The National Health Service (General Medical Services Contracts) (Wales) Regulations 2023
PART 1General
1Title and commencement
2Application
3Interpretation
PART 2Contractors: conditions and eligibility
4Conditions: general
5Conditions relating solely to medical practitioners
6General condition relating to all contracts
7Notice of conditions not being met and reasons
8Right of appeal
PART 3Pre-contract dispute resolution
9Pre-contract disputes
PART 4Health service body status
10Health service body status: election
11Health service body status: variation of contracts
12Cessation of health service body status
PART 5Contracts: required terms
13Parties to the contract
14Health service contract
15Contracts with individuals practising in partnership
16Duration
17Unified services
18Services: general
19Certificates
20Finance
21Fees, charges and financial interests
22Circumstances in which fees and charges may be made
23Activity and Appointment Data
24Dataset and Business Rules
25Contract assurance
26Sub-contracting
27Variation of contracts
28Termination of a contract
29Other contractual terms
PART 6Functions of Local Medical Committees
30(1) The functions of a Local Medical Committee which are...
PART 7General transitional provision and saving, consequential amendments and revocations
31General transitional provision and saving
32Consequential amendments
33Revocations
SCHEDULE 1List of Prescribed Medical Certificates
SCHEDULE 2Further details about specific Unified Services
1Cervical screening
2Child health surveillance
3Childhood vaccinations and immunisations
4Contraceptive services
5Maternity medical services
6Minor surgery
7Vaccinations and immunisations
8For the purposes of paragraphs 1 to 7 “a patient’s...
SCHEDULE 3Other contractual terms
PART 1Provision of services
1Premises, facilities and equipment
2Telephone services
3Cost of relevant calls
4Access
5Attendance at practice premises
6Attendance outside practice premises
7Newly registered patients
8Patients not seen within 3 years
9Patients aged 75 years and over
10Clinical reports
11Storage of vaccines
12Infection control
13Duty of co-operation in relation to supplementary services
14Duty of co-operation in relation to out of hours services
15Membership of a cluster
16Duty of co-operation: cluster working
17Membership of a GP Collaborative
18Contribution to clusters and GP Collaboratives
19Demand and capacity
20Cessation of service provision: information requests
21Welsh Language
PART 2Patients
22List of patients
23Application for inclusion in a list of patients
24Inclusion in list of patients: armed forces personnel
25Temporary residents
26Refusal of applications for inclusion in the list of patients or early termination of responsibility for temporary residents
27Patient preference of practitioner
28Removal from the list at the request of the patient
29Removal from the list at the request of the contractor
30Removals from the list of patients who are violent
31Removal from lists if patients registered elsewhere
32Removal from the list of patients who have moved
33Removal from the list of patients whose address is unknown
34Removal from the list of patients absent from the United Kingdom etc.
35Removal from the list of patients accepted elsewhere as temporary residents
36Removal from the list of pupils etc. of a school
37Termination of responsibility for patients not registered with the contractor
PART 3List of patients: closure, etc.
38Application for closure of list of patients
39Approval of an application to close a list of patients
40Rejection of an application to close a list of patients
41Re-opening of list of patients
PART 4Assignment of patients to lists
42(1) This Part applies in respect of the assignment by...
43Assignment of patients to list of patients: open and closed lists
44Factors relevant to assignments
45Assignments to closed lists: composition and determinations of the assessment panel
46Assignment to closed lists: NHS dispute resolution procedure relating to determinations of the assessment panel
47Assignments to closed lists: assignments of patients by the Local Health Board
PART 5Prescribing and dispensing
48Prescribing: general
49Orders for drugs, medicines and appliances
50Electronic prescriptions
51Nomination of dispensers for the purposes of electronic prescriptions
52Repeatable prescribing services
53Repeatable prescriptions
54Prescribing for electronic repeat dispensing
55Restrictions on prescribing by medical practitioners
56Restrictions on prescribing by supplementary prescribers
57Bulk prescribing
58Excessive prescribing
59Provision of drugs, medicines and appliances for immediate treatment or personal administration
60Provision of dispensing services
PART 6Persons who perform services
61Qualifications of performers: medical practitioners
62Qualifications of performers: health care professionals
63Conditional registration or inclusion in primary care list
64Clinical experience
65Conditions for employment and engagement: medical practitioner
66Conditions for employment or engagement: health care professionals
67Clinical references
68Verification of qualifications and competence
69Training
70Terms and conditions
71Arrangements for GP Specialty Registrars
72Notice requirements in respect of relevant prescribers
73Signing of documents
74Level of skill and compliance with pathways
75Appraisal and assessment
PART 7Sub-contracting
76Sub-contracting
77Withdrawal and variation of approval and right to subsequently object to a sub-contract under paragraph 76
PART 8Records, information, notifications and rights of entry
78Patient records
79Welsh GP record
80Electronic transfer of patient records between GP practices
81Clinical correspondence: requirement for NHS number
82Use of fax machines
83Confidentiality of personal data: nominated person
84Provision of information to patients
85Provision of information (or access to information) at the request of the Local Health Board
86Clinical audits and the National Data Resource
87Information relating to indicators no longer in the Quality Assurance and Improvement Framework
88The Wales National Workforce Reporting System
89General Practice Escalation Tool
90Medicines and Healthcare Products Regulatory Agency Central Alerting System
91Inquiries about prescriptions and referrals
92Provision of information to a medical officer etc.
93Annual return and review
94Notifications to the Local Health Board
95Co-operation with the Local Health Board
96Notice provisions specific to a contract with a company limited by shares
97Notice provisions specific to a contract with two or more individuals practising in partnership
98Notification of deaths
99Notifications to patients following variation of the contract
100Entry and Inspection by the Local Health Board
PART 9Concerns, complaints and investigations
101Concerns and complaints
102Co-operation with investigations
103Provision of information about complaints
PART 10Dispute resolution
104Local resolution of contract disputes
105Dispute resolution: non-NHS contracts
106NHS dispute resolution procedure
107Determination of the dispute
108Interpretation of this Part
PART 11Variation and termination of contracts
109Variation of a contract: general
110Variation provisions specific to a contract with an individual medical practitioner
111Variation provisions specific to a contract with two or more individuals practising in partnership
112Termination by agreement
113Termination on the death of an individual medical practitioner
114Termination by the contractor
115Late payment notices
116Termination by the Local Health Board: general
117Termination by the Local Health Board for breach of conditions in regulation 5
118Termination by the Local Health Board for the provision of untrue etc. information
119Other grounds for termination by the Local Health Board
120Termination by the Local Health Board where patients’ safety is seriously at risk or where there is risk of material financial loss to Local Health Board
121Termination by the Local Health Board for unlawful sub-contracting
122Termination by the Local Health Board: remedial notices and breach notices
123Termination by the Local Health Board: additional provisions specific to contracts with two or more individuals practising in partnership and companies limited by shares
124Contract sanctions
125Contract sanctions and the NHS dispute resolution procedure
126Termination and the NHS dispute resolution procedure
127Consultation with the Local Medical Committee
PART 12Miscellaneous
128Clinical governance
129Co-operation with Health Education and Improvement Wales
130Insurance
131Public liability insurance
132Gifts
133Bribery Act
134Advertising private services
135Compliance with legislation and guidance
136Third party rights
SCHEDULE 4Provision of information to patients
1Information to be included on a practice’s online resource and written practice leaflet
SCHEDULE 5Consequential amendments
1(1) The National Health Service (Performers Lists) (Wales) Regulations 2004...
2(1) The National Health Service (Pharmaceutical Services) (Wales) Regulations 2020...
SCHEDULE 6Revocations
1The National Health Service (General Medical Services Contracts) (Wales) Regulations...

2023 No. 953 (W. 155)

National Health Service, Wales

The National Health Service (General Medical Services Contracts) (Wales) Regulations 2023

Made

Laid before Senedd Cymru

Coming into force

The Welsh Ministers make the following Regulations in exercise of the powers conferred on them by sections 7(8), 41(3), (5) and (6), 43, 44, 47, 48(1) and (3), 54(6) and (7), 135 and 203(9) and (10) of the National Health Service (Wales) Act 20061.