Statutory Instrument 1999 No. 609

      The National Health Service (Optical Charges and Payments) Amendment Regulations 1999


      © Crown Copyright 1999

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STATUTORY INSTRUMENTS


1999 No. 609

NATIONAL HEALTH SERVICE, ENGLAND AND WALES

The National Health Service (Optical Charges and Payments) Amendment Regulations 1999

  Made 8th March 1999 
  Laid before Parliament 9th March 1999 
  Coming into force 1st April 1999 

The Secretary of State for Health, in exercise of the powers conferred on him by section 126(4) of, and paragraph 2A of Schedule 12 to, the National Health Service Act 1977[1] and of all other powers enabling him in that behalf, hereby makes the following Regulations-

Citation, commencement and interpretation
     1.  - (1) These Regulations may be cited as the National Health Service (Optical Charges and Payments) Amendment Regulations 1999 and shall come into force on 1st April 1999.

    (2) In these Regulations, "the principal Regulations" means the National Health Service (Optical Charges and Payments) Regulations 1997[
2].

Amendment of regulation 1 of the principal Regulations
     2. In regulation 1 of the principal Regulations (interpretation)-

    (a) in paragraph (2), in the definition of "NHS sight test fee", for the amount "£39.04" substitute "£40.33" and for the amount "£14.10" substitute "£14.57";

    (b) in paragraph (2), for the definition "small glasses" substitute-

      " "small glasses" means glasses-

      (a) prescribed for a child who is under the age of 7 years at the date of issue of a voucher relating to those glasses where the voucher is issued on the same occasion as the prescription relating to those glasses is issued;

      (b) having a frame which is either custom made or a stock frame requiring extensive adaptation to ensure an adequate fit; and

      (c) having a boxed centre distance of no more than 55 millimetres, and for this purpose "box centre" is to be construed in accordance with Part 1 of British Standard 3521/91 (Terms relating to ophthalmic optics and spectacles frames) published by the British Standards Institution as effective immediately before 8th March 1999;";

    (c) in sub-paragraph (b) of paragraph (3), before the word "where" insert the words "subject to sub-paragraph (bb),";

    (d) after sub-paragraph (b) of paragraph (3), insert the following sub-paragraph-

      " (bb) where an optical appliance has a bifocal lens, the reading segment of which is more than 4 dioptres more powerful than the distance segment, the power of the lens shall be determined according to the power of the reading segment; and".

Amendment of regulation 8 of the principal Regulations
    
3. In regulation 8(2) of the principal Regulations (eligibility - supply of optical appliances), after the words "at the time of" insert the words "the payment for".

Amendment of regulation 9 of the principal Regulations
    
4. In regulation 9 of the principal Regulations (issue of vouchers by ophthalmic medical practitioners or opticians)-

Amendment of regulation 11 of the principal Regulations
    
5. For regulation 11 of the principal Regulations (issue of replacement vouchers by health authorities or NHS trusts) substitute the following regulation-

Amendment of regulation 12 of the principal Regulations
    
6. In regulation 12(1) of the principal Regulations (use of vouchers for supply of optical appliances), for "6 months" substitute "2 years".

Amendment of regulation 13 of the principal Regulations
    
7. In regulation 13 of the principal Regulations (payments to suppliers), in paragraph (2)(b), for "21(1)" substitute "27(1)".

Amendment of regulation 19 of the principal Regulations
    
8. In regulation 19 of the principal Regulations (redemption value of voucher for replacement or repair)-

Amendment of regulation 20 of the principal Regulations
    
9. In regulation 20 of the principal Regulations (payments to patients in respect of the supply, replacement or repair of optical appliances)-

Amendment of the Schedules to the principal Regulations
    
10.  - (1) For Schedule 1 to the principal Regulations (voucher letter codes and face values - supply and replacement), substitute the Schedule 1 set out in Part I of the Schedule to these Regulations.

    (2) In Schedule 2 to the principal Regulations (prisms, tints, photochromic lenses, small and special glasses and complex appliances)-

    (3) For Schedule 3 to the principal Regulations (voucher values - repair), substitute the Schedule 3 set out in Part II of the Schedule to these Regulations.

Revocation
    
11. In paragraph 1 of Schedule 2 to the principal Regulations-



Signed by authority of the Secretary of State for Health


John Denham
Minister of State, Department of Health

8th March 1999



SCHEDULE


PART I

Regulation 10(1)

SCHEDULE 1 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS








PART II

Regulation 10(3)

SCHEDULE 3 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS








EXPLANATORY NOTE

(This note is not part of the Regulations)


These Regulations further amend the National Health Service (Optical Charges and Payments) Regulations 1997 ("the principal Regulations"), which provide for payments to be made by means of a voucher system in respect of costs incurred by certain categories of persons in connection with the supply, replacement and repair of optical appliances.

Regulation 2 raises the two levels of NHS sight test fee and substitutes a new definition of "small glasses" in regulation 1(2). It also inserts a new regulation 1(3)(bb) to provide that, for the purposes of Schedule 1 to the principal Regulations, where an optical appliance has a bifocal lens, the reading segment of which is more than 4 dioptres more powerful than the distance segment, the power of the lens is determined by reference to the power of the reading segment.

Regulation 3 amends regulation 8(2) of the principal Regulations to provide that a person's status as an eligible person is determined by reference to the time when he pays for the supply of an optical appliance.

Regulation 4 inserts new paragraphs (1A) and (1B) in regulation 9 of the principal Regulations. These paragraphs set out the circumstances in which an ophthalmic medical practitioner or optician may issue a voucher to a patient who has had a recent sight test without needing to re-test his sight.

Regulation 5 substitutes a new regulation 11 which corrects typographical errors, increases to 2 years the period during which a patient may apply for a replacement voucher and provides for a Health Authority or NHS trust to authorise the issue of replacement voucher rather than itself issuing the replacement.

Regulation 6 increases to 2 years the period during which a patient may present a voucher to a supplier of optical appliances.

Regulation 7 corrects a typographical error in regulation 13(2)(b) of the principal Regulations.

Regulation 8 amends regulation 19 of the principal Regulations by uprating redemption values of vouchers for replacement or repair.

Regulation 9 amends regulation 20 of the principal Regulations. The regulation corrects a typographical error in regulation 20(1) and it amends regulation 20(3) to provide that a claim for payment under regulation 20 must be made by a patient within 3 months after the date on which he paid for the supply, replacement or repair of the optical appliance in respect of which he makes the claim. Regulation 9 also inserts new paragraph (3A) which provides that a patient who pays by instalments for the supply, replacement or repair of an appliance and who makes a claim under regulation 20(2) must make that claim within 3 months of the payment of the first instalment. New paragraph (7) is also inserted which provides that the responsible authority must make a payment to the patient in respect of his claim no earlier than the date on which the total value of the instalments paid is at least equivalent to the value of the voucher to which he would have been entitled.

Regulation 10(1) and Part I of the Schedule substitute a new Schedule 1 in the principal Regulations. Regulation 10(2) amends Schedule 2 to the principal Regulations and regulation 10(3) and Part II of the Schedule substitute a new Schedule 3 in the principal Regulations.

Regulation 11 revokes the provisions in Schedule 2 to the principal Regulations concerning the issue or completion by NHS trusts of vouchers in respect of photochromic lenses.


Notes:

[1] 1977 c. 49; 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 126(4) was amended by the 1990 Act, section 65(2). Paragraph 2A of Schedule 12 was inserted by the Health and Social Security Act 1984 (c. 48), Schedule 1, Part I, paragraph 3 and amended by the Health and Medicines Act 1988 (c. 49), section 13(2) and (3).back

[2] S.I. 1997/818. Relevant amending instruments are S.I. 1997/2488 and 1998/499.back



ISBN 0 11 082154 8


 
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Prepared 23 March 1999