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The Secretary of State for Health, in exercise of the powers conferred on him by section 65(1) and (2) of the Health and Social Care Act 2001[1] and all other powers enabling him in that behalf, hereby makes the following Regulations: Citation, commencement and application 1. - (1) These Regulations may be cited as the Abolition of the NHS Tribunal (Consequential Provisions) Regulations 2002 and shall come into force on 26th August 2002. (2) Regulations 1 to 7 apply to Wales only. (3) Regulations 8 to 11 apply to England only. Interpretation 2. In these Regulations -
(b) the date on which any appeal was withdrawn, (c) the date on which a court upheld the Tribunal's local or national disqualification decision on appeal,
as the case may be;
(b) in a pharmacist case, the date on which the first regulations made under section 42 of the 1977 Act come into force after the commencement of section 20(6) of the 2001 Act;
Local disqualification decisions made before the relevant date
(b) an appeal against that disqualification was concluded before that date and was not successful or was withdrawn before that date,
he shall be treated from the relevant date as having been removed from a Health Authority's list in accordance with section 49M(6)(a) of the 1977 Act[9].
(b) an appeal was concluded before that date and was not successful or was withdrawn before that date,
he shall be treated from the relevant date as having had a national disqualification imposed on him by the FHSAA under section 49N(1) of the 1977 Act.
(ii) the date on which a national disqualification decision was upheld by a court,
whichever is the later; or
and thereafter, subject to paragraph (3), section 49N(8)(b) of the 1977 Act shall apply in his case.
(b) the decision of a professional, licensing or regulatory body has been quashed or the penalty has been reduced on appeal,
the period specified in paragraph (2) which applies before a review may be undertaken shall be reduced to the period that has already elapsed.
(b) the decision of a professional, licensing or regulatory body has been quashed or the penalty has been reduced on appeal,
the period of two years specified in section 49N(8)(a) of the 1977 Act which applies before a first review may be undertaken shall be reduced to the period that has already elapsed.
(b) withdraws an appeal after that date, or (c) files an appeal within an appeal period ending after that date,
any suspension pending appeal direction, if given, shall continue to apply, and paragraphs (3) and (4) of regulation 6 shall apply in his case.
(b) the Health Authority may proceed in relation to the person under section 49F of the 1977 Act.
(2) Where before the relevant date the Tribunal has given a suspension direction in respect of a person to whom paragraph (1) applies, that person shall be treated with effect from the relevant date as having been suspended by the Health Authority under section 49I of the 1977 Act.
(b) a national disqualification on a person, he shall be treated as having had a national disqualification imposed on him by the FHSAA from the effective date and, subject to paragraph (5), section 49N(8)(a) of the 1977 Act shall apply in his case.
(5) Where the FHSAA states that it is of the opinion that there is a need for an immediate review because -
(b) the decision of a professional, licensing or regulatory body has been quashed or the penalty has been reduced on appeal,
the period of two years specified in section 49N(8)(a) of the 1977 Act which applies before a first review may be undertaken shall be reduced to the period that has already elapsed.
(b) under the definition of "a national disqualification" -
(ii) delete sub-paragraph (d);(bb)
(c) under the definition of "suspended" -
(ii) from "and shall be treated" to the end, substitute "and shall be treated as including a case where a person is treated as suspended by a Health Authority by virtue of regulation 6(2) of the Abolition of the Tribunal Regulations, or by virtue of regulation 6(2) of the Abolition of the Tribunal (Wales) Regulations, and "suspends" and "suspension" shall be construed accordingly;"
(d) for the definition of "the Tribunal", substitute ""the Tribunal" means the Tribunal constituted under section 46 of the Act[12] for England and Wales, and which, except for prescribed cases, had effect in relation to England only until 14th December 2001 and in relation to Wales, only until 26th August 2002[13].".
9.
In the National Health Service (General Medical Services) (Supplementary List) Regulations 2001[14], in regulation 2 (interpretation) -
(b) under the definition of "a national disqualification" -
(ii) delete sub-paragraph (d);
(c) under the definition of "suspended" -
(ii) from "and shall be treated" to the end, substitute "and shall be treated as including a case where a person is treated as suspended by a Health Authority by virtue of regulation 6(2) of the Abolition of the Tribunal Regulations, or by virtue of regulation 6(2) of the Abolition of the Tribunal (Wales) Regulations, and "suspends" and "suspension" shall be construed accordingly;"
(d) for the definition of "the Tribunal", substitute ""the Tribunal" means the Tribunal constituted under section 46 of the Act[16] for England and Wales, and which, except for prescribed cases, had effect in relation to England only until 14th December 2001 and in relation to Wales, only until 26th August 2002[17].".
10.
In the National Health Service (General Dental Services) Regulations 1992[18], in regulation 2 (interpretation) -
(b) under the definition of "a national disqualification" -
(ii) delete sub-paragraph (d);
(c) under the definition of "suspended" -
(ii) from "and shall be treated" to the end, substitute "and shall be treated as including a case where a person is treated as suspended by a Health Authority by virtue of regulation 6(2) of the Abolition of the Tribunal Regulations, or by virtue of regulation 6(2) of the Abolition of the Tribunal (Wales) Regulations, and "suspends" and "suspension" shall be construed accordingly;".
(d) for the definition of "the Tribunal", substitute ""the Tribunal" means the Tribunal constituted under section 46 of the Act[20] for England and Wales, and which, except for prescribed cases, had effect in relation to England only until 14th December 2001 and in relation to Wales, only until 26th August 2002[21].".
11.
In the National Health Service (General Ophthalmic Services) Regulations 1986[22], in regulation 2 (interpretation) -
(b) under the definition of "corresponding decision", delete the word "Wales,"; (c) under the definition of "national disqualification" -
(ii) delete sub-paragraph (d);
(d) under the definition of "suspended" -
(ii) from "and shall be treated" to the end, substitute "and shall be treated as including a case where a person is treated as suspended by a Health Authority by virtue of regulation 6(2) of the Abolition of the Tribunal Regulations, or by virtue of regulation 6(2) of the Abolition of the Tribunal (Wales) Regulations, and "suspends" and "suspension" shall be construed accordingly;"
(e) for the definition of "the Tribunal", substitute ""the Tribunal" means the Tribunal constituted under section 46 of the Act[24] for England and Wales, and which, except for prescribed cases, had effect in relation to England only until 14th December 2001 and in relation to Wales, only until 26th August 2002[25].".
(This note is not part of the Regulations) These Regulations make consequential provision in connection with the abolition of the NHS Tribunal in Wales with effect from 26th August 2002, the abolition being however subject to savings in accordance with article 2(2) and (3) of the Health and Social Care Act 2001 (Commencement No. 3) (Wales) Order 2002. They provide for the Tribunal to continue dealing with certain cases which were not concluded by that date, give effect to decisions in respect of such cases and also give continuing effect to decisions of the Tribunal made before that date. The Tribunal has powers under sections 46 to 49E of the National Health Service Act 1977 ("the 1977 Act") to suspend and to disqualify practitioners from the lists maintained by Health Authorities under Part II of the 1977 Act ("Part II lists") of practitioners in their areas who provide general medical, general dental, general ophthalmic or pharmaceutical services. However, with effect from 26th August 2002 Health Authorities in Wales will themselves have new powers in respect of such practitioners other than those providing pharmaceutical services, including powers to suspend or remove them from their Part II lists. Such practitioners then have a right of appeal to the Family Health Services Appeal Authority ("FHSAA") which also has the power to impose national disqualification on practitioners which prevents them joining any list provided for in section 49N(1) of the 1977 Act. Health Authorities will have these powers in relation to those providing pharmaceutical services at a future date, and these Regulations will then apply from that date in such cases. A person who has been disqualified by the Tribunal under the 1977 Act in relation to a single Health Authority before 26th August 2002, and whose right of appeal to the High Court has either lapsed or been exhausted by that date, will be treated from that date as having been removed by the Health Authority in question from its Part II list (regulation 3). A person who has been disqualified by the Tribunal under the 1977 Act in relation to all Health Authorities before 26th August 2002, and whose right of appeal to the High Court has either lapsed or been exhausted by that date, will be treated from that date as having had a national disqualification imposed on him by the FHSAA. Such a person also has the right to have that disqualification reviewed by the FHSAA subject to certain periods of time having first ended (regulation 4). Where the Tribunal has made a local or national disqualification under the 1977 Act before 26th August 2002 but the period within which an appeal to the High Court must be filed has not ended by that date, but no appeal is then filed, is filed and withdrawn or is unsuccessful, a person subject to a local disqualification will be treated as having been removed from a Health Authority's Part II list from the day after whichever of those events occurs ("the effective date"). A person subject to a national disqualification will be treated from the effective date as having had a national disqualification imposed by the FHSAA and will also have the right to have that disqualification reviewed by the FHSAA subject to certain periods of time having elapsed (regulation 5). Where proceedings under the 1977 Act commenced on or after 1st July 2002 they will cease to be dealt with by the Tribunal from 26th August 2002. Any suspension direction will be treated as a suspension by a Health Authority from that date and it becomes a matter for the Health Authority as to whether they exercise their new powers in relation to the practitioner (regulation 6(1) and (2)). Where proceedings commenced before 1st July 2002 they will continue to be dealt with by the tribunal until they are finally concluded. Thereafter, any local disqualification imposed by the Tribunal will be treated as a removal from a Health Authority list. A national disqualification will be treated as having been imposed by the FHSAA and the person then has the right to have that disqualification reviewed by the FHSAA subject to certain periods of time having elapsed (regulation 6(3) to (5)). All case files held by the Tribunal will be transferred to the FHSAA once cases are finally concluded (regulation 7). Regulations 8 to 11 provide for consequential amendments to the interpretation provisions in the National Health Service (General Medical Services) Regulations 1992, the National Health Service (General Medical Services) (Supplementary List) Regulations 2001, the National Health Service (General Dental Services) Regulations 1992 and the National Health Service (General Ophthalmic Services) Regulations 1986. These consequential amendments apply to England only. Notes: [1] 2001 c.15.back [3] See RSC Order 94, rule 8(3), Schedule 1 to the Civil Procedure Rules 1998.back [4] Section 49S was inserted into the National Health Service Act 1977 (c.49) ("the 1977 Act") by the Health and Social Care Act 2001 ("the 2001 Act"), section 27(1).back [5] S.I. 2002/1919 (c.60).back [6] Section 49A was inserted into the 1977 Act by the National Health Service (Amendment) Act 1995 (c.31) ("the 1995 Act").back [7] Section 49B was inserted into the 1977 Act by the 1995 Act, section 2(1).back [8] Section 46 of the 1977 Act was amended by the Health and Social Security Act 1984 (c.48), section 24 and Schedule 8, Part I, the Health Authorities Act 1995 (c.17), section 2(1) and Schedule 1, paragraph 34 and by the 1995 Act, sections 1, 2(2) and 3(2). The Tribunal is abolished by section 16 of the 2001 Act, with effect from 26th August 2002 subject to provision made by S.I. 2002/1919 (c.60), article 2(2) and (3).back [9] Sections 49F to 49R were inserted into the 1977 Act by section 25 of the 2001 Act.back [10] S.I. 1992/635. Relevant amending Regulations are S.I. 2001/3742.back [12] Section 46 was substituted by the Health Act 1999 c.8.back [13] See S.I. 2001/3738, article 2(5) and (6)(a) which sets out the prescribed cases for England and S.I. 2002/1919 (c.60), article 2(2) and (3)(a) which sets out the prescribed cases for Wales.back [14] S.I. 2001/3740. Relevant amending Regulations are S.I. 2002/848.back [16] Section 46 was substituted by the Health Act 1999 c.8.back [17] See S.I. 2001/3738, article 2(5) and (6)(a) which sets out the prescribed cases for England and S.I. 2002/1919 (c.60), article 2(2) and (3)(a) which sets out the prescribed cases for Wales.back [18] S.I. 1992/661. Relevant amending Regulations are S.I. 2001/3741.back [20] Section 46 was substituted by the Health Act 1999 c.8.back [21] See S.I. 2001/3738, article 2(5) and (6)(a) which sets out the prescribed cases for England and S.I. 2002/1919 (c.60), article 2(2) and (3)(a) which sets out the prescribed cases for Wales.back [22] S.I. 1986/975. Relevant amending Regulations are S.I. 2001/3739.back [24] Section 46 was substituted by the Health Act 1999 c.8.back [25] See S.I. 2001/3738, article 2(5) and (6)(a) which sets out the prescribed cases for England and S.I. 2002/1919 (c.60), article 2(2) and (3)(a) which sets out the prescribed cases for Wales.back
ISBN 0 11 042569 3
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