The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2018

• (b) to any subsequent assignment to that provider to the extent that it is reasonable and appropriate having regard to the number of patients who have been or may be assigned to it and the period of time since the last discussions under sub-paragraph (1) took place.

PART 3 — NOTICES

Notifications to the Health Board

31

The provider must notify the Health Board in writing of any person, other than a registered patient or a person whom it has accepted as a temporary resident, to whom it has provided the essential services described in paragraph 1(5) or 1(7) within the period of 28 days beginning on the day that the services were provided.

SCHEDULE 3 — AGREEMENTS TO PROVIDE ADDITIONAL SERVICES

Additional services generally

1

The provider must—

• (a) provide in relation to each additional service, such facilities and equipment as are necessary to enable the provider properly to perform that service;

• (b) provide each additional service, within core hours, as is appropriate to meet the reasonable needs of its patients; and

• (c) have in place arrangements for its patients to access each additional service throughout the core hours in case of emergency.

Cervical screening

2

• (1) A provider whose agreement includes the provision of cervical screening services must—

• (a) provide all the services described in sub-paragraph (2); and

• (b) make such records as are referred to in sub-paragraph (3).

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

• (a) the provision of any necessary information and advice to assist women identified by the Health Board as recommended nationally for a cervical screening test in making an informed decision as to participation in the NHS Scotland Cervical Screening Programme;

• (b) the performance of cervical screening tests on women who have agreed to participate in that Programme;

• (c) arranging for women to be informed of the results of the test; and

• (d) ensuring that test results are followed up appropriately.

• (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 provider whose agreement includes the provision of contraceptive services must 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 provider has a conscientious objection to emergency contraception, a prompt referral to another provider (by any arrangement) 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 provider has a conscientious objection to the termination of pregnancy, a prompt referral to another provider (by any arrangement) 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.

• (3) An agreement which includes the provision of contraceptive services must provide that, for the purposes of paragraphs 11 to 14 of schedule 1, drugs includes contraceptive substances and appliances includes contraceptive appliances.

Vaccinations and immunisations

4

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Childhood vaccinations and immunisations

5

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Child health surveillance

6

• (1) A provider whose agreement includes the provision of child health surveillance services must, in respect of any child under the age of 5 for whom the provider has responsibility under the agreement—

• (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 5 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 provider; and

• (ii) on any occasion when the child is examined or observed by or on behalf of the provider (whether pursuant to sub-paragraph (2)(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; and

• (b) the examination of the child at a frequency that has been agreed with the Health Board in accordance with the nationally agreed evidence based programme set out in the fourth edition of “Health for all Children”[^f00122].

• (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 mentioned in that sub paragraph; 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 provider whose agreement includes the provision of maternity medical services must provide—

• (a) to female patients who have been diagnosed as pregnant all necessary maternity medical services throughout the ante-natal period;

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

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

• (2) In this paragraph—

• “ante-natal period” means the period from the start of the pregnancy to the onset of labour;

• “maternity medical services” means—in relation to female patients (other than babies) all primary medical services relating to pregnancy, excluding intra partum care; andin relation to babies, any primary medical services necessary in their first 14 days of life; and

• “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 birth.

SCHEDULE 4 — MINIMUM STANDARDS FOR PRACTICE PREMISES

The provider must ensure that it meets minimum standards for its practice premises which are that—

1the provider complies with any obligations under the Health and Safety at Work etc. Act 1974[^f00123] (and provision made under that Act) and the Equality Act 2010[^f00124] in relation to—1the design or construction of the practice premises; and2the approach or access to the practice premises,which the provider has to its own members (where applicable), staff, providers and to persons to whom it provides primary medical services, including taking such steps as are reasonable to—aprovide for ease of access to the practice premises and ease of movement within the practice premises for all users of the practice premises (including wheelchair users);bprovide adequate sound and visual systems for the hearing and visually impaired; andcremove barriers to the employment of disabled people;

2there are adequate facilities for the elderly and young children, including nappy-changing and feeding facilities;

3there are adequate lavatory and hand hygiene facilities for all persons on the practice premises which meet current infection control standards;

4there is such equipment as is necessary to enable the provider to properly perform appropriate clinical services in the consultation rooms and treatment areas;

5the practice has arrangements for instrument decontamination that comply with any national guidelines for instrument decontamination published by the Scottish Ministers from time to time which apply to primary care in accordance with paragraph 83 of schedule 1;

6Subject to sub-paragraph (7), consulting rooms and treatment areas are properly equipped for use by practitioners working in the practice, including—1adequate arrangements to ensure the privacy of consultations; and2patients have personal privacy when dressing or undressing, either in a separate examination room or in a screened-off area around an examination couch within the relevant consulting rooms and treatment areas;

7in the case of branch surgeries where the provider provides outlying consultation facilities in premises usually used for other purposes, and these outlying consultation facilities meet with the approval of the Health Board, the standards set out in paragraph 6 do not apply in relation to the outlying consultation facilities;

8the access arrangements for the practice premises are convenient for all users;

9there are washbasins connected to running hot and cold water (ideally distributed through elbow, knee or sensor operated taps) in all consulting rooms and treatment areas, or, if this is not possible, then in immediately adjacent rooms;

10there are adequate internal waiting areas with—1enough seating to meet all normal requirements, either in the reception area or elsewhere; and2a facility for patients to communicate confidentially with reception staff, including by telephone;

11there are adequate standards of lighting, heating and ventilation;

12the premises, fittings and furniture of the practice premises are in good repair and (when being used for the provision of primary medical services) clean and hygienic;

13there are arrangements for the storage and disposal of clinical waste and that these arrangements comply with the legislative requirements and national guidance in place from time to time in accordance with paragraph 83 of schedule 1;

14there are, in the practice premises, arrangements for adequate fire precautions designed in accordance with the Building Regulations 2004[^f00125] and agreed with the local fire authority, including provision for safe exit from the practice premises;

15there is adequate security for drugs, records, prescription pads and pads of doctors’ statements; and

16If the practice premises are to be used for minor surgery or the treatment of minor injuries, there are necessary facilities and equipment to enable the proper performance of these procedures in the practice premises.

SCHEDULE 5 — CLOSURE NOTICE

SCHEDULE 6 — PRACTICE INFORMATION

...

1The name(s) of the provider.

2In the case where a partnership is a party to the agreement—awhether or not it is a limited partnership; andbthe names of all the partners and, in the case of a limited partnership, their status as a general or limited partner.

3In the case where a company is a party to the agreement—athe names of the directors, the company secretary and the membersbof that company; andcthe address of the company’s registered office.

4In the case where a limited liability partnership is a party to the agreement—athe names of all the members of that limited liability partnership; andbthe address of the registered office of the limited liability partnership.

5The full name of each person performing services under the agreement.

6In the case of each health care professional performing services under the agreement the health care professional’s professional qualifications.

7Whether the provider undertakes the teaching or training of health care professionals or persons intending to become health care professionals.

8The provider’s practice area, by reference to a map, plan or postcode.

9The address of each of the practice premises.

10The provider’s telephone number and the address of the provider’s website (if any).

11Where the provider offers its registered patients an online service in accordance with paragraph 40 of schedule 1, the website address where such patients can access and use the service and guidance on how such patients can access and use that service.

12Whether the practice premises have suitable access for all disabled patients and, if not, the alternative arrangements for providing services to such patients.

13Where the provider provides essential services, how to register a patient.

14The right of patients to express a preference of practitioner in accordance with paragraph 9 of schedule 1 and the means of expressing such a preference.

15The services available under the agreement.

16The opening hours of the practice premises and the method of obtaining access to services throughout the core hours. Information on access to services should include any usual periods of consultation time provided during the opening hours.

17The criteria for home visits and the method of obtaining such a visit.

18Where the provider provides essential services, the consultations available to patients under paragraphs 1 and 2 of schedule 2.

19Where the provider provides essential services, the details of—athe out of hours period as set out in paragraph (20);barrangements for services in the out of hours period; andc... how the patient may contact such services.

20The out of hours period is:ithe period beginning at 1830 hours on any day from Monday to Thursday and ending at 0800 hours on the following day;iithe period beginning 1830 hours on Friday and ending at 0800 hours on the following Monday; andiiiChristmas Day, New Year’s Day and any other public or local holiday.

21If the services in paragraph (19) are not provided by the provider, the fact that the Health Board referred to in paragraph 29 is responsible for commissioning the services.

21AThe details of the arrangements for the delivery of vaccinations and immunisations (and childhood vaccinations and immunisations) to the provider’s patients.

22The telephone number of NHS 24 and details of the NHS 24 website.

23The method by which patients are to obtain repeat prescriptions.

24If the provider is a dispensing provider the arrangements for dispensing prescriptions.

25How patients may make a complaint or comment on the provision of service.

26The rights and responsibilities of the patient, including keeping appointments.

27The action that may be taken where a patient is violent or abusive to the provider or the provider’s staff, persons present on the practice premises, or in the place where treatment is provided under the agreement, or other persons specified in paragraph 10(2)(c) of schedule 1 or paragraph 12(2) of schedule 2.

28Details of who has access to patient information (including information from which the identity of the individual can be ascertained) and the patient’s rights in relation to disclosure of such information.

29The name, address and telephone number of the Health Board which is a party to the agreement and from whom details of primary medical services in the area may be obtained.

SCHEDULE 7 — REVOCATIONS

Column 1Secondary legislation revoked	Column 2Reference	Column 3Extent of revocation
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004	S.S.I. 2004/116	The whole Regulations except
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004	S.S.I. 2004/116	regulation 2 so far as that regulation sets out definitions of “out of hours period” and “out of hours services”;regulations 9(d) and 13;paragraphs 6 and 7 of schedule 1;Schedule 4; andparagraph 17 of schedule 6;
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004	S.S.I. 2004/116	But only for the purposes of regulation 28 of the Regulations
The Primary Medical Services (Sale of Goodwill and Restrictions on Sub-contracting) (Scotland) Regulations 2004	S.S.I. 2004/162	Regulation 5
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2004	S.S.I. 2004/217	The whole Regulations
National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2005	S.S.I. 2005/336	The whole Regulations
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2006	S.S.I. 2006/248	The whole Regulations
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2007	S.S.I. 2007/205	The whole Regulations
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Amendment (No. 2) Regulations 2007	S.S.I. 2007/393	The whole Regulations
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Amendment (No. 3) Regulations 2005	S.S.I. 2007/502	The whole Regulations
The National Health Service (Pharmaceutical Services)(Scotland) Regulations 2009	S.S.I. 2009/183	Schedule 6, paragraph 3
The National Health Service (General Medical Services Contracts, Primary Medical Services Section 17C Agreements and Primary Medical Services Performers Lists) (Scotland) Amendment Regulations 2010	S.S.I. 2010/93	Regulation 3
National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2010	S.S.I. 2010/395	The whole Regulations
The National Health Service (Free Prescriptions and Charges for Drugs and Appliances) (Scotland) Regulations 2011	S.S.I. 2011/55	Schedule 1, paragraph 5
The Public Services Reform (Scotland) Act 2010 (Consequential Modifications) Order 2011	S.S.I. 2011/211	Schedule 2, paragraph 26, subject to subject to paragraph 3 of regulation 28 of these Regulations
The National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2012	S.S.I. 2012/10	The whole Regulations
The Patient Rights (Complaints Procedure and Consequential Provisions) (Scotland) Regulations 2012	S.S.I. 2012/36	Schedule 1, paragraph 2
The National Health Service (Physiotherapist, Podiatrist or Chiropodist Independent Prescribers) (Miscellaneous Amendments) (Scotland) Regulations 2014	S.S.I. 2014/73	Regulations 5, 6 and 7
The National Health Service (Pharmaceutical Services)(Scotland) (Miscellaneous Amendments) Regulations 2014	S.S.I. 2014/148	Regulations 12 and 13
The National Health Service (Dietitian Supplementary Prescribers and Therapeutic Radiographer Independent Prescribers) (Miscellaneous Amendments) (Scotland) Regulations 2016	S.S.I. 2016/393	Regulations 5, 6 and 7

SCHEDULE 8 — CONSEQUENTIAL AMENDMENTS

The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013

1

• (1) The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013[^f00126] is amended as follows.

• (2) In schedule 3—

• (a) In paragraph 8(c), for “the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004” substitute “the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2018”; and

• (b) In paragraph 11 for “The amendment made by paragraph 71(1) and (3) of Schedule 2 does not affect the duty of a provider under paragraph 52 of schedule 1 to the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004 to co-operate with any investigation of a complaint which is begun by a Primary Care Trust and which continues to be investigated after 31st March 2013.” substitute “The absence of reference to ‘Primary Care Trusts’ from the definition of “NHS Body” in paragraph 55 of schedule 1 of the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2018 does not affect the duty of a provider under that paragraph to co-operate with any investigation of a complaint begun by a Primary Care Trust and which continues to be investigated after 31st March 2013”.

The National Health Service (Primary Medical Services Performers Lists) (Scotland) Regulations 2004

2

• (1) The National Health Service (Primary Medical Services Performers Lists (Scotland) Regulations 2004[^f00127] are amended as follows.

• (2) In regulation 2 (interpretation), in the definition of “Section 17C Agreements Regulations”, for “the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004” substitute “the National Health Service (Primary Medical Services Section 17C Agreement) (Scotland) Regulations 2018”.

• (3) In schedule 1—

• (a) in paragraph 3(c) for the words “paragraph 78 (gifts) of Schedule 1 (content of agreements)” substitute “paragraph 82 of schedule 1”; and

• (b) in paragraph 3(d), for the words “paragraph 78 (gifts) of Schedule 1 (content of agreements)” substitute “paragraph 82 of schedule 1”.

The General Medical Services and Section 17C Agreements (Transitional and other Ancillary Provisions) (Scotland) Order 2004

3

• (1) The General Medical Services and Section 17C Agreements (Transitional and other Ancillary Provisions) (Scotland) Order 2004[^f00128] is amended as follows.

• (2) In article 1(2) (citation, commencement and interpretation)in the definition of “the Section 17C Agreement Regulations” for “the National Health Service (Primary Medical Services Section 17C Agreements)(Scotland) Regulations 2004 substitute “the National Health Service (Primary Medical Services Section 17C Agreements)(Scotland) Regulations 2018”.

• (3) In article 51 (4) (Interpretation of transitional agreements):

• (a) for the words “paragraph 66 of Schedule 1” substitute “paragraph 68 of schedule 1”; and

• (b) for the words substitute “paragraph 66(3)” to paragraph 68(3)”.

• (4) In article 55 (2)(c) (Assignment of patients: transitional provisions) for the words “paragraph 13 of Schedule 2” substitute to “paragraph 11 of schedule 2”.

• (5) In article 55 (5)(c) (Assignment of patients: transitional provisions) for the words “paragraph 14 of Schedule 2” substitute “paragraph 12 of schedule 2”.

• (6) In article 57(3) (Variation and termination of transitional agreements):

• (a) for the words “paragraph 66 of Schedule 1” substitute “paragraph 68 of Schedule 1”; and

• (b) for the words “paragraph 66(3)” substitute “paragraph 68(3).

• (7) In article 58 (1) (Health body status) for the words “regulation 8” substitute “regulation 10”.

The National Health Service (Pharmaceutical Services) (Scotland) Regulations 2009

4

• (1) The National Health Service (Pharmaceutical Services) (Scotland) Regulations 2009[^f00129] are amended as follows.

• (2) In regulation 2(1) (interpretation and application) in paragraph (b) of the definition of “dispensing doctor”, for “paragraph 15 of Schedule 1 to the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004” substitute “paragraph 16 of schedule 1 of the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2018.

• (3) In paragraph 4(2)(b)(ii) of schedule 1, for the words “regulation 2 of the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004” substitute “regulation 3 of the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2018”.

The Patient Rights (Complaints Procedure and Consequential Provisions) (Scotland) Regulations 2012

5

• (1) The Patient Rights (Complaints Procedure and Consequential Provisions) (Scotland) Regulations 2012[^f00130] are amended as follows.

• (2) In regulation 1(2) for “ part 6 of Schedule 1 to the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004” substitute “part 6 of schedule 1 to the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2018”.

The Public Bodies (Joint Working) (Prescribed Health Board Functions) (Scotland) Regulations 2014

6

• (1) The Public Bodies (Joint Working)(Prescribed Health Board Functions) (Scotland) Regulations 2014[^f00131] are amended as follows.

• (2) In schedule 1(Functions prescribed for the purposes of section 1(6) of the Act), in column B for “the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004” substitute “the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2018”.

• (3) In schedule 2 (Functions prescribed for the purposes of section 1(8) of the Act), in column B of the table for the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2004” substitute “the National Health Service (Primary Medical Services Section 17C Agreements) (Scotland) Regulations 2018”.

Signed

AILEEN CAMPBELL — Authorised to sign by the Scottish Ministers — 2018-02-15

Explanatory note

(This note is not part of the Regulations)

EXPLANATORY NOTE

These Regulations consolidate the National Health Service (Primary Medical Services Section 17C Agreements)(Scotland) Regulations 2004 and set out, for Scotland, the framework for section 17C agreements for primary medical services under section 17C of the National Health Service (Scotland) Act 1978 (“the Act”).

Part 2 of the Regulations prescribes the conditions which, in accordance with section 17D of the Act, must be satisfied by a medical practitioner, health care professional or any of the other persons listed in 17D(1)(b)(iii) to (ix), (d) or (e) of the Act for a Health Board to be able to make an agreement under section 17C under which primary medical services are provided.

Part 3 of the Regulations sets out the circumstances and the extent to which the provider under an agreement may be treated as a health service body.

Part 4 of the Regulations (and schedules 1 to 3) prescribe the categories of primary medical services that may be provided in accordance with section 17C arrangements, and make provision with respect to the provision of those services. The regulations require agreements which include the provision of any primary medical services to contain the terms in schedule 1, agreements which include the provision of essential services to include the terms in schedule 2, and agreements which include the provision of additional services to include terms set out in schedule 3.

Part 5 makes additional provision with respect to such agreements and their content, including provision as to the effect on an agreement of a change in the membership of a partnership that is party to it (regulation 17), provision for termination of the agreement (regulation 18), services generally (regulation 19), certificates (regulation 20), the terms applicable to agreements which provide for a payment in respect of premises costs (regulation 21), finance and payments for the provision of services to be made in accordance with the directions of the Scottish Ministers (regulation 22 and 23), fees and charges (regulation 24) and terms to be implied if omitted from the express terms of an agreement (regulation 25).

Part 6 sets out the functions of the Area Medical Committee in relation to the operation of section 17C agreements.

Part 7 of the Regulations makes provision requiring a Health Board in certain circumstances and subject to certain conditions, to enter into a general medical services contract with a person providing services under section 17C arrangements.

Part 8 of the Regulations makes transitional provision for persons continuing to provide out of hours services, notwithstanding the repeal of the National Health Service (Primary Medical Services Section 17C Agreements)(Scotland) Regulations 2004.

Schedule 1 sets out terms that must be contained in all section 17C agreements for primary medical services. These include terms relating to—

• (a) the provision of services (Part 1);

• (b) the right of patients to choose the persons from whom they are to receive primary medical services, and the circumstances in which providers may decline responsibility for patients not registered with them (Part 2);

• (c) the prescribing and dispensing of drugs, medicines and appliances (Part 3);

• (d) the conditions (including conditions as to qualifications and experience) to be satisfied by persons performing primary medical services in accordance with section 17C arrangements (Part 4);

• (e) patient records, the provision of information and rights of entry (Part 5);

• (f) complaints (Part 6);

• (g) procedures for the determination of disputes where the provider is to be treated as a health service body, or where the provider elects (Part 7); and

• (h) the variation and termination of section 17C arrangements by either the Health Board or another participant (Part 8);

• (i) clinical governance, medical indemnity insurance, public liability, the requirement to keep a register of gifts, compliance by providers with legislation and guidance, third party rights and the duty of candour (Part 9); and

• (j) quality arrangements (Part 10).

Schedule 2 sets out the terms that must be contained in all section 17C agreements which include the provision of essential services. These include terms relating to—

• (a) the provision of essential services; and

• (b) lists of patients, and the circumstances in which the provider must or may accept or may decline to accept a person as a patient and may terminate responsibility a patient.

Schedule 3 sets out the terms relating to the provision of additional services that must be included in all agreements for the provision of those services.

Schedule 4 sets out the minimum standards to which a practice premises must adhere, if the provider receives financial assistance with their premises costs.

Schedule 5 sets out the closure notice with which a provider may notify the Health Board that the provider wishes to close its list to new patients.

Schedule 6 sets out the information to be included in a provider’s practice leaflet.

Schedule 7 revokes provisions which are re-enacted or replaced by the making of these Regulations.

Schedule 8 makes amendments to existing legislation consequential to making of these Regulations and the revocation of the National Health Service (Primary Medical Services Section 17C Agreements)(Scotland) Regulations 2004.

Footnotes

[^f00001]: 1978 c.29. Section 17A was inserted by section 30 of the National Health Service and Community Care Act 1990 (c.19) (“the 1990 Act”). Section 17A was moved under a new heading entitled “NHS Contracts” by section 31 of the National Health Service (Primary Care) Act 1997 (c.46) (“the 1997 Act”). Section 17CA was inserted by section 38 of the Tobacco and Primary Medical Services (Scotland) Act 2010 (asp 3). Section 17D was inserted by section 21(2) of the 1997 Act and section 17D(3) was amended by section 2(3) of the Primary Medical Services (Scotland) Act 2004 (asp 1) (“the 2004 Act”). Section 17E was inserted by section 22(2) of the 1997 Act and amended by paragraph 47 of schedule 4, and paragraph 1 of schedule 5 of the Health Act 1999 (c.8) (“the 1999 Act”), and section 2(4) of the 2004 Act. Section 28 was relevantly amended by section 3(4) of the National Health Service (Amendment) Act 1986 (c.66), paragraph 19(8) of schedule 9 of the 1990 Act, and paragraph 1(8) of schedule 1 of the 2004 Act. Section 105(7) was amended by paragraph 5 of schedule 6, and schedule 7, of the Health Services Act 1980 (c.53), and paragraph 24 of schedule 9 of the Health and Social Services and Social Security Adjudications Act 1983 (c.41), and paragraph 60 of schedule 4 of the 1999 Act. Section 108(1) contains a definition of “prescribed” and “regulations” relevant to the statutory powers under which these Regulations are made. The functions of the Secretary of State were transferred to the Scottish Ministers by virtue of section 53 of the Scotland Act 1998 (c.46).

[^f00005]: OJ L 257, 28.8.2014, p.73. Article 3(11) provides that an “advanced electronic signature” means an electronic signature which meets the requirements set out in Article 26 of that instrument. The requirements in Article 26 are that the electronic signature is (a) uniquely linked to the signatory; (b) capable of identifying the signatory; (c) created using electronic signature creation data that the signatory can, with a high level of confidence, use under his sole control; and (d) linked to the data signed therewith in such a way that any subsequent change in the data is detectable.

[^f00006]: Section 17C was inserted by section 21(2) of the National Health Service (Primary Care) Act 1997 (c.46), and amended by section 2(2) of the Primary Medical Services (Scotland) Act 2004 (asp 1), and paragraph 3 of schedule 21 of the Health and Social Care Act 2012 (c.7).

[^f00007]: Section 27(1) was amended by section 20 of the Health Services Act 1980 (c.53), paragraph 19 of schedule 9 of the National Health Service and Community Care Act 1990 (“the 1990 Act”), section 3 of the Medicine Products: Prescription by Nurses etc. Act 1992 (c.28), paragraph 44 of schedule 2 of the National Health Service (Primary Medical Services Act 1997, and section 44 of the Health and Social Care Act 2001 (c.15).

[^f00008]: Section 9 was amended by section 29(5) of the 1990 Act, and paragraph 43 of schedule 4 of the Health Act 1999.

[^f00010]: 1983 c.54. Section 34L was inserted by S.I. 2010/234.

[^f00012]: Section 29C(1) was inserted by section 58 of the Health Act 1999. There are amendments to section 29C not relevant to these Regulations.

[^f00013]: 2000 c.7. Section 15 was amended by paragraph 158 of schedule 17 of the Communications Act 2003 (c.21).

[^f00014]: Section 7(2) was amended by S.I. 2016/696.

[^f00016]: Section 17J was inserted into the Act by section 4 of the 2004 Act.

[^f00017]: S.S.I. 2018/66.

[^f00018]: 1983 c.54. Section 34I was inserted into the Act by S.I. 2010/234.

[^f00019]: S.I. 1991/194 (N.I. 1). Article 10 was amended by S.I. 1994/429 (N.I. 2), sections 43 and 44 of the Health and Personal Services Act (Northern Ireland) 2001 (c.3) and paragraph 1 of schedule 6 of the Health and Social Care (Reform) Act (Northern Ireland) 2009 (c.1).

[^f00020]: 2009 c.1.

[^f00021]: Section 17D(2) was inserted into the Act by section 21(2) of the National Health Service (Primary Care) Act 1997, and was amended by section 2(3) of the 2004 Act.

[^f00022]: Section 17A(2) was inserted by section 30 of the National Health Service and Community Care Act 1990, and was amended by paragraph 36 of schedule 2 of the National Health Service (Primary Care) Act 1997, and paragraph 46 of schedule 4 and paragraph 1 of schedule 5 of the Health Act 1999, paragraph 1 of schedule 14 of the Health and Social Care (Community Health and Standards) Act 2003 (c.43), paragraph 8 of schedule 17 of the Public Services Reform (Scotland) Act 2003 (c.43) and paragraph 2 of schedule 21 of the Health and Social Care Act 2012.

[^f00023]: 1995 c.36.

[^f00026]: 1907 c.24. Section 5 was amended by S.I. 2009/1940.

[^f00027]: Section 29 was substituted by section 58(1) of the Health Act 1999. Section 29 was further amended by paragraph 2(4) of schedule 2 of the Community Care and Health (Scotland) Act 2002 (asp 5), section 5(3) of the Primary Medical Services (Scotland) Act 2004 and section 26(2) and paragraph 2 of schedule 2 of the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13).

[^f00028]: 2006 c.42.

[^f00029]: Section 2 was amended by S.I. 2002/3135, S.I. 2006/1914, S.I. 2007/3103, S.I. 2008/1774 and S.I. 2014/1101.

[^f00030]: Section 17A(3) was inserted by section 30 of the National Health Service Community Care Act 1990, and amended by paragraph 46 of schedule 4 and paragraph 1 of schedule 5 of the Health Act 1999.

[^f00031]: Section 30 was amended by section 159 of the Health and Social Care Act 2012 (c.7).

[^f00032]: S.I. 2002/253.

[^f00034]: S.S.I. 2009/183.

[^f00035]: S.I. 2010/231.

[^f00036]: S.I. 1976/1213 (N.I. 22), as relevantly amended by S.R.(NI) 2008 No 192).

[^f00037]: S.I. 2012/1916.

[^f00038]: Section 17P was inserted by section 5(2) of the Primary Medical Services (Scotland) Act 2004 (asp 1).

[^f00040]: S.I. 2010/231.

[^f00041]: S.I. 1976/1213 (N.I .22) as relevantly amended by S.R. 2008/192, regulations 5 and 9.

[^f00042]: Section 17N was inserted by section 4 of the 2004 Act.

[^f00043]: 1989 c.44. Section 7 was amended by S.I. 2005/848.

[^f00044]: Section 29 was substituted by the Health Act 1999 (c.8) section 58(1) and amended by the Community Care and Health (Scotland) Act 2002 (asp 5), schedule 1, paragraph 2(4), the 2004 Act, section 5, and the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13) section 26(2) and schedule 2, paragraph 2.

[^f00045]: Section 32A was inserted into the Act by section 8 of the National Health Service (Amendment) Act 1995 (c.31) (“the 1995 Act”), and amended by paragraph 51 of schedule 4 of the Health Act 1999 (c.8) (“the 1999 Act”), and section 26(7) of the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13) (“the 2005 Act”).

[^f00046]: Section 32B was inserted into the Act by section 8 of the 1995 Act, and substituted by paragraph 52 of schedule 4 of the 1999 Act, and amended by paragraph 1 of schedule 3 of the 2005 Act.

[^f00047]: 1995 c.46.

[^f00048]: 1933 c.12. Schedule 1 was amended by paragraph 52 of schedule 4 of the Sexual Offences Act 1956 (c.69), paragraph 170(2) of schedule 16 of the Criminal Justice Act 1988 (c.33), paragraph 7 of schedule 6 of the Sexual Offences Act 2003 (c.42) and paragraph 1 of schedule 5 of the Modern Slavery Act 2015 (c.3).

[^f00049]: 1986 c.45. Schedule 4A was inserted by section 257 and paragraph 1 of schedule 20 of the Enterprise Act 2002 (c.40) (“the 2002 Act”) and was amended by paragraph 63 of the Enterprise and Regulatory Reform Act 2013 (c.24).

[^f00050]: S.I. 1989/2405 (N.I. 19). Schedule 2A was inserted by S.I. 2005/1455.

[^f00051]: 1985 c.66. Sections 56A to 56 K were inserted by section 2(1) of the Bankruptcy and Diligence etc. (Scotland) Act 2007 (asp 3), amended by the Bankruptcy and Debt Advice (Scotland) Act 2014 (asp 11) and repealed by Part 1 of schedule 9 of the Bankruptcy (Scotland) Act 2016 (asp 21).

[^f00052]: Schedule B1 was inserted by paragraph 1 of schedule 16 of the 2002 Act.

[^f00053]: 2005 asp 10. Section 34 was amended by section 122 of the Public Services Reform (Scotland) Act 2010 (asp 8).

[^f00054]: 1986 c.46, as relevantly amended by section 5 and paragraph 2 of schedule 4 of the Insolvency Act 2000 (c.39), section 204 of the Enterprise Act 2002 (“the 2002 Act”) and paragraph 2 of schedule 7 of the Small Business, Enterprise and Employment Act 2015 (c.26) (“the 2015 Act”).

[^f00055]: S.I. 2002/3150 (N.I. 4), as relevantly amended by paragraph 9 of schedule 8 of the 2015 Act.

[^f00056]: Section 429(2) was amended by paragraph 15 of schedule 23 of the 2002 Act.

[^f00057]: S.I. 2015/1862.

[^f00058]: Section 17CA was inserted into the Act by section 38 of the Tobacco and Primary Medical Services (Scotland) Act 2010 (asp 3).

[^f00059]: 1983 c.54. Section 34C was inserted by S.I. 2010/234.

[^f00060]: Section 17D was inserted by section 21(2) of the National Health Service (Primary Care) Act 1997 (c.46) and amended by section 2(3) of the Primary Medical Services (Scotland) Act 2004 (asp 1).

[^f00061]: Section 17A was inserted into the Act by section 30 of the National Health Service and Community Care Act 1990 (c.19). Section 17A was moved under a new heading entitled “NHS Contracts” by section 31 of the National Health Service (Primary Care) Act 1997 (c.46).

[^f00062]: Section 17A was inserted into the Act by section 30 of the National Health Service and Community Care Act 1990 and amended by paragraph 102 of schedule 1 of the Health Authorities Act 1995 (c.17), paragraph 36 of schedule 2 of the National Health Service (Primary Care) Act 1997 (c.46), paragraph 46 of schedule 4 and paragraph 1 of schedule 5 of the Health Act 1999 (c.8), paragraph 1 of schedule 14 of the Health and Social Care (Community Health and Standards) Act 2003 (c.43), paragraph 8 of schedule 17 of the Public Services Reform (Scotland) Act 2010 (asp 8), and paragraph 2 of schedule 21 of the Health and Social Care Act 2012 (c.7).

[^f00063]: S.I. 1976/615. Regulation 2(1) was substituted by S.I. 2010/137.

[^f00064]: S.I. 1985/1604. Regulation 2(1) was substituted by S.I. 2010/137.

[^f00065]: “Health care professional” includes nurses and midwives registered with the Nursing and Midwifery Council.

[^f00066]: Section 2(5) was amended by paragraph 19 of schedule 9 of the National Health Service and Community Care Act 1990 (c.19). Section 17E(3A) was inserted by section 2(4) of the Primary Medical Services (Scotland) Act 2004.

[^f00067]: Section 2(5) was amended by paragraph 19 of schedule 9 of the National Health Service and Community Care Act 1990.

[^f00068]: Section 17L was inserted by section 4 of the Primary Medical Services (Scotland) Act 2004 (asp 1) and substituted by section 39 of the Tobacco and Primary Medical Services (Scotland) Act 2010 (asp 3).

[^f00069]: The current version of the guidance is version 3.0, December 2017, and is available at http://www.hps.scot.nhs.uk/resourcedocument.aspx?id=6330.

[^f00070]: 1995 c.36.

[^f00071]: 2000 asp 4.

[^f00072]: 1971 c.38. Section 2 (Controlled drugs and their classification for purposes of this Act.) was relevantly amended by paragraph 2(a) of schedule 17 of the Police Reform and Social Responsibility Act 2011 (c.13).

[^f00073]: S.I. 2001/3998. Schedule 4 was amended by S.I. 2009/3136 and S.I. 2013/625. Schedule 5 was amended by S.I. 2005/2864.

[^f00074]: Section 17N was inserted by section 4 of the 2004 Act.

[^f00075]: S.I. 2012/1916.

[^f00076]: 1968 c.67. Part 3 was amended by section 1(1) to (3) of the Medicinal Products: Prescription by Nurses etc Act 1992 (c.28), section 63 of the Health and Care Social Care Act 2001 (c.5), section 220 of the Health and Social Care Act 2012 (c.7), S.I. 1984/187, S.I. 1993/2538, 1994/105, 1994/3142, 1994/3144, 1997/322, 1998/108, S.I. 2002/236, 2002/253, 2003/1590, 2004/1771, 2005/2789, 2006/1916, 2006/2407 and S.I. 2012/1916.

[^f00077]: 1983 c.54. Section 41A was inserted by S.I. 2000/1803 and amended by S.I. 2002/3135, 2006/1914 and 2015/794.

[^f00078]: Section 15 was substituted by S.I. 2006/1914; section 15A was inserted by S.I. 2000/3041 and amended by S.I. 2006/1914, 2067/3101 and 2011/1043; section 21 was amended by S.I. 2002/3135, 2006/1914 and 2007/3103.

[^f00079]: Section 44D was inserted by S.I. 2006/1914.

[^f00080]: S.S.I. 2004/114 as relevantly amended by S.I. 2010/234.

[^f00081]: This document is published jointly by the General Practitioners committee of the British Medical Association and the NHS Confederation. This document is available at: http://bma.org.uk/sessionalgps. Hard copies may be requested from The British Medical Association, BMA House, Tavistock Square, London WC1H 9JP.

[^f00082]: NHS Education for Scotland was constituted by S.S.I. 2002/103, as relevantly amended by S.S.I. 2006/79, which applies section 2(5) of the National Health Service (Scotland) Act 1978 to NHS Education for Scotland as it applies to Health Boards.

[^f00083]: The current guidance is PCS(GPR) 2009/1 which is available at http://www.sehd.scot.nhs.uk/pcs/PCS2009(GPR)01.pdf as amended by PCS(GPR) 2011/1, which is available at http://www.sehd.scot.nhs.uk/pcs/PCS2011(GPR)01.pdf as amended by PCS (GPR) 2015/1 which is available at http://www.sehd.scot.nhs.yk/pcs/PCS2015(GPR)01.pdf.

[^f00084]: Published by the then Scottish Executive as NHS Circular PCA(M)(2001)(17), copies available at http://www.sehd.scot.nhs.uk/pca/pca2001(m)17.htm.

[^f00085]: Section 17CA was inserted by section 38 of the Tobacco and Primary Medical Services (Scotland) Act 2010 (asp 3).

[^f00086]: Section 35 was substituted by section 34(2) of the National Health Service (Primary Care) Act 1997 (c.46) and amended by paragraph 1 of schedule 1 of the 2004 Act.

[^f00088]: Section 17CA(3) and (4) were inserted by section 38 of the Tobacco and Primary Medical Services (Scotland) Act 2010 (asp 3).

[^f00089]: Section 2C was inserted into the Act by section 1(2) of the 2004 Act.

[^f00090]: 1986 c.45.

[^f00091]: Section 17D was inserted by section 21 of the National Health Service (Primary Care) Act 1997 (c.46), and relevantly amended by section 2(3) of the 2004 Act, paragraph 6 of schedule 2(2) of the Tobacco and Primary Care Act 2010 (asp 3) and S.S.I. 2006/30.

[^f00092]: Section 17CA was inserted into the Act by section 38 of the Tobacco and Medical Services (Scotland) Act 2010 (asp 3).

[^f00093]: 2011 asp 5.

[^f00095]: 1994 c.39.

[^f00096]: 1970 c.42. Section 1 was amended by section 195 of the Local Government Act 1972 (c.70), and by paragraph 7 of schedule 10 of the Local Government (Wales) Act 1994 (c.19).

[^f00098]: Section 17A was inserted by section 30 of the National Health Service and Community Care Act (c.19), and moved under a new heading entitled “NHS Contracts” by section 31(2) of the National Health Service (Primary Care) Act 1997 (c.46).

[^f00099]: 2011 asp 5.

[^f00100]: 2016 asp 14.

[^f00101]: Sections 32A(2) and 32B(1) were inserted into the Act by section 8 of the National Health Service (Amendment) Act 1995 (c.31). Section 32A was amended by paragraph 51 of schedule 4 of the Health Act 1999 (c.8) (“the 1999 Act”), and section 26(7) of the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13) (“the 2005 Act”). Section 32B(1) was amended by paragraph 52 of schedule 4 of the 1999 Act and paragraph 1 of schedule 3 of the 2005 Act.

[^f00102]: S.S.I. 2004/114. Regulation 8A was inserted by S.S.I. 2011/392.

[^f00103]: 1995 c.46. Schedule 4A was added by section 257 and schedule 20 of the Enterprise Act 2002 (c.40) (“the 2002 Act”).

[^f00104]: 1933 c.12 as amended by section 170 and paragraph 8 of schedule 15 and schedule 16 of the Criminal Justice Act 1988 (c.33); schedules 3 and 4 of the Sexual Offences Act 1956 (c.69); paragraph 7 of schedule 6 of the Sexual Offences Act 2003 (c.42); paragraph 2 of schedule 10 of the Domestic Violence, Crime and Victims Act 2004 (c.28); paragraph 53 of schedule 21 of the Coroners and Justice Act 2009 (c.25) and paragraph 1 of schedule 5 of the Modern Slavery Act 2015 (c.30).

[^f00105]: 1986 c.45 was inserted by section 257 and schedule 20 of the 2002 Act.

[^f00106]: 1985 c.66. Sections 56A to 56K were substituted by section 33 of the Bankruptcy and Debt Advice (Scotland) Act 2014 (asp 11) and repealed by the Bankruptcy (Scotland) Act 2016 (asp 21).

[^f00107]: 2016 asp 21.

[^f00108]: 1986 c.45. Schedule B1 was inserted by paragraph 1 of schedule 16 of the 2002 Act.

[^f00109]: 2005 asp 10.

[^f00110]: 1986 c.46, as relevantly amended by section 5 and paragraph 2 of schedule 4 of the Insolvency Act 2000 (c.39), section 204 of the 2002 Act and paragraph 2 of schedule 7 of the Small Business, Enterprise and Employment Act 2015 (c.26).

[^f00111]: S.I. 2002/3150 (N.I. 4), as relevantly amended by paragraph 9 of schedule 8 of the Small Business, Enterprise and Employment Act 2015.

[^f00112]: Section 429(2) was amended by paragraph 15 of schedule 23 of the Enterprise Act 2002.

[^f00113]: S.I. 2015/1862.

[^f00114]: Section 17CA was inserted by section 38 of the Tobacco and Primary Medical Services (Scotland) Act 2010 (asp 3).

[^f00115]: 2016 asp 14.

[^f00116]: S.S.I. 20185/57 are made under section 22 of the 2016 Act.

[^f00117]: World Health Organisation, 2010 ISBN 9789241548342.

[^f00118]: 1995 c.36.

[^f00119]: 2000 asp 4.

[^f00122]: David Hall and David Elliman, January 2003, Oxford University Press, ISBN 10: 01985188X, ISBN 13: 9780198515883.

[^f00123]: 1974 c.37.

[^f00124]: 2010 c.15.

[^f00125]: S.S.I. 2004/406 as amended by S.S.I. 2006/534, S.S.I. 2008/310, S.S.I. 2009/119, S.S.I. 2010/32, S.S.I. 2011/120, 2011/211, S.S.I. 2012/209, S.S.I. 2013/143, S.S.I. 2014/219, S.I. 2014/1638, S.S.I. 2015/218, S.S.I. 2016/70, S.S.I. 2016/71 and S.S.I. 2017/188.

[^f00126]: S.I. 2013/235.

[^f00127]: S.S.I. 2004/114.

[^f00128]: S.S.I. 2004/163.

[^f00129]: S.S.I. 2009/183.

[^f00130]: S.S.I. 2012/36.

[^f00131]: S.S.I. 2014/344.

Dispute resolution: non-NHS contracts

Editorial notes

[^key-a4e113549f73358d19fcb1064f9184b1]: Words in reg. 2(a) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 12

[^key-b9220484b06c377f772e569960f6884c]: Words in reg. 3(1) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 13(a)

[^key-e7cb701028fe2b0636997bb1af4238cb]: Words in reg. 3(1) inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 13(b)

[^key-197778048b18be235312e4d8ba18333e]: Words in reg. 3(1) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 13(c)

[^key-296ae78b1c4007b9a90c97286eaa5cbf]: Words in reg. 3(1) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 13(d)

[^key-716f2147c847606ac1fb872bd26267aa]: Words in reg. 3(1) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 13(e)

[^key-6fd70ab5718f24a3ee6867dd0b4767a6]: Words in reg. 3(1) inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 13(f)

[^key-deec51989b0701000ea1d7260bb8dbf6]: Words in reg. 3(1) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 13(g)

[^key-095da1abc81031a047a66225528e1591]: Words in reg. 3(1) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 13(h)

[^key-534ac7fa0da373e66e99e45752e821fd]: Word in reg. 28(5) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 14

[^key-98bbd43671a801523659626c69b9a10a]: Sch. 1 para. 12(2); full stop substituted for word and semi-colon (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(a)

[^key-8ed0beb26bd0f9dbf1820a421f9a9566]: Word in sch. 1 para. 15(1) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(b)

[^key-2cedeab22f17950b1c570bfcd1b8ba9a]: Word in sch. 1 para. 33(5)(c) inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(c)

[^key-6fd79aa95614f4061e3060dff4ffb632]: Words in sch. 1 para. 36(1)(a) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(d)

[^key-eddcd4e70ae342a02758117d7ead3288]: Word in sch. 1 para. 40(1)(a) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(e)(i)

[^key-005241117b954002e01fe24f25df61a8]: Sch. 1 para. 40(3) full stop inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(e)(ii)

[^key-97b369cc293e7afb671128e1e62144ab]: Word in sch. 1 para. 40(5)(a) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(e)(iii)

[^key-7fcc717bb2da42ba643a82f4b25af2b1]: Words in sch. 2 para. 26(3)(a) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(f)(i)

[^key-7e397108687e87792697548dc3a2eedd]: Word in sch. 2 para. 26(3)(d) inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(f)(ii)(aa)

[^key-2d3b8faabee3f8ca1748deeb506becef]: Sch. 1 para. 43 heading full stop inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(f)(i)

[^key-618755c8b025d52da785817b543bb939]: Word in sch. 1 para. 44(7) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(g)

[^key-dac3e3811a467a834bd2471044a83cfd]: Word in sch. 1 para. 56(1) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(h)(i)

[^key-85442c078be88248c9596b89544aa23a]: Word in sch. 1 para. 56(9) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(h)(ii)

[^key-4896c35960380ef79cb5d2b2f8184ba9]: Sch. 1 para. 57 heading substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(i)(i)

[^key-8fd41814b00ca040f37c6997468cc61e]: Words in sch. 1 para. 57(1) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(i)(ii)

[^key-b1f938c47ddffc13041152eee6ba0675]: Words in sch. 1 para. 68(3)(l)(i) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(j)(i)

[^key-8adc583979f3ef4449a4e73e5d9f3fba]: Word in sch. 1 para. 68(3)(m)(v) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(j)(ii)

[^key-1d137ac3fe7e0d1a07daaadfc506c120]: Word in sch. 1 para. 69(2)(n) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(k)

[^key-14f2c8e113d56e5845c88f961e2a718e]: Words in sch. 1 para. 73 heading substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(l)

[^key-8cf0ba11f29b9dc5cadfffa426cb0140]: Sch. 1 para. 76(2)(c) punctuation inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 15(m)

[^key-54f65577d9bd0824c438131ec63030e2]: Word in sch. 2 para. 10(5) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(a)

[^key-f1f84c7fe9a4aaec736b4964dd15bfa7]: Sch. 2 para. 11(3)(a) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(b)(ii)(bb)

[^key-781f99f76bfd652fd29225cb62bfdbeb]: Sch. 2 para. 11(3)(b) omitted (1.4.2018) by virtue of The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(b)(ii)(cc)

[^key-b3288e9e3e93526bf4eb384da1f83992]: Word in sch. 2 para. 11(1) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(b)(i)

[^key-729f5ce319d755281c6351dd46311db9]: Words in sch. 2 para. 11(3) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(b)(ii)(aa)

[^key-2823aa343dcef8d2ddbd17844fb94117]: Words in sch. 2 para. 19(4) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(d)

[^key-7e186f753070a32246481e6613feff59]: Word in sch. 2 para. 20(3)(a) inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(e)

[^key-df7d66462c003effc8baf6bc3cd35222]: Sch. 8 para. 4(2) substituted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 19

[^key-82897b16c3486eb9c02d51ed3310c36a]: Sch. 2 para. 16 heading full stop inserted (1.4.2018) by The National Health Service (General Medical Services Contracts and Primary Medical Services Section 17C Agreements) (Scotland) Amendment Regulations 2018 (S.S.I. 2018/94), regs. 1, 16(c)