LegalizeThe National Health Service (General Medical Services Contracts) (Wales) Regulations 2004
Made: 26th February 2004
Coming into force: 1st March 2004
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PART 1 — GENERAL
Citation, commencement and application
1
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Interpretation
2
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PART 2 — CONTRACTORS
3
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Conditions : General
4
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General condition relating to all contracts
5
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Reasons
6
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Appeal
7
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Prescribed period under section 28D(1)(bc) of the Act
8
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PART 3 — PRE-CONTRACT DISPUTE RESOLUTION
Pre-contract disputes
9
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PART 4 — HEALTH SERVICE BODY STATUS
Health service body status
10
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PART 5 — CONTRACTS: REQUIRED TERMS
Parties to the contract
11
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Health service contract
12
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Contracts with individuals practising in partnership
13
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Duration
14
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Essential services
15
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Additional services
16
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Opt outs of additional and out of hours services
17
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Services generally
18
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19
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20
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Certificates
21
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Finance
22
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23
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Fees and charges
24
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Arrangements on termination
25
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Other contractual terms
26
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PART 6 — FUNCTIONS OF LOCAL MEDICAL COMMITTEES
27
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PART 7 — TRANSITIONAL PROVISIONS
Commencement
28
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Additional services
29
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Out of hours services
30
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31
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32
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SCHEDULE 1 — REPEAT DISPENSING FORMS
PART 1 — REPEATABLE PRESCRIPTION
PART 2 — BATCH ISSUE
SCHEDULE 2 — ADDITIONAL SERVICES
Additional services generally
1
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Cervical screening
2
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Contraceptive services
3
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Vaccinations and immunisations
4
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Childhood vaccinations and immunisations
5
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Child health surveillance
6
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Maternity medical services
7
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Minor surgery
8
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SCHEDULE 3 — OPT OUTS OF ADDITIONAL AND OUT OF HOURS SERVICES
Opt outs of additional services: general
1
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Temporary opt outs and permanent opt outs following temporary opt outs
2
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Permanent opt outs
3
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Out of hour opt outs where the opt out notice is served after 30th September 2004
4
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Out of hours opt out where the opt out notice is served before 1st October 2004
5
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Informing patients of opt outs
6
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SCHEDULE 4 — LIST OF PRESCRIBED MEDICAL CERTIFICATES
1
To support a claim or to obtain payment either personally or by proxy; to prove incapacity to work or for self-support for the purposes of an award by the Secretary of State; or to enable proxy to draw pensions etc.
2
To establish pregnancy for the purpose of obtaining welfare foods
3
To secure registration of still-birth
4
To enable payment to be made to an institution or other person in case of mental disorder of persons entitled to payment from public funds.
5
To establish unfitness for jury service
6
To support late application for reinstatement in civil employment or notification of non-availability to take up employment owing to sickness.
7
To enable a person to be registered as an absent voter on grounds of physical incapacity
8
To support applications for certificates conferring exemption from charges in respect of drugs, medicines and appliances.
9
To support a claim by or on behalf of a severely mentally impaired person for exemption from liability to pay the Council Tax or eligibility for a discount in respect of the amount of Council Tax payable.
SCHEDULE 5 — FEES AND CHARGES
1
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SCHEDULE 6 — OTHER CONTRACTUAL TERMS
PART 1 — PROVISION OF SERVICES
Premises
1
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Attendance at practice premises
2
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Attendance outside practice premises
3
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Newly registered patients
4
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Patients not seen within three years
5
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Patients aged 75 years and over
6
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Clinical reports
7
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Storage of vaccines
8
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Infection control
9
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Criteria for out of hours services
10
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Standards for out of hours services
11
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Duty of co-operation in relation to additional, enhanced and out of hours services
12
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13
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PART 2 — PATIENTS
List of patients
14
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Application for inclusion in a list of patients
15
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Temporary residents
16
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Refusal of applications for inclusion in the list of patients or for acceptance as a temporary resident
17
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Patient preference of practitioner
18
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Removal from the list at the request of the patient
19
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Removal from the list at the request of the contractor
20
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Removals from the list of patients who are violent
21
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Removals from lists if patients registered elsewhere
22
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Removals from the list of patients who have moved
23
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24
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Removals from the list of patients absent from the United Kingdom etc
25
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Removals from the list of patients accepted elsewhere as temporary residents
26
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Removals from the list of pupils etc of a school
27
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Termination of responsibility for patients not registered with the contractor
28
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Closure of lists of patients
29
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Approval of closure notice by the Local Health Board
30
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Rejection of closure notice by the Local Health Board
31
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Assignment of patients to lists: open lists
32
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Assignment of patients to lists: closed lists
33
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Factors relevant to assignments
34
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Assignments to closed lists: determinations of the assessment panel
35
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Assignments to closed lists: NHS dispute resolution procedure relating to determinations of the assessment panel
36
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Assignments to closed lists: assignments of patients by a Local Health Board
37
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PART 3 — PRESCRIBING AND DISPENSING
Prescribing
38
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39
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Repeatable prescribing services
40
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Repeatable prescriptions
41
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Restrictions on prescribing by medical practitioners
42
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Restrictions on prescribing by supplementary prescribers
43
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Bulk prescribing
44
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Interpretation of paragraphs 38, 39 and 41 to 44
45
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Excessive prescribing
46
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Provision of dispensing services
47
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Consent to dispense
48
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Terms relating to the provision of dispensing services
49
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Dispensing contractor list
50
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Provision of drugs, medicines and appliances for immediate treatment or personal administration
51
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PART 4 — PERSONS WHO PERFORM SERVICES
Qualifications of performers
52
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53
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54
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55
No health care professional shall perform any clinical services unless the health care professional has such clinical experience and training as are necessary to enable the health care professional properly to perform such services.
Conditions for employment and engagement
56
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57
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58
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59
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Training
60
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61
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Terms and conditions
62
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Arrangements for GP Registrars
63
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Independent nurse prescribers and supplementary prescribers
64
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Signing of documents
65
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Level of skill
66
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Appraisal and assessment
67
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Sub-contracting of clinical matters
68
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Sub-contracting of out of hours services
69
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Withdrawal and variation of approval under paragraph 69
70
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71
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PART 5 — RECORDS, INFORMATION, NOTIFICATIONS AND RIGHTS OF ENTRY
Patient records
72
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Access to records for the purpose of the Quality Information Preparation Scheme
73
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Confidentiality of personal data
74
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Practice leaflet
75
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Provision of information
76
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Inquiries about prescriptions and referrals
77
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Reports to a medical officer
78
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Annual return and review
79
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Notifications to the Local Health Board
80
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81
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82
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Notice provisions specific to a contract with a company limited by shares
83
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Notice provisions specific to a contract with two or more individuals practising in partnership
84
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Notification of deaths
85
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Notifications to patients following variation of the contract
86
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Entry and Inspection by the Local Health Board
87
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Entry and Inspection by members of Community Health Councils
88
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Entry and Inspection by the Commission for Healthcare Audit and Inspection and by the National Assembly for Wales
89
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PART 6 — COMPLAINTS
Complaints procedure
90
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Making of Complaints
91
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92
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Period for making complaints
93
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Further requirements for complaints procedures
94
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Co-operation with investigations
95
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Provision of information about complaints
96
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PART 7 — DISPUTE RESOLUTION
Local resolution of contract disputes
97
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Dispute resolution: non-NHS contracts
98
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NHS dispute resolution procedure
99
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Determination of dispute
100
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Interpretation of Part 7
101
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PART 8 — VARIATION AND TERMINATION OF CONTRACTS
Variation of a contract: general
102
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Variation provisions specific to a contract with an individual medical practitioner
103
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Variation provisions specific to a contract with two or more individuals practising in partnership
104
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Termination by agreement
105
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Termination by the contractor
106
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Late payment notices
107
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Termination by the Local Health Board: general
108
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Termination by the Local Health Board for breach of conditions in regulation 4
109
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Termination by the Local Health Board for the provision of untrue etc information
110
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Other grounds for termination by the Local Health Board
111
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112
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Termination by the Local Health Board: remedial notices and breach notices
113
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Termination by the Local Health Board: additional provisions specific to contracts with two or more individuals practising in partnership and companies limited by shares
114
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Contract sanctions
115
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Contract sanctions and the NHS dispute resolution procedure
116
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Termination and the NHS dispute resolution procedure
117
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Consultation with the Local Medical Committee
118
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PART 9 — MISCELLANEOUS
Clinical governance
119
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Insurance
120
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121
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Gifts
122
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Compliance with legislation and guidance
123
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Third party rights
124
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SCHEDULE 7 — OUT OF HOURS SERVICES
Temporary arrangements for transfer of obligations and liabilities in relation to certain out of hours services
1
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Application for approval of an out of hours arrangement
2
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Effect of approval
3
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Review of approval
4
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Immediate withdrawal of approval other than following review
5
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Suspension or termination of an out of hours arrangement
6
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SCHEDULE 8 — CLOSURE NOTICE
SCHEDULE 9 — LOCAL HEALTH BOARDS SPECIFIED FOR THE PURPOSES OF REPEATABLE PRESCRIBING
1
Bwrdd Iechyd Lleol Ynys Môn
1
Anglesey Local Health Board
2
Bwrdd Iechyd Lleol Gwynedd
2
Gwynedd Local Health Board
3
Bwrdd Iechyd Lleol Caerdydd
3
Cardiff Local Health Board
4
Bwrdd Iechyd Lleol Ceredigion
4
Ceredigion Local Health Board
5
Bwrdd Iechyd Lleol Sir Gaerfyrddin
5
Carmarthenshire Local Health Board
6
Bwrdd Iechyd Lleol Sir Ddinbych
6
Denbighshire Local Health Board
7
Bwrdd Iechyd Lleol Sir y Fflint
7
Flintshire Local Health Board
8
Bwrdd Iechyd Lleol Sir Fynwy
8
Monmouthshire Local Health Board
9
Bwrdd Iechyd Lleol Sir Benfro
9
Pembrokeshire Local Health Board
10
Bwrdd Iechyd Lleol Powys
10
Powys Local Health Board
11
Bwrdd Iechyd Lleol Abertawe
11
Swansea Local Health Board
12
Bwrdd Iechyd Lleol Conwy
12
Conwy Local Health Board
13
Bwrdd Iechyd Lleol Blaenau Gwent
13
Blaenau Gwent Local Health Board
14
Bwrdd Iechyd Lleol Pen-y-bont ar Ogwr
14
Bridgend Local Health Board
15
Bwrdd Iechyd Lleol Caerffili
15
Caerphilly Local Health Board
16
Bwrdd Iechyd Lleol Merthyr Tudful
16
Merthyr Tydfil Local Health Board
17
Bwrdd Iechyd Lleol Castell-nedd/Port Talbot
17
Neath Port Talbot Local Health Board
18
Bwrdd Iechyd Lleol Casnewydd
18
Newport Local Health Board
19
Bwrdd Iechyd Lleol Rhondda Cynon Tâf
19
Rhondda Cynon Taff Local Health Board
20
Bwrdd Iechyd Lleol Tor-faen
20
Torfaen Local Health Board
21
Bwrdd Iechyd Bro Morgannwg
21
Vale of Glamorgan Health Board
22
Bwrdd Iechyd Lleol Wrecsam
22
Wrexham Local Health Board
SCHEDULE 10 — INFORMATION TO BE INCLUDED IN PRACTICE LEAFLETS
A practice leaflet shall include —
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28
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Signed
Signed on behalf of the National Assembly for Wales under section 66(1) of the Government of Wales Act 1998
D.Elis-Thomas — 2004-02-26
Explanatory note
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Footnotes
1977 c. 49; section 28D(1)(bc) was inserted by section 177(2) of the Health and Social Care (Community Health and Standards) Act 2003 (c. 43) (“the 2003 Act”); sections 28R, 28S, 28V and 28W were inserted by section 175(1) of that Act and section 45A by paragraph 23 of Schedule 11 to that Act.
S.I. 2003/1250.
S.I. 2002/1920.
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).
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.
Section 20A was inserted by section 1 of the Health (Wales) Act 2003 (c. 4).
Section 49S was inserted into the Act by section 27(1) of the Health and Social Care Act 2001 (c. 15) (“the 2001 Act”).
S.I. 1978/1907 (N.I. 26)) or would have been so considered notwithstanding the repeal of the relevant provision.
Section 28T was inserted into the Act by section 175 of the 2003 Act.
S.I. 1991/194 (N.I. 1).
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.
Local Health Boards were established under section 16BA of the Act; SI 2003/148 (W.18)
Section 28X was inserted into the Act by section 179(1) of the 2003 Act.
1983 c. 54; section 2 was amended by S.I. 1996/1591 and 2002/3135.
Section 46 was revoked by the 2001 Act, section 67, Schedule 5, paragraphs 5 and Schedule 6, Part 1.
S.I. 2002/253.
Section 28X was inserted into the Act by section 179(1) of the 2003 Act.
Section 43D was inserted into the Act by section 24 of the 2001 Act.
1997 c. 46. Section 8ZA was inserted into that Act by section 26(2) of the 2001 Act.
S.I. 1976/1213 (N.I. 22).
Section 28U was inserted into the Act by section 171 of the 2003 Act. The current directions are…
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.
1986 c. 45 Schedule 4A was inserted by section 257 of and Schedule 20 to the Enterprise Act 2002 (c. 40).
1986 c. 46 as amended by the Insolvency Act 2000 (c. 39).
World Health Organisation, 1992 ISBN 92 4 1544 19 8 (v. I) NLM Classification: WB 15.
Section 45A was inserted into the Act by paragraph 23 of Schedule 11 to the 2003 Act.
S.I. 1992/635; regulation 34 was amended by S.I. 1993/540, 1997/2468; and 2002/1896 (W. 197).
Hall and Elliman, January 2003, Oxford University Provisions ISBN 0-19-85188..
1998 c. 7. Section 13 was amended by the Social Security Act 1990 (c. 27), Schedule 6, paragraph 8(11)(a), and the Social Security (Consequential Provisions) Act 1992 (c. 6), Schedule 2, paragraph 94.
1953 c. 20. Section 11 was amended by the Population (Statistics) Act 1960 (c. 32) section 2 and by S.I. 1992/2395, article 2(3).
1983 c. 20. Section 142 was amended by S.I. 1999/1820.
1988 c. 52. Section 158 was amended by S.I. 1995/889, article 3.
Schedule 4 was amended by S.I. 2003/1432.
Section 284 was inserted by section 175(1) of the 2003 Act.
Article 3B was inserted into the POM Order by S.I. 2003/696.
The National Health Service (General Medical Services Contracts) (Prescription of Drugs etc) (Wales) Regulations 2004 S.I. 2004/— (W.)
insert details of current directions when available.
OJ L311, 28.11.2001 p.67.
The National Health Service (General Medical Services Contracts) (Prescription of Drugs etc) (Wales) Regulations 2004 S.I. 2004/.. (W&..)
1983 c. 54. Section 41 was inserted by S.I. 2000/1803.
1983 c. 54. Section 15A was inserted by regulations 2 and 3 of S.I. 2000/3041.
This document is published jointly by the General Practitioners Committee if the British Medical Association and the NHS Confederation. A copy may be obtained by writing to the NHS Confederation, 1 Warwick Row, London SW1E 5ER.
The current directions are the Directions to Local Health Boards concerning the GP Vocational Training Scheme (GPTVS) dated December 2003.. A copy of these directions can be found on the Assembly’s website at www.wales.gov.uk/subihealth or a copy may be obtained by writing to Education, Training and Development Branch. NHS HR Division National Assembly for Wales, Cathays Park, Cardiff CF10 3NQ.
The current guidance is the GP Registrar Scheme Vocational Guide for General Medical Practice — the UK Guide 2000 published by the Department of Health and available on their website at www.doh.gov.uk/medicaltrainingin theuk.
RFA99 is published by the NHS Information Authority. Version 1.0 was published in October 1999, version 1.1 in February 2001 and version 1.2 (DTS/Nurse Prescribing) in August 2003. Copies may be obtained by writing to the Authority, RFA team, Aqueous 2, Aston Cross, Rocky Lane, Birmingham B6 5RQ.
This document is available on the Department of Heath website at www.doh.gov.uk/pricare/computing or a copy can be obtained by writing to the Department of Health, PCIT Branch, Room 1N06, Quarry House, Quarry Hill, Leeds LS2 7UE.
Section 16CC was inserted into the Act by section 170 of the 2003 Act. The current regulations are…
SI 2004/ xxx(W. )
Section 19A was inserted by section 12 of the Health and Social Care Act 2001 (c. 18).
1970 c. 42; section 1 was amended by the Local Government Act 1972 (c. 70), section 195 and by the Local Government (Wales) Act 1994 (c. 19), Schedule 10, paragraph 7.
Where the dispute relates to a contract which is an NHS contract, section 4(5) of the 1990 Act applies.
Section 28W was inserted into the Act by section 175(1) of the 2003 Act.
Section 285 was inserted into the Act by section 175(1) of the 2003 Act.
Section 49F was inserted into the Act by section 25 of the Health and Social Care Act 2001 (c. 15) and amended by the National Health Service Reform and Health Care Professions Act 2002 (c. 17) Schedule 2, paragraph 21.
1933 c 12 as amended by the Criminal Justice Act 1988 (1988 c. 33), section 170, Schedule 15, paragraph 8 and Schedule 16, paragraph 16; Sexual Offences Act 1956 (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.
1986 c. 45. Schedule 4A was inserted by section 257 of and Schedule 2 to the Enterprise Act 2000 (c. 40).
Section 49F was inserted into the Act by section 25 of the Health and Social Care Act 2001 (c. 15) and amended by the National Health Service Reform and Health Care Professions Act 2002 (c. 17) Schedule 2, paragraph 21.
1986 c. 46 as amended by the Insolvency Act 2000 (c. 39).
S.I. 1992/635 amended by S.I. 1996/702; S.I. 2002/1896 (W.197).
Conditions : General
General condition relating to all contracts
Reasons
Appeal
Prescribed period under section 28D(1)(bc) of the Act
Certificates
Finance
Fees and charges
Arrangements on termination
Other contractual terms
Duty of co-operation in relation to additional, enhanced and out of hours services
Removals from the list of patients who have moved
55
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Withdrawal and variation of approval under paragraph 69
Notifications to the Local Health Board
Making of Complaints
Other grounds for termination by the Local Health Board
Insurance
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
Anglesey Local Health Board
2
Gwynedd Local Health Board
3
Cardiff Local Health Board
4
Ceredigion Local Health Board
5
Carmarthenshire Local Health Board
6
Denbighshire Local Health Board
7
Flintshire Local Health Board
8
Monmouthshire Local Health Board
9
Pembrokeshire Local Health Board
10
Powys Local Health Board
11
Swansea Local Health Board
12
Conwy Local Health Board
13
Blaenau Gwent Local Health Board
14
Bridgend Local Health Board
15
Caerphilly Local Health Board
16
Merthyr Tydfil Local Health Board
17
Neath Port Talbot Local Health Board
18
Newport Local Health Board
19
Rhondda Cynon Taff Local Health Board
20
Torfaen Local Health Board
21
Vale of Glamorgan Health Board
22
Wrexham Local Health Board
Editorial notes
Regulations revoked (1.10.2023) by The National Health Service (General Medical Services Contracts) (Wales) Regulations 2023 (S.I. 2023/953), reg. 1(2), Sch. 6 para. 1 (with reg. 31) (as amended by S.I. 2023/1421, regs. 1, 21(b))
Termination by the Local Health Board for unlawful sub-contracting
112A
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Telephone services
1A
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Supply of medicines etc. by contractors providing out of hours services
11A
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Duty of co-operation in relation to additional, enhanced and out of hours services
Termination on the death of an individual medical practitioner
105A
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Other grounds for termination by the Local Health Board
Termination by the Local Health Board for unlawful sub-contracting
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Entry and inspection by the Welsh Ministers
Cost of relevant calls
1B
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Supply of medicines etc. by contractors providing out of hours services
Duty of co-operation in relation to additional, enhanced and out of hours services
Provision of information to a medical officer etc.
Notifications to the Local Health Board
Entry and inspection by the Welsh Ministers
Entry and inspection by the Welsh Ministers
Part 5A — Concerns notified on or after 1 April 2011
89A
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Complaints received prior to 1April 2011
Complaints received prior to 1April 2011
Making of Complaints
Independent nurse prescribers , nurse independent prescribers, pharmacist independent prescribers , physiotherapist independent prescriber, podiatrist or chiropodist independent prescriber , therapeutic radiographer independent prescriber , paramedic independent prescriber and supplementary prescribers
Withdrawal and variation of approval under paragraph 69
Inclusion in list of patients: armed forces personnel
15A
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Removals from the list of patients who have moved
Welsh Language
13A
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| Description of medical certificate | Enactment under or for the purpose of which certificate required |
|---|---|
| 1. To support a claim or to obtain payment either personally or by proxy; to prove incapacity to work or for self-support for the purposes of an award by the Secretary of State; or to enable proxy to draw pensions etc. | Naval and Marine Pay and Pensions Act 1865 Air Force (Constitution) Act 1917 Pensions (Navy, Army, Air Force and Mercantile Marine) Act 1939 Personal Injuries (Emergency Provisions) Act 1939 Pensions (Mercantile Marine) Act 1942 Polish Resettlement Act 1947 Social Security Administration Act 1992 Social Security Contributions and Benefits Act 1992 Social Security Act 1998 |
| . . . | . . . |
| 3. To secure registration of still-birth | Section 11 of the Births and Deaths Registration Act 1953 special provision as to still-birth |
| 4. To enable payment to be made to an institution or other person in case of mental disorder of persons entitled to payment from public funds. | Section 142 of the Mental Health Act 1983 (pay, pensions etc of mentally disordered persons) |
| 5. To establish unfitness for jury service | Juries Act 1974 |
| 6. To support late application for reinstatement in civil employment or notification of non-availability to take up employment owing to sickness. | Reserve Forces (Safeguarding of Employment) Act 1985 . |
| 7. To enable a person to be registered as an absent voter on grounds of physical incapacity | Representation of the People Act 1983 |
| 8. To support applications for certificates conferring exemption from charges in respect of drugs, medicines and appliances. | National Health Service Act 1977 |
| 9. To support a claim by or on behalf of a severely mentally impaired person for exemption from liability to pay the Council Tax or eligibility for a discount in respect of the amount of Council Tax payable. | Local Government Finance Act 1992 |
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