, in the case of a contract with two or more individuals practising in partnership;

(c) in the case of a contract with a company limited by shares ?

(i) a person legally and beneficially holding a share in the company, or

(ii) a director or secretary of the company,

as the case may be.

[F56 (6) References in paragraph (2)(c) to a health service body include a Strategic Health Authority and a Primary Care Trust.]

Textual Amendments

F47 Words in reg. 5(2)(h) substituted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 4(1) (with reg. 14)

F48 Words in reg. 5(2)(i)(i) inserted (1.10.2012) by The Tribunals, Courts and Enforcement Act 2007 (Consequential Amendments) Order 2012 (S.I. 2012/2404), art. 1, Sch. 3 para. 32(2)(a)(i) (with art. 7)

F49 Words in reg. 5(2)(i)(i) omitted (1.10.2012) by virtue of The Tribunals, Courts and Enforcement Act 2007 (Consequential Amendments) Order 2012 (S.I. 2012/2404), art. 1, Sch. 3 para. 32(2)(a)(ii) (with art. 7)

F50 Words in reg. 5(2)(i)(i) inserted (1.10.2012) by The Tribunals, Courts and Enforcement Act 2007 (Consequential Amendments) Order 2012 (S.I. 2012/2404), art. 1, Sch. 3 para. 32(2)(a)(iii) (with art. 7)

F51 Words in reg. 5(2)(i)(ii) inserted (1.7.2008) by The National Health Service (Primary Medical Services) and (Performers Lists) (Miscellaneous Amendments) (Wales) Regulations 2008 (S.I. 2008/1425), regs. 1(2), 3

F52 Word in reg. 5(2)(i)(ii) omitted (1.10.2012) by virtue of The Tribunals, Courts and Enforcement Act 2007 (Consequential Amendments) Order 2012 (S.I. 2012/2404), art. 1, Sch. 3 para. 32(2)(b) (with arts. 7, 8)

F53 Reg. 5(2)(i)(iia) inserted (1.10.2012) by The Tribunals, Courts and Enforcement Act 2007 (Consequential Amendments) Order 2012 (S.I. 2012/2404), art. 1, Sch. 3 para. 32(2)(c) (with art. 7)

F54 Words in reg. 5(2)(j) inserted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 4(2) (with reg. 14)

F55 Words in reg. 5(2)(j)(ii) inserted (1.4.2010) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2010 (S.I. 2010/729), regs. 1(1), 4

F56 Reg. 5(6) inserted (1.4.2013) by The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 64(4)

Marginal Citations

M32 1933 c 12 as amended by the Criminal Justice Act 1988 ( c.33), section 170, Schedule 15, paragraph 8 and Schedule 16, paragraph 16; Sexual Offences Act 1956 (c. 69), sections 48 and 51 and Schedules 3 and 4 and as modified by the Criminal Justice Act 1988, section 170(1), Schedule 15, paragraph 9.

M33 1995 c. 46.

M34 1986 c. 45 Schedule 4A was inserted by section 257 of and Schedule 20 to the Enterprise Act 2002 (c. 40).

M35 1990 c. 40.

M36 1986 c. 46 as amended by the Insolvency Act 2000 (c. 39).

M37 S.I.1986/1032 (N.1.6).

M38 1986 c. 45.

Reasons

6.—(1) Where a Local Health Board is of the view that the conditions in regulation 4 or 5 for entering into a contract are not met it shall notify in writing the person or persons intending to enter into the contract of its view and its reasons for that view and of his, her or its or their right of appeal under regulation 7.

(2) The Local Health Board shall also notify in writing of its view and its reasons for that view, if any person legally and beneficially owning a share in, or a director or secretary of, a company that is notified under paragraph (1) where its reason for the decision relates to that person or those persons.

Appeal

7.  A person who has been served with a notice under regulation 6(1) may appeal to the [F57 First-tier Tribunal] against the decision of the Local Health Board that the conditions in regulation 4 or 5 are not metF58 ....

Textual Amendments

F57 Words in reg. 7 substituted (18.1.2010) by The Transfer of Tribunal Functions Order 2010 (S.I. 2010/22), art. 1(1), Sch. 3 para. 47(a)

F58 Words in reg. 7 omitted (18.1.2010) by virtue of The Transfer of Tribunal Functions Order 2010 (S.I. 2010/22), art. 1(1), Sch. 3 para. 47(b)

Prescribed period under section 28D(1)(bc) of the Act

8.  The period prescribed for the purposes of section 28D(1)(bc) of the Act (persons with whom agreements may be made) is six months.

PART 3 PRE-CONTRACT DISPUTE RESOLUTION

Pre-contract disputes

9.—(1) Except where both parties to the prospective contract are health service bodies (in which case section 4(4) of the 1990 Act (NHS contracts) applies if, in the course of negotiations intending to lead to a contract, the prospective parties to that contract are unable to agree on a particular term of the contract, either party may refer the dispute to the Assembly to consider and determine the matter.

(2) Disputes referred to the Assembly in accordance with paragraph (1) or section 4(4) of the 1990 Act shall be considered and determined in accordance with the provisions of paragraphs 99(3) to (14) and 100(1) of Schedule 6, and paragraph (3) (where it applies) of this regulation.

(3) In the case of a dispute referred to the Assembly under paragraph (1), the determination —

(a) may specify terms to be included in the proposed contract;

(b) may require the Local Health Board to proceed with the proposed contract, but may not require the proposed contractor to proceed with the proposed contract; and

(c) shall be binding upon the prospective parties to the contract.

PART 4 HEALTH SERVICE BODY STATUS

Health service body status

10.—(1) Where a proposed contractor elects in a written notice served on the Local Health Board at any time prior to the contract being entered into to be regarded as a health service body for the purposes of section 4 of the 1990 Act, it shall be so regarded from the date on which the contract is entered into.

(2) If, pursuant to paragraph (1) or (5) a contractor is to be regarded as a health service [F59 body, that fact] shall not affect the nature of, or any rights or liabilities arising under, any other contract with a health service body entered into by a contractor before the date on which the contractor is to be so regarded.

(3) Where a contract is made with an individual medical practitioner or two or more persons practising in partnership, and that individual, or that partnership is to be regarded as a health service body in accordance with paragraph (1) or (5) the contractor shall subject to paragraph (4) continue to be regarded as a health service body for the purposes of section 4 of the 1990 Act for as long as that contract continues irrespective of any change in ?

(a) the partners comprising the partnership;

(b) the status of the contractor from that of an individual medical practitioner to that of a partnership; or

(c) the status of the contractor from that of a partnership to that of an individual medical practitioner

(4) A contractor may at any time request in writing a variation of the contract to include provision in or remove provision from the contract that the contract is an NHS contract, and if it does so —

(a) the Local Health Board shall agree to the variation; and

(b) the procedure in paragraph 102(1) of Schedule 6 shall apply.

(5) If, pursuant to paragraph (4), the Local Health Board agrees to the variation to the contract, the contractor shall —

(a) be regarded; or

(b) subject to paragraph (7), cease to be regarded,

as a health service body for the purposes of section 4 of the 1990 Act from the date that variation is to take effect pursuant to paragraph 102(1) of Schedule 6.

(6) Subject to paragraph (7), a contractor shall cease to be a health service body for the purposes of section 4 of the 1990 Act if the contract terminates.

(7) Where a contractor ceases to be a health service body pursuant to ?

(a) paragraph (5) or (6), it shall continue to be regarded as a health service body for the purposes of being a party to any other NHS contract entered into after it became a health service body but before the date on which the contractor ceased to be a health service body (for which purpose it ceases to be such a body on the termination of that NHS contract);

(b) paragraph (5), it shall, if it or the Local Health Board has referred any matter to the NHS dispute resolution procedure before it ceases to be a health service body, be bound by the determination of the adjudicator as if the dispute had been referred pursuant to paragraph 98 of Schedule 6;

(c) paragraph (6), it shall continue to be regarded as a health service body for the purposes of the NHS dispute resolution procedure where that procedure has been commenced—

(i) before the termination of the contract, or

(ii) after the termination of the contract, whether in connection with or arising out of the termination of the contract or otherwise,

for which purposes it ceases to be such a body on the conclusion of that procedure.

Textual Amendments

F59 Words in reg. 10(2) substituted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 5 (with reg. 14)

PART 5 CONTRACTS: REQUIRED TERMS

Parties to the contract

11.  A contract must specify —

(a) the names of the parties;

(b) in the case of a partnership —

(i) whether or not it is a limited partnership, and

(ii) the names of the partners and, in the case of a limited partnership, their status as a general or limited partner; and

(c) in the case of each party, the address to which official correspondence and notices should be sent.

Health service contract

12.  If the contractor is to be regarded as a health service body pursuant to regulation 10, the contract must state that it is an NHS contract.

Contracts with individuals practising in partnership

13.—(1) Where the contract is with two or more individuals practising in partnership, the contract shall be treated as made with the partnership as it is from time to time constituted, and the contract shall make specific provision to this effect.

(2) Where the contract is with two or more individuals practising in partnership, the contractor must be required by the terms of the contract to ensure that any person who becomes a member of the partnership after the contract has come into force is bound automatically by the contract whether by virtue of a partnership deed or otherwise.

Duration

14.—(1) Except in the circumstances specified in paragraph (2), a contract must provide for it to subsist until it is terminated in accordance with the terms of the contract or the general law.

(2) The circumstances referred to in paragraph (1) are that the Local Health Board wishes to enter into a temporary contract for a period not exceeding twelve months for the provision of services to the former patients of a contractor, following the termination of that contractor’s contract.

(3) Either party to a prospective contract to which paragraph (2) applies may, if it wishes to do so, invite the Local Medical Committee for the area of the Local Health Board to participate in the negotiations intending to lead to such a contract.

Essential services

15.—(1) For the purposes of section 28R(1) of the Act (requirement to provide certain primary medical services), the services which must be provided under a general medical services contract (“ essential services”) are the services described in paragraphs (3), (5), (6) and (8).

(2) Subject to regulation 20, a contractor must provide the services described in paragraphs (3) and (5) throughout the core hours.

(3) The services described in this paragraph are services required for the management of its registered patients and temporary residents who are or believe themselves to be —

(a) ill, with conditions from which recovery is generally expected;

(b) terminally ill; or

(c) suffering from chronic disease,

delivered in the manner determined by the practice in discussion with the patient.

(4) For the purposes of paragraph (3) —

“disease” means a disease included in the list of three-character categories contained in the tenth revision of the International Statistical Classification of Diseases and Related Health Problems M39 ; and

“management” includes —

(a)

offering consultation and, where appropriate, physical examination for the purpose of identifying the need, if any, for treatment or further investigation; and

(b)

the making available of such treatment or further investigation as is necessary and appropriate, including the referral of the patient for other services under the Act and liaison with other health care professionals involved in the patient’s treatment and care.

(5) The services described in this paragraph are the provision of appropriate ongoing treatment and care to all registered patients and temporary residents taking account of their specific needs including —

(a) the provision of advice in connection with the patient’s health, including relevant health promotion advice; and

(b) the referral of the patient for other services under the Act.

(6) A contractor must provide primary medical services required in core hours for the immediately necessary treatment of any person to whom the contractor has been requested to provide treatment owing to an accident or emergency at any place in its practice area.

(7) In paragraph (6), “emergency” includes any medical emergency whether or not related to services provided under the contract.

(8) A contractor must provide primary medical services required in core hours for the immediately necessary treatment of any person falling within paragraph (9) who requests such treatment, for the period specified in paragraph (10).

(9) A person falls within paragraph (8) if he or she is a person —

(a) whose application for inclusion in the contractor’s list of patients has been refused in accordance with paragraph 17 of Schedule 6 and who is not registered with another provider of essential services (or their equivalent) in the area of the Local Health Board;

(b) whose application for acceptance as a temporary resident has been rejected under paragraph 17 of Schedule 6; or

(c) who is present in the contractor’s practice area for less than 24 hours.

(10) The period referred to in paragraph (8) is —

(a) in the case of paragraph (9)(a), 14 days beginning with the date on which that person’s application was refused or until that person has been subsequently registered elsewhere for the provision of essential services (or their equivalent), whichever occurs first;

(b) in the case of paragraph (9)(b), 14 days beginning with the date on which that person’s application was rejected or until that person has been subsequently accepted elsewhere as a temporary resident, whichever occurs first; and

(c) in the case of paragraph (9)(c), 24 hours or such shorter period as the person is present in the contractor’s practice area.

Marginal Citations

M39 World Health Organisation, 1992 ISBN 92 4 1544 19 8 (v. I) NLM Classification: WB 15.

Additional services

16.  A contract which includes the provision of any additional services must—

(a) in relation to all such services as are included in the contract, contain a term which has the same effect as that specified in paragraph 1 of Schedule 2; and

(b) in relation to each such service as is included in the contract, contain terms which have the same effect as those specified in Schedule 2 which are relevant to that service.

Opt outs of additional and out of hours services

17.—(1) Where a contract provides for the contractor to provide an additional service that is to be funded through the global sum the contract must contain terms relating to the procedure for opting out of additional services which have the same effect as those specified in paragraphs 1, 2, 3 and 6 of Schedule 3 except paragraph 3(12) to (14).

(2) Where a contract which is entered into before 1st October 2004 provides for the contractor to provide out of hours services pursuant to regulation 30 or 31, the contract must contain terms relating to the procedure for opting out of those services which have the same effect as those specified in paragraphs 4, 5 and 6 of Schedule 3, except paragraphs 4(8) and 5(17) in so far as those paragraphs relate to paragraph 3(12) to (14).

(3) Where a contract which is entered into on or after 1st October 2004 provides for the contractor to provide out of hours services pursuant to regulation 30 or 31, the contract must contain terms relating to the procedure for opting out of those services which have the same effect as those specified in paragraphs 4 and 6 of Schedule 3, except [F60 paragraph 4(9)] in so far as those paragraphs relate to paragraph 3(12) to (14).

(4) Paragraph 3(12) to (14) and paragraphs 4(8) and 5(17) in so far are those paragraphs relate to paragraph 3(12) to (14) of Schedule 3 shall have effect in relation to the matters set out in those paragraphs.

Textual Amendments

F60 Words in reg. 17 substituted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 6 (with reg. 14)

Services generally

18.—(1) A contract must specify —

(a) the services to be provided;

(b) subject to paragraph (2), the address of each of the premises to be used by the contractor or any sub-contractor for the provision of such services;

(c) to whom such services are to be provided;

(d) the area as respects which persons resident in it will, subject to any other terms of the contract relating to patient registration, be entitled to —

(i) register with the contractor, or

(ii) seek acceptance by the contractor as a temporary resident; and

(e) whether, at the date on which the contract comes into force, the contractor’s list of patients is open or closed.

(2) The premises referred to in paragraph (1)(b) do not include —

(a) the homes of patients; or

(b) any other premises where services are provided on an emergency basis.

(3) Where, on the date on which the contract is signed, the Local Health Board is not satisfied that all or any of the premises specified in accordance with paragraph (1)(b) meet the requirements set out in paragraph 1 of Schedule 6, the contract must include a plan, drawn up jointly by the Local Health Board and the contractor, which specifies—

(a) the steps to be taken by the contractor to bring the premises up to the relevant standard;

(b) any financial support that may be available from the Local Health Board; and

(c) the timescale on which the steps referred to in sub-paragraph (a) will be taken.

(4) Where, in accordance with paragraph (1)(e), the contract specifies that the contractor’s list of patients is closed it must also specify in relation to that closure each of the items listed in paragraph 29(8)(a) to (d) of Schedule 6.

19.—(1) Except in the case of the services referred to in paragraph (2), the contract must state the period (if any) for which the services are to be provided.

(2) The services referred to in paragraph (1) are —

(a) essential services;

(b) additional services funded under the global sum; and

(c) out of hours services provided pursuant to regulations 30 and 31.

20.  A contract must contain a term which requires the contractor in core hours —

(a) to provide—

(i) essential services, and

(ii) additional services funded under the global sum,

at such times, within core hours, as are appropriate to meet the reasonable needs of its patients; and

(b) to have in place arrangements for its patients to access such services throughout the core hours in case of emergency.

Certificates

21.—(1) A contract must contain a term which has the effect of requiring the contractor to issue free of charge to a patient or the patient’s personal representatives any medical certificate of a description prescribed in column 1 of Schedule 4, which is reasonably required under or for the purposes of the enactments specified in relation to the certificate in column 2 of that Schedule, except where, for the condition to which the certificate relates, the patient —

(a) is being attended by a medical practitioner who is not —

(i) employed or engaged by the contractor;

(ii) in the case of a contract with two or more individuals practising in partnership, one of those individuals; or

(iii) in the case of a contract with a company limited by shares, one of the persons legally or beneficially owning shares in that company; or

(b) is not being treated by or under the supervision of a health care professional.

[F61 (2) The exception in paragraph (1)(a) does not apply where the certificate is issued in accordance with regulation 2(1) of the Social Security (Medical Evidence) Regulations 1976 (evidence of incapacity for work, limited capability for work and confinement) or regulation 2(1) of the Statutory Sick Pay (Medical Evidence) Regulations 1985 (medical information).]

Textual Amendments

F61 Reg. 21(2) substituted (1.4.2010) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2010 (S.I. 2010/729), regs. 1(1), 5

Finance

22.—(1) Subject to paragraph (2), the contract must contain a term which has the effect of requiring [F62 payments to be made] under the contract promptly and in accordance with both the terms of the contract and any other conditions relating to the payment contained in directions given by the Assembly under section 28T of the Act. (GMS contracts : payments).

(2) The obligation referred to in paragraph (1) is subject to any right the Local Health Board may have to set off against any amount payable to the contractor under the contract any amount—

(a) that is owed by the contractor to the Local Health Board under the contract; or

(b) that the Local Health Board may withhold from the contractor in accordance with the terms of the contract or any applicable provisions contained in directions given by the Assembly under section 28T of the Act.

Textual Amendments

F62 Words in reg. 22(1) substituted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 7 (with reg. 14)

23.  The contract must contain a term to the effect that where, pursuant to directions under section 16BB(4) [F63 (Assembly's] directions: exercise of functions) or 28T (GMS Contracts: payments) F64 ... of the Act, a Local Health Board is required to make a payment to a contractor under a contract but subject to conditions, those conditions are to be a term of the contract.

Textual Amendments

F63 Word in reg. 23 substituted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 8(i) (with reg. 14)

F64 Word in reg. 23 deleted (1.3.2006) by virtue of The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 8(ii) (with reg. 14)

Fees and charges

24.—(1) The contract must contain terms relating to fees and charges which have the same effect as those set out in paragraphs (2) to (4).

(2) The contractor shall not, directly or indirectly, demand or accept a fee or other remuneration from any patient of its for —

(a) the provision of any treatment whether under the contract or otherwise; or

(b) any prescription or repeatable prescription for any drug, medicine or appliance,

except in the circumstances set out in Schedule 5.

(3) Where a person applies to a contractor for the provision of essential services and claims to be on that contractor’s list of patients, but fails to produce his or her medical card on request and the contractor has reasonable doubts about that person’s claim, the contractor shall give any necessary treatment and shall be entitled to demand and accept a reasonable fee in accordance with paragraph (e) of Schedule 5, subject to the provision for repayment contained in paragraph (4).

(4) Where a person from whom a contractor received a fee under [F65 paragraph 1(e)] of Schedule 5 applies to the Local Health Board for a refund within 14 days of payment of the fee (or such longer period not exceeding a month as the Local Health Board may allow if it is satisfied that the failure to apply within 14 days was reasonable) and the Local Health Board is satisfied that the person was on the contractor’s list of patients when the treatment was given, the Local Health Board may recover the amount of the fee from the contractor, by deduction from its remuneration or otherwise, and shall pay that amount to the person who paid the fee.

Textual Amendments

F65 Words in reg. 24(4) substituted (1.3.2006) by The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 (S.I. 2006/358), regs. 1(1), 9 (with reg. 14)

Arrangements on termination

25.  A contract shall make suitable provision for arrangements on termination of a contract, including the consequences (whether financial or otherwise) of the contract ending.

Other contractual terms

26.—(1) A contract must, unless it is of a type or nature to which a particular provision does not apply, contain other terms which have, the same effect as those specified in Schedule 6 except paragraphs 31(6) to (8), 35(5) to (9), 36(5) to (17), 99(5) to (14) and 100.

(2) The paragraphs specified in paragraph (1) shall have effect in relation to the matters set out in those paragraphs.

PART 6 FUNCTIONS OF LOCAL MEDICAL COMMITTEES

27.—(1) The functions of a Local Medical Committee which are prescribed for the purposes of section 45A(9) (Local Medical Committees) of the Act M40 are —

(a) the consideration of any complaint made to it by any medical practitioner against a medical practitioner specified in paragraph (2) providing services under a contract in the relevant area involving any question of the efficiency of those services;

(b) the reporting of the outcome of the consideration of any such complaint to the Local Health Board with whom the contract is held in cases where that consideration gives rise to any concerns relating to the efficiency of services provided under a contract;

(c) the making of arrangements for the medical examination of a medical practitioner specified in paragraph (2), where the contractor or the Local Health Board is concerned that the medical practitioner is incapable of adequately providing services under the contract and it so requests with the agreement of the medical practitioner concerned; and

(d) the consideration of the report of any medical examination arranged in accordance with sub-paragraph (c) and the making of a written report as to the capability of the medical practitioner of adequately providing services under the contract to the medical practitioner concerned, the contractor and the Local Health Board with whom the contractor holds a contract.

(2) The medical practitioner referred to in paragraph (1)(c) is a medical practitioner who is —

(a) a contractor;

(b) one of two or more individuals practising in partnership who hold a contract; or

(c) a legal and beneficial shareholder in a company which holds a contract.

(3) In this regulation, “the relevant area” means the area for which the Local Medical Committee is formed.

Marginal Citations

M40 Section 45A was inserted into the Act by paragraph 23 of Schedule 11 to the 2003 Act.

PART 7 TRANSITIONAL PROVISIONS

Commencement

28.  The contract shall provide for services to be provided under it from any date after 31st March 2004.

Additional services

29.—(1) Where the contract is with one of the persons specified in paragraph (2), the contract must subject to regulation 17 provide for the contractor to provide in core hours to the contractor’s registered patients and persons accepted by it as temporary residents, such of the additional services as are equivalent to services which that medical practitioner or practitioners was or were providing to his, her or their patients on the date that the contract is entered into except to the extent that —

(a) the provision of any of those services by that medical practitioner or practitioners was due to come to an end on or before the date in which services are required to start being provided under the contract; or

(b) prior to the signing of the contract, the Local Health Board has accepted a written request from the contractor that the contract should not require it to provide all or any of those additional services.

(2) The persons referred to in paragraph (1) are —

(a) an individual medical practitioner who, on 31st March 2004, was providing services under section 29 of the Act (general medical services);

(b) two or more individuals practising in partnership at least one of whom was, on 31st March 2004, a medical practitioner providing services under that section; or

(c) a company in which one or more of the shareholders was, on 31st March 2004, a medical practitioner providing services under that section.

(3) This regulation applies only to contracts under which services are to be provided from 1st April 2004.

Out of hours services

30.—(1) Subject to paragraph 10 of Schedule 6, a contract under which services are to be provided before 1st January 2005 (whether or not such services will be provided after that date) must provide for the services specified in paragraph (2) to be provided throughout the out of hours period unless —

(a) the Local Health Board has accepted in writing, prior to the signing of the contract, a written request from the contractor that the contract should not require the contractor to make such provision;

(b) the contract is, at the date on which it is signed, with —

(i) a medical practitioner who on 31st March 2004, is or was relieved of responsibility for providing services to his or her patients under paragraph 18(2) of Schedule 2 to the National Health Service (General Medical Services) Regulations 1992 M41 ,

(ii) a partnership in which all of the partners who are general medical practitioners are, or were on 31st March 2004, relieved of responsibility for providing services to their patients under that paragraph or

(iii) a company in which all of the general medical practitioners who own shares in that company are, or were on 31st March 2004, relieved of responsibility for providing services to their patients under that paragraph ;

(c) the contractor has opted out in accordance with paragraph 4 or 5 of Schedule 3; or

(d) the contract has been otherwise varied to exclude a requirement to make such provision.

(2) The services referred to in paragraph (1) are —

(a) the services which must be provided in core hours under regulation 15; and

(b) such additional services as are included in the contract pursuant to regulation 29.

Modifications etc. (not altering text)

C1 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 49 (with art. 40)

C2 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 44 (with art. 40)

C3 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 53 (with art. 40)

C4 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 67

C5 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 48 (with art. 40)

C6 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 52 (with art. 40)

C7 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 41 (with art. 40)

C8 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 50 (with art. 40)

C9 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 42 (with art. 40)

C10 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 45 (with art. 40)

C11 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 69

C12 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 47 (with art. 40)

C13 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 43 (with art. 40)

C14 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 51 (with art. 40)

C15 Reg. 30 modified (1.4.2004) by The General Medical Services Transitional and Consequential Provisions (Wales) (No. 2) Order 2004 (S.I. 2004/1016), arts. 1(1), 46 (with art. 40)

Marginal Citations

M41 S.I. 1992/635. Paragraph 18 was amended by S.I. 1996/702; 2002/1896.

31.—(1) Where the contract is with —

(a) an individual medical practitioner who is, or was on 31st March 2004, responsible for providing services during all or part of the out of hours period to the patients of a medical practitioner who meets the requirements in paragraph (2);

(b) two or more individuals practising in partnership at least one of whom is or was or on 31st March 2004, a medical practitioner responsible for providing such services; or

(c) a company in which one or more of the shareholders is or was on 31st March 2004, a medical practitioner responsible for providing such services,

the contract with that contractor must require the contractor to continue to provide such services to the patients of the exempt contractor until the happening of one of the events in paragraph (3).

(2) The requirements referred to in paragraph (1)(a) are that —

(a) the medical practitioner was relieved of responsibility for providing services to his or her patients under paragraph 18(2) of Schedule 2 to the National Health Service (General Medical Services) Regulations 1992 M42 ; and

(b) he or she —

(i) has entered or intends to enter into a contract which does not include out of hours services pursuant to regulation 30(1)(b)(i),

(ii) is one of two or more individuals practising in partnership who have entered or intends to enter will into a contract which does not include out of hours services pursuant to regulation 30(1)(b)(ii), or

(iii) is the owner of shares in a company which has entered or intends to enter into a contract which does not include out of hours services pursuant to regulation 30(1)(b) (iii).

(3) The events referred to in paragraph (1) are —

(a) the contractor has opted out of the provision of out of hours services in accordance with paragraph 4 or 5 of Schedule 3; or

(b) the Local Health Board (and, if it is different, the Local Health Board with whom the exempt contractor holds its contract) has or have agreed in writing that the contractor need no longer provide some or all of those services to some or all of those patients;

(4) In this regulation “exempt contractor” means a contractor who is exempt from providing out of hours services pursuant to regulation 30(1)(b).

Marginal Citations

M42 S.I. 1996/702; 2002/1896.

32.  A contract which includes the provision of out of hours services pursuant to regulation 30 or 31 must contain terms which have the same effect as those set out in Schedule 7.

M43 Signed on behalf of the National Assembly for Wales under section 66(1) of the Government of Wales Act 1998

D.Elis-Thomas

Marginal Citations

M43 1998 c. 38.