Citation, commencement and interpretation

1.-(1) These Regulations may be cited as the National Health Service (Travelling Expenses and Remission of Charges) Amendment Regulations 1996 and shall come into force on 18th March 1996.

(2) In these Regulations, "the principal Regulations" means the National Health Service (Travelling Expenses and Remission of Charges) Regulations 1988(2).

Amendment of regulation 2 of the principal Regulations

2.-(1) Regulation 2 of the principal Regulations (interpretation) shall be amended in accordance with the following provisions of this regulation.

(2) In paragraph (1)-

(a)in the definition of "appropriate office" the words "Health and" shall be omitted;

(b)for the definition of "date of claim" there shall be substituted the following definition-

""date of claim" means the date on which a claim made under regulation 7(1) or regulation 8(2) is received in an appropriate office or by the Secretary of State;".

(3) After paragraph (3) there shall be added the following paragraph-

"(4) The Note following paragraph 7 of Schedule 1A shall have effect for the purposes of the interpretation of that Schedule.".

Amendment of regulation 4 of the principal Regulations

3.-(1) Regulation 4 of the principal Regulations (descriptions of persons entitled to full remission and payment) shall be amended in accordance with the following provisions of this regulation.

(2) After paragraph (a) there shall be added the following paragraph-

"(aa)a person whose entitlement to income support is less than 10 pence, or".

(3) After paragraph (b) there shall be added the following paragraph-

"(bb)a member of the same family as a person whose entitlement to income support is less than 10 pence, or".

Amendment of regulation 5 of the principal Regulations

4. At the beginning of paragraph (5) of regulation 5 of the principal Regulations (persons entitled to remission in part or payment in part) there shall be inserted the words "Subject to regulation 5B,".

Insertion of regulation 5 B into the principal Regulations

5. After regulation 5A of the principal Regulations (payment of travelling expenses) there shall be inserted the following regulation-

"Payment to persons resident in the Isles of Scilly

5B.-(1) A person who is resident in the Isles of Scilly and who is not a person of a description prescribed by regulation 4 is entitled to payment of the amount of the travelling expenses specified in paragraph (2) necessarily incurred or to be incurred in making a journey between the Isles of Scilly and a hospital in England and Wales for the purpose of availing himself of services provided under the care of a hospital consultant in pursuance of the Act.

(2) The amount referred to in paragraph (1) is-

(a)where the difference between that person's income resources and his requirements is less than £5, that difference;

(b)where the difference between that person's income resources and his requirements is £5 or more, £5.

(3) The travelling expenses referred to in paragraph (1) include those of a companion in a case where it is necessary on medical grounds that the person referred to in paragraph (1) should be accompanied.

(4) Regulation 3(4) applies to the expenses referred to in this regulation as it applies to the expenses referred to in regulation 3.".

Amendment of regulation 7 of the principal Regulations

6.-(1) Regulation 7 of the principal Regulations (claims for remission or payment) shall be amended in accordance with the following provisions of this regulation.

(2) At the beginning of paragraph (1) there shall be inserted the words "Subject to paragraph (1A),".

(3) After paragraph (1) there shall be inserted the following paragraphs-

"(1A) Subject to paragraph (1B), where a person is unable for the time being to act, a claim may be made on his behalf by another person.

(1B) The Secretary of State may refuse to accept a claim made by one person on behalf of another where, in the Secretary of State's opinion-

(a)the person on whose behalf the claim is made is able to act; or

(b)the person making the claim is not a suitable person to act on behalf of that other person.".

(b)For paragraph (6) there shall be substituted the following paragraphs-

"(6) Subject to paragraphs (6A) and (8), a notice of entitlement issued under jparagraph (4) shall be effective for a period of 6 months from the date of claim and shall specify the dates of commencement and expiry of that period.

(6A) Subject to paragraph (8), where a claimant or his partner is a person of a description specified in column (1) of Schedule 1A and the date of claim falls within any period specified in column (1), the notice of entitlement issued under paragraph (4) to that claimant shall be effective for the period specified in column (2) of that Schedule opposite the description in column (1) of that claimant or his partner.".

Amendment of regulation 8 of the principal Regulations

7.-(1) Regulation 8 of the principal Regulations (repayment) shall be amended in accordance with the following provisions of this regulation.

(2) At the beginning of paragraph (2) there shall be inserted the words "Subject to paragraph (2A),".

(3) After paragraph (2) there shall be inserted the following paragraphs-

"(2A) Subject to paragraph (2B), where a person is unable for the time being to act, a claim may be made on his behalf by another person.

(2B) The Secretary of State may refuse to accept a claim made by one person on behalf of another where, in the Secretary of State's opinion-

(a)the person on whose behalf the claim is made is able to act; or

(b)the person making the claim is not a suitable person to act on behalf of that other person.".

Amendment of Schedule 1 to the principal Regulations

8.-(1) Table A of Part I of Schedule 1 to the principal Regulations(3) (modifications of provisions of the Income Support (General) Regulations 1987) shall be modified in accordance with the following provisions of this regulation.

(2) At the end of the entry corresponding to regulation 30 the following shall be added in column (2)-

• "As if in sub-paragraph (1)(a) at the beginning there were inserted the words "except where sub-paragraph (b) or (c) applies,".

• As if in sub-paragraph (1)(b) at the beginning there were inserted the words "except where sub-paragraph (c) applies,".

• As if after sub-paragraph (1)(b) the word "or" and the following new sub-paragraph were inserted-

  "(c)where the claimant provides in respect of the employment a profit and loss account and, where appropriate, a trading account or a balance sheet or both, and the profit and loss account is in respect of a period of at least 6 months but not exceeding 15 months and that period terminates within the twelve months preceding the date of claim or, as the case may be, the date when he paid the relevant charge or travelling expenses, over that period.".

• As if after paragraph (1) the following new paragraph were inserted-

  "(1A) In paragraph (1)(c)-

  (a)"balance sheet" means a statement of the financial position of the employment disclosing its assets, liabilities and capital at the end of the period in question;

  (b)"profit and loss account" means a financial statement showing the net profit or loss of the employment for the period in question; and

  (c)"trading account" means a financial statement showing the revenue from sales, the cost of those sales and the gross profit arising during the period in question.".".

• After the entries for regulation 36 the following entries shall be inserted-

  "Regulation 38(4)

  As if in paragraph (3) for the words "paragraph (9)" there were substituted the words"paragraph (3A) or (9)".

  As if after paragraph (3) there were inserted-

  "(3A) For the purpose of paragraph (1)(a), in a case where earnings of the employment are calculated over a period determined under regulation 30(1)(c), the net profit of the employment shall, except where paragraph (9) applies, be calculated by taking into account the earnings of the employment relevant to that period (whether or not received in that period), less-

  (a)subject to paragraphs (5) to (7), any expenses relevant to that period (whether or not defrayed in that period) and which were wholly and exclusively incurred for the purposes of that employment;

  (b)an amount in respect of-

  (i)income tax;

  (ii)social security contributions payable under the Contributions and Benefits Act, calculated in accordance with regulation 39 (deduction of tax and contributions for self-employed earners); and

  (iii)one half of any premium paid in the period that is relevant under regulation 30 in respect of a retirement annuity contract or a personal pension scheme,".

  • As if in paragraph (4) after the word "shall" there were inserted the words ", except where paragraph (4A) or (9) applies.".

  • As if after paragraph (4) there were inserted the following new paragraph-

    "(4A) For the purposes of paragraph (1)(b), in a case where earnings of the employment are calculated over a period determined under regulation 30(1)(c), the net profit of the employment shall, except where paragraph (9) applies, be calculated by taking into account the earnings of the employment relevant to that period (whether or not received in that period) less, subject to paragraphs (5) to (7), any expenses relevant to that period (whether or not defrayed in that period) and which were wholly or exclusively incurred for the purposes of that employment.".

  • As if in paragraphs (5), (6), (7) and (8) for the words "paragraph (3)(a) or (4)" there were substituted the words "paragraphs (3)(a), (3A)(a), (4) or (4A), as the case may be,".".

(4) After the fifth entry corresponding to Schedule 9 the following entry shall be inserted in column (2)-

• "As if for sub-paragraph (1) of paragraph 29 the following sub-paragraph were substituted-

  "(1) Subject to sub-paragraph (2), any payment received under an insurance policy taken out to insure against the risk of being unable to maintain payments of housing costs which qualify under paragraph 17(1)(zb) or (zc) of Schedule 3 or for repairs or improvements to the dwelling occupied as the home to the extent that it is used to meet-

  (a)repayments of unsecured loans for the purpose of carrying out repairs and improvements to the dwelling occupied as the home;

  (b)any amount due by way of premiums on that policy.".".

Further amendments to Schedule 1 to the principal Regulations

9.-(1) Table B of Part II of Schedule 1 to the principal Regulations shall be modified in accordance with the following provisions of this regulation.

(2) At the end of the entry corresponding to regulation 3 the following shall be added in column (2)-

• "As if in paragraph (2B) the words "Subject to paragraph (2C)," were omitted.

• As if paragraph (2C) were omitted.".

(3) In the first entry in column (2) corresponding to Schedule 2(5) for head (a) the following head shall be substituted-

"(a)except where heads (b) or (c) of this sub-paragraph apply, less than 18;".

(4) For the second entry in column (2) corresponding to Schedule 2 the following entry shall be substituted-

• "As if in column 1 of that Table for both sub-paragraphs (1)(c) and (2)(c) there were substituted in each case the following sub-paragraph-

  "(c)less than 18 who-

  (i)satisfies the condition in paragraph 11;

  (ii)is undergoing youth training; or

  (iii)is in remunerative work;".".

(5) After the second entry in column (2) corresponding to Schedule 2 the following entry shall be inserted-

• "As if for head (c) of sub-paragraph (3) in column 1 of that Table there were substituted the following head-

  "(c)where both members are aged-

  (i)not less than 18; or

  (ii)less than 18 where-

  (za)at least one of them is undergoing youth training;

  (zb)at least one of them is in remunerative work;

  (zc)in respect of at least one of them an amount is applicable under paragraph 2;

  (zd)at least one of them satisfies the conditions in paragraph 11; or

  (ze)in respect of at least one of them an amount is applicable under Schedule 3;".".

(6) After the fifth entry in column (2) corresponding to Schedule 2 the following entry shall be inserted-

• "As if in paragraph 11(b)(ii)(6) for the words "12(1)(a) or (c)" there were substituted the words "12(1)(a), (b) or (c).".".

(7) For the seventh entry in column (2) corresponding to Schedule 2 the following entry shall be substituted-

• "As if in paragraph 12(1)(b)(7) -

  (a)

  after the words "the claimant" there were inserted the words "or, as the case may be, his partner"; and

  (b)

  for sub-head (ii) there were substituted the following sub-head-

  "(ii)has been so entitled or so incapable for a continuous period of at least 28 weeks;".".

(8) For the entries in column (2) corresponding to Schedule 3(8) the following entries shall be subsituted-

• "As if in paragraph 1-

  (a)

  in sub-paragraph (1)(b) for the words "paragraphs 15 to 17" there were substituted the words "paragraph 17"; and

  (b)

  for sub-paragraph (2), the following sub-paragraph were substituted-

  "(2) In this Schedule "period of study" has the meaning specified in regulation 61 (student interpretation).".

• As if in paragraph 2-

  (a)

  in sub-paragraph (1) for head (c) the following head were substituted-

  "(c)he in practice shares the housing costs with other members of the household where no member of that household who is liable to meet those costs is a close relative of the claimant or his partner and it is reasonable in the circumstances that the claimant should be treated as sharing responsibility for those costs."; and

  (b)

  sub-paragraph (2) were omitted.

  As if in paragraph 3-

  (a)

  sub-paragraphs (8) to (10) were omitted;

  (b)

  in sub-paragraph (11)(c)(ix) the words "other than a person to whom sub-paragraph (8) applies" were omitted; and

  (c)

  in sub-paragraph (12) for the words "not exceeding" there shall be substituted the words"which is not likely to exceed".

  As if for paragraph 4 the following paragraph were substituted-

  "Houwing costs not met under this Schedule

  4. No amount may be met under the provisions of this Schedule where the claimant is in accommodation which is a residential care home or a nursing home except where he is in such accommodation during a temporary absence from the dwelling he occupies as his home and, in so far as they relate to temporary absences, the provisions of paragraph 3(11) and (12) apply to him during that absence.".

• As if paragraphs 6 to 16 were omitted.

• As if in paragraph 17-

  (a)

  in the cross heading for the word "Other" there were substituted the word "Qualifying";

  (b)

  in sub-paragraph (1)-

  (i)

  the following new heads were inserted immediately before head (a)-

  "(za)any periodical payment which a person is liable to make by way of rent in respect of the dwelling he occupies as his home;

  (zb)payments of interest and capital-

  (i)of a mortgage or loan secrued on the dwelling occupied as the home;

  (ii)under a hire purchase agreement or other loan to buy the dwelling occupied as the home;

  (iii)in respect of a loan taken out to adapt the dwelling occupied as the home for the special needs of a disabled person;

  (zc)payments in respect of an endowment policy in connection with the purchase of the dwelling occupied as the home;"; and

  (ii)

  head (f) were omitted;

  (c)

  in sub-paragraph (2)-

  (i)

  for the words from "Subject to" to "amounts" there shall be substituted the words "Subject to sub-paragraphs (3), (3A) and (3B), the deductions to be made from the weekly amounts in respect of the housing costs specified in heads (za) and (a) to (e) of sub-paragraph (1)";

  (ii)

  in head (a) the words from "unless the claimant" to the end of the head shall be omitted; and

  (iii)

  head (c) shall be omitted;

  (d)

  in sub-paragraph (3) at the beginning there shall be inserted the words "Subject to sub-paragraphs (3A) and (3B),";

  (e)

  after sub-paragraph (3) there shall be inserted the following new sub-paragraphs-

  "(3A) Subject to sub-paragraph (3B), where arrangements are made for the housing costs mentioned in heads (za) and (a) to (e) of sub-paragraph (1) payable in respect of a jperiod of study, to be paid irregularly, or so that-

  (a)no such costs are payable for or collected in the Christmas or Easter vacations within a period of study, or

  (b)the costs in respect of the Christmas or Easter vacations within a period of study vary from those in the rest of that period of study,

  the weekly amount shall be the amount payable in respect of a period of study divided by the number of weeks in that period of study.

  (3B) Where housing costs, to be calculated in accordance with sub-paragraph (3A), are subject to a deduction in accordance with sub-paragraph (2)(a) or (b), as the case may be, the weekly amount of the deduction shall be the proportion of the deduction calculated in accordance with sub-paragraph (2)(a) or (b), as the number of weeks in the period of study, excluding Christmas and Easter vacations, bears to the number of weeks in the period of study.". As if in paragraph 18, in sub-paragraph (7)-

  (f)

  head (e) were omitted; and

  (g)

  for head (f) the following head were substituted-

  "(f)to whom paragraph (2B) of regulation 3 (definition of non-dependant) would apply;".".

Addition of Schedule 1A to the principal Regulations

10. After Schedule 1 to the principal Regulations there shall be added as Schedule 1A the Schedule set out in the Schedule to these Regulations.

Revocation

11. The National Health Service (Travelling Expenses and Remission of Charges) Amendment No. 2 Regulations 1995(9) are hereby revoked.

Regulation 10

SCHEDULESCHEDULE 1A TO THE PRINCIPAL REGULATIONS ADDED BY THESE REGULATIONS

Regulation 7(6A)

"SCHEDULE 1APERIODS OF VALIDITY OF NOTICES OF ENTITLEMENT

Explanatory Note

(This note is not part of the Regulations)

These Regulations further amend the National Health Service (Travelling Expenses and Remission of Charges) Regulations 1988 ("the principal Regulations") which provide for the remission and repayment of certain charges which would otherwise be payable under the National Health Service Act 1977 and for the payment of travelling expenses incurred in attending a hospital.

Regulation 2 amends the definition of "appropriate office" and substitutes a new definition of "date of claim".

Regulation 3 amends regulation 4 of the principal Regulations so as to include in the list of descriptions of persons entitled to full remission and payment, persons entitled to less than 10p income support (and who therefore do not actually receive income support).

Regulation 4 amends regulation 5(5) so that the travelling expenses of residents of the Isles of Scilly who are entitled to payments in part are determined under a new regulation 5B.

Regulation 5 inserts the new regulation 5B relating to travelling expenses of residents of the Isles of Scilly.

Regulation 6 amends regulation 7 to provide for the making of claims for the remission of any relevant charges and the payment of relevant travelling expenses on behalf of persons who are unable to act for themselves. Regulation 6 also provides for the periods for which notices of entitlement are to be effective and it introduces a new regulation 7(6A) which makes new provision in respect of the periods of effectiveness of notices of entitlement issued to particular descriptions of persons. For example, in the case of persons such as those aged 60 or more whose circumstances are likely to be stable throughout the period of effectiveness of notices of entitlement issued to them, those periods are lengthened beyond the standard length of 6 months provided for by regulation 7(6).

Regulation 7 amends regulation 8 to provide for the making of claims for repayment of any relevant charges or relevant travelling expenses on behalf of persons who are unable to act for themselves.

Regulation 8 amends Table A of Part I of Schedule 1 to the principal Regulations which provides for the calculation of a claimant's resources.

Regulation 9 amends Table B of Part II of that Schedule which provides for the calculation of a claimant's requirements. The amendments to Tables A and B are made in consequence of changes to the Income Support (General) Regulations 1987; and in order to provide for: the calculation of self-employed earnings on an accrual basis; a standard deduction in respect of fuel charges included in rent; student rents to be averaged over a period of study; and to provide for youth trainees aged 16 and 17 to receive the personal allowance applicable to those aged 18 or over.

Regulation 10 inserts a new Schedule 1A which specifies the periods for which notices of entitlement referred to in new regulation 7(6A) are effective.

Regulation 11 revokes the National Health Service (Travelling Expenses and Remission of Charges) Amendment No. 2 Regulations 1995 as they are superseded by these Regulations.