The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 No. 358 (W.46)

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STATUTORY INSTRUMENTS

2006 No. 358 (W.46)
NATIONAL HEALTH SERVICE, WALES
The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006

	Made	14 February 2006
	Coming into force	1 March 2006

The National Assembly for Wales, in exercise of the powers conferred by sections 28R, 28S, 28V, 28W, 28X and 126(4) of the National Health Service Act 1977[1] and section 4(5) of the National Health Service and Community Care Act 1990[2] hereby makes the following Regulations:

PART 1
GENERAL
Title, commencement, application and interpretation
     1. —(1) The title of these Regulations is the National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 and they come into force on 1 March 2006.

    (2) These Regulations apply in relation to Wales.

    (3) In these Regulations—

"GMS Contracts (Wales) Regulations" means the National Health Service (General Medical Services Contracts) (Wales) Regulations 2004[

PART 2
AMENDMENT OF THE GMS CONTRACTS (WALES) REGULATIONS
Amendment of regulation 2 of the GMS Contracts (Wales) Regulations
     2. —(1) Regulation 2(1) (interpretation) of the GMS Contracts (Wales) Regulations is amended as provided in the following paragraphs.

    (2) In the definition of "adjudicator" for "paragraph 101(5)" substitute "paragraph 99(5)".

    (3) In the definition of "bank holiday", after "proclaimed as a bank holiday" insert "in England and Wales".

    (4) In the definition of "general medical practitioner"—

(a) after "means" insert ", unless the context otherwise requires";

(b) in paragraph (a), omit "otherwise than by virtue of paragraph 1(d) of Schedule 6 to that Order";

(c) in paragraph (b)(i), after "Health and Personal Social Services (Northern Ireland) Order 1978", insert "or a person who has an acquired right to practise as a general medical practitioner pursuant to regulation 5(1)(d) of the Vocational Training for General Medical Practice (European Requirements) Regulations 1994[

(5) For the definition of "GP Registrar", substitute—

" "GP Registrar" means a medical practitioner who is being trained in general practice by—

(b) from the coming into force for all purposes of that article, a general medical practitioner who is approved under that article for the purpose of providing training under article 5(1)(c)(i) of the 2003 Order, whether as part of training leading to the award of a CCT or otherwise;".

    (6) Omit the definition of "GP Trainer".

    (7) In the definition of "immediate family member", after "spouse" insert "or civil partner".

    (8) Omit the definition of "NCAA".

    (9) After the definition of "normal hours" insert—

(10) In the definition of "out of hours services", in paragraph (a), after "if provided" insert "by a contractor to its registered patients".

(11) In the definition of "supplementary prescriber"—

(v) the register of optometrists maintained by the General Optical Council in pursuance of section 7 of the Opticians Act 1989[9], and";

(d) In paragraph (c), after "an annotation" insert "or entry".

Amendment of regulation 4 of the GMS Contracts (Wales) Regulations
3. In regulation 4 (conditions relating solely to medical practitioners) of the GMS Contracts (Wales) Regulations, add—

" (4) In paragraph (1), (2)(a) and (3)(a), "general medical practitioner" does not include—

(a) from the coming into force of article 10 of the 2003 Order, a medical practitioner whose name is included in the General Practitioner Register by virtue of—

(b) until the coming into force of article 10 of the 2003 Order, a medical practitioner who either—

(i) until the coming into force of paragraph 22 of Schedule 8 to that Order—

(aa) has an acquired right to practise as a general medical practitioner pursuant to regulation 5(1)(a) of the Vocational Training for General Medical Practice (European Requirements) Regulations 1994[

(ii) upon the coming into force of that paragraph of that Schedule to that Order, is an eligible general practitioner pursuant to that paragraph by virtue of an acquired right under the provisions listed in sub-paragraph (a)(i) to (iii).

(5) The regulations referred to in paragraph (4)(a)(iii) and (b)(i)(bb) are the National Health Service (Vocational Training for General Medical Practice) Regulations 1997[11], the National Health Service (Vocational Training for General Medical Practice) (Scotland) Regulations 1998[12] and the Medical Practitioners (Vocational Training) Regulations (Northern Ireland) 1998[13].

(6) In paragraph (4), "restricted services principal" has the same meaning as in the 2003 Order[14].".

(i) for "Assembly's" substitute "(Assembly's";

(ii) delete "payments".

Amendment of regulation 24 of the GMS Contracts (Wales) Regulations
     9. In regulation 24(4) (fees and charges) of the GMS Contracts (Wales) Regulations for "paragraph (e)" substitute "paragraph 1(e)".

Amendment of Schedule 2 to the GMS Contracts (Wales) Regulations
     10. —(1) Schedule 2 (additional services) to the GMS Contracts (Wales) Regulations shall be amended as provided in the following paragraphs.

    (2) In paragraph 2 (cervical screening), in sub-paragraph (2), for paragraph (a) substitute—

(3) After sub-paragraph (2) of paragraph 2 insert—

" (2A) For the purposes of paragraph (2) "relevant patients" means female patients on the contractor's patient list who have been identified by Velindre NHS Trust as suitable candidates for a cervical screening test."

    (4) In paragraph 4 (vaccinations and immunisations) of Schedule 2 to the GMS Contracts (Wales) Regulations, in paragraph (2)(a), for "influenza vaccination" substitute "influenza and pneumococcal vaccinations".

Amendment of Schedule 6 to the GMS Contracts (Wales) Regulations
     11. —(1) Schedule 6 (other contractual terms) to the GMS Contracts (Wales) Regulations shall be amended as provided in the following paragraphs.

    (2) After paragraph 1 (premises), insert—

" Telephone services

1A.

—(1) From 1 April 2006 the contractor shall not be a party to any contract or other arrangements under which the number for telephone services to be used—

starts with the digits 087, 090 or 091 or consists of a personal number, unless the service is provided free to the caller.

(2) In this paragraph, "personal number" means a telephone number which starts with the number 070 followed by a further 8 digits.".

(3) In paragraph 7 (clinical reports), at the end insert—

" (3) This paragraph does not apply in relation to out of hours services provided by a contractor on or after 1 March 2006.".

(4) In paragraph 11 (standards for out of hours services) after the word "must" insert the words “have regard to and omit "meet".

(5) After paragraph 11 (standards for out of hours services), insert—

" Supply of medicines etc. by contractors providing out of hours services

11A.

—(1) In this paragraph—

"the Charges Regulations" means the National Health Service (Charges for Drugs and Appliances) (Wales) Regulations 2001[

"complete course" means the course of treatment appropriate to the patient's condition, being the same as the amount that would have been prescribed if the patient had been seen during core hours;

"necessary drugs, medicines and appliances" means those drugs, medicines and appliances which the patient requires and for which, in the reasonable opinion of the contractor, and in the light of the patient's medical condition, it would not be reasonable in all the circumstances for the patient to wait until such time as he or she could obtain them during core hours;

"out of hours performer" means a prescriber, a person acting in accordance with a Patient Group Direction or any other health professional employed or engaged by the contractor who can lawfully supply a drug, medicine or appliance, who is performing out of hours services under the contract;

"supply form" means a form provided by a Local Health Board and completed by or on behalf of the contractor for the purpose of recording the provision of drugs, medicines or appliances to a patient during the out of hours period.

(2) Where a contractor whose contract includes the provision of out of hours services has agreed with the Local Health Board that its contract should also include the supply of necessary drugs, medicines and appliances to patients at the time that it is providing them with out of hours services, the contractor shall comply with the requirements in sub-paragraphs (3) to (5).

(3) The contractor shall ensure that an out of hours performer—

(4) The out of hours performer shall record on a separate supply form for each patient any drugs, medicines or appliances supplied to the patient provided that a single supply form may be completed where the out of hours performer supplies necessary drugs, medicines or appliances to two or more persons in a school or other institution in which at least 20 persons normally reside, when the out of hours performer may write on the supply form the name of the school or institution rather than the name of the individual patient.

(5) The out of hours performer shall—

to produce satisfactory evidence of such entitlement, unless the declaration is in respect of entitlement to exemption by virtue of regulation 8(1) of the Charges Regulations, and at the time of the declaration the out of hours performer already has such evidence available to him or her; and

(b) if no satisfactory evidence is produced to him or her (and, where it is relevant, none is already available to him or her as mentioned in paragraph (a)), endorse the supply form to that effect.

    (6) Subject to paragraph (7), nothing in this paragraph shall prevent an out of hours performer supplying a Scheduled drug or a restricted availability appliance in the course of treating a patient under a private arrangement.

    (7) The provisions of regulation 24 (fees and charges) apply in respect of the supply of necessary drugs, medicines and appliances as they apply in respect of prescriptions for drugs, medicines and appliances. “.

    (6) In paragraph 19 (removal from the list at the request of the patient) in sub-paragraph (5), for "(9), 21(6) and (7), 23 and 26," substitute "(10), 21(6) and (7), 23, 26 and 28".

    (7) In paragraph 31 (rejection of closure notice by the Local Health Board), after sub-paragraph (8) insert—

(8C) If the contractor's list of patients has re-opened pursuant to sub-paragraph (8B)(a), it shall nevertheless close again if, during the period specified by the assessment panel as the period for which the list should remain closed, the number of the contractor's registered patients rises to the number specified by the assessment panel in accordance with sub-paragraph (8)(b) as the number of registered patients which, if that number were reached, would trigger the re-closure of the contractor's list of patients.

(8D) Except in cases where the contractor's list of patients is already open pursuant to paragraph (8B), the Local Health Board shall notify the contractor in writing between seven and fourteen days before the expiry of the closure period specified in paragraph (8A), confirming the date on which the contractor's list of patients will re-open.".

    (8) In paragraph 36 (assignments to closed lists NHS dispute resolution procedure relating to determinations of the assessment panel), in sub-paragraph (13) for "him" substitute "it".

    (9) In paragraph 40 (repeatable prescribing services), in sub-paragraph (2), omit paragraph (a).

    (10) In paragraph 43 (restrictions on prescribing by supplementary prescribers) omit sub-paragraphs (2)(b), (4)(c) and (f) and (6).

    (11) In paragraph 48 (consent to dispense), in sub-paragraph (6)(a), for "paragraph (2)" substitute "paragraph (1)(c)".

    (12) In paragraph 49 (terms relating to the provision of dispensing services), for sub-paragraph (8) substitute—

(13) In paragraph 52 (qualifications of performers), in sub-paragraph (2)—

(b) at the end, add—

    (14) In paragraph 63 (arrangements for GP Registrars), in sub-paragraph (1), omit "for the purpose of being trained by a GP Trainer with the agreement of the Assembly and".

    (15) In paragraph 67 (appraisal and assessment, in sub-paragraph (1)(b), for "NCAA" substitute "NPSA".

    (16) In paragraph 71, for sub-paragraph (2) substitute—

    (17) In paragraph 72 (patient records), in sub-paragraph (4)(c), for ""Good Practice Guidelines for General Practice Electronic Patient Records" published on 26 September 2003", substitute, ""Good Practice Guidelines for General Practice Electronic Patient Records (Version 3.1)" published on 29 July 2005[21]."

    (18) Omit paragraph 73 (access to records for the purpose of the Quality Information Preparation Scheme).

    (19) In paragraph 76 (provision of information), at the end insert—

(20) In paragraph 79 (annual return and review)—

(b) at the end insert—

(21) In paragraph 83 (notice provisions specific to a contract with a company limited by shares)—

(b) after sub-paragraph (2), insert—

(22) In paragraph 89 (entry and inspection by the Commission for Healthcare Audit and Inspection and by the National Assembly for Wales) for "enter and inspect the premises in accordance with section 66 and 73" substitute " exercise their functions in accordance with sections 66, 67, 72 and 73".

(23) In paragraph 96 (provision of information about complaints)—

    (24) In paragraph 99 (NHS dispute resolution procedure), in sub-paragraph (6), after "the matter", in both places where it occurs, insert "under dispute".

    (25) In paragraph 102 (variation of a contract : general) in sub-paragraph (1) insert a comma after "Schedule 3" and the words "of this Schedule" after "115".

    (26) In paragraph 103 (variation provisions specific to a contract with an individual medical practitioner) in sub-paragraph (2), before "proposing" insert "is".

    (27) In paragraph 104 (variation provisions specific to a contract with two or more individuals practising in partnership)—

(28) After paragraph 105 (termination by agreement), insert—

Termination on the death of an individual medical practitioner

105A.

—(1) Where the contract is with an individual medical practitioner and that practitioner dies, the contract shall terminate at the end of the period of seven days after the date of the practitioner's death unless, before the end of that period—

(2) In sub-paragraph (1), "general medical practitioner" has the same meaning as in regulation 4(1).

(3) Sub-paragraph (1) does not affect any other rights to terminate the contract which the Local Health Board may have under paragraphs 112 to 115.".

(29) In paragraph 109 (termination by the Local Health Board for breach of conditions in regulation 4)—

(a) in sub-paragraph (1), insert at the beginning "Subject to sub-paragraph (1A),";

(b) after sub-paragraph (1) insert—

" (1A) Where the failure of an individual medical practitioner to continue to satisfy the condition specified in regulation 4(1) is the result of a suspension specified in sub-paragraph (3B), sub-paragraph (1) shall not apply unless—

(c) in sub-paragraph (2), insert at the beginning "Except in a case to which paragraph 106(4) applies,";

(d) in sub-paragraph (3), for "of up to six months" substitute "in accordance with paragraph (3A)";

(e) after sub-paragraph (3) insert—

" (3A) The period specified by the Local Health Board under sub-paragraph (3)(b) shall not exceed—

(3B) The suspensions referred to in sub-paragraphs (1A) and (3A)(b) are suspension—

(a) by a Fitness to Practise Panel under—

(i) section 35D (functions of a fitness to practise panel) of the Medical Act 1983[

(b) by a Fitness to Practise Panel or an Interim Orders Panel under section 41A (interim orders) of that Act.

(3C) In paragraph (3B), "health case" has the meaning given in section 35E(4) of the Medical Act 1983"; and

(30) In paragraph 110 (termination by the Local Health Board for the provision of untrue etc. information) for the words "by the contractor before the contract" to the end substitute—

" by the contractor—

(31) In paragraph 111 (other grounds for termination by the Local Health Board)—

    (32) In paragraph 117 (termination and the NHS dispute resolution procedure), in sub-paragraph (1), for "or 113(4) or (6)" substitute "113(4) or (6) or 114(2)".

    (33) In paragraph 120 (insurance), in sub-paragraph (3)(b) for "an employee of its in connection with clinical services which that employee" substitute "a person employed or engaged by it in connection with clinical services which that person".

    (34) In paragraph 122 (gifts), in sub-paragraph (2)(f), after "spouse" insert "or civil partner".

Amendment of schedule 7 to the GMS Contracts (Wales) Regulations
     12. In paragraph 5 (immediate withdrawal of approval other than following review)—

(i) in sub-paragraph (2) for "(1)(b) and (c)" substitute "(1)(a) and (b)";

(ii) in sub-paragraph (3) for "1(c)" substitute "(1)(b)".

Amendment of Schedule 9 to the GMS Contracts (Wales) Regulations
13. Schedule 9 (Local Health Boards specified for the purposes of repeatable prescribing) to the GMS Contracts (Wales) Regulations is omitted.

PART 3

TRANSITIONAL PROVISION
Transitional provision relating to regulation 4 of the GMS Contracts (Wales) Regulations

14.

—(1) This regulation applies where, in relation to a general medical services contract entered into before 1 March 2006, the only person who counted as the general medical practitioner for the purposes of regulation 4(1), (2)(a) or (3)(a) of the GMS Contracts (Wales) Regulations falls within regulation 4(4) of those Regulations as inserted by regulation 3 of these Regulations.

(2) A Local Health Board shall not terminate a general medical services contract under paragraph 109 of Schedule 6 to the GMS Contracts (Wales) Regulations on the grounds that the person referred to in paragraph (1) no longer falls within the definition of general medical practitioner for the purposes of regulation 4(1), (2)(a) or (3)(a) of the GMS Contracts (Wales) Regulations as amended by these Regulations.

PART 4
Amendment of regulation 2 of the Performers Lists (Wales) Regulations

15.

In regulation 2 (interpretation and modification) of the Performers Lists (Wales) Regulations, after the definition of "notice" insert ""the NPSA" means the National Patient Safety Agency established as a special health authority under section 11;".

Amendment of regulation 4 of the Performers Lists (Wales) Regulations
16. In regulation 4 (application for inclusion in a performers list) of the Performers Lists (Wales) Regulations—

(a) in paragraph (3)(d) (application for inclusion in a performers list) for "NCAA" substitute "NPSA".

(b) for paragraph (4)(d) and (e) substitute—

" (d) has accepted a conditional offer under section 302 of the Criminal Procedure (Scotland) Act 1995[

Amendment of regulation 6 of the Performers Lists (Wales) Regulations
17. In regulation 6 (decisions and grounds for refusal) of the Performers Lists (Wales) Regulations, in paragraph (4)(f), for "to which Part I of the Sexual Offences Act 1997 applies, or if it had been committed in England or Wales, would have applied" substitute "for the purposes of Part 2 of the Sexual Offences Act 2003[26], or if it had been committed in England and Wales, would have been such an offence".

Amendment of regulation 9 of the Performers Lists (Wales) Regulations
18. In regulation 9 (requirements with which a performer in a performers list must comply) of the Performers Lists (Wales) Regulations, for paragraph (1)(d) and (e) substitute—

" (d) has accepted a conditional offer under section 302 of the Criminal Procedure (Scotland) Act 1995[

Amendment of regulation 11 of the Performers Lists (Wales) Regulations
19. In regulation 11 (criteria for a decision on removal) of the Performers Lists (Wales) Regulations—

(a) in paragraph (2)(f), for "to which Part I of the Sexual Offences Act 1997 applies, or if it had been committed in England and Wales, would have applied" substitute "for the purposes of Part 2 of the Sexual Offences Act 2003, or if it had been committed in England and Wales, would have been such an offence".

(b) In paragraph (6)(e) after "NCAA" insert "on or before 31 March 2005 or thereafter by the NPSA".

Amendment of regulation 16 of the Performers Lists (Wales) Regulations
20. In regulation 16(2)(g) (notification) of the Performers Lists (Wales) Regulations, for "NCAA" substitute "NPSA".

Amendment of regulation 20 of the Performers Lists (Wales) Regulations
21. In regulation 20(1)(f) (disclosure of information) of the Performers Lists (Wales) Regulations, for "NCAA" substitute "NPSA".

Signed on behalf of the National Assembly for Wales under section 66(1) of the Government of Wales Act 1998[29]

John Marek
The Deputy Presiding Officer of the National Assembly for Wales

14 February 2006

EXPLANATORY NOTE

(This note is not part of the Regulations)

These Regulations make amendments to certain regulations relating to general medical services contracts in Wales and to the NHS (Performers Lists) (Wales) Regulations 2004.

Part 2 amends the National Health Service (General Medical Services Contracts) (Wales) Regulations 2004 (the GMS Contracts (Wales) Regulations). In particular—

— it widens the definition of general medical practitioner in regulation 2 of the GMS Contracts (Wales) Regulations to cover all medical practitioners who are included in the General Practitioner Register or who, prior to coming into force of that Register, are suitably experienced within the meaning of section 31 of the National Health Service Act 1977 ("the 1977 Act") or have an acquired right to practise (regulation 2(4));

— it provides that provisions that relate to a spouse will also relate to a civil partner to take into account the effect of the Civil Partnerships Act 2004 (regulations 2(7) and 11(34));

— it amends the definition of supplementary prescriber to include chiropodists, podiatrists, physiotherapists and radiographers and optometrists in the list of those who may be so recognised (regulation 2(10));

— it restricts the categories of general medical practitioner who, under regulation 4 of the GMS Contracts (Wales) Regulations, can act as the mandatory medical practitioner for the purposes of a general medical services contract (regulation 3). It excludes from that role practitioners who, prior to 1 April 2004 were restricted services principals or who were not considered to be suitably experienced for the purposes of operating as a principal in the provision of general medical services under section 29 of the 1977 Act;

— regulations 4 to 10 make provision for a number of minor corrections and amendments;

— it bans the use of telephone services for the purposes of general medical services contracts which make use of national rate numbers (starting with 087), premium rate numbers (starting with 090) or personal numbers (starting with 070) (regulation 11(2));

— it disapplies the provisions relating to clinical reports in the case of out of hours services (regulation 11(3));

— it inserts provisions to enable the supply of medicines to patients by providers of out of hours services where certain conditions are met (regulation 11(5));

— it amends paragraph 31 of Schedule 6 to the GMS Contracts (Wales) Regulations to enable a contractor's list of patients which has been closed as a result of a determination by an assessment panel to re-open by agreement before the end of the closure period specified by that panel and, in certain circumstances, to re-close again during that period (regulation 11(7));

— it removes the restrictions preventing supplementary prescribers from prescribing controlled drugs or unlicensed medicines (regulations 11(10));

— it amends the circumstances in paragraph 52 of Schedule 6 in which a GP Registrar can perform medical services under a contract without being included in a medical performers list (regulation 11(13)). It brings them into line with those in regulation 22(3) of the National Health Service (Performers Lists) (Wales) Regulations 2004;

— it removes the requirement in paragraph 63 of Schedule 6 for the National Assembly for Wales to consent to the employment of a GP Registrar (regulation 11(14));

— it removes the provision relating to the Quality Information Preparation Scheme (regulation 11(18));

— it inserts in paragraph 76 of Schedule 6 a timescale for the provision of information by contractors to the Local Health Board (regulation 11(19));

— it clarifies the timescale for the submission of annual returns to Local Health Boards under paragraph 79 of Schedule 6 (regulation 11(20));

— regulation 11(21) requires contractors who are companies limited by shares to notify the Local Health Board of a change of director or secretary and enables the Local Health Board to terminate the contract if untrue information is given about the compliance of that director or secretary with the conditions in regulation 5 of the GMS Contracts (Wales) Regulations;

— regulation 11(23) disapplies the provision relating to the provision of information about complaints in the case of out of hours services which are covered by the quality requirements referred to in paragraph 11 of Schedule 6 ;

— it enables a Local Health Board to vary a contract to allow it to continue at least for an interim period after the death of a partner in a two-handed partnership even where the remaining individual is not a medical practitioner (regulation 11(27));

— it provides that a contract with an individual medical practitioner shall terminate seven days after that practitioner's death unless before then arrangements have been made for it to continue for a further short period (regulation 11(28));

— it enables a Local Health Board to continue a contract for a limited period with a medical practitioner who no longer meets the conditions in regulation 4 if:

— it clarifies that the grounds for termination of the contract in paragraph 111 of Schedule 6 to the GMS Contracts (Wales) Regulations only apply to partners, shareholders and directors who join the contracting body after the start of the contract in respect of circumstances which arise after they have so joined (regulation11(31));

— regulation 11(33) amends paragraph 120 of Schedule 6 to provide that, for the purpose of meeting its obligation of holding adequate insurance, a contractor can rely on insurance held by a person engaged by it as well as by an employee;

— regulation 12 corrects minor errors in Schedule 7 to the GMS Contracts (Wales) Regulations.

Part 3 of the Regulations makes transitional provision in relation to the removal by regulation 3 of the right of certain persons to be the mandatory general medical practitioner for the purposes of a general medical services contract. It provides that where such a person has been the mandatory medical practitioner for the purposes of a general medical services contract entered into before the date of coming into force of these Regulations, the contract will not be able to be terminated for breach of the amended requirements (regulation 14).

Part 4 of the Regulations makes a number of minor amendments to the NHS (Performers Lists) (Wales) Regulations 2004.

Notes:

[1] 1977 c.49; sections 28R, 28S, 28V and 28W were inserted by section 175(1) of the Health and Social Care (Community Health ands Standards) Act 2003 (c.43) ("the 2003 Act"); section 28X was inserted by section 179(1) of the 2003 Act; section 126(4) was amended by the National Health Service and Community Care Act 1990 (c.19) ("the 1990 Act"), section 65(2), the Health Act 1999 (c.8), Schedule 4, paragraph 37(6) and the Health and Social Care 2001 (c.15), Schedule 5, paragraph 5(13)(b).back

[2] 1990 c.19.back

[3] S.I. 2004/478 (W.48).back

[4] S.I. 2004/1020 (W.117) as amended by S.I. 2005/258 (W.24).back

[5] S.I. 1994/3130; regulation 5 was amended by S.I. 1997/2817 and modified by article 117 of S.I. 2004/865. The whole Regulations are prospectively revoked by S.I. 2003/1250, article 31(5) and Schedule 10, Part 2.back

[6] S.I. 1997/2817 as amended by S.I. 1998/669 and modified by article 118 of S.I. 2004/865.back

[7] S.I. 2001/1743 as amended by S.I.2003/1077 and S.I.2005/504.back

[8] S.I. 2002/254 as amended by S.I.2004/2033.back

[9] 1989 c.44.back

[10] S.I. 1994/3130 as amended by S.I. 1997/2817 and 2003/3148. The whole Regulations are prospectively revoked by S.I. 2003/1250, article 31(5) and Part 2 of Schedule 10.back

[11] S.I. 1997/2817 as amended by S.I. 1998/669 and 2003/3148 and modified by S.I. 2004/865, article 118. The whole Regulations are prospectively revoked by S.I. 2003/1250, article 31(5) and Part 2 of Schedule 10.back

[12] S.I. 1998/5 as amended by S.I. 1998/669 and S.S.I. 2000/23 and modified by S.S.1. 2004/163, article 101. The whole Regulations are prospectively revoked by S.I. 2003/1250, article 31(5) and Part 2 of Schedule 10.back

[13] S.R. 1998/13 as modified by S.R. 2004/156, Article 93. The whole Regulations are prospectively revoked by S.I. 2003/1250, article 31(5) and Part 2 of Schedule 10.back

[14] The definition of "restricted services principal" was substituted, for England, by S.I. 2004/865, for Scotland, by S.I. 2004/226, for Northern Ireland, by S.I 2004/3038 and for Wales, by S.I. 2004/1016.back

[15] S.I.2001/1358 (W.86). Relevant amending instruments are S.I.2001/2539 (W.196), 2004/1018 (W.115), 2004/1605 (W.164), 2005/427 (W.44) and 2005/1915 (W.158)back

[16] S.I. 1997/1830; relevant amending instruments are S.I. 2000/1917 and 2003/2915.back

[17] S.I. 2004/1022 (W.119) as amended by S.I. 2005/366 (W.32).back

[18] Regulation 4(1) was amended by S.I. 2005/427 (W.44) and 2005/1915 (W.158) which contains additional prospective amendments to regulation 4(1) with effect from 1st April 2006..back

[19] S.I. 1988/551 as amended by S.I. 1989/394, 517 and 614, 1990/548, 918 and 661, 1991/557, 1992/1104, 1993/608, 1995/642 and 2352, 1996/410, 1346 and 2362, 1997/748 and 2393, 1998/417, 1999/767 and 2840, 2001/1397 and 3322 a 2003/975.back

[20] S.I. 2004/1020 (W.117).back

[21] This document is available on the following website address: www.dh.gov.uk/PolicyAndGuidance/OrganisationPolicy/PrimaryCare/PrimaryCareComputing.back

[22] S.I. 2004/1016 (W.113).back

[23] 1983 c.54; section 35D was inserted by and sections 38(1) and 41A substituted by S.I. 2002/3135.back

[24] 1995 c.46.back

[25] 1992 c.5; section 115A was inserted by section 15 of the Social Security Administration (Fraud) Act 1997 (c.47).back

[26] 2003 c.42.back

[27] 1995 c.46.back

[28] 1992 c.5; section 115A was inserted by section 15 of the Social Security Administration (Fraud) Act 1997 (c.47).back

[29] 1998 c.38.back

Cymraeg (Welsh)

ISBN 0 11 091277 2

Prepared 24 February 2006

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URL: http://www.bailii.org/wales/legis/num_reg/2006/20060358e.html

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	Statutory Instruments made by the National Assembly for Wales
You are here: BAILII >> Databases >> Statutory Instruments made by the National Assembly for Wales >> The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (Wales) Regulations 2006 No. 358 (W.46) URL: http://www.bailii.org/wales/legis/num_reg/2006/20060358e.html