LegalizeThe National Health Service (General Medical Services Contracts) (Wales) Regulations 2004
Made: 26th February 2004
Coming into force: 1st March 2004
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PART 1 — GENERAL
Citation, commencement and application
1
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Interpretation
2
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PART 2 — CONTRACTORS
3
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Conditions : General
4
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General condition relating to all contracts
5
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Reasons
6
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Appeal
7
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Prescribed period under section 28D(1)(bc) of the Act
8
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PART 3 — PRE-CONTRACT DISPUTE RESOLUTION
Pre-contract disputes
9
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PART 4 — HEALTH SERVICE BODY STATUS
Health service body status
10
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PART 5 — CONTRACTS: REQUIRED TERMS
Parties to the contract
11
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Health service contract
12
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Contracts with individuals practising in partnership
13
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Duration
14
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Essential services
15
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Additional services
16
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Opt outs of additional and out of hours services
17
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Services generally
18
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19
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20
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Certificates
21
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Finance
22
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23
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Fees and charges
24
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Arrangements on termination
25
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Other contractual terms
26
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PART 6 — FUNCTIONS OF LOCAL MEDICAL COMMITTEES
27
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PART 7 — TRANSITIONAL PROVISIONS
Commencement
28
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Additional services
29
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Out of hours services
30
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31
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32
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SCHEDULE 1 — REPEAT DISPENSING FORMS
PART 1 — REPEATABLE PRESCRIPTION
PART 2 — BATCH ISSUE
SCHEDULE 2 — ADDITIONAL SERVICES
Additional services generally
1
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Cervical screening
2
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Contraceptive services
3
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Vaccinations and immunisations
4
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Childhood vaccinations and immunisations
5
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Child health surveillance
6
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Maternity medical services
7
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Minor surgery
8
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SCHEDULE 3 — OPT OUTS OF ADDITIONAL AND OUT OF HOURS SERVICES
Opt outs of additional services: general
1
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Temporary opt outs and permanent opt outs following temporary opt outs
2
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Permanent opt outs
3
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Out of hour opt outs where the opt out notice is served after 30th September 2004
4
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Out of hours opt out where the opt out notice is served before 1st October 2004
5
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Informing patients of opt outs
6
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SCHEDULE 4 — LIST OF PRESCRIBED MEDICAL CERTIFICATES
1
To support a claim or to obtain payment either personally or by proxy; to prove incapacity to work or for self-support for the purposes of an award by the Secretary of State; or to enable proxy to draw pensions etc.
2
To establish pregnancy for the purpose of obtaining welfare foods
3
To secure registration of still-birth
4
To enable payment to be made to an institution or other person in case of mental disorder of persons entitled to payment from public funds.
5
To establish unfitness for jury service
6
To support late application for reinstatement in civil employment or notification of non-availability to take up employment owing to sickness.
7
To enable a person to be registered as an absent voter on grounds of physical incapacity
8
To support applications for certificates conferring exemption from charges in respect of drugs, medicines and appliances.
9
To support a claim by or on behalf of a severely mentally impaired person for exemption from liability to pay the Council Tax or eligibility for a discount in respect of the amount of Council Tax payable.
SCHEDULE 5 — FEES AND CHARGES
1
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SCHEDULE 6 — OTHER CONTRACTUAL TERMS
PART 1 — PROVISION OF SERVICES
Premises
1
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Attendance at practice premises
2
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Attendance outside practice premises
3
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Newly registered patients
4
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Patients not seen within three years
5
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Patients aged 75 years and over
6
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Clinical reports
7
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Storage of vaccines
8
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Infection control
9
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Criteria for out of hours services
10
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Standards for out of hours services
11
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Duty of co-operation in relation to additional, enhanced and out of hours services
12
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13
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PART 2 — PATIENTS
List of patients
14
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Application for inclusion in a list of patients
15
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Temporary residents
16
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Refusal of applications for inclusion in the list of patients or for acceptance as a temporary resident
17
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Patient preference of practitioner
18
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Removal from the list at the request of the patient
19
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Removal from the list at the request of the contractor
20
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Removals from the list of patients who are violent
21
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Removals from lists if patients registered elsewhere
22
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Removals from the list of patients who have moved
23
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24
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Removals from the list of patients absent from the United Kingdom etc
25
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Removals from the list of patients accepted elsewhere as temporary residents
26
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Removals from the list of pupils etc of a school
27
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Termination of responsibility for patients not registered with the contractor
28
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Closure of lists of patients
29
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Approval of closure notice by the Local Health Board
30
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Rejection of closure notice by the Local Health Board
31
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Assignment of patients to lists: open lists
32
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Assignment of patients to lists: closed lists
33
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Factors relevant to assignments
34
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Assignments to closed lists: determinations of the assessment panel
35
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Assignments to closed lists: NHS dispute resolution procedure relating to determinations of the assessment panel
36
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Assignments to closed lists: assignments of patients by a Local Health Board
37
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PART 3 — PRESCRIBING AND DISPENSING
Prescribing
38
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39
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Repeatable prescribing services
40
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Repeatable prescriptions
41
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Restrictions on prescribing by medical practitioners
42
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Restrictions on prescribing by supplementary prescribers
43
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Bulk prescribing
44
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Interpretation of paragraphs 38, 39 and 41 to 44
45
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Excessive prescribing
46
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Provision of dispensing services
47
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Consent to dispense
48
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Terms relating to the provision of dispensing services
49
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Dispensing contractor list
50
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Provision of drugs, medicines and appliances for immediate treatment or personal administration
51
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PART 4 — PERSONS WHO PERFORM SERVICES
Qualifications of performers
52
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53
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54
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55
No health care professional shall perform any clinical services unless the health care professional has such clinical experience and training as are necessary to enable the health care professional properly to perform such services.
Conditions for employment and engagement
56
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57
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58
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59
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Training
60
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61
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Terms and conditions
62
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Arrangements for GP Registrars
63
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Independent nurse prescribers and supplementary prescribers
64
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Signing of documents
65
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Level of skill
66
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Appraisal and assessment
67
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Sub-contracting of clinical matters
68
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Sub-contracting of out of hours services
69
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Withdrawal and variation of approval under paragraph 69
70
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71
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PART 5 — RECORDS, INFORMATION, NOTIFICATIONS AND RIGHTS OF ENTRY
Patient records
72
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Access to records for the purpose of the Quality Information Preparation Scheme
73
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Confidentiality of personal data
74
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Practice leaflet
75
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Provision of information
76
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Inquiries about prescriptions and referrals
77
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Reports to a medical officer
78
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Annual return and review
79
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Notifications to the Local Health Board
80
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81
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82
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Notice provisions specific to a contract with a company limited by shares
83
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Notice provisions specific to a contract with two or more individuals practising in partnership
84
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Notification of deaths
85
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Notifications to patients following variation of the contract
86
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Entry and Inspection by the Local Health Board
87
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Entry and Inspection by members of Community Health Councils
88
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Entry and Inspection by the Commission for Healthcare Audit and Inspection and by the National Assembly for Wales
89
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PART 6 — COMPLAINTS
Complaints procedure
90
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Making of Complaints
91
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92
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Period for making complaints
93
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Further requirements for complaints procedures
94
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Co-operation with investigations
95
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Provision of information about complaints
96
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PART 7 — DISPUTE RESOLUTION
Local resolution of contract disputes
97
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Dispute resolution: non-NHS contracts
98
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NHS dispute resolution procedure
99
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