The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012

Duty to make arrangements to provide an appointment with a specialist for those patients urgently referred for treatment for suspected cancer

52

• (1) A relevant body must make arrangements to ensure that at the end of each data collection period, for persons falling within paragraph (2), the waiting time period to diagnose or rule out cancer did not exceed 28 days in at least 75% of cases where the waiting time period ended in that data collection period.

• (2) A person falls within this paragraph if—

• (a) the relevant body has responsibility for that person; and

• (b) they are a person in respect of whom an urgent referral has been made on or after 1st April 2024 by an eligible referrer—

• (i) for suspected cancer, or

• (ii) for breast symptoms (where cancer is not suspected).

• (3) The waiting time period referred to in paragraph (1) begins on the start date and ends on the date when—

• (a) an outcome (either a diagnosis or ruling out of cancer) is communicated to the person or, if earlier, a notification containing an outcome is sent to the person,

• (b) a clinical decision is made that the person requires further interval scanning or testing before a diagnosis of cancer can be made or cancer can be ruled out, or

• (c) a clinical decision is made that the person requires treatment before a diagnosis of cancer can be made or cancer can be ruled out.

• (4) Where—

• (a) the person concerned did not attend the first appointment made by a health service provider in response to the urgent referral, and

• (b) that person had not requested in advance of the first appointment that the date for that appointment be rearranged,

the period of time specified in paragraph (5) is excluded from the calculation of the waiting time period specified in paragraph (3).

• (5) The period of time to be excluded for the purposes of paragraph (4)—

• (a) begins with the start date, and

• (b) ends on the date on which the health service provider receives notification that the person who has been urgently referred is available again for an appointment with that provider.

• (6) In the exercise of its functions under paragraph (1), a relevant body must have regard to the National Institute for Health and Care Excellence Guideline “Suspected cancer: recognition and referral” published on 23rd June 2015 and updated on 2nd October 2023.

• (7) For the purposes of this regulation and regulation 53, cancer is to be regarded as having been ruled out either when a diagnosis of cancer has been excluded or when all reasonable steps to exclude cancer have been completed.

Duty to offer alternative provider for treatment for suspected cancer

53

• (1) Paragraph (2) applies where—

• (a) there is a person in respect of whom an urgent referral has been made on or after 1st April 2024 by an eligible referrer—

• (i) for suspected cancer, or

• (ii) for breast symptoms (where cancer is not suspected);

• (b) the referral is to a health service provider (“the provider”) for—

• (i) an appointment with a specialist, or

• (ii) a review of appropriate diagnostic imaging, with a view to a specialist diagnosing or ruling out cancer;

• (c) the referred person, or a person lawfully acting on their behalf, asks the provider or the relevant body which has responsibility for the person referred to arrange an alternative appointment or review;

• (d) the provider or the relevant body which has responsibility for the person referred is satisfied that:

• (i) the person referred will not receive a diagnosis or ruling out of cancer within 28 days beginning with the start date, and

• (ii) an appointment with a suitable alternative provider may expedite a diagnosis or ruling out of cancer;

• (e) no clinical decision has been made that the person requires further interval scanning or testing;

• (f) no clinical decision has been made that the person requires treatment before a diagnosis of cancer can be made or cancer can be ruled out.

• (2) Subject to paragraph (5), where this paragraph applies, the relevant body which has responsibility for the person referred must, in accordance with paragraphs (3) and (4), take all reasonable steps to ensure that the person is offered an appointment with a specialist or a review of appropriate diagnostic imaging by a specialist with a suitable alternative provider.

• (3) The appointment or review for the purposes of paragraph (2) must seek to enable the diagnosis or ruling out of cancer earlier than the person would have received were they to continue to wait for an appointment or review (as applicable) from the provider.

• (4) If there is more than one suitable alternative health service provider, the person referred must be offered a choice of an appointment with a specialist or a review (as appropriate) as between those providers.

• (5) Paragraph (2) does not apply if the person—

• (a) was made aware of the consequences of not attending the first appointment made by the provider in response to the referral, and

• (b) did not attend the first appointment.

• (6) In the exercise of its functions under paragraph (2), a relevant body must have regard to the NHS England Guidance “National Cancer Waiting Times Monitoring Dataset Guidance” published on 17th August 2023.”.

Advice and assistance

54

• (1) Each integrated care board must—

• (a) establish a service for the purpose of providing advice and assistance to persons—

• (i) for whom it has responsibility, and

• (ii) in the circumstances set out in regulation 47(2) and (3), or in regulation 53(1)(a) to (b) (“relevant persons”);

• (b) publish the name and contact details of the service; and

• (c) take reasonable steps to communicate the name and contact details of that service to any relevant persons for which it has responsibility.

• (2) Each integrated care board must make arrangements to ensure that any health service provider providing services to a relevant person pursuant to a commissioning contract with that integrated care board —

• (a) establishes a service for the purpose of providing advice and assistance to relevant persons referred to the provider;

• (b) publishes the name and contact details of that service; and

• (c) takes reasonable steps to communicate the name and contact details of that service to any relevant persons referred to the provider for whom the relevant body is responsible.

Transitional provision

55

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART 10 — Standing rules: funding of therapies for Multiple Sclerosis

Scheme for the funding of certain disease modifying therapies for Multiples Sclerosis

56

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART 11 — Financial duties of a relevant body in relation to administration

Matters relating to administration in revenue resource use by a relevant body

57

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SCHEDULE 1 — Additional persons for whom a CCG has responsibility

1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SCHEDULE 2 — Prescribed dental services

1

Oral surgery.

2

Restorative dentistry.

3

Paedodontic/paediatric dentistry.

4

Orthodontics.

5

Oral and maxillofacial surgery.

6

Endodontics.

7

Periodontics.

8

Prosthodontics.

9

Oral medicine.

10

Oral microbiology.

11

Oral and maxillofacial pathology.

12

Dental and maxillofacial radiology.

13

Special care dentistry.

SCHEDULE 3 — Services in respect of persons detained in specified accommodation

PART 1 — Secure children's homes to which regulation 10(2)(b) does not apply

1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART 2 — Immigration removal centres

...
Name of centre	Specified Date
---	---
Brook House Immigration Removal Centre	From 1st April 2014
Campsfield House Immigration Removal Centre	From 1st April 2014
Colnbrook Immigration Removal Centre	From 1st April 2013
Dover Immigration Removal Centre	From 1st April 2013
Harmondsworth Immigration Removal Centre	From 1st April 2013
Haslar Immigration Removal Centre	From 1st April 2013
Morton Hall Immigration Removal Centre	From 1st April 2013
Tinsley House Immigration Removal Centre	From 1st April 2014
The Verne Immigration Removal Centre	From 17th February 2014
Yarls Wood Immigration Removal Centre	From 1st April 2013

SCHEDULE 4 — Services for rare and very rare conditions

Interpretation

1

For the purposes of this Schedule—

• (a) an individual is a child if they have not yet attained the age of 18 years old;

• (b) an individual is a young person if they are aged 13 years old or over but have not yet attained the age of 21 years old; and

• (c) an individual is an adult if they are aged 18 years old or over,

unless, for the purposes of a service specified in this Schedule, NHS England, or the person providing such a service pursuant to a commissioning contract with NHS England, considers on clinical grounds that an individual should otherwise be treated as a child, a young person or an adult.

The services

2

Adult ataxia telangiectasia services.

3

Adult congenital heart disease services.

4

Adult highly specialist pain management services.

5

Adult highly specialist respiratory services.

6

Adult highly specialist rheumatology services.

7

Adult secure mental health services.

8

Adult specialist cardiac services.

9

Adult specialist eating disorder services.

10

Adult specialist endocrinology services.

11

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12

Adult specialist neurosciences services.

13

Adult specialist ophthalmology services.

14

Adult specialist orthopaedic services.

15

Adult specialist pulmonary hypertension services.

16

Adult specialist renal services.

17

Adult specialist services for patients infected with HIV.

18

Adult specialist vascular services.

19

Adult thoracic surgery services.

20

Alkaptonuria service.

21

Alström syndrome service.

22

Ataxia telangiectasia service for children.

23

Autoimmune paediatric gut syndromes service.

24

Autologous intestinal reconstruction service for adults.

25

Bardet-Biedl syndrome service.

26

Barth syndrome service.

27

Beckwith-Wiedemann syndrome with macroglossia service.

28

Behcet's syndrome service.

29

Bladder exstrophy service.

30

Blood and marrow transplantation services.

31

Bone conduction hearing implant services.

32

Breast radiotherapy injury rehabilitation service.

33

Child and adolescent mental health services – Tier 4.

34

Choriocarcinoma service.

35

Chronic pulmonary aspergillosis service.

36

Cleft lip and palate services.

37

Cochlear implantation services.

38

Complex childhood osteogenesis imperfecta service.

39

Complex Ehlers Danlos syndrome service.

40

Complex neurofibromatosis type 1 service.

41

Complex spinal surgery services.

42

Complex tracheal disease service.

43

Congenital hyperinsulinism service.

44

Craniofacial service.

45

Cryopyrin associated periodic syndrome service.

46

Cystic fibrosis services.

47

Diagnostic service for amyloidosis.

48

Diagnostic service for primary ciliary dyskinesia.

49

Diagnostic service for rare neuromuscular disorders.

50

Encapsulating peritoneal sclerosis treatment service.

51

Epidermolysis bullosa service.

52

Extra corporeal membrane oxygenation service for adults.

53

Extra corporeal membrane oxygenation service for neonates, infants and children with respiratory failure.

54

Ex-vivo partial nephrectomy service.

55

Fetal medicine services.

56

Gender identity development service for children and adolescents.

57

Gender identity disorder services.

58

Heart and lung transplantation service (including mechanical circulatory support).

59

Highly specialist adult gynaecological surgery and urinary surgery services for women.

60

Highly specialist allergy services.

61

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

62

Highly specialist dermatology services.

63

Highly specialist metabolic disorder services.

64

Highly specialist pain management services for children and young people.

65

Highly specialist palliative care services for children and young people.

66

Highly specialist services for adults with infectious diseases.

67

Hyperbaric oxygen treatment services.

68

Insulin-resistant diabetes service.

69

Islet transplantation service.

70

Liver transplantation service.

71

Lymphangioleiomyomatosis service.

72

Lysosomal storage disorder service.

73

Major trauma services.

74

McArdle's disease service.

75

Mental health service for deaf children and adolescents.

76

Mitochondrial donation service.

77

Neurofibromatosis type 2 service.

78

Neuromyelitis optica service.

79

Neuropsychiatry services.

80

Ocular oncology service.

81

Ophthalmic pathology service.

82

Osteo-odonto-keratoprosthesis service for corneal blindness.

83

Paediatric and perinatal post mortem services.

84

Paediatric cardiac services.

85

Paediatric intestinal pseudo-obstructive disorders service.

86

Pancreas transplantation service.

87

Paroxysmal nocturnal haemoglobinuria service.

88

Positron Emission Tomography – Computed Tomography services.

89

Primary ciliary dyskinesia management service.

90

Primary malignant bone tumours service.

91

Proton beam therapy service.

92

Pseudomyxoma peritonei service.

93

Pulmonary hypertension service for children.

94

Pulmonary thromboendarterectomy service.

95

Radiotherapy services.

96

Rare mitochondrial disorders service.

97

Reconstructive surgery service for adolescents with congenital malformation of the female genital tract.

98

Retinoblastoma service.

99

Secure forensic mental health service for young people.

100

Severe acute porphyria service.

101

Severe combined immunodeficiency and related disorders service.

102

Severe intestinal failure service.

103

Severe obsessive compulsive disorder and body dysmorphic disorder service.

104

Small bowel transplantation service.

105

Specialist burn care services.

106

Specialist cancer services.

107

Specialist cancer services for children and young people.

108

Specialist dentistry services for children and young people.

109

Specialist ear, nose and throat services for children and young people.

110

Specialist endocrinology and diabetes services for children and young people.

111

Specialist gastroenterology, hepatology and nutritional support services for children and young people.

112

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

113

Specialist gynaecology services for children and young people.

114

Specialist haematology services for children and young people.

115

Specialist haemoglobinopathy services.

116

Specialist immunology services for adults with deficient immune systems.

117

Specialist mental health services for deaf adults.

118

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

119

Specialist neonatal care services.

120

Specialist neuroscience services for children and young people.

121

Specialist ophthalmology services for children and young people.

122

Specialist orthopaedic surgery services for children and young people.

123

Specialist paediatric intensive care services.

124

Specialist paediatric liver disease service.

125

Specialist perinatal mental health services.

126

Specialist plastic surgery services for children and young people.

127

Specialist rehabilitation services for patients with highly complex needs.

128

Specialist renal services for children and young people.

129

Specialist respiratory services for children and young people.

130

Specialist rheumatology services for children and young people.

131

Specialist services for children and young people with infectious diseases.

132

Specialist services for complex liver, biliary and pancreatic diseases in adults.

133

Specialist services for haemophilia and other related bleeding disorders.

134

Specialist services for severe personality disorder in adults.

135

Specialist services to support patients with complex physical disabilities excluding wheelchair services.

136

Specialist surgery for children and young people.

137

Specialist urology services for children and young people.

138

Spinal cord injury services.

139

Stem cell transplantation service for juvenile idiopathic arthritis and related connective tissue disorders.

140

Stickler syndrome diagnostic service.

141

Vein of Galen malformation service.

142

Veterans' post traumatic stress disorder programme.

143

Wolfram syndrome service.

144

Xeroderma pigmentosum service.

SCHEDULE 5 — Persons disqualified from being a chair, integrated care board member or social services authority member of a review panel

1

A Member of Parliament, Member of the European Parliament or member of the London Assembly.

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

A person who, within the period of five years immediately preceding the date of the proposed appointment, has been convicted—

• (a) in the United Kingdom of any offence; or

• (b) outside the United Kingdom of an offence which, if committed in any part of the United Kingdom, would constitute a criminal offence in that part,

and, in either case, the final outcome of the proceedings was a sentence of imprisonment (whether suspended or not) for a period of not less than three months without the option of a fine.

4

A person who is subject to a bankruptcy restrictions order or an interim bankruptcy restrictions order under Schedule 4A to the Insolvency Act 1986 , sections 56A to 56K of the Bankruptcy (Scotland) Act 1985 or Schedule 2A to the Insolvency (Northern Ireland) Order 1989 (which relate to bankruptcy restrictions orders and undertakings).

5

• (1) A person who has been dismissed within the period of five years immediately preceding the date of the proposed appointment, otherwise than because of redundancy, from paid employment by any of the following—

• (a) NHS England ;

• (aa) a clinical commissioning group;;

• (b) a CCG;

• (c) a social services authority;

• (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

• (e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

• (f) an NHS trust ;

• (g) an NHS foundation trust;

• (h) a Special Health Authority ;

• (i) a Local Health Board established under section 11 of the National Health Service (Wales) Act 2006;

• (j) a Health Board or Special Health Board constituted under the National Health Service (Scotland) Act 1978 ;

• (k) a Scottish NHS trust established under section 12A of the National Health Service (Scotland) Act 1978 ;

• (l) a Health and Social Services Board constituted under the Health and Personal Social Services (Northern Ireland) Order 1972 ;

• (m) the Care Quality Commission established by section 1 of the Health and Social Care Act 2008 ;

• (n) the Health Protection Agency established by section 1 of the Health Protection Agency Act 2004 ;

• (o) Monitor ;

• (p) the Wales Centre for Health established by section 2 of the Health (Wales) Act 2003 ;

• (q) the Common Services Agency for the Scottish Health Service constituted by section 10 of the National Health Service (Scotland) Act 1978 ;

• (r) Healthcare Improvement Scotland, established by section 10A of the National Health Service (Scotland) Act 1978 ;

• (s) the Scottish Dental Practice Board constituted under section 4 of the National Health Service (Scotland) Act 1978 ;

• (t) the Northern Ireland Central Services Agency for the Health and Social Services established under the Health and Personal Social Services (Northern Ireland) Order 1972 ;

• (u) the Regional Health and Social Care Board established under section 7 of the Health and Social Care (Reform) Act (Northern Ireland) 2009 ;

• (v) the Regional Agency for Public Health and Wellbeing established under section 12 of the Health and Social Care (Reform) Act (Northern Ireland) 2009;

• (w) the Regional Business Services Organisation established under section 14 of the Health and Social Care (Reform) Act (Northern Ireland) 2009;

• (x) Health and Social Care trusts (formerly known as Health and Social Services trusts), established under the Health and Personal Social Services (Northern Ireland) Order 1991 ;

• (y) Special health and social care agencies (formerly known as Special health and social services agencies), established under the Health and Personal Social Services (Special Agencies) (Northern Ireland) Order 1990 ;

• (z) the Patient and Client Council established under section 16 of the Health and Social Care (Reform) Act (Northern Ireland) 2009; and

• (aa) the Health and Social Care Regulation and Quality Improvement Authority (formerly known as The Northern Ireland Health and Personal Social Services Regulation and Improvement Authority), established under the Health and Personal Social Services (Quality Improvement and Regulation) (Northern Ireland) Order 2003 .

• (2) For the purposes of paragraph (1), a person is not to be treated as having been in paid employment by reason only of having been—

• (a) in the case of an NHS foundation trust, the chairman, a governor or a non-executive director of the trust;

• (b) in the case of a clinical commissioning group, the chair or a member of the governing body of that clinical commissioning group;

• (ba) in the case of an integrated care board, a member of that integrated care board; or

• (c) case of any other NHS body, the chairman or chair, or a member or a director of the NHS body in question.

6

A person whose term of office as the chairman or chair or as a member, director or governor of any of the bodies specified in paragraph 5(1) has been terminated on the grounds—

• (a) that it was not in the interests of, or conducive to the good management of, that body that they should continue to hold office;

• (b) that it was not in the interests of the health service that they should continue to hold office;

• (c) of non-attendance at meetings;

• (d) of non-disclosure of a pecuniary interest;

• (e) of misbehaviour, misconduct or failure to carry out the person's duties.

7

A health care professional or other professional person who has at any time been subject to an investigation or proceedings, by any body which regulates or licenses the profession concerned (“the regulatory body”), in connection with the person's fitness to practise or any alleged fraud, the final outcome of which was—

• (a) the person's suspension from a register held by the regulatory body, where that suspension has not been terminated;

• (b) the person's erasure from such a register, where the person has not been restored to the register;

• (c) a decision by the regulatory body which had the effect of preventing the person from practising the profession in question, where that decision has not been superseded; or

• (d) a decision by the regulatory body which had the effect of imposing conditions on the person's practice of the profession in question, where those conditions have not been lifted.

8

A person who is subject to—

• (a) a disqualification order or disqualification undertaking under the Company Directors Disqualification Act 1986 or the Company Directors Disqualification (Northern Ireland) Order 2002 ; or

• (b) an order made under section 429(2) of the Insolvency Act 1986 (disabilities on revocation of administration order against an individual).

9

A person who has at any time been removed from the office of charity trustee or trustee for a charity by an order made by the Charity Commissioners for England and Wales , the Charity Commission, the Charity Commission for Northern Ireland or the High Court, on the grounds of misconduct or mismanagement in the administration of the charity for which the person was responsible, to which the person was privy, or which the person by their conduct contributed to or facilitated.

10

A person who has at any time been removed, or is suspended, from the management or control of any body under—

• (a) section 7 of the Law Reform (Miscellaneous Provisions) (Scotland) Act 1990 (powers of the Court of Session to deal with the management of charities); or

• (b) section 34(5)(e) or (ea) of the Charities and Trustee Investment (Scotland) Act 2005 (powers of the Court of Session to deal with the management of charities).

Signed

Signed by authority of the Secretary of State for Health.

Earl Howe — Parliamentary Under-Secretary of State, — 2012-12-03

Explanatory note

(This note is not part of the Regulations)

Footnotes

[^f00001]: 1983 c.20. Subsections (2D) to (2G) were inserted by section 40(3) of the Health and Social Care Act 2012 (c. 7) (“the 2012 Act”).

[^f00002]: 2006 c. 41. Subsections (1A) to (1E) of section 3 of the National Health Service Act 2006 (“the 2006 Act”) were inserted by section 13(3) of the 2012 Act. Section 3A was inserted by section 14 of the 2012 Act, section 3B was inserted by section 15 of that Act, section 6E was inserted by section 20 of that Act and sections 223E and 223J were inserted by sections 24 and 27 respectively of that Act. By virtue of section 271(1) of the 2006 Act, the powers exercised in making these Regulations are exercisable by the Secretary of State only in relation to England. See section 275(1) of the 2006 Act for the definitions of “prescribed” and “regulations”.

[^f00003]: 2012 c.7.

[^f00004]: See paragraph 2(1) of Schedule 6 to the 2012 Act which enables the requirement in section 3B(4) of the 2006 Act (as inserted by section 15 of the 2012 Act) for the Secretary of State to consult the National Health Service Commissioning Board (“the Board”) to be fulfilled if, before the commencement of section 9 of the 2012 Act, the Secretary of State consults a Special Health Authority. Before making these Regulations and the commencement of section 9 on 1st October 2012 (see S.I. 2012/1831), the Secretary of State consulted the NHS Commissioning Board Authority (“the Authority”), a Special Health Authority established under section 28 of the 2006 Act for the purpose of preparing for the establishment and operation of the Board. The Authority was established by the NHS Commissioning Board Authority (Establishment and Constitution) Order 2011 (S.I. 2011/2237) and is abolished by virtue of provision in Part 2 of the NHS Commissioning Board Authority (Abolition and Transfer of Staff, Property and Liabilities) and the Health and Social Care Act 2012 (Consequential Amendments) Order 2012 (S.I. 2012/1641).

[^f00005]: Section 75 was commenced for limited purposes by section 306(1)(d) of the 2012 Act.

[^f00006]: Sections 24 and 27 were commenced for limited purposes by section 306(1)(d) of the 2012 Act and S.I. 2012/1831.

[^f00007]: 2006 c.52.

[^f00008]: The Board is established by section 1H of the 2006 Act as inserted by section 9(1) of the 2012 Act.

[^f00009]: A clinical commissioning group is a body established under section 14D of the 2006 Act. Section 14D is inserted by section 25(1) of the 2012 Act. See alsosection 1I of the 2006 Act, inserted by section 10 of the 2012 Act.

[^f00010]: 1984 c. 24.

[^f00011]: 1983 c. 54; section 34C was inserted by S.I. 2010/234.

[^f00012]: 2002 c. 17.

[^f00013]: 1999 c. 33. Relevant amendments were made by section 66(1) of the Nationality, Immigration and Asylum Act 2002 (c. 41).

[^f00014]: 1967 c.87.

[^f00015]: 1989 c.44. The definition of “optometrist” was inserted by S.I. 2005/848.

[^f00016]: 2000 c. 14.

[^f00017]: 2000 c. 6. Section 100 was amended by paragraph 184 of Schedule 7 to the Criminal Justice and Court Services Act 2000 (c. 43), by paragraph 111 of Schedule 32 to the Criminal Justice Act 2003 (c. 44), and by paragraph 11 of Schedule 26 and paragraph 13 of Schedule 21 to the Legal Aid, Sentencing and Punishment of Offenders Act 2012 (c. 10).

[^f00018]: See Part 2 of these Regulations as to persons for whom a CCG has responsibility.

[^f00019]: S.I. 2011/517.

[^f00020]: The three single Service organisations referred to are Royal Navy Medical Services, Army Medical Services and RAF Medical Services.

[^f00021]: Section 117(2) of the 1983 Act was amended by sections 40(1) and (2)(a) of the 2012 Act.

[^f00022]: Section 3(1A) was inserted by section 13(3) of the 2012 Act.

[^f00023]: The Care Quality Commission is established by section 1 of the Health and Social Care Act 2008 (c. 14) (“the 2008 Act”).

[^f00024]: Healthwatch England is established as a committee of the Care Quality Commission by virtue of paragraph 6(1A) of Schedule 1 to the 2008 Act, as amended by section 181(2) of the 2012 Act.

[^f00025]: Monitor is the new name given to the Independent Regulator of NHS Foundation Trusts: see section 61 of the 2012 Act.

[^f00026]: 2008 c. 14.

[^f00027]: The Fast Track Pathway Tool can be found at www.dh.gov.uk/health/2012/11/continuing-healthcare-revisions/.

[^f00028]: The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care can be found at www.dh.gov.uk/health/2012/11/continuing-healthcare-revisions/.

[^f00029]: 2001 c. 15.

[^f00030]: The guidance can be found at www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Healthservicecirculars/ DH_4003954.

[^f00031]: The guidance and workbook can be found at webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/ Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009471.

[^f00032]: The guidance can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/ Publicationspolicyandguidance/DH_4131162.

[^f00033]: S.I. 2010/781. Paragraph 2 of Schedule 1 has been amended by article 2 of, and paragraph 27 of the Schedule to, S.I. 2012/979.

[^f00034]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_4003016.

[^f00035]: 1970 c.42. See section 1, to which a relevant amendment was made by section 195(3) of the Local Government Act 1972 (c. 70).

[^f00036]: The NHS Continuing Healthcare Checklist can be found at www.dh.gov.uk/health/2012/11/continuing-healthcare-revisions/.

[^f00037]: The Decision Support Tool can be found at www.dh.gov.uk/health/2012/11/continuing-healthcare-revisions/.

[^f00038]: See Schedule 1 of the Interpretation Act type=start slip=2024-08-01 time=13118624746741978 (c. 30)type=end slip=2024-08-01 time=1311862474674 for the definition of a registered nurse.

[^f00039]: See Schedule 1 of the Interpretation Act type=start slip=2024-08-01 time=13118624746761978 (c. 30)type=end slip=2024-08-01 time=1311862474676 for the definition of a registered medical practitioner.

[^f00040]: 1990 c. 19; section 47 has been amended by the Health Authorities Act 1995 (c. 17), Schedule 1, paragraph 81; the National Health Service Reform and Health Care Professions Act 2002 (c. 17), Schedule 2, paragraph 56; the National Health Service (Consequential Provisions) Act 2006 (c. 43), Schedule 1, paragraph 130; and the 2012 Act, Schedule 5, paragraph 59.

[^f00041]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Legislation/DH_078061.

[^f00042]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_106176.

[^f00043]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_106178.

[^f00044]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_078061.

[^f00045]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_106179.

[^f00046]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_106176.

[^f00047]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsLegislation/DH_106178.

[^f00048]: Section 232 of the 2012 Act establishes a body corporate to be known as the National Institute for Health and Care Excellence.

[^f00049]: The National Institute for Health and Clinical Excellence is a Special Health Authority established by S.I. 1999/220, as amended by S.I. 1999/2219, 2002/1760, 2005/497 and 2012/476. It is abolished by section 248 of the 2012 Act.

[^f00050]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_096067.

[^f00051]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_093004. These Directions were amended by further Directions that came into force on 1st April 2012 which can be found at the same link.

[^f00052]: 1952 c.47.

[^f00053]: The Directions can be found at www.dh.gov.uk/en/publicationsandstatistics/Publications/PublicationsLegislation/ DH_113557.

[^f00054]: The Rules Suite can be found at transparency.dh.gov.uk/2012/06/29/rtt-waiting-times-guidance/.

[^f00055]: The Guidelines can be found at www.nice.org.uk/CG027.

[^f00056]: The arrangement can be found at www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/ Healthservicecirculars/DH_4004332 – see Annex A.

[^f00057]: Section 1H of the 2006 Act sets out the general functions of the Board and section 1I of the 2006 Act sets out the general functions of CCGs.

[^f00058]: 2000 c. 14.

[^f00059]: Section 130C was inserted by section 30 of the Mental Health Act 2007 (c. 12). It has been amended, in relation to Wales, by Schedule 1 to the Mental Health (Wales) Measure 2010 (nawm 7).

[^f00060]: 1989 c. 41.

[^f00061]: The National Health Service Commissioning Board is established by section 1H of the 2006 Act as inserted by section 9(1) of the 2012 Act.

[^f00062]: Seeregulation 10 of these Regulations (services to be provided by the Board for prisoners and other detainees).

[^f00063]: Section 23A was inserted into the Children Act 1989 by section 2(1) and (4) of the Children (Leaving Care) Act 2000 (c.35).

[^f00064]: Section 24(1A) and (1B) were inserted into the Children Act 1989 by section 139(1) of, and paragraphs 54, 60(a) and 60(b) of Schedule 3 to the Adoption and Children Act 2002 ( c.38).

[^f00065]: 1996 c. 56. Section 324 was amended by section 140(1) of, and paragraph 77(b) of Schedule 30 to, the School Standards and Framework Act 1998 (c. 31) and section 9 of the Special Educational Needs and Disability Act 2001 (c. 10).

[^f00066]: S.I. 2002/2375 relevant amending instruments S.I. 2006/359 and S.I. 2010/2649.

[^f00067]: 1986 c. 45. Schedule 4A was inserted by the Enterprise Act 2002 (c. 40), Schedule 20.

[^f00068]: 1985 c. 66. Sections 56A to 56K were inserted by the Bankruptcy and Diligence etc. (Scotland) Act 2007 (asp 3), section 2(1).

[^f00069]: S.I. 1989/2405 (N.I. 19). Schedule 2A was inserted by S.I. 2005/1455 (N.I. 10).

[^f00070]: Strategic Health Authorities are continued in existence or established under section 13 of the 2006 Act. They are abolished by section 33 of the 2012 Act.

[^f00071]: Primary Care Trusts are continued in existence or established under section 18 of the 2006 Act. They are abolished by section 34 of the 2012 Act.

[^f00072]: NHS trusts are established under section 25 of the 2006 Act or section 18 of the National Health Service (Wales) Act 2006 (c. 42). NHS Trusts in England are abolished by section 179 of the 2012 Act.

[^f00073]: Special Health Authorities are established under section 28 of the 2006 Act or section 22 of the National Health Service (Wales) Act 2006.

[^f00074]: 1978 c. 29. Section 2 was amended by paragraph 1 of Schedule 7 to the Health and Social Services Adjudications Act 1983 (c. 41), section 28 of, and paragraph 19(1) of Schedule 9 and paragraph 1 of Schedule 10 to, the National Health Service and Community Care Act 1990 (c. 19), paragraph 1(2) of Schedule 1 to the National Health Service Reform (Scotland) Act 2004 (asp 7), paragraph 2(2) of Schedule 2 to the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13) and section 2(1) of the Health Boards (Membership and Elections) (Scotland) Act 2009 (asp 5).

[^f00075]: Section 12A was inserted by section 31 of the National Health Service and Community Care Act 1990 and amended by paragraph 34 of Schedule 2 to the National Health Service (Primary Care) Act 1997 (c. 46) and sections 46(1) and 48 of, and paragraph 45 of Schedule 4 to, the Health Act 1999 (c. 8).

[^f00076]: S.I. 1972/1265 (N.I. 14). Health and Social Services Boards were dissolved by section 1(1) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^f00077]: 2008 c. 14.

[^f00078]: 2004 c. 17. The Health Protection Agency is abolished by section 56 of the 2012 Act.

[^f00079]: “Monitor” is the new name given to the Independent Regulator of NHS Foundation Trusts: see section 61 of the 2012 Act, and generally, Chapter 1 of Part 3 of that Act.

[^f00080]: 2003 c. 4. The Wales Centre for Health is abolished under S.I. 2009/2653 (W215).

[^f00081]: Section 10 was amended by paragraph 2 of Schedule 6 to the Health Services Act 1980 (c. 53), paragraph 1 of Schedule 10 to the National Health Service and Community Care Act 1990, paragraph 44 of Schedule 8 to the Health Act 1999 (c. 8) and paragraph 2(4) of Schedule 2 to the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13).

[^f00082]: Section 10A was inserted by section 108 of the Public Services Reform (Scotland) Act 2010 (asp 8).

[^f00083]: Section 4 was amended by section 12(3) of, and Schedule 3 to, the Health and Medicines Act 1988 (c. 49) and paragraph 2(3) of Schedule 2 to the Smoking, Health and Social Care (Scotland) Act 2005.

[^f00084]: The Northern Ireland Central Services Agency for the Health and Social Services was dissolved by section 1(1) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^f00085]: 2009 c. 1 (N.I.).

[^f00086]: S.I. 1991/194 (N.I. 1). Health and Social Services trusts established under Article 10 of S.I. 1991/194 (N.I.) were renamed Health and Social Care trusts under section 1(3) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^f00087]: S.I. 1990/247 (N.I. 3). Special health and social services agencies established under Article 10 of the Health and Personal Social Services (Special Agencies) (Northern Ireland) Order 1990 were renamed Special health and social care agencies under section 1(3) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^f00088]: S.I. 2003/431 (N.I. 9). The Northern Ireland Health and Personal Social Services Regulation and Improvement Authority established under Article 10 of S.I. 2003/431 (N.I. 9) was renamed The Health and Social Care Regulation and Quality Improvement Authority under section 1(2) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^f00089]: 1986 c. 46.

[^f00090]: S.I. 2002/3150 (N.I. 4).

[^f00091]: 1986 c. 45. The original subsections (1) and (2) were substituted by paragraph 3(2) of Schedule 16 to the Tribunals, Courts and Enforcement Act 2007 (c. 15), and subsection (2) was amended by paragraph 15 of Schedule 23 to the Enterprise Act 2002 (c. 40).

[^f00092]: The Charity Commissioners for England and Wales were replaced by the Charity Commission: section 6 of the Charities Act 2006 (c. 50).

[^f00093]: 1990 c. 40. Section 7 was repealed by paragraph 7(b) of Schedule 4 to the Charities and Trustee Investment (Scotland) Act 2005 (asp 10).

[^f00094]: 2005 (asp 10). Section 34 was amended by section 122 of the Public Services Reform (Scotland) Act 2010 (asp 8).

Editorial notes

[^c21467551]: 1983 c.20. Subsections (2D) to (2G) were inserted by section 40(3) of the Health and Social Care Act 2012 (c. 7) (“the 2012 Act”).

[^c21467561]: 2006 c. 41. Subsections (1A) to (1E) of section 3 of the National Health Service Act 2006 (“the 2006 Act”) were inserted by section 13(3) of the 2012 Act. Section 3A was inserted by section 14 of the 2012 Act, section 3B was inserted by section 15 of that Act, section 6E was inserted by section 20 of that Act and sections 223E and 223J were inserted by sections 24 and 27 respectively of that Act. By virtue of section 271(1) of the 2006 Act, the powers exercised in making these Regulations are exercisable by the Secretary of State only in relation to England. See section 275(1) of the 2006 Act for the definitions of “prescribed” and “regulations”.

[^c21467571]: 2012 c.7.

[^c21467581]: See paragraph 2(1) of Schedule 6 to the 2012 Act which enables the requirement in section 3B(4) of the 2006 Act (as inserted by section 15 of the 2012 Act) for the Secretary of State to consult the National Health Service Commissioning Board (“the Board”) to be fulfilled if, before the commencement of section 9 of the 2012 Act, the Secretary of State consults a Special Health Authority. Before making these Regulations and the commencement of section 9 on 1st October 2012 (see S.I. 2012/1831), the Secretary of State consulted the NHS Commissioning Board Authority (“the Authority”), a Special Health Authority established under section 28 of the 2006 Act for the purpose of preparing for the establishment and operation of the Board. The Authority was established by the NHS Commissioning Board Authority (Establishment and Constitution) Order 2011 (S.I. 2011/2237) and is abolished by virtue of provision in Part 2 of the NHS Commissioning Board Authority (Abolition and Transfer of Staff, Property and Liabilities) and the Health and Social Care Act 2012 (Consequential Amendments) Order 2012 (S.I. 2012/1641).

[^c21467591]: Section 75 was commenced for limited purposes by section 306(1)(d) of the 2012 Act.

[^c21467601]: Sections 24 and 27 were commenced for limited purposes by section 306(1)(d) of the 2012 Act and S.I. 2012/1831.

[^c21467611]: 2006 c.52.

[^c21467641]: 1984 c. 24.

[^c21467651]: 1983 c. 54; section 34C was inserted by S.I. 2010/234.

[^c21467661]: 2002 c. 17.

[^c21467671]: 1999 c. 33. Relevant amendments were made by section 66(1) of the Nationality, Immigration and Asylum Act 2002 (c. 41).

[^c21467681]: 1967 c.87.

[^c21467691]: 1989 c.44. The definition of “optometrist” was inserted by S.I. 2005/848.

[^c21467701]: 2000 c. 14.

[^c21467721]: See Part 2 of these Regulations as to persons for whom a CCG has responsibility.

[^c21467731]: S.I. 2011/517.

[^c21467741]: The three single Service organisations referred to are Royal Navy Medical Services, Army Medical Services and RAF Medical Services.

[^c21467771]: The Care Quality Commission is established by section 1 of the Health and Social Care Act 2008 (c. 14) (“the 2008 Act”).

[^c21467781]: Healthwatch England is established as a committee of the Care Quality Commission by virtue of paragraph 6(1A) of Schedule 1 to the 2008 Act, as amended by section 181(2) of the 2012 Act.

[^c21467801]: 2008 c. 14.

[^c21467841]: The guidance can be found at www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Healthservicecirculars/ DH_4003954.

[^c21467851]: The guidance and workbook can be found at webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/ Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009471.

[^c21467861]: The guidance can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/ Publicationspolicyandguidance/DH_4131162.

[^c21467881]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_4003016.

[^c21467891]: 1970 c.42. See section 1, to which a relevant amendment was made by section 195(3) of the Local Government Act 1972 (c. 70).

[^c21467921]: See Schedule 1 of the Interpretation Act 1978 (c. 30) for the definition of a registered nurse.

[^c21467931]: See Schedule 1 of the Interpretation Act 1978 (c. 30) for the definition of a registered medical practitioner.

[^c21467951]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Legislation/DH_078061.

[^c21467961]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_106176.

[^c21467971]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_106178.

[^c21467981]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_078061.

[^c21467991]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_106179.

[^c21468001]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/ DH_106176.

[^c21468011]: The Directions can be found at www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsLegislation/DH_106178.

[^c21468021]: Section 232 of the 2012 Act establishes a body corporate to be known as the National Institute for Health and Care Excellence.

[^c21468031]: The National Institute for Health and Clinical Excellence is a Special Health Authority established by S.I. 1999/220, as amended by S.I. 1999/2219, 2002/1760, 2005/497 and 2012/476. It is abolished by section 248 of the 2012 Act.

[^c21468061]: 1952 c.47.

[^c21468221]: 1986 c. 45. Schedule 4A was inserted by the Enterprise Act 2002 (c. 40), Schedule 20.

[^c21468231]: 1985 c. 66. Sections 56A to 56K were inserted by the Bankruptcy and Diligence etc. (Scotland) Act 2007 (asp 3), section 2(1).

[^c21468241]: S.I. 1989/2405 (N.I. 19). Schedule 2A was inserted by S.I. 2005/1455 (N.I. 10).

[^c21468271]: NHS trusts are established under section 25 of the 2006 Act or section 18 of the National Health Service (Wales) Act 2006 (c. 42). NHS Trusts in England are abolished by section 179 of the 2012 Act.

[^c21468281]: Special Health Authorities are established under section 28 of the 2006 Act or section 22 of the National Health Service (Wales) Act 2006.

[^c21468291]: 1978 c. 29. Section 2 was amended by paragraph 1 of Schedule 7 to the Health and Social Services Adjudications Act 1983 (c. 41), section 28 of, and paragraph 19(1) of Schedule 9 and paragraph 1 of Schedule 10 to, the National Health Service and Community Care Act 1990 (c. 19), paragraph 1(2) of Schedule 1 to the National Health Service Reform (Scotland) Act 2004 (asp 7), paragraph 2(2) of Schedule 2 to the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13) and section 2(1) of the Health Boards (Membership and Elections) (Scotland) Act 2009 (asp 5).

[^c21468301]: Section 12A was inserted by section 31 of the National Health Service and Community Care Act 1990 and amended by paragraph 34 of Schedule 2 to the National Health Service (Primary Care) Act 1997 (c. 46) and sections 46(1) and 48 of, and paragraph 45 of Schedule 4 to, the Health Act 1999 (c. 8).

[^c21468311]: S.I. 1972/1265 (N.I. 14). Health and Social Services Boards were dissolved by section 1(1) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^c21468321]: 2008 c. 14.

[^c21468331]: 2004 c. 17. The Health Protection Agency is abolished by section 56 of the 2012 Act.

[^c21468341]: “Monitor” is the new name given to the Independent Regulator of NHS Foundation Trusts: see section 61 of the 2012 Act, and generally, Chapter 1 of Part 3 of that Act.

[^c21468351]: 2003 c. 4. The Wales Centre for Health is abolished under S.I. 2009/2653 (W215).

[^c21468361]: Section 10 was amended by paragraph 2 of Schedule 6 to the Health Services Act 1980 (c. 53), paragraph 1 of Schedule 10 to the National Health Service and Community Care Act 1990, paragraph 44 of Schedule 8 to the Health Act 1999 (c. 8) and paragraph 2(4) of Schedule 2 to the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13).

[^c21468371]: Section 10A was inserted by section 108 of the Public Services Reform (Scotland) Act 2010 (asp 8).

[^c21468381]: Section 4 was amended by section 12(3) of, and Schedule 3 to, the Health and Medicines Act 1988 (c. 49) and paragraph 2(3) of Schedule 2 to the Smoking, Health and Social Care (Scotland) Act 2005.

[^c21468391]: The Northern Ireland Central Services Agency for the Health and Social Services was dissolved by section 1(1) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^c21468401]: 2009 c. 1 (N.I.).

[^c21468411]: S.I. 1991/194 (N.I. 1). Health and Social Services trusts established under Article 10 of S.I. 1991/194 (N.I.) were renamed Health and Social Care trusts under section 1(3) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^c21468421]: S.I. 1990/247 (N.I. 3). Special health and social services agencies established under Article 10 of the Health and Personal Social Services (Special Agencies) (Northern Ireland) Order 1990 were renamed Special health and social care agencies under section 1(3) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^c21468431]: S.I. 2003/431 (N.I. 9). The Northern Ireland Health and Personal Social Services Regulation and Improvement Authority established under Article 10 of S.I. 2003/431 (N.I. 9) was renamed The Health and Social Care Regulation and Quality Improvement Authority under section 1(2) of the Health and Social Care (Reform) Act (Northern Ireland) 2009.

[^c21468441]: 1986 c. 46.

[^c21468451]: S.I. 2002/3150 (N.I. 4).

[^c21468461]: 1986 c. 45. The original subsections (1) and (2) were substituted by paragraph 3(2) of Schedule 16 to the Tribunals, Courts and Enforcement Act 2007 (c. 15), and subsection (2) was amended by paragraph 15 of Schedule 23 to the Enterprise Act 2002 (c. 40).

[^c21468471]: The Charity Commissioners for England and Wales were replaced by the Charity Commission: section 6 of the Charities Act 2006 (c. 50).

[^c21468481]: 1990 c. 40. Section 7 was repealed by paragraph 7(b) of Schedule 4 to the Charities and Trustee Investment (Scotland) Act 2005 (asp 10).

[^c21468491]: 2005 (asp 10). Section 34 was amended by section 122 of the Public Services Reform (Scotland) Act 2010 (asp 8).

[^key-e2a1d12676e03410f4c48c1bf033b200]: Words in reg. 5 inserted (1.4.2013) by The National Health Service and Public Health (Functions and Miscellaneous Provisions) Regulations 2013 (S.I. 2013/261), regs. 1(1), 19(a)

[^key-08f0c8df18814ff0f64c4e9fbc54f8df]: Words in reg. 5 inserted (1.4.2013) by The National Health Service and Public Health (Functions and Miscellaneous Provisions) Regulations 2013 (S.I. 2013/261), regs. 1(1), 19(b)

[^key-a0e3390d646bcb593640c18398717d02]: Reg. 10(1)(a) substituted (1.4.2013) by The National Health Service and Public Health (Functions and Miscellaneous Provisions) Regulations 2013 (S.I. 2013/261), regs. 1(1), 20(a)

[^key-85e57a41495c3bdeffdd77b5f4d5996d]: Words in reg. 10(2)(e) omitted (1.4.2013) by The National Health Service and Public Health (Functions and Miscellaneous Provisions) Regulations 2013 (S.I. 2013/261), regs. 1(1), 20(b)

[^key-a1a9c9a34daa6795447ac5c876a1ded0]: Words in Sch. 3 Pt. 2 table 2 inserted (17.2.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2014 (S.I. 2014/91), regs. 1, 2(2)(a)

[^key-8c4a53aaace8d6c444637e6597b2feb3]: Words in Sch. 3 Pt. 2 table 2 inserted (17.2.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2014 (S.I. 2014/91), regs. 1, 2(2)(b)

[^key-de9250230125b5a168135a5cf4df4e71]: Pt. 6A inserted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 3

[^key-0e60c6c4ce4e94413711050e1b8a388f]: Sch. 3 Pt. 1 omitted (1.4.2014) by virtue of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 2) Regulations 2014 (S.I. 2014/452), regs. 1(1), 2(2)

[^key-17065122f15846e7ebb2bf48a03b813d]: Sch. 4 para. 22A inserted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 2) Regulations 2014 (S.I. 2014/452), regs. 1(1), 3(2)

[^key-783a8b95ef02bd7342d952cc0d644ea5]: Sch. 4 para. 57A inserted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 2) Regulations 2014 (S.I. 2014/452), regs. 1(1), 3(3)

[^key-e51c5d53ac5064e701ef113cf5043aea]: Words in reg. 10(2)(b) omitted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 2) Regulations 2014 (S.I. 2014/452), regs. 1(1), 2(1)

[^key-2d84d6029f8748c4730425e1da065dd9]: Reg. 21(3) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 2(1)(a)

[^key-6768ce43f8a5ffce11e9cac48374a97f]: Words in reg. 21(8) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 2(1)(c)

[^key-e5b9492a61997fd3129dcada2dfeba6f]: Reg. 21(9) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 2(1)(d)

[^key-5a5d408ec57e61d3eb67ce60f851b8a6]: Reg. 21(10) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 2(1)(e)

[^key-567a432545f5f3aa41adfec757e0bf35]: Words in reg. 21(13) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 2(1)(f)(i)

[^key-d6884c87d2b5fdbd3e3b5bad1aedfa29]: Words in reg. 21(13) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 2(1)(f)(iii)

[^key-9bab06b0c499baf2cb84124fdcd0f04d]: Reg. 39(2) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 4(1)(a)

[^key-174a8f48a74f4f1d5fd5a6a0ed2af1f9]: Reg. 39(3)(4) omitted (1.4.2014) by virtue of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 4(1)(b)

[^key-2d06fb7f6ec00d3eaf0afc24085b3b45]: Words in reg. 39(5) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 4(1)(c)

[^key-a7c51bf946bba2be298e5bf193c86b7f]: Word in reg. 40(1)(b) omitted (1.4.2014) by virtue of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 4(2)(a)(ii)

[^key-c8f1a95535266e4a815b2d21de75f014]: Reg. 40(1)(c) omitted (1.4.2014) by virtue of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 4(2)(a)(iii)

[^key-6dd0e0a162902913d73c91297624bf0a]: Words in reg. 40(2) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 4(2)(b)

[^key-9e949092b4d79b106a9fe3e461597365]: Words in reg. 41 substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 4(3)

[^key-5dec31a4fb6261a83ef19a3ceee93de3]: Words in reg. 42(2)(a)(iii) substituted (1.4.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 4(4)

[^key-1a735268387f52587bd3e915103f8d7b]: Sch. 5 para. 2 omitted (1.4.2014) by virtue of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2013 (S.I. 2013/2891), regs. 1(2), 2(2)

[^key-5191e78328c721b592ae71b855dd0bf2]: Word in reg. 1(1) inserted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 2

[^key-cfa50b8a938980ff159b740cdb496e97]: Words in reg. 20 substituted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 3(1)(a)

[^key-bfb9b90564edbf7071128cc9cd755ff2]: Words in reg. 20 substituted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 3(1)(b)

[^key-80dd452ed049beb3382ae79a33811b51]: Word in reg. 28(6) inserted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 3(2)

[^key-cc1888da83400a897585002ad2732114]: Words in reg. 29(2) omitted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 3(3)

[^key-a716b8b72f1b784ca9c559c657dba0f2]: Words in reg. 30(2) omitted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 3(4)

[^key-7ee6d5da4245f7d8440227906ad11470]: Words in reg. 32A inserted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 4(1)

[^key-9be40956e0c3fb0ad8245f141c59b865]: Reg. 32B(4)(4A) substituted for reg. 32B(4) (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 4(2)(a)

[^key-7c5c2738b9b6e015d855d4f5fb199ae5]: Words in reg. 32B(7) inserted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 4(2)(b)

[^key-d2c1d1106e611b2f60c2bfef52b66fb4]: Words in reg. 32B(8) substituted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 4(2)(c)

[^key-ce07cc88fc036acbbaa3cf6c1e228a20]: Words in reg. 41(b) inserted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 5

[^key-b886ce455dd735c5afa8a510c19d8260]: Words in Sch. 5 para. 6 substituted (1.10.2014) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No. 3) Regulations 2014 (S.I. 2014/1611), regs. 1(1), 6

[^key-3b614e36a9109984a1405b382403540c]: Reg. 11A inserted (1.4.2015) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2015 (S.I. 2015/415), regs. 1(1), 2(1)

[^key-da1e9cad0066f1316f03fec85422b218]: Sch. 4 para. 3A inserted (1.4.2015) by The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2015 (S.I. 2015/415), regs. 1(1), 2(3)