Statutory Instruments
health care and associated professions
Made
1st November 2007
Laid before Parliament
9th November 2007
Coming into force
Regulations 81 to 87, 93(e), (f) (g) and (h) and 94(b)
1st April 2008
Remainder
3rd December 2007
MEDICAL PRACTITIONERS: MEDICAL ACT 1983
MEDICAL PRACTITIONERS: OTHER LEGISLATION
66. Amendment of the European Primary Medical Qualifications Regulations 1996
67. Amendment of the National Health Service (Primary Medical Services Performers Lists) (Scotland) Regulations 2004
68. Amendment of the National Health Service (Performers Lists) Regulations 2004
69. Amendment of the National Health Service (Performers Lists) (Wales) Regulations 2004
70. Amendment of the General Medical Council (Fitness to Practise) Rules 2004
PHARMACISTS AND PHARMACY TECHNICIANS: THE PHARMACISTS AND PHARMACY TECHNICIANS ORDER 2007
PHARMACISTS AND PHARMACY TECHNICIANS: OTHER LEGISLATION
99. Amendment of the National Health Service (Scotland) Act 1978
100. Amendment of the Medicines for Human Use (Clinical Trials) Regulations 2004
101. Amendment of the Gender Recognition (Disclosure of Information) (England, Wales and Northern Ireland) (No. 2) Order 2005
102. Amendment of the Gender Recognition (Disclosure of Information) (Scotland) Order 2005
105. Amendment of the National Health Service (Wales) Act 2006
106. Amendment of the Controlled Drugs (Supervision of Management and Use) Regulations 2006
107. Amendment of the Royal Pharmaceutical Society of Great Britain (Registration) Rules 2007
108. Amendment of the Approved European Pharmacy Qualifications Order of Council 2007
DENTISTS AND PROFESSIONS COMPLEMENTARY TO DENTISTRY: DENTISTS ACT 1984
DENTISTS: THE EUROPEAN PRIMARY AND SPECIALIST DENTAL QUALIFICATIONS REGULATIONS 1998
NURSES AND MIDWIVES: NURSING AND MIDWIFERY ORDER 2001
190. Amendment of the National Health Service (Scotland) Act 1978
191. Amendment of the Medicines (Contact Lens Fluids and Other Substances) (Exemption from Licences) Order 1979
192. Amendment of the Medicines (Contact Lens Fluids and Other Substances) (Advertising and Miscellaneous Amendments) Regulations 1979
193. Amendment of the Medicines (Sale or Supply) (Miscellaneous Provisions) Regulations 1980
194. Amendment of the National Health Service (General Ophthalmic Services) Regulations 1986
195. Amendment of the National Health Service (Service Committees and Tribunal) Regulations 1992
196. Amendment of the General Optical Council (Testing of Sight by Persons Training as Ophthalmic Opticians) Rules 1993
197. Amendment of the Prescription Only Medicines (Human Use) Order 1997
198. Amendment of the Primary Care Trusts (Consultation on Establishment, Dissolution and Transfer of Staff) Regulations 1999
199. Amendment of the Primary Care Trusts (Membership, Procedure and Administration Arrangements) Regulations 2000
200. Amendment of the General Social Care Council (Appointments and Procedure) Regulations 2001
201. Amendment of the Medicines for Human Use (Clinical Trials) Regulations 2004
202. Amendment of the General Optical Council (Registration Rules) 2005
204. Amendment of the National Health Service (Wales) Act 2006
205. Amendment of the National Health Service (General Ophthalmic Services) (Scotland) Regulations 2006
SOCIAL WORKERS: CARE STANDARDS ACT 2000
SOCIAL WORKERS: HEALTH AND PERSONAL SOCIAL SERVICES ACT (NORTHERN IRELAND) 2001
OTHER HEALTH PROFESSIONS: HEALTH PROFESSIONS ORDER 2001
The Secretary of State for Health, who is a Minister designated for the purposes of section 2(2) of the European Communities Act 1972(1) in relation to measures relating to access to, the training for, the pursuit of, and the award of qualifications in the professions of dentistry, medicine, midwifery, nursing and pharmacy and their specialties(2), in relation to measures relating to access to, the training for, the pursuit of, and the award of qualifications in the profession of social worker(3), and in relation to the recognition of higher-education diplomas, formal qualifications, or experience in the occupation, required for the pursuit of professions or occupations(4), makes the following Regulations in exercise of his powers conferred under section 2(2) of, as read with paragraph 1A of Schedule 2(5) to, the European Communities Act 1972(6).
These Regulations make provision for a purpose mentioned in section 2(2) of the European Communities Act 1972 and it appears to the Secretary of State for Health that it is expedient for the references to Directive 2005/36/EC of the European Parliament and of the Council of 7th September 2005 on the recognition of professional qualifications(7), or to a provision of that Directive, to be construed as references to that Directive, or to that provision of the Directive, as amended from time to time.
1.—(1) These Regulations may be cited as the European Qualifications (Health and Social Care Professions) Regulations 2007.
(2) These Regulations, except for those regulations specified in paragraph (3), shall come into force on 3rd December 2007.
(3) Regulations 81 to 87, 93(e), (f), (g) and (h) and 94(b) shall come into force on 1st April 2008.
(4) The extent of any amendment made by these Regulations is the same as that of the enactment amended.
2. The Medical Act 1983(8) is amended in accordance with this Part.
3. In section 2(9) (registration of medical practitioners), for subsection (2)(d) substitute—
“(d) the list of visiting medical practitioners from relevant European States”.
4. In section 3(10) (registration by virtue of primary United Kingdom or primary European qualifications)—
(a) in subsection (1)(b), for “any EEA State” substitute “any relevant European State”;
(b) in subsection (2)—
(i) in paragraph (a), for “an EEA State” substitute “a relevant European State”, and
(ii) for paragraph (b) substitute—
“(b) is, by virtue of an enforceable Community right, entitled to be treated, for the purposes of access to and pursuit of the medical profession, no less favourably than a national of a relevant European State,”; and
(c) omit subsection (3).
5. In section 5(11) (general functions of the Education Committee in relation to medical education in the United Kingdom)—
(a) in subsection (2A), for “article 23 of Directive 93/16/EEC” substitute “article 24 of the Directive (basic medical training)”;
(b) omit subsection (2B); and
(c) in subsection (4), for the definition of “Directive 93/16/EEC” substitute—
““the Directive” means Directive 2005/36/EC of the European Parliament and of the Council of 7th September 2005 on the recognition of professional qualifications (OJ No. L255, 30.09.2005, p.22)(12), and any reference in this Act to the Directive or to any provision of the Directive is a reference to the Directive, or to that provision of the Directive, as amended from time to time;”.
6. In section 10A(13) (programmes for provisionally registered doctors), in subsection (6)(b), for “article 23 of Directive 93/16/EEC” substitute “article 24 of the Directive (basic medical training)”.
7. In section 14(14) (alternative requirements as to experience in certain cases), in subsection (3), for “article 23 of Directive 93/16/EEC” substitute “article 24 of the Directive (basic medical training)”.
8. After section 14 insert—
14A.—(1) A person who is a national of a relevant European State—
(a) whose case falls within regulation 3(9)(a) of the General Systems Regulations,
(b) to whom regulations 20 to 26 of those Regulations apply by reason of the operation of regulation 3(4) of those Regulations,
(c) who is permitted to pursue the profession of medical practitioner in the United Kingdom by virtue of Part 3 of those Regulations (having, in particular, successfully completed any adaptation period, or passed any aptitude test, that he may be required to undertake pursuant to that Part of those Regulations), and
(d) whose fitness to practise is not impaired,
is entitled to be registered under this section as a fully registered medical practitioner.
(2) Any person who—
(a) is not a national of a relevant European State; but
(b) is, by virtue of any enforceable Community right, entitled to be treated, for the purposes of access to the medical profession, no less favourably than a national of such a State,
shall be treated for the purposes of subsection (1) as if he were such a national.”.
9. In section 15A(15) (provisional registration for EEA nationals)—
(a) in the heading, after “EEA nationals” insert “etc”;
(b) in subsections (1), (2) and (3)(a), for “an EEA State” substitute “a relevant European State”;
(c) in subsection (3)(b), for “a right conferred by article 11 of Regulation (EEC) No 1612/68, or any other enforceable Community right” substitute “any enforceable Community right”; and
(d) in subsection (5), for “Article 23, paragraph 1(a), (b) and (c) of Directive 93/16/EEC” substitute “paragraph 3(a), (b) and (c) of article 24 of the Directive (basic medical training)”.
10. In section 16(16) (registration of qualifications)—
(a) in subsection (1)—
(i) after “3,” insert “14A,”, and
(ii) for “the primary United Kingdom” substitute “any primary United Kingdom”;
(b) in subsections (1)(a) and (2), for “Schedule 2 to this Act” substitute “Annex V, point 5.1.1 of the Directive (evidence of formal qualifications in basic medical training)”; and
(c) in subsection (2), for “an EEA State” substitute “a relevant European State”.
11.—(1) Section 17(17) (primary qualifications obtained in other EEA States) is amended as follows.
(2) In the heading, for “EEA States” substitute “relevant European States”.
(3) In subsection (1)—
(a) for “an EEA State” substitute “a relevant European State”;
(b) for paragraphs (a) to (c) substitute—
“(a) a qualification listed in Annex V, point 5.1.1 of the Directive which was obtained in a relevant European State on or after the reference date and is not evidence of training commenced by the holder before that date, provided that that qualification is accompanied, where appropriate, by the certificate listed in relation to that State in the column of Annex V, point 5.1.1 of the Directive entitled “Certificate accompanying the qualifications”;
(b) subject to compliance with subsection (2) below, a qualification listed in Annex V, point 5.1.1 of the Directive, which was obtained before the reference date, or on or after that date where training of which it is evidence was commenced by the holder before that date;
(ba) subject to compliance with subsection (2A) below, a qualification not listed in Annex V, point 5.1.1 of the Directive, which was obtained on or after the reference date and is not evidence of training commenced by the holder before that date;
(c) subject to compliance with subsection (3) below, a qualification not listed in Annex V, point 5.1.1 of the Directive, which was obtained before the reference date, or on or after that date where training of which it is evidence was commenced by the holder before that date;”; and
(c) in paragraph (e)(ii), for “the state or former state” substitute “the former state”.
(4) For subsections (2) and (3) substitute—
“(2) For compliance with this subsection in the case of any qualification, either—
(a) evidence of the qualification must be—
(i) such that the Registrar is satisfied (by means of a certificate of a competent authority of the relevant European State in which it was obtained or otherwise) that it accords with the standards laid down by article 24 of the Directive (basic medical training), and
(ii) accompanied, where appropriate, by the certificate listed in relation to the State in which the qualification was obtained in the column of Annex V, point 5.1.1 of the Directive entitled “Certificate accompanying the qualifications”; or
(b) evidence of the qualification must be accompanied by a certificate of a competent authority of any relevant European State that the holder has effectively and lawfully been engaged in medical practice in that State for at least three consecutive years during the five years preceding the date of the certificate.
(2A) For compliance with this subsection in the case of any qualification, evidence of it must be accompanied by a certificate of a competent authority of the relevant European State in which it was obtained to the effect that—
(a) it is evidence of training which satisfies the requirements of article 24 of the Directive; and
(b) it is treated by that State as if it were a qualification listed in relation to that State in Annex V, point 5.1.1 of the Directive.
(3) For compliance with this subsection in the case of any qualification, evidence of it must be accompanied by a certificate such as is described in—
(a) subsection (2)(b); or
(b) subsection (2A).”.
(5) In subsection (4)—
(a) in paragraph (a), for “Schedule 2 to this Act” substitute “Annex V, point 5.1.1 of the Directive”; and
(b) in paragraphs (a) and (b), for “the German medical authorities” substitute “a competent authority of Germany”.
(6) In subsection (4A)—
(a) in paragraph (a)—
(i) for “the medical authorities of the EEA State” substitute “a competent authority of the relevant European State”, and
(ii) for “Schedule 2 to this Act” substitute “Annex V, point 5.1.1 of the Directive”;
(b) in paragraph (b), for “those authorities” substitute “a competent authority of that State”; and
(c) in column (b) of the Table, for “Yugoslavia” substitute “Former Yugoslavia”.
(7) Omit subsection (5).
(8) For subsection (6) substitute—
“(6) In this section, “the reference date”, in relation to a relevant European State, means the date specified in relation to that State in the column entitled “Reference date” in Annex V, point 5.1.1 of the Directive.”.
12. For section 18(18) (visiting EEC practitioners) substitute—
18. Schedule 2A to this Act (visiting medical practitioners from relevant European States) shall have effect.”.
13. In section 19(19) (full registration of EEA nationals etc by virtue of overseas primary qualifications etc)—
(a) in subsection (1), after paragraph (a) insert—
“(aa) that, where—
(i) that qualification was, or would have been, granted otherwise than in a relevant European State, and
(ii) that qualification, or the person’s having passed those examinations, has not previously been accepted by a relevant European State as qualifying the person to practise as a medical practitioner in that State,
the qualification is, or would have been, evidence of medical training which satisfies the requirements of article 24(1), (2) and (3)(a), (b) and (c) of the Directive (basic medical training);”;
(b) after subsection (1) insert—
“(1A) Subsection (1) does not apply to persons entitled to be registered under section 14A or 19A.”;
(c) for subsection (2) substitute—
“(2) In this Act “exempt person” means a person who—
(a) is a national of a relevant European State other than the United Kingdom;
(b) is a national of the United Kingdom who is seeking access to, or is pursuing, the medical profession by virtue of an enforceable Community right; or
(c) is not a national of a relevant European State, but is, by virtue of an enforceable Community right, entitled to be treated, for the purposes of access to and pursuit of the medical profession, no less favourably than a national of a relevant European State.”; and
(d) in subsection (3), for paragraph (a) substitute—
“(a) if the applicant holds a medical qualification which was granted otherwise than in a relevant European State, but has been accepted by a relevant European State, other than the United Kingdom, as qualifying him to practise as a medical practitioner in that State, the acceptance of that qualification; and”.
14. After section 19 insert—
19A. An exempt person—
(a) whose case falls within regulation 3(9)(e) of the General Systems Regulations,
(b) to whom regulations 20 to 26 of those Regulations apply by reason of the operation of regulation 3(4) of those Regulations,
(c) who is permitted to pursue the profession of medical practitioner in the United Kingdom by virtue of Part 3 of those Regulations (having, in particular, successfully completed any adaptation period, or passed any aptitude test, that he may be required to undertake pursuant to that Part of those Regulations), and
(d) whose fitness to practise is not impaired,
is entitled to be registered under this section as a fully registered medical practitioner.”.
15. In section 21(20) (provisional registration of EEA nationals