The National Health Service (General Medical Services Contracts) Regulations 2004

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"the 2003 Order" means the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003[3];

"Abolition of the Tribunal Regulations" means the Abolition of the National Health Service Tribunal (Consequential Provisions) Regulations 2001[4];

"Abolition of the Tribunal (Wales) Regulations" means the Abolition of the National Health Service Tribunal (Consequential Provisions) Regulations 2002[5];

"additional services" means one or more of - 

(a) cervical screening services,

(b) contraceptive services,

(c) vaccinations and immunisations,

(d) childhood vaccinations and immunisations,

(e) child health surveillance services,

(f) maternity medical services, and

(g) minor surgery;

"adjudicator" means the Secretary of State or a person or persons appointed by the Secretary of State under section 4(5) of the 1990 Act or paragraph 101(5) of Schedule 6;

"appliance" means an appliance which is included in a list for the time being approved by the Secretary of State for the purposes of section 41 of the Act;

"approved medical practice" shall be construed in accordance with section 11(4) of the Medical Act 1983[6];

"assessment panel" means a committee or sub-committee of a Primary Care Trust (other than the Primary Care Trust which is a party to the contract in question) appointed to exercise functions under paragraphs 31 and 35 of Schedule 6;

"bank holiday" means any day that is specified or proclaimed as a bank holiday pursuant to section 1 of the Banking and Financial Dealings Act 1971[7];

"batch issue" means a form provided by a Primary Care Trust and issued by a prescriber at the same time as a repeatable prescription to enable a chemist to receive payment for the provision of repeat dispensing services which is in the format specified in Part 2 of Schedule 1, and which - 

(a) is generated by a computer and not signed by a prescriber,

(b) relates to a particular repeatable prescription and contains the same dates as that prescription,

(c) is issued as one of a sequence of forms, the number of which is equal to the number of occasions on which the drugs, medicines or appliances ordered on the repeatable prescription may be provided, and

(d) specifies a number denoting its place in the sequence referred to in paragraph (c);

"CCT" means Certificate of Completion of Training awarded under article 8 of the 2003 Order, including any such certificate awarded in pursuance of the competent authority functions of the Postgraduate Medical Education and Training Board specified in article 20(3)(a) of that Order;

"cervical screening services" means the services described in paragraph 2(2) of Schedule 2;

"charity trustee" means one of the persons having the general control and management of the administration of a charity;

"chemist" means - 

(a) a registered pharmacist,

(b) a person lawfully conducting a retail pharmacy business in accordance with section 69 of the Medicines Act 1968[8], or

(c) a supplier of appliances,

who is included in the list of a Primary Care Trust or a Local Health Board under section 42 of the Act, or who provides local pharmaceutical services in accordance with LPS arrangements;

"child" means a person who has not attained the age of 16 years;

"child health surveillance services" means the services described in paragraph 6(2) of Schedule 2;

"childhood vaccinations and immunisations" means the services described in paragraph 5(2) of Schedule 2;

"closed", in relation to the contractor's list of patients, means closed to applications for inclusion in the list of patients other than from immediate family members of registered patients;

"contraceptive services" means the services described in paragraph 3(2) of Schedule 2;

"contract" means, except where the context otherwise requires, a general medical services contract under section 28Q of the Act;

"contractor's list of patients" means the list prepared and maintained by the Primary Care Trust under paragraph 14 of Schedule 6;

"core hours" means the period beginning at 8am and ending at 6.30pm on any day from Monday to Friday except Good Friday, Christmas Day or bank holidays;

"dispensing services" means the provision of drugs, medicines or appliances that may be provided as pharmaceutical services by a medical practitioner in accordance with arrangements made under regulation 20 of the Pharmaceutical Regulations[9];

"Drug Tariff" has the same meaning as in regulation 18 of the Pharmaceutical Regulations;

"enhanced services" are - 

(a) services other than essential services, additional services or out of hours services, or

(b) essential services, additional services or out of hours services or an element of such a service that a contractor agrees under the contract to provide in accordance with specifications set out in a plan, which requires of the contractor an enhanced level of service provision compared to that which it needs generally to provide in relation to that service or element of service;

"essential services" means the services required to be provided in accordance with regulation 15;

"FHSAA" means the Family Health Services Appeal Authority constituted under section 49S of the Act[10];

"general medical practitioner" means - 

(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 otherwise than by virtue of paragraph 1(d) of Schedule 6 to that Order, and

(b) until the coming into force of that article, a medical practitioner who is either - 


(i) until the coming into force of paragraph 22 of Schedule 8 to the 2003 Order, suitably experienced within the meaning of section 31(2) of the Act, section 21 of the National Health Service (Scotland) Act 1978[11] or Article 8(2) of the Health and Personal Social Services (Northern Ireland) Order 1978[12], or

(ii) upon the coming into force of paragraph 22 of Schedule 8 to the 2003 Order, an eligible general practitioner pursuant to that paragraph other than by virtue of having an acquired right under paragraph 1(d) of Schedule 6 to the 2003 Order;

"General Practitioner Register" means the register kept by the General Medical Council under article 10 of the 2003 Order;

"global sum" has the same meaning as in the GMS Statement of Financial Entitlements;

"GMS Statement of Financial Entitlements" means the directions given by the Secretary of State under section 28T of the Act[13];

"GP Registrar" - 

(a) until the coming into force of article 5 of the 2003 Order, means a medical practitioner who is being trained in general practice by a medical practitioner who - 


(i) has been approved for that purpose by the Joint Committee on Postgraduate Training for General Practice under regulation 7 of the National Health Service (Vocational Training for General Medical Practice) Regulations 1997[14], and

(ii) performs primary medical services, and



(b) from the coming into force of that article, means a medical practitioner who is being trained in general practice by a GP Trainer whether as part of training leading to the award of a CCT or otherwise;

"GP Trainer" means a general medical practitioner who is - 

(a) until the coming into force of article 4(5)(d) of the 2003 Order, approved as a GP Trainer by the Joint Committee on Postgraduate Training for General Practice under regulation 7 of the National Health Service (Vocational Training for General Medical Practice) Regulations 1997, or

(b) from the coming into force of that article, approved by the Postgraduate Medical Education and Training Board under article 4(5)(d) of the 2003 Order for the purposes of providing training to a GP Registrar under article 5(1)(c)(i);

"Health and Social Services Board" means a Health and Social Services Board established under the Health and Personal Social Services (Northern Ireland) Order 1972[15];

"Health and Social Services Trust" means a Health and Social Services Trust established under Article 10(1) of the Health and Personal Social Services (Northern Ireland) Order 1991[16];

"Health Board" means a Health Board established under section 2 of the National Health Service (Scotland) Act 1978;

"health care professional" has the same meaning as in section 28M of the Act[17] and "health care profession" shall be construed accordingly;

"health service body" has, unless the context otherwise requires, the meaning given to it in section 4(2) of the 1990 Act[18];

"immediate family member" means - 

(a) a spouse,

(b) a person (whether or not of the opposite sex) whose relationship with the registered patient has the characteristics of the relationship between husband and wife,

(c) a parent or step-parent,

(d) a son,

(e) a daughter,

(f) a child of whom the registered patient is - 


(i) the guardian, or

(ii) the carer duly authorised by the local authority to whose care the child has been committed under the Children Act 1989[19], or



(g) a grandparent;

"independent nurse prescriber" means a person - 

(a) who is either engaged or employed by the contractor or is party to the contract,

(b) who is registered in the Nursing and Midwifery Register, and

(c) in respect of whom an annotation signifying that he is qualified to order drugs, medicines and appliances from - 


(i) the Nurse Prescribers' Formulary for District Nurses and Health Visitors in Part XVIIB(i) of the Drug Tariff, or

(ii) the Nurse Prescribers' Extended Formulary in Part XVIIB(ii) of the Drug Tariff, is also recorded in that register;

"licensing authority" shall be construed in accordance with section 6(3) of the Medicines Act 1968[20];

"licensing body" means any body that licenses or regulates any profession;

"limited partnership" means a partnership registered in accordance with section 5 of the Limited Partnerships Act 1907[21];

"Local Medical Committee" means a committee recognised under section 45A of the Act[22];

"local pharmaceutical services" has the same meaning as in regulation 2 of the National Health Service (Local Pharmaceutical Services and Pharmaceutical Services) Regulations 2002[23];

"maternity medical services" means the services described in paragraph 7(1) of Schedule 2;

"medical card" means a card issued by a Primary Care Trust, Local Health Board, Health Authority, Health Board or Health and Social Services Board to a person for the purpose of enabling him to obtain, or establishing his title to receive, primary medical services;

"medical officer" means a medical practitioner who is - 

(a) employed or engaged by the Department for Work and Pensions, or

(b) provided by an organisation in pursuance of a contract entered into with the Secretary of State for Work and Pensions;

"medical performers list" means a list of medical practitioners prepared in accordance with regulations made under section 28X of the Act[24];

"Medical Register" means the registers kept under section 2 of the Medical Act 1983[25];

"minor surgery" means the services described in paragraph 8(2) of Schedule 2;

"NCAA" means the National Clinical Assessment Authority established as a Special Health Authority under section 11 of the Act;

"national disqualification" means - 

(a) a decision made by the FHSAA under section 49N of the Act[26],

(b) a decision under provisions in force in Scotland or Northern Ireland corresponding to section 49N of the Act, or

(c) a decision by the NHS Tribunal which is treated as a national disqualification by the FHSAA by virtue of regulation 6(4)(b) of the Abolition of the Tribunal Regulations or regulation 6(4)(b) of the Abolition of the Tribunal (Wales) Regulations;

"NHS contract" has the meaning assigned to it in section 4 of the 1990 Act;

"the NHS dispute resolution procedure" means the procedure for resolution of disputes specified - 

(a) in paragraphs 101 and 102 of Schedule 6; or

(b) in a case to which paragraph 36 of Schedule 6 applies, in that paragraph;

"the NHS Tribunal" means the Tribunal constituted under section 46 of the Act[27] 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[28];

"normal hours" means those days and hours on which and the times at which services under the contract are normally made available and may be different for different services;

"Nursing and Midwifery Register" means the register maintained by the Nursing and Midwifery Council under the Nursing and Midwifery Order 2001[29];

"open", in relation to a contractor's list of patients, means open to applications from patients in accordance with paragraph 15 of Schedule 6;

"out of hours period" means - 

(a) the period beginning at 6.30pm on any day from Monday to Thursday and ending at 8am on the following day,

(b) the period between 6.30pm on Friday and 8am on the following Monday, and

(c) Good Friday, Christmas Day and bank holidays,

and "part" of an out of hours period means any part of any one or more of the periods described in paragraphs (a) to (c);

"out of hours services" means services required to be provided in all or part of the out of hours period which - 

(a) would be essential services if provided in core hours, or

(b) are included in the contract as additional services funded under the global sum;

"parent" includes, in relation to any child, any adult who, in the opinion of the contractor, is for the time being discharging in respect of that child the obligations normally attaching to a parent in respect of his child;

"patient" means - 

(a) a registered patient,

(b) a temporary resident,

(c) persons to whom the contractor is required to provide immediately necessary treatment under regulation 15(6) or (8) respectively,

(d) any other person to whom the contractor has agreed to provide services under the contract,

(e) any person for whom the contractor is responsible under regulation 31, and

(f) any person for whom the contractor is responsible under arrangements made with another contractor in accordance with Schedule 7;

"PCT Patients' Forum" means a Patients' Forum established for a Primary Care Trust under section 15 of the National Health Service Reform and Health Care Professions Act 2002[30];

"Pharmaceutical Regulations" means the National Health Service (Pharmaceutical Services) Regulations 1992[31];

"pilot scheme" means an agreement made under Part 1 of the National Health Service (Primary Care) Act 1997[32];

"the POM Order" means the Prescription Only Medicines (Human Use) Order 1997[33];

"practice" means the business operated by the contractor for the purpose of delivering services under the contract;

"practice area" means the area referred to in regulation 18(1)(d);

"practice leaflet" means a leaflet drawn up in accordance with paragraph 76 of Schedule 6;

"practice premises" means an address specified in the contract as one at which services are to be provided under the contract;

"prescriber" means - 

(a) a medical practitioner,

(b) an independent nurse prescriber, and

(c) a supplementary prescriber,

who is either engaged or employed by the contractor or is a party to the contract;

"prescription form" means a form provided by the Primary Care Trust and issued by a prescriber to enable a person to obtain pharmaceutical services or local pharmaceutical services and does not include a repeatable prescription;

"prescription only medicine" means a medicine referred to in article 3 of the POM Order (medicinal products on prescription only);

"primary care list" means - 

(a) a list of persons performing primary medical or dental services prepared in accordance with regulations made under section 28X of the Act[34],

(b) a list of persons undertaking to provide general medical services, general dental services, general ophthalmic services or, as the case may be, pharmaceutical services prepared in accordance with regulations made under sections 29, 36, 39, 42 or 43 of the Act,

(c) a list of persons approved for the purposes of assisting in the provision of any services mentioned in paragraph (b) prepared in accordance with regulations made under section 43D of the Act[35],

(d) a services list referred to in section 8ZA of the National Health Service (Primary Care) Act 1997[36],

(e) a list corresponding to a services list prepared by virtue of regulations made under section 41 of the Health and Social Care Act 2001[37], or

(f) a list corresponding to any of the above lists in Scotland or Northern Ireland;

"Primary Care Trust" means, unless the context otherwise requires, the Primary Care Trust which is a party, or prospective party, to the contract;

"primary carer" means, in relation to an adult, the adult or organisation primarily caring for him;

"registered patient" means - 

(a) a person who is recorded by the Primary Care Trust as being on the contractor's list of patients, or

(b) a person whom the contractor has accepted for inclusion on its list of patients, whether or not notification of that acceptance has been received by the Primary Care Trust and who has not been notified by the Primary Care Trust as having ceased to be on that list;

"relevant register" means - 

(a) in relation to a nurse, the Nursing and Midwifery Register, and

(b) in relation to a pharmacist, the register maintained in pursuance of section 2(1) of the Pharmacy Act 1954[38] or the register maintained in pursuance of Articles 6 and 9 of the Pharmacy (Northern Ireland) Order 1976[39];

"relevant Strategic Health Authority" means the Strategic Health Authority established for an area which includes the area for which the Primary Care Trust is established;

"repeat dispensing services" means pharmaceutical services or local pharmaceutical services which involve the provision of drugs, medicines or appliances by a chemist in accordance with a repeatable prescription;

"repeatable prescribing services" means services which involve the prescribing of drugs, medicines or appliances on a repeatable prescription;

"repeatable prescription" means a prescription contained in a form provided by a Primary Care Trust and issued by a prescriber to enable a person to obtain pharmaceutical services or local pharmaceutical services, which is in the format specified in Part 1 of Schedule 1 and which - 

(a) is generated by a computer but signed by a prescriber, and

(b) indicates that the drugs, medicines or appliances ordered on that form may be provided more than once and specifies the number of occasions on which they may be provided;

"restricted availability appliance" means an appliance which is approved for particular categories of persons or particular purposes only;

"Scheduled drug" means - 

(a) a drug, medicine or other substance specified in any directions given by the Secretary of State under section 28U of the Act[40] as being a drug, medicine or other substance which may not be ordered for patients in the provision of medical services under the contract, or

(b) except where the conditions in paragraph 42(2) of Schedule 6 are satisfied, a drug, medicine or other substance which is specified in any directions given by the Secretary of State under section 28U of the Act as being a drug, medicine or other substance which can only be ordered for specified patients and specified purposes;

"section 28C provider" means a person who is providing services under a pilot scheme or in accordance with section 28C arrangements;

"supplementary prescriber" means a person - 

(a) who is either engaged or employed by the contractor or is a party to the contract,

(b) whose name is registered in - 


(i) the Nursing and Midwifery Register,

(ii) the Register of Pharmaceutical Chemists maintained in pursuance of section 2(1) of the Pharmacy Act 1954, or

(iii) the register maintained in pursuance of Articles 6 and 9 of the Pharmacy (Northern Ireland) Order 1976, and



(c) against whose name is recorded in the relevant register an annotation signifying that he is qualified to order drugs, medicines and appliances as a supplementary prescriber;

"temporary resident" means a person accepted by the contractor as a temporary resident under paragraph 16 of Schedule 6 and for whom the contractor's responsibility has not been terminated in accordance with that paragraph;

"walk-in centre" means a centre at which information and treatment for minor conditions is provided to the public under arrangements made by or on behalf of the Secretary of State;

"working day" means any day apart from Saturday, Sunday, Christmas Day, Good Friday or a bank holiday;

"writing", except in paragraph 104(1) of Schedule 6 and unless the context otherwise requires, includes electronic mail and "written" shall be construed accordingly.

    (2) In these Regulations, the use of the term "it" in relation to the contractor shall be deemed to include a reference to a contractor that is an individual medical practitioner or two or more individuals practising in partnership and related expressions shall be construed accordingly.

General condition relating to all contracts
     5.  - (1) It is a condition in the case of a contract to be entered into - 

(a) with a medical practitioner, that the medical practitioner;

(b) with two or more individuals practising in partnership, that any individual or the partnership; and

(c) with a company limited by shares, that - 


(i) the company,

(ii) any person legally and beneficially owning a share in the company, and

(iii) any director or secretary of the company,



must not fall within paragraph (2).

    (2) A person falls within this paragraph if - 

(a) he or it is the subject of a national disqualification;

(b) subject to paragraph (3), he or it is disqualified or suspended (other than by an interim suspension order or direction pending an investigation) from practising by any licensing body anywhere in the world;

(c) within the period of five years prior to the signing of the contract or commencement of the contract, whichever is the earlier, he has been dismissed (otherwise than by reason of redundancy) from any employment by a health service body, unless he has subsequently been employed by that health service body or another health service body and paragraph (4) applies to him or that dismissal was the subject of a finding of unfair dismissal by any competent tribunal or court;

(d) within the period of five years prior to signing the contract or commencement of the contract, whichever is the earlier, he or it has been removed from, or refused admission to, a primary care list by reason of inefficiency, fraud or unsuitability (within the meaning of section 49F(2), (3) and (4) of the Act respectively[42]) unless his name has subsequently been included in such a list;

(e) he has been convicted in the United Kingdom of murder;

(f) he has been convicted in the United Kingdom of a criminal offence other than murder, committed on or after 14th December 2001, and has been sentenced to a term of imprisonment of over six months;

(g) subject to paragraph (5) he has been convicted elsewhere of an offence - 


(i) which would, if committed in England and Wales, constitute murder, or

(ii) committed on or after 14th December 2001, which would if committed in England and Wales, constitute a criminal offence other than murder, and been sentenced to a term of imprisonment of over six months;



(h) he has been convicted of an offence referred to in Schedule 1 to the Children and Young Persons Act 1933[43] (offences against children and young persons with respect to which special provisions of this Act apply) or Schedule 1 to the Criminal Procedure (Scotland) Act 1995 (offences against children under the age of 17 years to which special provisions apply)[44] committed on or after 1st March 2004;

(i) he or it has - 



(i) been adjudged bankrupt or had sequestration of his estate awarded unless (in either case) he has been discharged or the bankruptcy order has been annulled,

(ii) been made the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order under Schedule 4A to the Insolvency Act 1986[45] unless that order has ceased to have effect or has been annulled, or

(iii) made a composition or arrangement with, or granted a trust deed for, his or its creditors unless he or it has been discharged in respect of it;



(j) an administrator, administrative receiver or receiver is appointed in respect of it;

(k) he has been - 



(i) removed from the office of charity trustee or trustee for a charity by an order made by the Charity Commissioners or the High Court on the grounds of any misconduct or mismanagement in the administration of the charity for which he was responsible or to which he was privy, or which he by his conduct contributed to or facilitated, or

(ii) removed under section 7 of the Law Reform (Miscellaneous Provisions) (Scotland) Act 1990[46] (powers of the Court of Session to deal with management of charities), from being concerned in the management or control of any body; or



(l) he is subject to a disqualification order under the Company Directors Disqualification Act 1986[47], the Companies (Northern Ireland) Order 1986[48] or to an order made under section 429(2)(b) of the Insolvency Act 1986[49] (failure to pay under county court administration order).

    (3) A person shall not fall within paragraph (2)(b) where the Primary Care Trust is satisfied that the disqualification or suspension from practising is imposed by a licensing body outside the United Kingdom and it does not make the person unsuitable to be - 

(a) a contractor;

(b) a partner, in the case of a contract with two or more individuals practising in partnership;

(c) in the case of a contract with a company limited by shares - 


(i) a person legally and beneficially holding a share in the company, or

(ii) a director or secretary of the company,



as the case may be.

    (4) Where a person has been employed as a member of a health care profession any subsequent employment must also be as a member of that profession.

    (5) A person shall not fall within paragraph (2)(g) where the Primary Care Trust is satisfied that the conviction does not make the person unsuitable to be - 

(a) a contractor;

(b) a partner, in the case of a contract with two or more individuals practising in partnership;

(c) in the case of a contract with a company limited by shares - 


(i) a person legally and beneficially holding a share in the company, or

(ii) a director or secretary of the company,



as the case may be.

Reasons
     6.  - (1) Where a Primary Care Trust is of the view that the conditions in regulation 4 or 5 for entering into a contract are not met it shall notify in writing the person or persons intending to enter into the contract of its view and its reasons for that view and of his, its or their right of appeal under regulation 7.

    (2) The Primary Care Trust shall also notify in writing of its view and its reasons for that view, any person legally and beneficially owning a share in, or a director or secretary of, a company that is notified under paragraph (1) where its reason for the decision relates to that person or those persons.

Appeal
     7. A person who has been served with a notice under regulation 6(1) may appeal to the FHSAA against the decision of the Primary Care Trust that the conditions in regulation 4 or 5 are not met by giving notice in writing to the FHSAA within the period of 28 days beginning on the day that the Primary Care Trust served its notice.

Prescribed period under section 28D(1)(bc) of the Act
     8. The period prescribed for the purposes of section 28D(1)(bc) of the Act (persons with whom agreements may be made)[50] is six months.

Health service contract
     12. If the contractor is to be regarded as a health service body pursuant to regulation 10, the contract must state that it is an NHS contract.

Contracts with individuals practising in partnership
     13.  - (1) Where the contract is with two or more individuals practising in partnership, the contract shall be treated as made with the partnership as it is from time to time constituted, and the contract shall make specific provision to this effect.

    (2) Where the contract is with two or more individuals practising in partnership, the contractor must be required by the terms of the contract to ensure that any person who becomes a member of the partnership after the contract has come into force is bound automatically by the contract whether by virtue of a partnership deed or otherwise.

Duration
     14.  - (1) Except in the circumstances specified in paragraph (2), a contract must provide for it to subsist until it is terminated in accordance with the terms of the contract or the general law.

    (2) The circumstances referred to in paragraph (1) are that the Primary Care Trust wishes to enter into a temporary contract for a period not exceeding twelve months for the provision of services to the former patients of a contractor, following the termination of that contractor's contract.

    (3) Either party to a prospective contract to which paragraph (2) applies may, if it wishes to do so, invite the Local Medical Committee for the area of the Primary Care Trust to participate in the negotiations intending to lead to such a contract.

Essential services
     15.  - (1) For the purposes of section 28R(1) of the Act (requirement to provide certain primary medical services), the services which must be provided under a general medical services contract ("essential services") are the services described in paragraphs (3), (5), (6) and (8).

    (2) Subject to regulation 20, a contractor must provide the services described in paragraphs (3) and (5) throughout the core hours.

    (3) The services described in this paragraph are services required for the management of its registered patients and temporary residents who are, or believe themselves to be - 

(a) ill, with conditions from which recovery is generally expected;

(b) terminally ill; or

(c) suffering from chronic disease,

delivered in the manner determined by the practice in discussion with the patient.

    (4) For the purposes of paragraph (3) - 

"disease" means a disease included in the list of three-character categories contained in the tenth revision of the International Statistical Classification of Diseases and Related Health Problems[51]; and

"management" includes - 

(a) offering consultation and, where appropriate, physical examination for the purpose of identifying the need, if any, for treatment or further investigation; and

(b) the making available of such treatment or further investigation as is necessary and appropriate, including the referral of the patient for other services under the Act and liaison with other health care professionals involved in the patient's treatment and care.

    (5) The services described in this paragraph are the provision of appropriate ongoing treatment and care to all registered patients and temporary residents taking account of their specific needs including - 

(a) the provision of advice in connection with the patient's health, including relevant health promotion advice; and

(b) the referral of the patient for other services under the Act.

    (6) A contractor must provide primary medical services required in core hours for the immediately necessary treatment of any person to whom the contractor has been requested to provide treatment owing to an accident or emergency at any place in its practice area.

    (7) In paragraph (6), "emergency" includes any medical emergency whether or not related to services provided under the contract.

    (8) A contractor must provide primary medical services required in core hours for the immediately necessary treatment of any person falling within paragraph (9) who requests such treatment, for the period specified in paragraph (10).

    (9) A person falls within paragraph (8) if he is a person - 

(a) whose application for inclusion in the contractor's list of patients has been refused in accordance with paragraph 17 of Schedule 6 and who is not registered with another provider of essential services (or their equivalent) in the area of the Primary Care Trust;

(b) whose application for acceptance as a temporary resident has been rejected under paragraph 17 of Schedule 6; or

(c) who is present in the contractor's practice area for less than 24 hours.

    (10) The period referred to in paragraph (8) is - 

(a) in the case of paragraph (9)(a), 14 days beginning with the date on which that person's application was refused or until that person has been subsequently registered elsewhere for the provision of essential services (or their equivalent), whichever occurs first;

(b) in the case of paragraph (9)(b), 14 days beginning with the date on which that person's application was rejected or until that person has been subsequently accepted elsewhere as a temporary resident, whichever occurs first; and

(c) in the case of paragraph (9)(c), 24 hours or such shorter period as the person is present in the contractor's practice area.

Additional services
     16. A contract which includes the provision of any additional services must - 

(a) in relation to all such services as are included in the contract, contain a term which has the same effect as that specified in paragraph 1 of Schedule 2; and

(b) in relation to each such service as is included in the contract, contain terms which have the same effect as those specified in Schedule 2 which are relevant to that service.

Opt outs of additional and out of hours services
     17.  - (1) Where a contract provides for the contractor to provide an additional service that is to be funded through the global sum the contract must contain terms relating to the procedure for opting out of additional services which have the same effect as those specified in paragraphs 1, 2, 3 and 6 of Schedule 3, except paragraph 3(12) to (14).

    (2) Where a contract which is entered into before 1st October 2004 provides for the contractor to provide out of hours services pursuant to regulation 30 or 31, the contract must contain terms relating to the procedure for opting out of those services which have the same effect as those specified in paragraphs 4, 5 and 6 of Schedule 3, except paragraphs 4(9)[b] and 5(17) in so far as those paragraphs relate to paragraph 3(12) to (14).

    (3) Where a contract which is entered into on or after 1st October 2004 provides for the contractor to provide out of hours services pursuant to regulation 30 or 31, the contract must contain terms relating to the procedure for opting out of those services which have the same effect as those specified in paragraphs 4 and 6 of Schedule 3, except paragraph 4(8) in so far as that paragraph[c] relates to paragraph 3(12) to (14).

    (4) Paragraph 3(12) to (14) and paragraphs 4(9)[b] and 5(17), in so far are those paragraphs relate to paragraph 3(12) to (14) of Schedule 3, shall have effect in relation to the matters set out in those paragraphs.

Services generally
     18.  - (1) A contract must specify - 

(a) the services to be provided;

(b) subject to paragraph (2), the address of each of the premises to be used by the contractor or any sub-contractor for the provision of such services;

(c) to whom such services are to be provided;

(d) the area as respects which persons resident in it will, subject to any other terms of the contract relating to patient registration, be entitled to - 


(i) register with the contractor, or

(ii) seek acceptance by the contractor as a temporary resident; and



(e) whether, at the date on which the contract comes into force, the contractor's list of patients is open or closed.

    (2) The premises referred to in paragraph (1)(b) do not include - 

(a) the homes of patients; or

(b) any other premises where services are provided on an emergency basis.

    (3) Where, on the date on which the contract is signed, the Primary Care Trust is not satisfied that all or any of the premises specified in accordance with paragraph (1)(b) meet the requirements set out in paragraph 1 of Schedule 6, the contract must include a plan, drawn up jointly by the Primary Care Trust and the contractor, which specifies - 

(a) the steps to be taken by the contractor to bring the premises up to the relevant standard;

(b) any financial support that may be available from the Primary Care Trust; and

(c) the timescale on which the steps referred to in sub-paragraph (a) will be taken.

    (4) Where, in accordance with paragraph (1)(e), the contract specifies that the contractor's list of patients is closed, it must also specify in relation to that closure each of the items listed in paragraph 29(8)(a) to (d) of Schedule 6.

     19.  - (1) Except in the case of the services referred to in paragraph (2), the contract must state the period (if any) for which the services are to be provided.

    (2) The services referred to in paragraph (1) are - 

(a) essential services;

(b) additional services funded under the global sum; and

(c) out of hours services provided pursuant to regulations 30 and 31.

     20. A contract must contain a term which requires the contractor in core hours - 

(a) to provide - 


(i) essential services, and

(ii) additional services funded under the global sum,



at such times, within core hours, as are appropriate to meet the reasonable needs of its patients; and

(b) to have in place arrangements for its patients to access such services throughout the core hours in case of emergency.

Certificates
     21.  - (1) A contract must contain a term which has the effect of requiring the contractor to issue free of charge to a patient or his personal representatives any medical certificate of a description prescribed in column 1 of Schedule 4, which is reasonably required under or for the purposes of the enactments specified in relation to the certificate in column 2 of that Schedule, except where, for the condition to which the certificate relates, the patient - 

(a) is being attended by a medical practitioner who is not - 


(i) employed or engaged by the contractor,

(ii) in the case of a contract with two or more individuals practising in partnership, one of those individuals; or

(iii) in the case of a contract with a company limited by shares, one of the persons legally or beneficially owning shares in that company; or



(b) is not being treated by or under the supervision of a health care professional.

    (2) The exception in paragraph (1)(a) shall not apply where the certificate is issued pursuant to regulation 2(1)(b) of the Social Security (Medical Evidence) Regulations 1976[52] (which provides for the issue of a certificate in the form of a special statement by a doctor on the basis of a written report made by another doctor).

Finance
     22.  - (1) Subject to paragraph (2), the contract must contain a term which has the effect of requiring the Primary Care Trust to make payments to the contractor under the contract promptly and in accordance with both the terms of the contract and any other conditions relating to the payment contained in directions given by the Secretary of State under section 28T of the Act (GMS contracts: payments)[53].

    (2) The obligation referred to in paragraph (1) is subject to any right the Primary Care Trust may have to set off against any amount payable to the contractor under the contract any amount - 

(a) that is owed by the contractor to the Primary Care Trust under the contract; or

(b) that the Primary Care Trust may withhold from the contractor in accordance with the terms of the contract or any other applicable provisions contained in directions given by the Secretary of State under section 28T of the Act.

     23. The contract must contain a term to the effect that where, pursuant to directions under section 17 (Secretary of State's directions: exercise of functions)[54] or 28T of the Act, a Primary Care Trust is required to make a payment to a contractor under a contract but subject to conditions, those conditions are to be a term of the contract.

Fees and charges
     24.  - (1) The contract must contain terms relating to fees and charges which have the same effect as those set out in paragraphs (2) to (4).

    (2) The contractor shall not, either itself or through any other person, demand or accept from any patient of its a fee or other remuneration, for its own or another's benefit, for - 

(a) the provision of any treatment whether under the contract or otherwise; or

(b) any prescription or repeatable prescription for any drug, medicine or appliance,

except in the circumstances set out in Schedule 5.

    (3) Where a person applies to a contractor for the provision of essential services and claims to be on that contractor's list of patients, but fails to produce his medical card on request and the contractor has reasonable doubts about that person's claim, the contractor shall give any necessary treatment and shall be entitled to demand and accept a reasonable fee in accordance with paragraph 1(e) of Schedule 5,[d] subject to the provision for repayment contained in paragraph (4).

    (4) Where a person from whom a contractor received a fee under paragraph 1(e) of Schedule 5[d] applies to the Primary Care Trust for a refund within 14 days of payment of the fee (or such longer period not exceeding a month as the Primary Care Trust may allow if it is satisfied that the failure to apply within 14 days was reasonable) and the Primary Care Trust is satisfied that the person was on the contractor's list of patients when the treatment was given, the Primary Care Trust may recover the amount of the fee from the contractor, by deduction from its remuneration or otherwise, and shall pay that amount to the person who paid the fee.

Arrangements on termination
     25. A contract shall make suitable provision for arrangements on termination of a contract, including the consequences (whether financial or otherwise) of the contract ending.

Other contractual terms
     26.  - (1) A contract must, unless it is of a type or nature to which a particular provision does not apply, contain other terms which have the same effect as those specified in Schedule 6 except paragraphs 31(6) to (8), 35(5) to (9), 36(5) to (17), 101(5) to (14) and 102.

    (2) The paragraphs specified in paragraph (1) shall have effect in relation to the matters set out in those paragraphs.

(a) the consideration of any complaint made to it by any medical practitioner against a medical practitioner specified in paragraph (2) providing services under a contract in the relevant area involving any question of the efficiency of those services;

(b) the reporting of the outcome of the consideration of any such complaint to the Primary Care Trust with whom the contract is held in cases where that consideration gives rise to any concerns relating to the efficiency of services provided under a contract;

(c) the making of arrangements for the medical examination of a medical practitioner specified in paragraph (2), where the contractor or the Primary Care Trust is concerned that the medical practitioner is incapable of adequately providing services under the contract and it so requests with the agreement of the medical practitioner concerned; and

(d) the consideration of the report of any medical examination arranged in accordance with sub-paragraph (c) and the making of a written report as to the capability of the medical practitioner of adequately providing services under the contract to the medical practitioner concerned, the contractor and the Primary Care Trust with whom the contractor holds a contract.

    (2) The medical practitioner referred to in paragraph (1)(a) and (c)[e] is a medical practitioner who is - 

(a) a contractor;

(b) one of two or more individuals practising in partnership who hold a contract; or

(c) a legal and beneficial shareholder in a company which holds a contract.

    (3) In this regulation, "the relevant area" means the area for which the Local Medical Committee is formed.

    (3) This regulation applies only to contracts under which services which are to be provided from 1st April 2004.

Out of hours services
     30.  - (1) Subject to paragraph 10 of Schedule 6, a contract under which services are to be provided before 1st January 2005 (whether or not such services will be provided after that date) must provide for the services specified in paragraph (2) to be provided throughout the out of hours period unless - 

(a) the Primary Care Trust has accepted in writing, prior to the signing of the contract, a written request from the contractor that the contract should not require the contractor to make such provision;

(b) the contract is, at the date on which it is signed, with - 


(i) a medical practitioner who is, or was on 31st March 2004, relieved of responsibility for providing services to his patients under paragraph 18(2) of Schedule 2 to the National Health Service (General Medical Services) Regulations 1992[56],

(ii) a partnership in which all of the partners who are general medical practitioners are a or were on 31st March 2004, relieved of responsibility for providing services to their patients under that paragraph, or

(iii) a company in which all of the general medical practitioners who own shares in that company are, or were on 31st March 2004, relieved of responsibility for providing services to their patients under that paragraph;



(c) the contractor has opted out in accordance with paragraph 4 or 5 of Schedule 3; or

(d) the contract has been otherwise varied to exclude a requirement to make such provision.

    (2) The services referred to in paragraph (1) are - 

(a) the services which must be provided in core hours under regulation 15; and

(b) such additional services as are included in the contract pursuant to regulation 29.

     31.  - (1) Where the contract is with - 

(a) an individual medical practitioner who is, or was on 31st March 2004, responsible for providing services during all or part of the out of hours period to the patients of a medical practitioner who meets the requirements in paragraph (2);

(b) two or more individuals practising in partnership at least one of whom is, or was on 31st March 2004, a medical practitioner responsible for providing such services; or

(c) a company in which one or more of the shareholders is, or was on 31st March 2004, a medical practitioner responsible for providing such services,

the contract with that contractor must require the contractor to continue to provide such services to the patients of the exempt contractor until the happening of one of the events in paragraph (3).

    (2) The requirements referred to in paragraph (1)(a) are that - 

(a) the medical practitioner was relieved of responsibility for providing services to his patients under paragraph 18(2) of Schedule 2 to the National Health Service (General Medical Services) Regulations 1992; and

(b) he - 


(i) has entered or intends to enter into a contract which does not include out of hours services pursuant to regulation 30(1)(b)(i),

(ii) is one of two or more individuals practising in partnership who have entered or intends to enter into a contract which does not include out of hours services pursuant to regulation 30(1)(b)(ii), or

(iii) is the owner of shares in a company which has entered or intends to enter into a contract which does not include out of hours services pursuant to regulation 30(1)(b)(iii).

    (3) The events referred to in paragraph (1) are - 

(a) the contractor has opted out of the provision of out of hours services in accordance with paragraph 4 or 5 of Schedule 3; or

(b) the Primary Care Trust (and, if it is different, the Primary Care Trust with whom the exempt contractor holds its contract) has or have agreed in writing that the contractor need no longer provide some or all of those services to some or all of those patients.

    (4) In this regulation "exempt contractor" means a contractor who is exempt from providing out of hours services pursuant to regulation 30(1)(b).

     32. A contract which includes the provision of out of hours services pursuant to regulation 30 or 31 must contain terms which have the same effect as those set out in Schedule 7.



Signed by authority of the Secretary of State


John Hutton
Minister of State, Department of Health

8th February 2004

    (3) The records referred to in sub-paragraph (1)(b) are an accurate record of the carrying out of a cervical screening test, the result of the test and any clinical follow up requirements.

Contraceptive services
     3.  - (1) A contractor whose contract includes the provision of contraceptive services shall make available to all its patients who request such services the services described in sub-paragraph (2).

    (2) The services referred to in sub-paragraph (1) are - 

(a) the giving of advice about the full range of contraceptive methods;

(b) where appropriate, the medical examination of patients seeking such advice;

(c) the treatment of such patients for contraceptive purposes and the prescribing of contraceptive substances and appliances (excluding the fitting and implanting of intrauterine devices and implants);

(d) the giving of advice about emergency contraception and where appropriate, the supplying or prescribing of emergency hormonal contraception or, where the contractor has a conscientious objection to emergency contraception, prompt referral to another provider of primary medical services who does not have such conscientious objections;

(e) the provision of advice and referral in cases of unplanned or unwanted pregnancy, including advice about the availability of free pregnancy testing in the practice area and, where appropriate, where the contractor has a conscientious objection to the termination of pregnancy, prompt referral to another provider of primary medical services who does not have such conscientious objections;

(f) the giving of initial advice about sexual health promotion and sexually transmitted infections; and

(g) the referral as necessary for specialist sexual health services, including tests for sexually transmitted infections.

Vaccinations and immunisations
     4.  - (1) A contractor whose contract includes the provision of vaccinations and immunisations shall comply with the requirements in sub-paragraphs (2) and (3).

    (2) The contractor shall - 

(a) offer to provide to patients all vaccinations and immunisations (excluding childhood vaccinations and immunisations) of a type and in the circumstances for which a fee was provided for under the 2003-04 Statement of Fees and Allowances made under regulation 34 of the National Health Service (General Medical Services) Regulations 1992[57] other than influenza vaccination;

(b) provide appropriate information and advice to patients about such vaccinations and immunisations;

(c) record in the patient's record kept in accordance with paragraph 73 of Schedule 6 any refusal of the offer referred to in paragraph (a);

(d) where the offer is accepted, administer the vaccinations and immunisations and include in the patient's record kept in accordance with paragraph 73 of Schedule 6 - 


(i) the patient's consent to the vaccination or immunisation or the name of the person who gave consent to the vaccination or immunisation and his relationship to the patient,

(ii) the batch numbers, expiry date and title of the vaccine,

(iii) the date of administration,

(iv) in a case where two vaccines are administered in close succession, the route of administration and the injection site of each vaccine,

(v) any contraindications to the vaccination or immunisation, and

(vi) any adverse reactions to the vaccination or immunisation.

    (3) The contractor shall ensure that all staff involved in administering vaccines are trained in the recognition and initial treatment of anaphylaxis.

Childhood vaccinations and immunisations
     5.  - (1) A contractor whose contract includes the provision of childhood vaccinations and immunisations shall comply with the requirements in sub-paragraphs (2) and (3).

    (2) The contractor shall - 

(a) offer to provide to children all vaccinations and immunisations of a type and in the circumstances for which a fee was provided for under the 2003-04 Statement of Fees and Allowances made under regulation 34 of the National Health Service (General Medical Services) Regulations 1992;

(b) provide appropriate information and advice to patients and, where appropriate, their parents, about such vaccinations and immunisations;

(c) record in the patient's record kept in accordance with paragraph 73 of Schedule 6 any refusal of the offer referred to in paragraph (a);

(d) where the offer is accepted, administer the vaccinations and immunisations and include in the patient's record kept in accordance with paragraph 73 of Schedule 6 - 


(i) the name of the person who gave consent to the vaccination or immunisation and his relationship to the patient;

(ii) the batch numbers, expiry date and title of the vaccine;

(iii) the date of administration;

(iv) in a case where two vaccines are administered in close succession, the route of administration and the injection site of each vaccine;

(v) any contraindications to the vaccination or immunisation; and

(vi) any adverse reactions to the vaccination or immunisation.

    (3) The contractor shall ensure that all staff involved in administering vaccines are trained in the recognition and initial treatment of anaphylaxis.

Child health surveillance
     6.  - (1) A contractor whose contract includes the provision of child health surveillance services shall, in respect of any child under the age of five for whom it has responsibility under the contract - 

(a) provide all the services described in sub-paragraph (2), other than any examination so described which the parent refuses to allow the child to undergo, until the date upon which the child attains the age of five years; and

(b) maintain such records as are specified in sub-paragraph (3).

    (2) The services referred to in sub-paragraph (1)(a) are - 

(a) the monitoring - 


(i) by the consideration of any information concerning the child received by or on behalf of the contractor, and

(ii) on any occasion when the child is examined or observed by or on behalf of the contractor (whether pursuant to paragraph (b) or otherwise),



of the health, well-being and physical, mental and social development (all of which characteristics are referred to in this paragraph as "development") of the child while under the age of 5 years with a view to detecting any deviations from normal development;

(b) the examination of the child at a frequency that has been agreed with the Primary Care Trust in accordance with the nationally agreed evidence based programme set out in the fourth edition of "Health for all Children"[58].

    (3) The records mentioned in sub-paragraph (1)(b) are an accurate record of - 

(a) the development of the child while under the age of 5 years, compiled as soon as is reasonably practicable following the first examination of that child and, where appropriate, amended following each subsequent examination; and

(b) the responses (if any) to offers made to the child's parent for the child to undergo any examination referred to in sub-paragraph (2)(b).

Maternity medical services
     7.  - (1) A contractor whose contract includes the provision of maternity medical services shall - 

(a) provide to female patients who have been diagnosed as pregnant all necessary maternity medical services throughout the antenatal period;

(b) provide to female patients and their babies all necessary maternity medical services throughout the postnatal period other than neonatal checks;

(c) provide all necessary maternity medical services to female patients whose pregnancy has terminated as a result of miscarriage or abortion or, where the contractor has a conscientious objection to the termination of pregnancy, prompt referral to another provider of primary medical services who does not have such conscientious objections.

    (2) In this paragraph - 

"antenatal period" means the period from the start of the pregnancy to the onset of labour;

"maternity medical services" means - 

(a) in relation to female patients (other than babies) all primary medical services relating to pregnancy, excluding intra partum care, and

(b) in relation to babies, any primary medical services necessary in their first 14 days of life;

"postnatal period" means the period starting from the conclusion of delivery of the baby or the patient's discharge from secondary care services, whichever is the later, and ending on the fourteenth day after the birth.

Minor surgery
     8.  - (1) A contractor whose contract includes the provision of minor surgery shall comply with the requirements in sub-paragraphs (2) and (3).

    (2) The contractor shall make available to patients where appropriate - 

(a) curettage;

(b) cautery; and

(c) cryocautery of warts, verrucae and other skin lesions.

    (3) The contractor shall ensure that its record of any treatment provided under this paragraph includes the consent of the patient to that treatment.