(2) The data referred to in paragraph (1) must be appropriately coded by the contractor and uploaded onto the contractor’s computerised clinical systems in line with the requirements of guidance published by NHS Employers for these purposes.

(3) The contractor must ensure that the coded data is uploaded onto its computerised clinical systems and available for collection by NHS England at such intervals during each financial year as are notified to the contractor by NHS England.

Information relating to indicators no longer in the Quality and Outcomes Framework

74C

A contractor must allow the extraction from the contractor’s computerised clinical systems by NHS England of the information specified in the Table relating to clinical indicators which are no longer in the Quality and Outcomes Framework at such intervals during each financial year as are notified to the contractor by NHS England.

Indicator ID	Indicator Description
. . .
CHD003	The percentage of patients with coronary heart disease whose last measured cholesterol (measured in the preceding 12 months) is 5 mmol/l or less
CKD002	The percentage of patients on the CKD register in whom the last blood pressure reading (measured in the preceding 12 months) is 140/85 mmHg or less
CKD004	The percentage of patients on the CKD register whose notes have a record of a urine albumin: creatinine ratio (or protein: creatinine ratio) test in the preceding 12 months
NM84	The percentage of patients on the CKD register with hypertension and proteinuria who are currently treated with renin-angiotensin system antagonists
CVD-PP002	The percentage of patients diagnosed with hypertension (diagnosed after or on 1st April 2009) who are given lifestyle advice in the preceding 12 months for: smoking cessation, safe alcohol consumption and healthy diet
DM005	The percentage of patients with diabetes, on the register, who have a record of an albumin: creatinine ratio test in the preceding 12 months
DMO11	The percentage of patients with diabetes, on the register, who have a record of retinal screening in the preceding 12 months
EP002	The percentage of patients 18 or over on drug treatment for epilepsy who have been seizure free for the last 12 months recorded in the preceding 12 months
EP003	The percentage of women aged 18 or over and who have not attained the age of 55 who are taking antiepileptic drugs who have a record of information and counselling about contraception, conception and pregnancy in the preceding 12 months
LD002	The percentage of patients on the learning disability register with Down’s syndrome aged 18 or over who have a record of blood TSH in the preceding 12 months
MH004	The percentage of patients aged 40 or over with schizophrenia, bipolar affective disorder and other psychoses who have a record of total cholesterol: hdl ratio in the preceding 12 months
. . .	. . .
MH007	The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of alcohol consumption in the preceding 12 months
MH008	The percentage of women aged 25 or over and who have not attained the age of 65 with schizophrenia, bipolar affective disorder and other psychoses whose notes record that a cervical screening test has been performed in the preceding 5 years
PAD002	The percentage of patients with peripheral arterial disease in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less
PAD003	The percentage of patients with peripheral arterial disease in whom the last measured total cholesterol (measured in the preceding 12 months) is 5 mmol/l or less
PAD004	The percentage of patients with peripheral arterial disease with a record in the preceding 12 months that aspirin or an alternative anti-platelet is being taken
RA003	The percentage of patients with rheumatoid arthritis aged 30 or over and who have not attained the age of 85 who have had a cardiovascular risk assessment using a CVD risk assessment tool adjusted for RA in the preceding 12 months
RA004	The percentage of patients aged 50 or over and who have not attained the age of 91 with rheumatoid arthritis who have had an assessment of fracture risk using a risk assessment toll adjusted for RA in the preceding 24 months
SMOK001	The percentage of patients aged 15 or over whose notes record smoking status in the preceding 24 months
STIA005	The percentage of patients with a stroke shown to be non-haemorrhagic, or a history of TIA whose last measured total cholesterol (measured in the preceding 12 months) is 5 mmol/l or less
THY001	The contractor establishes and maintains a register of patients with hypothyroidism who are currently treated with levothyroxine
THY002	The percentage of patients with hypothyroidism, on the register, with thyroid function tests recorded in the preceding 12 months

74D

(1) A contractor must allow the extraction by NHS England of the information specified in—

(a) paragraph (2) in relation to alcohol related risk reduction; and

(b) paragraph (3) in relation to dementia diagnosis and treatment,

from the record that the contractor is required to keep in respect of each registered patient under regulation 67 by such means, and at such intervals during each financial year, as are notified to the contractor by NHS England.

(2) The information specified in this paragraph is information required in connection with the requirements under paragraph 7 of Schedule 3.

(3) The information specified in this paragraph is information relating to any clinical interventions provided by the contractor in the preceding 12 months in respect of a patient who is suffering from, or who is at risk of suffering from, dementia.

NHS Digital Workforce Census

74E

(1) A contractor must record and submit any data required by NHS England for the purposes of the NHS Digital Workforce Collection (known as the “Workforce Minimum Data Set”) in accordance with paragraph (2).

(2) The data referred to in paragraph (1) must be—

(a) appropriately coded, reviewed and updated by the contractor in line with agreed standards set out in guidance published by NHS England;

(b) submitted to NHS England—

(i) using the data entry module on the National Workforce Reporting Service, which is a facility provided by NHS England to the contractor for this purpose; and

(ii) at such intervals during the financial year as are notified to the contractor by NHS England.

(3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Information relating to overseas visitors

74F

(1) A contractor must—

(a) record the information specified in paragraph (2) relating to overseas visitors, where that information has been provided to it by a newly registered patient on a form supplied to the contractor by NHS England for this purpose; and

(b) where applicable in the case of a patient, record the fact that the patient is the holder of a document—

(i) which is—

(aa) a European Health Insurance Card;

(bb) an S1 Healthcare Certificate; or

(cc) a document which, for the purposes of a listed healthcare arrangement as defined in regulation 1(3) of the Healthcare (European Economic Area and Switzerland Arrangements) (EU Exit) Regulations 2019, is treated as equivalent to a document referred to in sub-paragraph (aa) (“EHIC equivalent document”) or (bb) (“S1 equivalent document”); and

(ii) which has not been issued to or in respect of the patient by the United Kingdom,

in the medical record that the contractor is required to keep under regulation 67 in respect of the patient.

(2) The information specified in this paragraph is—

(a) in the case of a patient who holds a European Health Insurance Card or EHIC equivalent document which has not been issued to the patient by the United Kingdom, the information contained on that card or document in respect of the patient; and

(b) in the case of a patient who holds a Provisional Replacement Certificate issued in respect of the patient’s European Health Insurance Card, the information contained on that certificate in respect of the patient.

(3) The information referred to in paragraph (2) must be submitted by the contractor to NHS England—

(a) electronically at nhsdigital.costrecovery@nhs.net;

(b) by post in hard copy form to EHIC, PDS NBO, NHS Digital, Smedley Hydro, Trafalgar Road, Southport, Merseyside, PR8 2HH.

(4) Where the patient is the holder of an S1 Healthcare Certificate or S1 equivalent document, the contractor must send that certificate or document, or a copy of that certificate or document, to the the NHS Business Services Authority—

(a) electronically to nhsbsa.faregistrationsohs@nhs.net, or

(b) by post in hard copy form to Cost Recovery, Overseas Healthcare Service, Bridge House, 152 Pilgrim Street, Newcastle Upon Tyne, NE1 6SN.

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

Patients living with frailty

7A

(1) A contractor must take steps each year to identify any registered patient aged 65 years and over who is living with moderate to severe frailty.

(2) The contractor must comply with the requirement in sub-paragraph (1) by using the Electronic Frailty Index or any other appropriate assessment tool.

(3) Where the contractor identifies a patient aged 65 years or over who is living with severe frailty, the contractor must—

(a) undertake a clinical review in respect of the patient which includes—

(i) an annual review of the patient’s medication, and

(ii) where appropriate, a discussion with the patient about whether the patient has fallen in the last 12 months;

(b) provide the patient with any other clinically appropriate interventions; and

(c) where the patient does not have an enriched Summary Care Record, advise the patient about the benefits of having an enriched Summary Care Record and activate that record at the patient’s request.

(4) A contractor must, using codes agreed by NHS England for this purpose, record in the patient’s Summary Care Record any appropriate information relating to clinical interventions provided to a patient under this paragraph.

Accountable GP

Patients not seen within three years

Patients aged 75 and over

Patients aged 75 and over: accountable GP

Clinical reports

Storage of vaccines

Infection control

Duty of co-operation

Cessation of service provision: information requests

Inclusion in list of patients: detained persons

19A

(1) A contractor must, if the contractor’s list of patients is open, include a person to whom sub-paragraph (2) applies (a “detained person”) in that list and paragraph 29(1)(c) does not apply in respect of a detained person who is included in the contractor’s list of patients by virtue of this paragraph.

(2) This sub-paragraph applies to a person who—

(a) is serving a term of imprisonment of more than two years, or more than one term of imprisonment totalling, in the aggregate, more than two years;

(b) is not registered as a patient with a provider of primary medical services; and

(c) makes an application under this paragraph in accordance with sub-paragraph (3) to be included in the contractor’s list of patients by virtue of sub-paragraph (1) or (6) before the scheduled release date.

(3) An application under sub-paragraph (2)(c) may be made during the period commencing one month prior to the scheduled release date and ending 24 hours prior to that date.

(4) Subject to sub-paragraphs (5) and (6), a contractor may only refuse an application under sub-paragraph (2)(c) if the contractor has reasonable grounds for doing so which do not relate to the applicant’s age, appearance, disability or medical condition, gender or gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sexual orientation or social class.

(5) The reasonable grounds referred to in sub-paragraph (4) may include the ground that the applicant will not, on or after the scheduled release date, live in the contractor’s practice area or does not intend to live in that area.

(6) Where a contractor’s list of patients is closed, the contractor may, by virtue of this sub-paragraph, accept an application under sub-paragraph (2)(c) if the applicant is an immediate family member of a registered patient.

(7) Where a contractor accepts an application from a person under sub-paragraph (2)(c) for inclusion in the contractor’s list of patients, the contractor—

(a) must give notice in writing to the provider of the detained estate healthcare service or to NHS England of that acceptance as soon as possible; and

(b) is not required to provide primary medical services to that person until after the scheduled release date.

(8) NHS England must, on receipt of a notice given under sub-paragraph (7)(a)—

(a) include the applicant in the contractor’s list of patients from the date notified to NHS England by the provider of the detained estate healthcare service; and

(b) give notice in writing to the provider of the detained estate healthcare service of that acceptance.

(9) Where a contractor refuses an application made under sub-paragraph (2)(c), the contractor must give notice in writing of that refusal, and the reasons for it, to the provider of the detained estate healthcare service or to NHS England before the end of the period of 14 days beginning with the date of its decision to refuse.

(10) The contractor must—

(a) keep a written record of—

(i) the refusal of any application under sub-paragraph (2)(c), and

(ii) the reasons for that refusal; and

(b) make such records available to NHS England on request.

(11) In this paragraph—

(a) “the detained estate healthcare service” means the healthcare service commissioned by NHS England in respect of persons who are detained in prison or in other secure accommodation by virtue of regulations made under section 3B(1)(c) of the Act (Secretary of State’s power to require Board to commission services); and

(b) “the scheduled release date” means the date on which the person making an application under sub-paragraph (2)(c) is due to be released from detention in prison.

Temporary residents

Refusal of applications for inclusion in list of patients or for acceptance as temporary resident

Patient preference of a practitioner

Removal from the list at the request of the contractor

Removal from the list of patients who are violent

Removal from the list of patients registered elsewhere

Removal from the list of patients who have moved

Removal from the list of patients whose address is unknown

Removal from the list of patients absent from the United Kingdom etc.

Removal from the list of patients accepted elsewhere as temporary residents

Removal from the list of pupils etc. of a school

Termination of responsibility for patients not registered with the contractor

Patient access to online services

71A

(1) This regulation applies to any contractor which has less than ten per cent of its registered patients registered with the contractor’s practice to use the online services which the contractor is required under regulation 71 or regulation 71ZA(1) or (2) to promote, offer or, as the case may be, provide to its registered patients (“patient online services”).

(2) A contractor to which this regulation applies must agree a plan with NHS England aimed at increasing the percentage of the contractor’s registered patients who are registered with the contractor’s practice to use patient online services.

Confidentiality of personal data: nominated person

Provision of information on practice website

Provision of information

Provision of information: GP access data

National Diabetes Audit

Information relating to indicators no longer in the Quality and Outcomes Framework

NHS Digital Workforce Census

Information relating to overseas visitors

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

NHS e-Referral Service (e-RS)

11A

(1) Except in the case of a contractor to which sub-paragraph (2) or (3) applies, a contractor must require the use in its practice ... of the system for electronic referrals known as the NHS e-Referral Service (“e-RS”) in respect of each referral of any of its registered patients to a first consultant-led out-patient appointment for medical services under the Act in respect of which the facility to use e-RS is available.

(2) This sub-paragraph applies to a contractor which does not yet have e-RS in place for use in the contractor’s practice ....

(3) This sub-paragraph applies to a contractor which—

(a) is experiencing technical or other practical difficulties which are preventing the use, or effective use, of e-RS in its practice ...; and

(b) has notified NHS England that this is the case.

(4) A contractor to which sub-paragraph (2) applies must require the use in its practice ... of alternative means of referring its registered patients to a first consultant-led out-patient appointment for medical services under the Act until such time as the contractor has e-RS in place for use in its practice ....

(5) A contractor to which sub-paragraph (3) applies—

(a) must ensure that a plan is agreed between the contractor’s practice and NHS England for resolving the technical or other practical difficulties which are preventing the use, or effective use, of e-RS in the contractor’s practice ...; and

(b) must require the use in its practice ... of alternative means of referring its registered patients to a first consultant-led out-patient appointment for medical services under the Act until such time as those technical or other practical difficulties have been resolved to the satisfaction of NHS England.

Clinical reports

Storage of vaccines

Infection control

Duty of co-operation

Cessation of service provision: information requests

Variation of contracts: integrated care provider contracts

29A

Schedule 3A has effect in relation to the variation of a contract in circumstances where the contractor wishes to perform or provide primary medical services under an integrated care provider contract as described in paragraph 3 of that Schedule.

Variation of contracts: registered patients from outside practice area

Termination of a contract

Other contractual terms

SCHEDULE3A — Suspension and reactivation of general medical services contracts

Interpretation

1

In this Schedule—

“integrated care provider” means a person, other than a person specified in paragraph 3(3), who is party to an integrated care provider contract;

“integrated care provider contract” has the meaning given in paragraph 3.

Right to suspend a general medical services contract

2

(1) Where a contractor wishes to perform or provide primary medical services under an integrated care provider contract, the contractor must give notice in writing to NHS England of that intention in accordance with paragraph 4 and NHS England must agree to suspend the operation of the contractor’s general medical services contract in accordance with the requirements of, and subject to the conditions set out in, this Schedule.

(2) NHS England must not suspend the contractor’s contract until—

(a) the contractor has informed NHS England of the date on which the contractor intends to begin performing or, as the case may be, providing primary medical services under an integrated care provider contract; and

(b) NHS England has given notice in writing to each person on the contractor’s list of registered patients that—

(i) the contractor intends to perform or, as the case may be, provide primary medical services under an integrated care provider contract with effect from that date; and

(ii) the person will be transferred on to the list of registered service users of the integrated care provider on that date unless the person decides to register with another provider of primary medical services before that date.

(3) Where NHS England suspends the operation of a contractor’s general medical services contract, the contractor is released from any obligation to provide primary medical services under that contract to the contractor’s list of registered patients from the date on which that suspension takes effect.

Integrated care provider contracts

3

(1) For the purposes of this Schedule, an “integrated care provider contract” is a contract entered into on or after 1st April 2019 which satisfies the following sub-paragraphs.

(2) An integrated care provider contract must be between—

(a) one or more of the persons specified in sub-paragraph (3); and

(b) a person who is a provider of services specified in sub-paragraph (5).

(3) The persons specified in this sub-paragraph are—

(a) NHS England;

(b) one or more integrated care boards; or

(4) An integrated care provider contract must—

(a) relate to the provision of two or more of the services specified in sub-paragraph (5); and

(b) not be a contract to which sub-paragraph (6) applies.

(5) The services specified in this sub-paragraph are—

(a) primary medical services;

(b) secondary care services;

(d) adult social care services,

and include such services where they are provided under arrangements entered into by an NHS body or a local authority in England by virtue of section 75 of the Act.

(6) This sub-paragraph applies to a contract for the provision of primary medical services to which directions given by the Secretary of State under section 98A of the Act (exercise of functions) relating to the provision of alternative provider medical services under section 83(2) of the Act apply.

(7) In this paragraph—

“adult social care services” means services provided pursuant to the exercise of the adult social services functions of a local authority in England;

“adult social services functions” means social services functions within the meaning of section 1A of the Local Authority and Social Services Act 1970 so far as relating to persons aged 18 or over, excluding any function to which Chapter 4 of Part 8 of the Education and Inspections Act 2006 applies;

“primary medical services” means services which NHS England considers it appropriate to secure the provision of under section 83(2) of the 2006 Act (primary medical services);

“public health functions” means—the public health functions of the Secretary of State under the following provisions of the Act—section 2A (Secretary of State’s duty as to protection of public health);section 2B (functions of local authorities and Secretary of State as to improvement of public health);paragraphs 8 and 12 of Schedule 1 (further provision about the Secretary of State and services under the Act);the public health functions of a local authority in England under the following provisions of the Act, and any regulations made under these provisions—section 2B (functions of local authorities and Secretary of State as to improvement of public health);section 111 (dental public health); orparagraphs 1 to 7B or 13 of Schedule 1 (further provision about the Secretary of State and services under this Act);the public health functions of the Secretary of State that a local authority in England is required to exercise by virtue of regulations made under section 6C(1) (regulations as to the exercise by local authorities of certain public health functions) of the Act; orthe public health functions of the Secretary of State where they are exercised by NHS England, an integrated care board or a local authority in England where those bodies are acting pursuant to arrangements made under section 7A (exercise of the Secretary of State’s public health functions) or 7B (directions requiring NHS bodies to exercise public health functions) of the Act;

“public health services” are services which are provided pursuant to the exercise of public health functions;

“secondary care services” means—such services, accommodation or facilities as an integrated care board considers it appropriate to make arrangements for the provision of under or by virtue of section 3 (duties of integrated care boards as to commissioning of health services) or 3A (power of integrated care boards to commission certain health services) of the Act; orsuch services or facilities as NHS England is required by the Secretary of State to arrange by virtue of regulations made under section 3B (power to require Board to commission certain health services) of the Act.

(8) For the purposes of this paragraph, any of the following is a local authority in England—

(a) a county council;

(b) a county borough council;

(d) a London borough council;

(e) the Common Council of the City of London;

(f) the Council of the Isles of Scilly.

Notice of intention to suspend a general medical services contract

4

A notice under paragraph 2(1) must—

(a) state that the contractor wishes to suspend the general medical services contract and specify the date on which the contractor would like the proposed suspension to take effect which must be a date which—

(i) falls at least one month after the date on which the notice was given, and

(ii) immediately precedes the date on which the contractor intends to begin performing or, as the case may be, providing primary medical services under the relevant integrated care provider contract;

(b) give the name of each person who is a party to the general medical services contract who intends to perform or, as the case may be, provide primary medical services under an integrated care provider contract; and

Suspension of a general medical services contract: general

5

(1) Subject to sub-paragraph (2), the suspension of a general medical services contract is effective for a minimum period of two years beginning with the date on which that suspension takes effect which must be—

(a) the date specified in the notice given under paragraph 2(1); or

(b) such later date as NHS England may approve in the circumstances of a particular case.

(2) The suspension of a general medical services contract is effective for a period of less than two years beginning with the date on which that suspension takes effect under sub-paragraph (1) only in a case where the relevant integrated care provider contract terminates or expires or is varied as described in paragraph 9(1) before the end of that period.

(3) Where NHS England suspends a general medical services contract, the contractor may not receive payments from NHS England in respect of any period during which that contract is suspended.

(4) NHS England must, before the end of the period of—

(a) three months beginning with the date on which the suspension of the contract takes effect; or

(b) such longer period as may be agreed between NHS England and the contractor in the circumstances of a particular case,

pay the contractor any outstanding payments owed to the contractor in respect of the provision of primary medical services by the contractor under the contract in accordance with the terms of directions given by the Secretary of State under section 87 the Act (general medical services contracts: payments).

Notice of intention to reactivate a general medical services contract

6

(1) A notice under paragraph 7(1) must be given to NHS England by the contractor at least six months before the date on which the proposed reactivation of the contract is to take effect.

(2) A notice under paragraph 7(1) must—

(a) state that the contractor wishes to reactivate the contract and specify the date on which the contractor would like the proposed reactivation to take effect which must be a date which—

(i) falls at least six months after the date on which the notice was given, and

(ii) immediately follows the date on which the contractor intends to cease performing, or as the case may be, providing primary medical services under the relevant integrated care provider contract;

(b) give the name of each person who is a party to the contract who intends to resume the provision of primary medical services under the contract; and

Right to reactivate a general medical services contract

7

(1) NHS England must reactivate a contract under this paragraph where the contractor has given notice in writing to NHS England in accordance with paragraph 6 of the intention to reactivate the contract in accordance with the requirements of, and subject to the conditions set out in, this Schedule.

(2) NHS England must only reactivate a contract under this paragraph with effect from—

(a) the date which falls on the second anniversary of the date on which the suspension of that contract took effect; or

(b) subsequently, on a date which falls every two years after the date specified in paragraph (a) during the duration of the integrated care provider contract.

Reactivation of a general medical services contract: general

8

(1) The reactivation of a contract is effective on the date which falls immediately after the date on which the contractor ceases performing or, as the case may be, providing primary medical services under an integrated care provider contract which must be—

(a) the date specified in the notice given under paragraph 7(1); or

(b) such later date as NHS England may approve in the circumstances of a particular case.

(2) NHS England must not reactivate a contract unless the conditions specified in sub-paragraph (3) are met.

(3) The conditions specified in this sub-paragraph are that—

(a) the contractor remains eligible to hold a contract in accordance with the conditions set out in regulations 5 and 6 at the date on which the reactivation of the contract is to take effect; and

(b) NHS England is satisfied that, during the period in which the contractor’s contract was suspended, the contractor has not acted or failed to act in a manner that gives rise to NHS England's right to terminate the contract under any of the provisions of Part 8 of Schedule 3.

(4) Where the reactivation of the contractor’s contract is intended to take effect on the second anniversary of the date on which the suspension of that contract took effect, NHS England must notify in writing each person who resides in the contractor’s former practice area and who was on the list of registered service users of the integrated care provider that—

(a) the contractor intends to resume the provision of primary medical services under the contract in respect of people who reside in the contractor’s former practice area from the date specified in the notice; and

(b) if the person was on the contractor’s list of registered patients immediately prior to the date on which the suspension of the contractor’s contract took effect, the person will transfer onto the contractor’s list of registered patients from the date specified in the notice unless the person decides to remain registered with the integrated care provider or registers with another provider of primary medical services before that date.

(5) Where the reactivation of the contractor’s contract is intended to take effect after the second anniversary of the date on which the suspension of that contract took effect, NHS England must notify in writing each person who resides in the contractor’s former practice area and who was on the list of registered service users of the integrated care provider that—

(a) the contractor intends to resume the provision of primary medical services under the contract in respect of people who reside in the contractor’s former practice area from the date specified in the notice; and

(b) the person will remain on the list of registered service users of the integrated care provider from the date specified in the notice unless the person decides to register with the contractor or with another provider of primary medical services before that date.

(6) Where a contract is reactivated by NHS England, the terms of that contract which are to apply are those terms which are effective at the date on which the reactivation takes effect subject to any variation of those terms which may be agreed between the contractor and NHS England.

Termination, expiry or variation of an integrated care provider contract

9

(1) Where, at any time, an integrated care provider contract terminates or expires or is varied so that it no longer requires the integrated care provider to provide primary medical services in respect of people who reside in the contractor’s former practice area—

(a) NHS England must, subject to the conditions specified in paragraph 8(3), reactivate the contractor’s contract with effect from the date which falls immediately after the date on which the integrated care provider contract terminated or, as the case may be, expired or was varied; and

(b) the contractor must, with effect from that date, resume the provision of primary medical services under the contract to people who reside in the contractor’s former practice area.

(2) Where an integrated care provider contract terminates or expires or is varied as described in sub-paragraph (1), NHS England must notify in writing each person who resides in the contractor’s former practice area and who was on the list of registered service users of the integrated care provider immediately before the date on which the integrated care provider contract terminated or, as the case may be, expired or was varied that—

(a) the contractor has resumed providing primary medical services under the contract from a specified date in respect of people who reside in the contractor’s former practice area; and

(b) the person will transfer onto the contractor’s list of registered patients from the date specified unless the person decides to register with another provider of primary medical services before that date.

Electronic repeat dispensing services

60A

(1) Subject to regulations 56, 57, 59 and 60(2)(b) to (4), where a prescriber orders a drug, medicine or appliance by means of an electronic repeatable prescription, the prescriber must issue the prescription in a format appropriate for electronic repeat dispensing where it is clinically appropriate to do so for that patient on that occasion.

(2) In this regulation, “electronic repeat dispensing” means dispensing as part of pharmaceutical services or local pharmaceutical services which involves the provision of drugs, medicines or appliances in accordance with an electronic repeatable prescription.

Restrictions on prescribing by medical practitioners

Restrictions on prescribing by supplementary prescribers

Bulk prescribing

Excessive prescribing

Provision of drugs, medicines and appliances for immediate treatment or personal administration

Medicines and Healthcare products Regulatory Agency Central Alerting System

74G

A contractor must—

(a) provide to the Medicines and Healthcare products Regulatory Agency (“the MHRA”) on request, an electronic mail address which is registered to the contractor’s practice;

(b) monitor that address;

(c) if that address ceases to be registered to the practice, notify the MHRA immediately of its new electronic mail address; and

(d) provide to the MHRA on request, one or more mobile telephone numbers for use in the event that the contractor is unable to receive electronic mail.

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

Direct booking by NHS 111

11B

(1) A contractor must ensure that as a minimum the following number of appointments during core hours for its registered patients are made available per day for direct booking by or via a service (“a connected service”) approved by NHS England that is or may be accessed via NHS 111—

(a) one, where a contractor has 3,000 registered patients or fewer; or

(b) one for each whole 3,000 registered patients, where a contractor has more than 3,000 registered patients.

(2) The requirements in sub-paragraphs (1) and (3) do not apply where—

(a) NHS England has agreed to a request from the contractor to suspend the requirements for operational reasons; or

(b) the contractor does not have access to computer systems and software which would enable it to offer the service described in sub-paragraph (1).

(3) A contractor must—

(a) configure its computerised systems to allow direct booking by NHS 111 or via a connected service;

(b) monitor its booking system for appointments booked by NHS 111 or via a connected service;

(c) assess the Post Event Message received from NHS 111 or via a connected service in order to decide whether an alternative to the booked appointment should be arranged, such as a telephone call to the patient or an appointment with another healthcare professional and where appropriate, make those arrangements; and

(d) co-operate with NHS England in its oversight of direct booking by NHS 111 or via a connected service by providing any information relating to direct booking by NHS 111 or via a connected service which is reasonably required by NHS England.

(4) In this paragraph, “Post Event Message” means the electronic message which is sent to a contractor at the end of a telephone call to NHS 111 or via a connected service.

(5) In order to assist in the management of a serious or potentially serious risk to human health arising as a consequence of a disease being, or in anticipation of a disease being imminently—

(a) pandemic; and

(b) a serious risk or potentially a serious risk to human health,

NHS England may with the agreement of the Secretary of State make an announcement to the effect that the minimum numbers of appointments mentioned in paragraph (1) are modified in the circumstances specified (which may limit the area to which the modification relates), and for the duration of the period specified, in the announcement, and where NHS England does so, the minimum numbers are as so modified.

Clinical reports

Storage of vaccines

Infection control

Duty of co-operation

Duty of co-operation: Primary Care Networks

15A

(1) A contractor must comply with the requirements in sub-paragraph (2) where it is—

(a) signed up to the Network Contract Directed Enhanced Service Scheme (“the Scheme”); or

(b) not signed up to the Scheme but its registered patients or temporary residents, are provided with services under the Scheme (“the services”) by a contractor which is a member of a primary care network.

(2) The requirements specified in this sub-paragraph are that the contractor must—

(a) co-operate, in so far as is reasonable, with any person responsible for the provision of the services;

(b) comply in core hours with any reasonable request for information from such a person or from NHS England relating to the provision of the services;

(d) participate in primary care network meetings, in so far as is reasonable;

(e) take reasonable steps to provide information to its registered patients about the services, including information on how to access the services and any changes to them; and

(f) ensure that it has in place suitable arrangements to enable the sharing of data to support the delivery of the services, business administration and analysis activities.

(3) For the purposes of this paragraph, “primary care network” means a network of contractors and other providers of services which has been approved by NHS England, serving an identified geographical area....

Cessation of service provision: information requests

Use of NHS primary care logo

48A

Where a contractor chooses to apply the NHS primary care logo to signage, stationery, leaflets, posters, its practice website or to any other form of written representation relating to the primary care services it provides, it must have regard to guidance concerning use of the NHS primary care logo produced by Do you want .

Marketing campaigns

48B

The contractor must participate in a manner reasonably requested by NHS England in up to 6 marketing campaigns in each financial year.

Advertising private services

48C

The contractor must not advertise the provision of private services, either itself or through any other person, whether the contractor provides the services itself or they are provided by another person, by any written or electronic means where the same are used to advertise the primary medical services it provides.

Variation of core hours while a disease is or in anticipation of a disease being imminently pandemic etc.

3A

(1) In these Regulations, “core hours” means the period beginning at 8.00am and ending at 6.30pm on any day from Monday to Friday in circumstances where, in order to assist in the management of a serious or potentially serious risk to human health arising as a consequence of a disease being, or in anticipation of a disease being imminently—

(a) pandemic; and

(b) a serious risk or potentially a serious risk to human health,

NHS England with the agreement of the Secretary of State has made an announcement to the effect that the core hours of contractors in the area specified in the announcement are to include Good Friday and bank holidays in the circumstances specified, and for the duration of the period specified, in the announcement.

(2) In these Regulations, in the circumstances described in paragraph (1), “out of hours period means—

(a) the period beginning at 6.30pm on any day from Monday to Friday and ending at 8.00am on the following day; and

(b) the period beginning at 6.30pm on Friday and ending at 8.00am on the following Monday.

Amendment and withdrawal of announcements and advice in respect of pandemics etc.

3B

In these Regulations, where reference is made to an announcement or advice of NHS England that relates to a disease being, or in anticipation of a disease being imminently—

(a) pandemic; and

(b) a serious risk or potentially serious risk to human health,

it is to that announcement or advice, which may be withdrawn at any time, as amended from time to time.

Suspension of contract terms or of enforcement of contract terms while a disease is or in anticipation of a disease being imminently pandemic etc.

32A

(1) Any term that is part of a contract as a consequence of action taken under this Part, or by agreement between the parties or by virtue of regulation 47(2) of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (terms of service of dispensing doctors: general) is temporarily not part of that contract, in the particular circumstances mentioned in sub-paragraph (c)(ii) and during the period mentioned in sub-paragraph (c)(iii), in the following circumstances—

(a) as a consequence of a disease being, or in anticipation of a disease being imminently—

(i) pandemic, and

(ii) a serious risk or potentially a serious risk to human health,

NHS England with the agreement of the Secretary of State has made an announcement in respect of the prioritisation of services to be provided in, or in any part of, England as part of the health service;

(b) the prioritisation is in order to assist in the management of the serious risk or potentially serious risk to human health;

(c) as part of the announcement, NHS England with the agreement of the Secretary of State has issued advice to the effect that contractors are not to comply with a specified type of term of general medical services contracts—

(i) in the area to which the announcement relates,

(ii) in the particular circumstances specified in the announcement, and

(ii) during the period specified in the announcement; and

(d) the contractor is situated in the area to which the announcement relates and compliance with the term (it being of the specified type) would, but for the effect of this paragraph, be a requirement of the contractor’s contract.

(2) NHS England must not take enforcement action, as provided for in a contract, in respect of a breach of a term of the contract in the following circumstances—

(a) as a consequence of a disease being, or in anticipation of a disease being imminently—

(i) pandemic, and

(ii) a serious risk or potentially a serious risk to human health,

(b) the prioritisation is in order to assist in the management of the serious risk or potentially serious risk to human health;

(c) as part of the announcement, NHS England with the agreement of the Secretary of State has issued advice to the effect that contractors need not comply with a specified type of term of general medical services contracts—

(i) in the area to which the announcement relates,

(ii) in the particular circumstances specified in the announcement, and

(ii) during the period specified in the announcement; and

(d) the contractor—

(i) is situated in the area to which the announcement relates, and

(ii) has not complied with the term (it being of the specified type) in the particular circumstances mentioned in sub-paragraph (c)(ii) and during the period mentioned in sub-paragraph (c)(iii).

Prescribing for electronic repeat dispensing

Use of fax machines

70A

(1) Where a contractor can transmit information by electronic means (other than facsimile transmission) securely and directly to a relevant person, the contractor must not—

(a) transmit any information to that person by facsimile transmission, or

(b) agree to receive any information from that person by facsimile transmission.

(2) Paragraph (1) does not apply to any information which relates solely to the provision of clinical services or treatment to a patient under a private arrangement.

(3) In this regulation, “relevant person” means—

(a) an NHS body,

(b) another health service provider,

(d) a person acting on behalf of a patient.

Patient online services : appointments and prescriptions

Patient online services: provision of online access to coded information in medical record and prospective medical record

71ZA

(1) Where the contractor holds the medical record of a registered patient (“P”) on its computerised clinical systems, the contractor must—

(a) provide P with the facility to access online information entered onto P’s medical record on or after the relevant date (the “prospective medical record”); and

(b) promote and offer to P, in accordance with paragraph (2), the facility to access online the information from P’s medical record held in coded form.

(2) For the purposes of paragraph (1)(b), the contractor is taken to be—

(a) promoting the facility to P where P is encouraged to utilise the practice’s digital services and to interact with the practice via online access;

(b) offering the facility to P where it is freely available to P if P shows interest in the facility or requests access in writing to their medical records held in coded form.

(3) Where a person (“R”) applies to become a registered patient of the contractor, the contractor must, as part of the registration process—

(a) make information available to R about the practice’s digital services and about how R may interact with the practice via online access; and

(b) inform R in writing that on becoming a registered patient, R will be provided with the facility to access R’s prospective medical record (unless R chooses not to be provided with that facility).

(4) The contractor must configure its computerised clinical systems so as to allow its registered patients the facility to access online information entered onto their medical record.

(5) In this regulation, “relevant date” means—

(a) if the contractor has not provided P with the facility to access online P’s prospective medical record under this regulation as in force immediately before 15th May 2023, the day on which the contractor does provide the facility under paragraph (1)(a); or

(b) 31st October 2023,

whichever is the earlier.

(6) Where—

(a) the contractor has not, before 15th May 2023, provided P with the facility to access online P’s prospective medical record; and

(b) P makes a request in writing to the contractor on or after 15th May 2023 but before 31st October 2023, to be provided with that facility,

the contractor must provide that facility to P by the end of the compliance period or by 31st October 2023 whichever is the earlier.

(7) Where—

(a) the contractor has not, before 1st November 2023, for whatever reason, provided P with the facility to access online P’s prospective medical record; and

(b) P makes a request in writing to the contractor on or after 31st October 2023 to be provided with that facility,

the contractor must provide P with that facility by the end of the compliance period.

(8) Subject to paragraph (9), the contractor must not remove the facility of a registered patient to access online their medical record provided under—

(a) this regulation as in force immediately before 15th May 2023; or

(b) paragraph (1).

(9) Nothing in this regulation requires the contractor to provide P with the facility to access—

(a) online information entered onto the medical record where that information is excepted information;

(b) online information entered onto P’s prospective medical record where P has informed the contractor that they do not, or no longer, wish to be provided with that facility; or

(c) information referred to in paragraph (1)(b) which the contractor’s computerised systems cannot separate from any free-text entry in P’s medical record.

(10) For the purposes of this regulation and regulation 71ZB—

(a) “the compliance period” means the period specified in Article 12 of the UK GDPR for compliance with a request made in exercise of a right under Article 15 of the UK GDPR;

(b) information is “excepted information” if the contractor would not be required to disclose it in response to a request made in exercise of a right under Article 15 of the UK GDPR.

(11) For the purposes of paragraph (10), “UK GDPR” has the meaning given in section 3(10) of the Data Protection Act 2018.

Patient online services: provision of online access to coded information in medical record and prospective medical record

71ZB

(1) A contractor must provide a registered patient (“P”) with the facility to access online relevant medical information if—

(a) its computerised clinical systems ... allow it to do so, and

(b) P requests, in writing, that it provide that facility.

(1A) Where P makes a request under paragraph (1)(b), the contractor must provide P with the facility by the end of the compliance period.

(1B) The contractor must configure its computerised clinical systems so as to allow its registered patients the facility to access online their relevant medical information.

(2) In this regulation “relevant medical information” means any information entered on P’s medical record other than—

(a) any information which P can access online via a facility provided in accordance with regulation 71ZA(1), or

(b) any excepted information.

Patient access to online services

Confidentiality of personal data: nominated person

Requirement to have and maintain an online presence

Requirement to maintain profile page on NHS website

73A

(1) A contractor must review the information available on its profile page on the NHS website at least once in every period of 12 months.

(2) The contractor must make any amendments necessary to maintain the accuracy of the information on its profile page following—

(a) a review under paragraph (1);

(b) a change to—

(i) the address of any of the contractor’s practice premises,

(ii) the contractor’s telephone number,

(iii) the contractor’s electronic-mail address (if made available on its profile page), or

(iv) any other stated means by which a patient may contact the contractor to book or amend an appointment, or to order repeat prescriptions for drugs, medicines or appliances.

Provision of information

Provision of information: GP access data

National Diabetes Audit

Information relating to indicators no longer in the Quality and Outcomes Framework

NHS Digital Workforce Census

Information relating to overseas visitors

Medicines and Healthcare products Regulatory Agency Central Alerting System

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

NHS Digital Workforce Collections

Collection of data relating to appointments in general practice

74H

(1) A contractor must participate in the collection of anonymised data relating to appointments for its registered patients (“practice appointments data”) in accordance with the “GP Appointments Data Collection in Support of Winter Pressures” referred to in the Health and Social Care Information Centre (Establishment of Information Systems for NHS Services: General Practice Appointments Data Collection in Support of Winter Pressures) Directions 2017 (the functions of the Health and Social Care Information Centre under the Directions were transferred to NHS England by the Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023).

(2) The contractor must ensure that all practice appointments data relating to the provision of primary medical services under its contract is recorded within the appointment book in accordance with the guidance.

(3) The contractor must ensure that the practice appointments data is uploaded onto its computerised clinical systems and available for collection by NHS England at such intervals during each financial year as notified to the contractor by NHS England.

(4) For the purposes of this regulation, “appointment book” means a capability provided by the contractor’s computerised clinical systems and software supplier which supports the administration, scheduling, resourcing and reporting of appointments.

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

Direct booking by NHS 111 or via a connected service

Assignment of patients from outside practice area

40A

Where NHS England has assigned a person to a contractor’s list of patients in accordance with this Part, and that person resides outside a contractor’s practice area, regulation 30(4), (5) and (6) (variation of contracts: registered patients from outside practice area) are to apply as if the contractor had accepted that patient onto its list of patients in accordance with regulation 30(1) unless a contractor chooses to include that person in its list of patients for its practice area on assignment by NHS England.

Assignments to closed lists: composition and determinations of the assessment panel

Assignment to closed lists: NHS dispute resolution procedure relating to determinations of the assessment panel

Assignments to closed lists: assignments of patients by NHS England

Record of ethnicity information

67A

(1) This regulation applies if a contractor, or a person acting on behalf of a contractor, makes a request to a patient (“P”) for P to disclose their ethnicity to the contractor so that information can be recorded in P’s medical record (a “relevant request”).

(2) If P, or where P is a person to whom paragraph (4) applies, an appropriate person acting on behalf of P, discloses P’s ethnicity in response to the relevant request, the contractor must record P’s ethnicity in P’s medical record.

(3) If P, or where P is a person to whom paragraph (4) applies, an appropriate person acting on behalf of P, indicates that they would prefer not to disclose P’s ethnicity in response to the relevant request, the contractor must record that response in P’s medical record.

(4) This paragraph applies to a person if they—

(a) are a child, or

(b) lack the capacity to respond to the relevant request.

(5) Any information recorded in accordance with this regulation may only be processed if the processing is necessary for medical purposes.

(6) Nothing in this regulation authorises the processing of personal data in a manner inconsistent with any provision of the data protection legislation.

(7) In this regulation—

“data protection legislation”, “personal data” and “processing” have the same meanings as in the Data Protection Act 2018 (see section 3 of that Act);

“medical purposes” has the meaning given for the purposes of section 251 of the Act.

Summary Care Record

Electronic transfer of patient records between GP practices

Clinical correspondence: requirement for NHS number

Use of fax machines

Patient online services : appointments and prescriptions

Patient online services: provision of online access to coded information in medical record and prospective medical records

Patient access to online services

Confidentiality of personal data: nominated person

Requirement to have and maintain an online presence

Requirement to maintain profile page on NHS website

Provision of information

Provision of information: GP access data

National Diabetes Audit

Information relating to indicators no longer in the Quality and Outcomes Framework

NHS Digital Workforce Collections

Information relating to overseas visitors

Medicines and Healthcare products Regulatory Agency Central Alerting System

Collection of data relating to appointments in general practice

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

PART 9A — Vaccines and immunisations

Vaccines and immunisations: duty of co-operation

66A

(1) The contractor must co-operate, in so far as is reasonable, with relevant persons—

(a) to understand the current uptake, and barriers to uptake, of offers to provide or administer vaccines and immunisations of the type specified in the GMS Statement of Financial Entitlements (“relevant vaccines and immunisations”) to patients, and

(b) to develop (if necessary) a strategy for improving the contractor’s immunisation programme.

(2) For the purposes of paragraph (1) “relevant persons” means—

(a) other persons who administer relevant vaccines and immunisations to patients;

(b) NHS England;

(d) local authorities.

(e) integrated care boards.

Vaccines and immunisations: appointments

66B

(1) A contractor must ensure that they have in place a system for delivering appointments at which relevant vaccines or immunisations are administered to patients (“immunisation appointments”) which meets the Vaccines and Immunisations Standards.

(1A) A contractor must comply with the standards contained in the Vaccines and Immunisations Standards on the processing of data relating to patients.

(2) In this regulation—

“processing” has the meaning given by section 3(4) of the Data Protection Act 2018;

“relevant vaccine or immunisation” has the same meaning as in regulation 66A(1)(a) of these Regulations;

“the Vaccines and Immunisations Standards” means the standards determined by NHS England published on 15th April 2024 and which a contractor is required to meet in relation to the following matters—the invitation of patients for immunisation appointments when they first become eligible for relevant vaccines or immunisations (“newly eligible patients”);the steps to be taken if no response is received to an invitation falling within sub-paragraph (a);the provision of immunisation appointments to newly eligible patients;the steps to be taken if a newly eligible patient does not attend an immunisation appointment;requests for relevant vaccines or immunisations made by patients who are eligible for them but have not previously received them for any reason;the identification of gaps in the vaccination records of registered patients, and the offer, and provision of, immunisation appointments to those patients;the processing of records relating to patient vaccinations and immunisations, including records relating to the administration of vaccines and patient vaccination status.

Vaccines and immunisations: catch-up campaigns

66C

(1) The contractor must participate in a manner reasonably required by NHS England in one vaccine and immunisations catch-up campaign in each financial year.

(2) In this regulation “vaccine and immunisations catch-up campaign” means a campaign which is aimed at maximising the uptake of a particular vaccine or immunisation by patients who are eligible for it but have not received that vaccine or immunisation for any reason (other than a decision to refuse the vaccine or immunisation).

Vaccines and immunisations: additional staff training

66D

(1) The contractor must ensure that all staff involved in the administration of vaccines and immunisations are trained in the recognition and initial treatment of anaphylaxis.

(2) This regulation does not affect the contractor’s obligations under Part 7.

Vaccines and immunisations: nominated person

66E

(1) The contractor must nominate a person (a “V & I lead”) who is to have responsibility for—

(a) overseeing the provision of vaccine and immunisation services by the contractor,

(b) carrying out, on behalf of the contractor, any of the contractor’s functions under regulation 66A, and

(2) The contractor must ensure that the V & I lead—

(a) has regard to all guidance issued by NHS England which is relevant to that role, and

(b) if they are not a health care professional, is directly supervised in that role by a healthcare professional.

Vaccines and immunisations: exception for private arrangements

66F

Nothing in this Part applies in relation to the offer or administration of any vaccine or immunisation to a patient under a private arrangement.

Minor surgery

Patients who should not be tested for, or vaccinated against, coronavirus: confirmation of exemption

22A

(1) Subject to paragraph (6), a contract must contain a term which requires the contractor to respond to a valid exemption confirmation request if it is made at a relevant time.

(2) An exemption confirmation request—

(a) is a request to confirm whether a relevant patient (“P”), for clinical reasons—

(i) should neither be tested for coronavirus nor vaccinated with an authorised vaccine, or

(ii) should not be vaccinated with an authorised vaccine, and

(b) is valid if it is made in accordance with the process approved by the Secretary of State .

(2A) A valid exemption confirmation request is made at a relevant time if, at the time the request is made to the contractor—

(a) legislation in force in England requires a person or class of person to be vaccinated against coronavirus unless they can show that, for clinical reasons, they are exempt from vaccination with an authorised vaccine, or

(b) guidance issued by, or on behalf of, the Secretary of State provides that a person or class of person should be vaccinated against coronavirus unless they can show that, for clinical reasons, they are exempt from vaccination with an authorised vaccine.

(3) An exemption confirmation request may be made by—

(a) P, or

(b) where P is a person to whom paragraph (4) applies, an appropriate person acting on behalf of P.

(4) This paragraph applies to a person if they—

(a) are a child, or

(b) lack the capacity to make a request under paragraph (1).

(5) The contractor must respond to a valid exemption confirmation request made at a relevant time—

(a) free of charge to P or the appropriate person, and

(b) by recording its response on an information hub using a method approved by the Secretary of State.

(6) A contractor is not required to respond to a valid exemption confirmation request if—

(a) for the medical condition which may mean that P should neither be tested for coronavirus nor vaccinated with an authorised vaccine, or should not be vaccinated with an authorised vaccine, P is being attended by a medical practitioner who is not—

(i) engaged or employed by the contractor,

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

(b) that medical condition is not one to which paragraph (7) applies.

(7) This paragraph applies to a medical condition if no person with that condition should be—

(a) tested for coronavirus or vaccinated with an authorised vaccine, or

(b) vaccinated with an authorised vaccine.

(8) In this regulation—

“authorised vaccine” means a medicinal product—authorised for supply in the United Kingdom in accordance with a marketing authorisation, orauthorised by the licensing authority on a temporary basis under regulation 174 of the Human Medicines Regulations 2012 (supply in response to spread of pathogenic agents etc),for vaccination against coronavirus;

“coronavirus” means severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2);

“licensing authority”, “marketing authorisation” and “medicinal product” have the meanings given in the Human Medicines Regulations 2012 (see regulations 6, 8 and 2, respectively, of those Regulations);

“relevant patient” means—a registered patient, ora temporary resident.

Finance

Fees and charges

Circumstances in which fees and charges may be made

Patient participation

Publication of earnings information

Disclosure of information about NHS earnings: contractors and sub-contractors

27A

(1) A contract which is with a contractor who is an individual medical practitioner or a partnership must contain the term specified in paragraph (2).

(2) The term is—

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The National Health Service (General Medical Services Contracts) Regulations 2015

Provision of information: GP access data

74A

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

National Diabetes Audit

74B

Information relating to indicators no longer in the Quality and Outcomes Framework

74C

Information relating to alcohol related risk reduction and dementia diagnosis and treatment

74D

NHS Digital Workforce Census

74E

Information relating to overseas visitors

74F

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

Patients living with frailty

7A

Accountable GP

Patients not seen within three years

Patients aged 75 and over

Patients aged 75 and over: accountable GP

Clinical reports

Storage of vaccines

Infection control

Duty of co-operation

Cessation of service provision: information requests

Inclusion in list of patients: detained persons

19A

Temporary residents

Refusal of applications for inclusion in list of patients or for acceptance as temporary resident

Patient preference of a practitioner

Removal from the list at the request of the contractor

Removal from the list of patients who are violent

Removal from the list of patients registered elsewhere

Removal from the list of patients who have moved

Removal from the list of patients whose address is unknown

Removal from the list of patients absent from the United Kingdom etc.

Removal from the list of patients accepted elsewhere as temporary residents

Removal from the list of pupils etc. of a school

Termination of responsibility for patients not registered with the contractor

Patient access to online services

71A

Confidentiality of personal data: nominated person

Provision of information on practice website

Provision of information

Provision of information: GP access data

National Diabetes Audit

Information relating to indicators no longer in the Quality and Outcomes Framework

Information relating to alcohol related risk reduction and dementia diagnosis and treatment

NHS Digital Workforce Census

Information relating to overseas visitors

Inquiries about prescriptions and referrals

Provision of information to a medical officer etc.

Annual return and review

Practice leaflet

NHS e-Referral Service (e-RS)

11A

Clinical reports

Storage of vaccines

Infection control

Duty of co-operation

Cessation of service provision: information requests

Variation of contracts: integrated care provider contracts

29A

Variation of contracts: registered patients from outside practice area

Termination of a contract

Other contractual terms

SCHEDULE3A — Suspension and reactivation of general medical services contracts

Interpretation

1

Right to suspend a general medical services contract

2

Integrated care provider contracts

3