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STATUTORY INSTRUMENTS


2005 No. 3491

NATIONAL HEALTH SERVICE, ENGLAND

The National Health Service (Performers Lists) Amendment Regulations 2005

  Made 20th December 2005 
  Laid before Parliament 30th December 2005 
  Coming into force 1st April 2006 

The Secretary of State for Health makes these Regulations, in exercise of the powers conferred by sections 28X and 126(4) of the National Health Service Act 1977[1]:

Citation, commencement, application and interpretation
     1. —(1) These Regulations may be cited as the National Health Service (Performers Lists) Amendment Regulations 2005 and shall come into force on 1st April 2006.

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

    (3) In these Regulations "the principal Regulations" means the National Health Service (Performers Lists) Regulations 2004[
2].

Amendment of regulation 2 of the principal Regulations
     2. In regulation 2(1) of the principal Regulations (interpretation and modification)—

Amendment of regulation 3 of the principal Regulations
     3. For regulation 3(1) of the principal Regulations (performers lists), substitute—

Amendment of regulation 6 of the principal Regulations
    
4. At the end of regulation 6 of the principal Regulations (decisions and grounds for refusal), add paragraph (7)—

Amendment of regulation 9 of the principal Regulations
    
5. At the end of regulation 9(5) of the principal Regulations (requirements with which a performer in a performers list must comply), add "to these Regulations or the Schedule to the Amendment Regulations".

Amendment of regulation 14 of the principal Regulations
    
6. In regulation 14 of the principal Regulations (reviews), after paragraph (7), insert paragraph (7A)—

Amendment of regulation 16 of the principal Regulations
    
7. At the end of regulation 16(1)(a) of the principal Regulations (notifications), add ", 24(1) or 31(1);".

Insertion of regulation 18A of the principal Regulations
    
8. After regulation 18 of the principal Regulations, insert regulation 18A—

Amendment of regulation 19 of the principal Regulations
    
9. In regulation 19 of the principal Regulations (review periods on national disqualification)—

Amendment of regulation 22 of the principal Regulations
    
10. In regulation 22(4)(c) of the principal Regulations (medical performers list) delete "his date of birth, where he consents, or if not,".

Insertion of Part 3 to the principal Regulations
    
11. After Part 2 of the principal Regulations insert Part 3—



Consequential amendments
    
12. —(1) The Regulations set out below shall be amended in accordance with the following paragraphs of this regulation.

    (2) In paragraph (a) of the definition of "national NHS disqualification" in—

after "of the Act", insert "or under regulations corresponding to that section made under section 28X(4) of the Act (persons performing primary medical and dental services)".

    (3) In paragraph (a) of the definition of "a national disqualification" in regulation 2(1) (interpretation) of the National Health Service (General Ophthalmic Services) Regulations 1986[30], after "of the Act", insert "or under regulations corresponding to that section made under section 28X(4) of the Act (persons performing primary medical and dental services)".

    (4) In rule 2(2)(a)(ii) of the Family Health Services Appeal Authority (Procedure) Rules 2001[31], after "section 49N(4) of the 1977 Act", insert "or under regulations making provision corresponding to that section pursuant to section 28X(4) of that Act".

    (5) In regulation 5(1)(e)(i) of the Commission for Patient and Public Involvement in Health (Membership and Procedure) Regulations 2002 (disqualification for appointment)[32] delete "under section 49N of the 1977 Act".

    (6) In regulation 3(1)(e)(i) of the Counter Fraud and Security Management Service Regulations 2002 (disqualification for appointment)[33] delete "under section 49N of the Act".

    (7) In regulation 3(1)(e)(i) of the NHS Professionals Special Health Authority Regulations 2003 (disqualification for appointment)[34] delete "under section 49N of the Act (national disqualification)".

    (8) In paragraph (a) of the definition of "a national disqualification" in regulation 2(1) of the National Health Service (General Medical Services Contracts) Regulations 2004 (interpretation)[35], after "of the Act", insert "or under regulations corresponding to that section made under section 28X(4) of the Act (persons performing primary medical and dental services)".

    (9) In paragraph (a) of the definition of "a national disqualification" in regulation 2(1) of the National Health Service (Personal Medical Services Agreements) Regulations 2004 (interpretation)[36], after "(national disqualification)", insert "or under regulations corresponding to that section made under section 28X(4) of the Act (persons performing primary medical and dental services)".

    (10) In paragraph (a) of the definition of "a national disqualification" in regulation 2(1) (interpretation) of the National Health Service (General Ophthalmic Services Supplementary List) and (General Ophthalmic Services Amendment and Consequential Amendment) Regulations 2005[37], after "section 49N", insert "or under regulations corresponding to that section made under section 28X(4) (persons performing primary medical and dental services)".

    (11) At the end of paragraph (a) of the definition of "national disqualification" in regulation 2(1) (interpretation) of the National Health Service (Pharmaceutical Services) Regulations 2005[38], add "or under regulations corresponding to that section made under section 28X(4) of the Act (persons performing primary medical and dental services)".

    (12) In regulation 3(1)(e)(i) of the Health Protection Agency Regulations 2005 (disqualification for appointment)[39] for "pursuant to section 49N of the NHS Act" substitute "imposed by the Family Health Services Appeal Authority constituted under section 49S of the NHS Act (the Family Services Appeal Authority);".

Revocations
     13. Schedule 1 to the principal Regulations and the National Health Service (General Dental Services Supplementary List) and (General Dental Services) Amendment Regulations 2003[40] are hereby revoked.

Transitional provisions
     14. The transitional provisions in the Schedule shall have effect.



Signed by authority of the Secretary of State for Health


Rosie Winterton
Minister of State, Department of Health

20th December 2005



SCHEDULE 1
Regulation 14


TRANSITIONAL PROVISIONS


Interpretation
     1. In this Schedule—

and other terms used shall bear the same meaning in this Schedule that they have in Part 3 of the principal Regulations.

Allocation of dentists on previous lists
     2. In the case of a dentist, whose name, immediately before the relevant date, was included in a Primary Care Trust's—

his name shall, on that day, be included in that Primary Care Trust's dental performers list.

     3. In the case of a dentist whose name was, immediately before the relevant date, included in the dental list of more than one Primary Care Trust, his name shall, on that date, be included in the dental performers list of one of those Trusts in accordance with paragraphs 4 to 9.

     4. In which Primary Care Trust's list that dentist's name is to be included shall be determined by reference to the payments that the Dental Practice Board made to the dentist under regulation 20 (approval of payments) of the Dental Regulations[42] in the quarter ending 31st December 2005 in relation to the general dental services that the dentist had provided in the area of each such Primary Care Trust, in accordance with paragraph 5.

     5. The dentist shall be included in the dental performers list of the Trust in respect of whose area the largest total of payments was made, unless the payments in respect of two or more such areas in that quarter were the same, in which case the matter shall be determined by reference to the previous quarter.

     6. This paragraph applies to a dentist, who—

     7. A dentist to whom paragraph 6 applies—

Applications not decided by the relevant date
     8. Subject to paragraph 9, in any case where there was any application, including an application which the Primary Care Trust has deferred, by a dentist to a Primary Care Trust for his name to be included in its dental list or dental supplementary list and that application has not been decided before the relevant date, it shall be deemed to be an application to have his name included in the dental performers list of that Primary Care Trust.

     9. In a case where—

that application shall be void and the Primary Care Trust shall so notify him, informing him of the reason for that.

Matters relating to the dentist
     10. In a case falling within paragraph 2, any matter, question or proceeding relating to any dentist under the Dental Regulations or the Dental Supplementary List Regulations, that had not been finally decided before the relevant date, shall be treated as though it had arisen in relation to the dental performers list in which that dentist has been included or, but for that matter, would have been included and shall continue to be dealt with by the Primary Care Trust.

     11. In a case where a dental list or dental supplementary list, on which the dentist's name was included immediately before the relevant date, contained, in relation to him, any condition or contingent removal, or if he was then suspended from that list, that condition, contingent removal or suspension, as the case may be, shall equally apply to the dental performers list in which his name is included on and after the relevant date as it did, in relation to any other list, before that date.

     12. In any case where a dentist was included in a dental supplementary list immediately before the relevant date and was then undertaking vocational training, he shall be included in the dental performers list subject to giving the undertakings required by regulation 30(2)(b) of the principal Regulations (application for inclusion in a dental performers list).

     13. Subject to paragraph 14, in any case where there is any continuing matter and that matter had not been finally decided before the relevant date, it shall be treated as though it had arisen in relation to the dental performers list in which that dentist has been included or, but for that matter, would have been included.

     14. In any case where there is a continuing matter and the dental performers list in which that dentist's name is included is not that of the Initial Primary Care Trust that matter shall proceed as though his name were included in the Initial Primary Care Trust's dental performers list.

Dentists performing personal dental services or community dental service
     15. —(1) Any dentist, whose name was not included in a dental list or a dental supplementary list immediately before the relevant date and was performing personal dental services or community dental service before the relevant date, may perform primary dental services, notwithstanding regulation 29(1) of the principal Regulations (dental performers list), until—

whichever is the earlier, provided that that dentist applies, in accordance with the principal Regulations, to a Primary Care Trust to be included in its dental performers list not later than 1st May 2006.

    (2) A dentist making an application to a Primary Care Trust under sub-paragraph (1), who was employed by a Primary Care Trust to perform personal dental services or community dental service immediately before the relevant date, shall only be required to provide the information required under regulations 4(2), (4) and (5) (application for inclusion in a performers list) and 30(1) (application for inclusion in a dental performers list) of the principal Regulations in so far as—

    (3) Any dentist to whom sub-paragraph (1) applies shall comply with regulation 9 of the principal Regulations (requirements with which a performer in a performers list must comply), if any of the events specified in that regulation occur, as if he were included in the dental performers list of the Primary Care Trust in whose area he is performing primary dental services.

    (4) A dentist may not perform primary dental services by virtue of sub-paragraph (1) during any period in which he is the subject of a suspension notice given by a Primary Care Trust under sub-paragraph (5).

    (5) A Primary Care Trust may give a suspension notice to a dentist to whom sub-paragraph (1) applies where it is satisfied that it is necessary to do so for the protection of members of the public or is otherwise in the public interest.

    (6) A Primary Care Trust may withdraw a suspension notice it has given under sub-paragraph (5) at any time.

    (7) During a period of suspension payments may be made to or in respect of the dentist by the Primary Care Trust in accordance with a determination by the Secretary of State.

    (8) Where a Primary Care Trust—

it shall immediately decide the dentist's application to be included in its dental performers list.

Enhanced criminal record certificates
     16. —(1) Where a dentist's name has been included in a dental performers list of a Primary Care Trust pursuant to this Schedule, and—

the dentist shall, within 3 months of the Trust notifying him of that requirement, provide that certificate to it.

    (2) When sub-paragraph (1)(b) applies, the Primary Care Trust shall write to each such dentist informing him that he is now under a duty to—

and, subject to sub-paragraph (3), if the dentist has not provided it with such a certificate within that time, it shall remove him from its dental performers list.

    (3) The Primary Care Trust—

and shall notify that dentist of that extension of time.

Appeals to the FHSAA under Part II of the 2001 Rules
     17. —(1) Where—

that Trust shall continue to be the respondent, even if the dentist's name is from the relevant date, included in the dental performer's list of a different Primary Care Trust.

     18. Where—

that Trust shall continue to be the respondent, even if the dentist's name is, from the relevant date, included in the dental performer's list of a different Primary Care Trust.

Applications to the FHSAA under Part III of the 2001 Rules
     19. Where the FHSAA—

the parties to that application shall, from the relevant date, continue to be the dentist who was a party immediately before the relevant date and the Initial Primary Care Trust.

General matters relating to cases under Part IV of the 2001 Rules
     20. Where a panel has—

in relation to any appeal falling within paragraph 17, those directions or varied directions shall continue to apply to the Initial Primary Care Trust, even if the dentist's name is, on and after the relevant date, included in the dental performers list of a different Primary Care Trust.

     21. Where a panel has, pursuant to rule 42 (decision of panel) or 43 (review of panel's decision) of the 2001 Rules, given a decision—

     22. Where the FHSAA has taken a decision before the relevant date which, by virtue of rule 46 of the 2001 Rules (publication of certain decisions by the FHSAA), it would, at the time it took that decision have been obliged to publish, that obligation shall continue on or after the relevant date if it has not published the decision immediately.



EXPLANATORY NOTE

(This note is not part of the Regulations)


These Regulations amend the National Health Service (Performers Lists) Regulations 2004 ("the Principal Regulations") so as to provide for lists of persons performing primary dental care to be kept by Primary Care Trusts in accordance with the provisions of section 28X of the National Health Service Act 1977. It also makes amendments to the general provisions relating to performers lists.

Regulation 2 provides some further definitions for the Principal Regulations and regulations 3 to 7, 9 and 10 make minor amendments to those Regulations.

Regulation 8 adds provision for national disqualification.

Regulation 11 adds a new Part 3 to the Principal Regulations (regulations 28 to 33 of the Principal Regulations) which modifies the general provisions in Part 1 of those Regulations to make provisions specific to dentists.

Regulation 28 of Part 3 provides some definitions for Part 3.

Regulation 29 of Part 3 provides, subject to specified exceptions, that no dentist may perform any primary dental services unless included in such a list, what information is to be included in the list and that the list shall be published.

Regulation 30 of Part 3 supplements regulation 4 by providing for certain specific information to be provided by dentists.

Regulation 31 of Part 3 provides further grounds on which the Primary Care Trust may or must refuse to admit a dentist to its list, and matters to which it must have regard.

Regulation 32 of Part 3 provides additional grounds for the mandatory removal from its list by a Primary Care Trust of a dentist, and modifies certain provisions for removal from a list in regulation 10.

Regulation 33 of Part 3 provides an additional ground of appeal for a dentist to those in regulation 15.

Regulation 12 makes consequential amendments.

Regulation 13 revokes National Health Service (General Dental Services Supplementary List) and (General Dental Services) Amendment Regulations 2003 and Schedule 1 to the Principal Regulations.

Regulation 14 gives effect to the Schedule.

The Schedule makes transitional provisions.


Notes:

[1] 1977 c.49 ("the 1977 Act"); see section 128(1) as amended by the National Health Service and Community Care Act 1990 (c.19) ("the 1990 Act"), section 26(2)(g) and (i), for the definitions of "prescribed" and "regulations". Section 28X was inserted by the Health and Community Care (Community Health and Standards) Act 2003 (c.43) ("the 2003 Act"), section 179(1). Section 126(4) was amended by the 1990 Act, s. 65(2); by the Health Act 1999 (c.8) ("the 1999 Act"), Schedule 4, paragraph 37(6) and by the Health and Social Care Act 2001 (c.15) ("the 2001 Act"), Schedule 5, paragraph 5(13)(b). As regards Wales, the functions of the Secretary of State under sections 29 and 126(4) of the 1977 Act are transferred to the National Assembly for Wales under article 2 of, and Schedule 1 to, the National Assembly for Wales (Transfer of Functions) Order 1999, S.I. 1999/672; section 68 of the 2001 Act provides that Schedule 1 shall be construed so as to include the amendments made by that Act to the 1977 Act; these Regulations therefore extend only to England.back

[2] S.I. 2004/585; amended by S.I. 2004/2694 and 2005/502 and 893.back

[3] S.I. 2005/ 3491back

[4] S.I. 1992/661.back

[5] S.I. 2005/2011.back

[6] 1978 c. 29.back

[7] S.I.1972/1265(N.I.14).back

[8] Section 28C was inserted by the National Health Service (Primary Care) Act 1997, s. 21(1) and amended by the 1999 Act, s.65(1) and Schedule 4, the 2001 Act, s.40 and Schedule 5 and the 2003 Act, s. 180 and Schedule 11, paragraph 14.back

[9] Section 28K was inserted by the 2003 Act, s. 172(1).back

[10] S.I. 2003/250.back

[11] 1984 c.24.back

[12] Section 14 is substituted by S.I. 2005/2001 from a date to be determined.back

[13] Sections 27 and 28 are substituted by S.I. 2005/2001 from a date to be determined.back

[14] Section 2 was amended by S.I. 2001/3926, art. 2 and 6(b) and by S.I. 2005/2011, article 4, from a date to be determined.back

[15] S.I. 2005/3361.back

[16] S.I. 2005/3373.back

[17] Sections 27B, 27C and 28 were inserted by the 2005 Order from a date to be determined.back

[18] Section 30 is substituted by S.I. 2005/2011 from a date to be determined.back

[19] Section 32 is substituted by S.I. 2005/2011 from a date to be determined.back

[20] Section 15(1)(b) was amended by S.I. 1996/1496, regulation 2(1).back

[21] S.I. 1999/260.back

[22] S.I. 2003/3190.back

[23] S.I. 2003/3279.back

[24] S.I. 2004/570.back

[25] S.I 2004/668.back

[26] S.I. 2005/500.back

[27] S.I. 2005/1447.back

[28] S.I. 2005/2415.back

[29] S.I. 2005/2531.back

[30] S.I. 1986/975; the definition was inserted by S.I. 2001/3739 and amended by S.I. 2002/1920.back

[31] S.I. 2001/3750; relevant amendments in relation to England are S.I. 2002/2469 and 2004/865.back

[32] S.I. 2002/3038.back

[33] S.I. 2002/3040.back

[34] S.I 2003/3060.back

[35] S.I. 2004/291.back

[36] S.I. 2004/627.back

[37] S.I. 2005/480.back

[38] S.I. 2005/641.back

[39] S.I. 2005/408.back

[40] S.I. 2003/ 250.back

[41] S.I. 2001/3750, as amended by S.I. 2002/1921 and 2469.back

[42] Regulation 20 was amended by S.I. 1998/224, 2000/2459, 2001/1677 and 2002/2469.back

[43] 1997 c.50.back



ISBN 0 11 073856 X


 © Crown copyright 2005

Prepared 30 December 2005


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