The Working Time (Amendment) Regulations 2009

Statutory Instruments

2009 No. 1567

Terms And Conditions Of Employment

The Working Time (Amendment) Regulations 2009

Made

25th June 2009

Laid before Parliament

25th June 2009

Coming into force

1st August 2009

The Secretary of State is a Minister designated for the purposes of section 2(2) of the European Communities Act 1972(1) in relation to measures relating to the organisation of working time(2);

Accordingly the Secretary of State, in exercise of the powers conferred by section 2(2) of that Act, makes the following Regulations:—

Citation and commencement

1.  These Regulations may be cited as the Working Time (Amendment) Regulations 2009 and shall come into force on 1st August 2009.

Amendments to regulation 25A of the Working Time Regulations 1998

2.  In regulation 25A (doctors in training) of the Working Time Regulations 1998(3)—

(a) for paragraph (1) substitute—

“(1) Paragraph (1) of regulation 4 is modified in its application to workers to whom this paragraph applies by substituting for the reference to 48 hours a reference to 52 hours with effect from 1st August 2009 until 31st July 2011.

(1A) Paragraph (1) applies to workers who are doctors in training who are employed—

(a) by an employer who is listed in column 1 of the table contained in Schedule 2A,

(b) at a place listed in column 2 of that table in respect of that employer,

(c) to provide at that place one of the specialist services listed in column 3 of that table in respect of that place, and

(d) in one of the grades listed in column 4 of that table in respect of that specialist service and, where applicable, working as part of a rota referred to in that column in respect of that grade, or those grades.”

New Schedule 2A to the Working Time Regulations 1998

3.  After Schedule 2 (workers employed in agriculture) of the Working Time Regulations 1998 insert—

Regulation 25A(1A)

“SCHEDULE 2A Doctors in training

Column 1 Employer	Column 2 Place	Column 3 Specialist Services	Column 4 Grade and, where applicable, Rota
England
East Midlands Strategic Health Authority area
Derby Hospitals NHS Foundation Trust(4)	Derby City General Hospital	Acute Medicine – Medical Assessment Unit	F2, CT1 and CT2
		Anaesthetics	F2, ST3 to ST7
		Anaesthetics – Obstetrics	CT2, ST3 to ST7
		Anaesthetics – Intensive Care	CT1, CT2, ST3 to ST7
		Anaesthetics – Theatres	ST3 to ST7
		Clinical Oncology/ Haematology/ Palliative Medicine	F2, CT1 and CT2
		General Medicine	F2, CT1, CT2, ST3 to ST7
		General Surgery	ST3 to ST8
		General Surgery/ ENT/ Urology	F2, CT1 and CT2
		Obstetrics and Gynaecology	ST3 to ST7
		Paediatrics	ST3 to ST8
		Urology	CT2, ST3 to ST7
Nottingham University Hospitals National Health Service Trust(5)	Nottingham City Hospital	Neonatology	ST4 to ST8
	Queens Medical Centre, Nottingham	General Surgery and Vascular Surgery	ST4 to ST8
		Neonatology	ST4 to ST8

Sherwood Forest Hospitals NHS Foundation Trust(6)	Kings Mill Hospital	Anaesthetics	F2, CT1, CT2, ST3 to ST7
		Obstetrics and Gynaecology	F2, ST1 to ST7
		Paediatrics	F2, ST1 to ST8
United Lincolnshire Hospitals National Health Service Trust(7)	Grantham and District Hospital	General Medicine	F2, CT1 and CT2
	Lincoln County Hospital	Anaesthetics	F2, CT1 and CT2
		General Medicine	ST3 to ST7
	Pilgrim Hospital	General Medicine	ST3 to ST7
University Hospitals of Leicester National Health Service Trust(8)	Leicester Royal Infirmary	Emergency Medicine	ST3 to ST7
		Paediatrics	F2, ST1 to ST8
	Leicester Royal Infirmary and Leicester General Hospital	Neonatology	ST4 to ST8
East of England Strategic Health Authority area
Bedford Hospital National Health Service Trust(9)	Bedford Hospital	Cardiology	ST3 to ST7
		Care of the Elderly	ST3 to ST7
		Endocrinology and Diabetes	ST3 to ST7
		Respiratory	ST3 to ST7
Cambridge University Hospitals NHS Foundation Trust(10)	Addenbrookes Hospital	Adult Intensive Care	F2, CT1, CT2 and ST3
		Transplantation	ST3 to ST8
Cambridgeshire Primary Care Trust(11)	Hinchingbrooke Hospital	Paediatrics	ST3 to ST8
Hinchingbrooke Health Care National Health Service Trust(12)	Hinchingbrooke Hospital	General Surgery	ST3 to ST7
Ipswich Hospital National Health Service Trust(13)	The Ipswich Hospital	Paediatrics	ST3 to ST8

James Paget University Hospitals NHS Foundation Trust(14)	James Paget University Hospital	Anaesthetics (Obstetrics, Pain, ITU and Theatres)	CT1, CT2, ST3 to ST8
		Obstetrics and Gynaecology	ST3 to ST8
		Paediatrics	ST3 to ST8 – on call
Norfolk and Norwich University Hospitals NHS Foundation Trust(15)	Norfolk and Norwich University Hospital	Anaesthetics	CT1, CT2 and ST3
		Emergency Medicine	ST3 to ST8 – Tier 2 (full shift rota – 24 hour service)
		Trauma and Orthopaedics	CST1 and CST2 – Tier 2 (full shift)
Papworth Hospital NHS Foundation Trust(16)	Papworth Hospital	Acute Specialties (Chest Medicine)	F2, CT1, CT2, ST3 to ST8
		Cardiothoracic Surgery	F2, CT1 and CT2
		Cardiothoracic Transplant Surgery	ST3 to ST8
Peterborough and Stamford Hospitals NHS Foundation Trust(17)	Peterborough District Hospital and Edith Cavell Hospital	Urology	ST3 to ST7
West Hertfordshire Hospitals National Health Service Trust(18)	Hemel Hempstead Hospital	Obstetrics and Gynaecology	ST3 to ST7
	St Albans City Hospital	Obstetrics and Gynaecology	ST3 to ST7
	Watford General Hospital	Obstetrics and Gynaecology	ST3 to ST7
London Strategic Health Authority area
Barking, Havering and Redbridge University Hospitals National Health Service Trust(19)	Queen’s Hospital	Ear Nose and Throat	F2, CT1 and CT2
		Maxillo Facial	F2, CT1 and CT2
		Neurosciences (Neurology and Neurosurgery)	F2, ST1 and ST2

Great Ormond Street Hospital for Children National Health Service Trust(20)	Great Ormond Street Hospital for Children	Cardiothoracic Surgery	ST4 to ST6
Hillingdon Hospital National Health Service Trust(21)	Hillingdon Hospital	General Surgery (elective and non-elective) including Colorectal, Breast and Vascular	F2, CT1, CT2 and ST3
Imperial College Healthcare National Health Service Trust(22)	Charing Cross Hospital	Neurosurgery	ST3 to ST7
	Hammersmith Hospital	Cardiothoracic Surgery	ST3 to ST7
	St Mary’s Hospital	Cardiothoracic Surgery	F2, CT1, CT2, ST3 to ST7
Kingston Hospital National Health Service Trust(23)	Kingston Hospital	Anaesthesia and Intensive Care, ACCS	CT1, CT2, ST3 to ST7
Whittington Hospital National Health Service Trust(24)	Whittington Hospital	Anaesthetics/ ITU	ST3 to ST7
		Obstetrics and Gynaecology	ST3 to ST7
		Paediatrics	ST4 to ST8
		Paediatrics – Neonates	ST1 to ST3
North East Strategic Health Authority area
The Newcastle Upon Tyne Hospitals NHS Foundation Trust(25)	Newcastle General Hospital	Anaesthetics	ST3 to ST7 – 1st on call
			ST3 to ST7 – 2nd on call
		Critical Care (ITU)	ST3 to ST6
		Paediatrics	F2, ST1 to ST3 – 1st on call
			ST4 to ST8 – 2nd on call
		Paediatrics Intensive Care	ST4 to ST8
North West Strategic Health Authority area
Alder Hey Children’s NHS Foundation Trust(26)	Alder Hey Children’s Hospital	Paediatric Cardiothoracic Surgery	ST3 to ST8, SpR

East Lancashire Hospitals National Health Service Trust(27)	Royal Blackburn Hospital	Otorhinolaryngology (ENT)	F2, ST1, ST2, CT1 and CT2 – 1st on call
	Royal Blackburn Hospital and Burnley General Hospital, Blackburn and Burnley Urgent Care Centres	Emergency Medicine	ST3 to ST7, SpR
	Royal Blackburn Hospital and Burnley General Hospital	Trauma and Orthopaedics	F2, ST1 and ST2 – 1st on call
Lancashire Teaching Hospitals NHS Foundation Trust(28)	Royal Preston Hospital	Neurosurgery	F2, CT1 and CT2 – 1st on call
			ST3 to ST7, SpR – 2nd on call
North Cumbria University Hospitals National Health Service Trust(29)	Cumberland Infirmary	ENT/ Trauma and Orthopaedics/ OMFS	F2, ST1, ST2, CT1 and CT2
		General Medicine and medical specialties	F1 – Acute 1st on call
			F2, CT1 and CT2 – Acute 2nd on call
			ST3 to ST7, SpR – Acute 3rd on call
		General Surgery	F1 – 1st on call
			F2, CT1 and CT2 - 2nd on call
			ST3 to ST7, SpR - 3rd on call
		Obstetrics and Gynaecology	F2, ST1 and ST2 – 1st on call
		Trauma and Orthopaedics	ST3 to ST7, SpR – 2nd on call

	West Cumberland Hospital	General Medicine and medical specialties	F1 – Acute 1st on call
			F2, CT1, CT2, ST3 to ST7, SpR – Acute 2nd on call
		General Surgery	F1 – 1st on call
			F2, CT1 and CT2 – 2nd on call
		Obstetrics and Gynaecology	ST3 to ST7, SpR – 2nd on call
		Paediatrics	F2, ST1 and ST2 – 1st on call
		Trauma and Orthopaedics	ST3 to ST7, SpR – 2nd on call
Royal Liverpool and Broadgreen University Hospitals National Health Service Trust(30)	Royal Liverpool University Hospital	Renal Transplant Surgery	ST3 to ST7, SpR
Trafford Healthcare National Health Service Trust(31)	Trafford General Hospital	Anaesthesia	F2, CT1 and CT2 – 1st on call
University Hospitals of Morecambe Bay National Health Service Trust(32)	Furness General Hospital	Paediatrics	F2, ST1 and ST2
Walton Centre for Neurology and Neurosurgery National Health Service Trust(33)	Walton Centre for Neurology and Neurosurgery	Neurosciences	F2, CT1 and CT2
		Neurosurgery	ST3 to ST7, SpR
South Central Strategic Health Authority area
Buckinghamshire Hospitals National Health Service Trust(34)	Wycombe Hospital and Stoke Mandeville Hospital	Obstetrics and Gynaecology	F2, ST1 to ST7, FTSTA1 and FTSTA2
		Paediatrics	ST3 to ST8

Milton Keynes Hospital NHS Foundation Trust(35)	Milton Keynes General Hospital	Anaesthetics	ST3 to ST7
		Anaesthetics – ITU	FT2, CT1 and CT2
		Anaesthetics – Theatres	CT2, ST3 to ST7
		Emergency Medicine	ST3 to ST7
		General Medicine	ST3 to ST7
		Paediatrics	F2, ST1 to ST8
		Surgery	CT1, CT2, ST3 to ST7
		Trauma and Orthopaedics	F2, CT1, CT2, ST3 to ST8
Portsmouth Hospitals National Health Service Trust(36)	Queen Alexandra Hospital	General Paediatrics	ST3 to ST8
		Obstetrics and Gynaecology	ST3 to ST7
Southampton University Hospitals National Health Service Trust(37)	Princess Anne Hospital	Obstetrics and Gynaecology	ST3 to ST7
	Southampton General Hospital	Anaesthetics – Critical Care	F2, CT1, CT2, ST3 to ST7
South East Coast Strategic Health Authority area
Brighton and Sussex University Hospitals National Health Service Trust(38)	Royal Sussex County Hospital	Anaesthetics	CT1, CT2, ST3 to ST7
	Princess Royal Hospital	Anaesthetics	CT1, CT2, ST3 to ST7
East Sussex Hospitals National Health Service Trust(39)	Conquest Hospital and Eastbourne District General Hospital	Emergency Medicine	ST4 to ST7
		Paediatrics	ST4 to ST8
Frimley Park Hospital NHS Foundation Trust(40)	Frimley Park Hospital	Anaesthetics and Intensive Care (obstetric anaesthesia and critical care medicine)	ST3 to ST7
		Clinical Haematology	ST3 to ST7

Maidstone and Tunbridge Wells National Health Service Trust(41)	Kent and Sussex Hospital	ENT	F2, CT1 and CT2
	Pembury Hospital	Obstetrics and Gynaecology	ST4 to ST7
Royal Surrey County Hospital National Health Service Trust(42)	Royal Surrey County Hospital	Haematology	ST3 to ST7
		Trauma and Orthopaedics	ST3 to ST8
		Urology	ST3 to ST7
Surrey and Sussex Healthcare National Health Service Trust(43)	East Surrey Hospital	Anaesthetics and Intensive Care (obstetric anaesthesia and critical care medicine)	CT1, CT2, ST3 to ST7
Western Sussex Hospitals National Health Service Trust(44)	St Richard’s Hospital	General Medicine	F2, CT1 and CT2
		Obstetrics and Gynaecology	ST3 to ST7
		Paediatrics	ST4 to ST8
		Surgery	F1, F2, CT1, CT2, ST3 to ST7
		Trauma and Orthopaedics	F1, F2, CT1, CT2, ST3 to ST7
		Urology	ST3 to ST7
South West Strategic Health Authority area
Gloucestershire Hospitals NHS Foundation Trust(45)	Gloucestershire Royal Hospital and Cheltenham General Hospital	Anaesthetics and Critical Care Services	F2, CT1, CT2, ST3 to ST7
North Bristol National Health Service Trust(46)	Frenchay Hospital	Anaesthetics	CT1, CT2, ST3 to ST7 – 1st on call
			CT1, CT2, ST3 to ST7 – 2nd on call
		Trauma and Orthopaedics	CT1 and CT2 – 1st on call
	Southmead Hospital	Anaesthetics	CT1, CT2, ST3 to ST7 – 1st on call
			CT1, CT2, ST3 to ST7 – 2nd on call
		Trauma and Orthopaedics	CT1 and CT2 – 1st on call

Poole Hospital NHS Foundation Trust(47)	Poole Hospital	Anaesthetics: Theatre	CT1 and CT2 (16 hour full shift)
		Anaesthetics: Critical Care	ST3 to ST5 (24 hour full shift)
		Anaesthetics	ST3 to ST5 (full shift 24 hours cover for theatres, back up for Obstetrics and Critical Care)
		Emergency Medicine	ST3 to ST7
		Obstetrics	ST2 to ST4 (24 hour full shift)
		Paediatrics	ST3 to ST8
		Trauma and Orthopaedics	CT1 and CT2
University Hospitals Bristol NHS Foundation Trust(48)	Bristol Heart Institute	Cardiothoracic Surgery Services	ST3 to ST7
	Bristol Royal Infirmary	Cardiothoracic Surgery Services	CT1 and CT2
West Midlands Strategic Health Authority area
Birmingham Children’s Hospital NHS Foundation Trust(49)	Birmingham Children’s Hospital	General Paediatrics	ST4 to ST8
		Paediatric Endocrinology	ST4 to ST8
		Paediatric Gastroenterology	ST4 to ST8
		Paediatric Haematology/ Oncology	ST4 to ST8
		Paediatric Hepatology	ST4 to ST8
		Paediatric Inherited Metabolic Diseases	ST4 to ST8
		Paediatric Nephrology	ST4 to ST8
		Paediatric Neurology	ST4 to ST8
		Paediatric Neurosurgery	ST4 to ST9
		Paediatric Respiratory Medicine	ST4 to ST8
		Paediatric Rheumatology	ST4 to ST8
Burton Hospitals NHS Foundation Trust(50)	Queen’s Hospital	Critical Care Anaesthesia	ST3 to ST7
		General Anaesthesia	F2, CT1 and CT2
		Obstetrics Anaesthesia	ST3 to ST7

George Eliot Hospital National Health Service Trust(51)	George Eliot Hospital	Paediatrics	ST4 to ST8
Heart of England NHS Foundation Trust(52)	Birmingham Heartlands Hospital	General Medicine	ST3 to ST7
		Trauma and Orthopaedics	ST3 to ST8
	Solihull Hospital	Trauma and Orthopaedics	F2, CT1, CT2, ST1 to ST6
Mid Staffordshire NHS Foundation Trust(53)	Stafford Hospital and Cannock Chase Hospital	Acute Medical Specialties and Medical Specialties	CT1, CT2 and ST3
Shrewsbury and Telford Hospital National Health Service Trust(54)	Royal Shrewsbury Hospital	General Surgery	ST3 to ST8
		Trauma and Orthopaedics	F2, CT1, CT2, ST1 to ST3
	The Princess Royal Hospital	General Surgery	ST3 to ST8
		Trauma and Orthopaedics	F2, CT1, CT2, ST1 to ST3
The Royal Wolverhampton Hospitals National Health Service Trust(55)	New Cross Hospital	Paediatrics including Neonatal Services	ST4 to ST8
University Hospital of North Staffordshire National Health Service Trust(56)	City General Hospital and Royal Infirmary	Acute Medicine	ST3 to ST7
		Diabetes	ST3 to ST7
		Elderly Care	ST3 to ST7
		Gastroenterology	ST3 to ST7
		General Medicine	ST3 to ST7
		Infectious Diseases	ST3 to ST7
		Respiratory	ST3 to ST7
University Hospital Birmingham NHS Foundation Trust(57)	Queen Elizabeth Hospital	Anaesthetics and Critical Care – supporting Surgical Specialties and Obstetrics	CT1, CT2, ST3 to ST7
		Cardiothoracic Surgery	ST3 to ST8

Yorkshire and the Humber Strategic Health Authority area
Barnsley Hospital NHS Foundation Trust(58)	Barnsley Hospital	Acute and Medical Specialties – Combined MAU	F2, CT1, CT2, ST3 to ST8
		Paediatrics	ST1 to ST8
Sheffield Children’s NHS Foundation Trust(59)	Sheffield Children’s Hospital	Paediatric Surgery	F1, CT1, CT2, ST3 to ST8, SpR
The Rotherham NHS Foundation Trust(60)	Rotherham General Hospital	Anaesthetics	CT1, CT2, ST3 to ST7
		General Surgery/ Urology	CT1 and CT2
		Oral Maxillo Facial Surgery	CT1 and CT2
		Paediatrics	ST1 to ST8
		Trauma and Orthopaedics	CT1, CT2, ST1 and ST2
Wales
Abertawe Bro Morgannwg University National Health Service Trust, also known as Ymddiriedolaeth Brifysgol Gwasanaeth Iechyd Gwladol Abertawe Bro Morgannwg(61), and from 1st October 2009 Abertawe Bro Morgannwg University Local Health Board(62)	Singleton Hospital	General Paediatrics	Senior
		Paediatrics – Neo Natal	Junior
	Morriston Hospital	General Paediatrics	Senior
		Neuro Surgery	Junior and Senior
	Neath Port Talbot Hospital	General Medicine (incorporating Endocrinology, Respiratory, Gastroenterology, Cardiology and Care of the Elderly)	Junior
	Princess of Wales Hospital	Paediatrics	Junior and Senior

Cardiff and Vale National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Caerdydd a’r Fro(63), and from 1st October 2009 Cardiff and Vale University Local Health Board(64)	University Hospital of Wales	Paediatrics	Junior and Senior
		Paediatrics (neonatal intensive care unit)	Junior and Senior
Cwm Taf National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Cwm Taf(65), and from 1st October 2009 Cwm Taf Local Health Board(66)	Prince Charles Hospital	Anaesthetic	Junior and Senior
		Paediatrics	Junior and Senior
	Royal Glamorgan Hospital	Neo Natal	Junior
		Paediatrics	Junior and Senior
Gwent Healthcare National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Gofal Iechyd Gwent(67), and from 1st October 2009 Aneurin Bevan Local Health Board(68)	Nevill Hall Hospital	Combined Paediatric/ Neo Natal	Junior and Senior
	Royal Gwent Hospital	Neo Natal	Junior and Senior
		Paediatrics	Senior

Hywel Dda National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Hywel Dda(69), and from 1st October 2009 Hywel Dda Local Health Board(70)	Withybush General Hospital	Paediatric	Junior
	West Wales General Hospital	Paediatric	Junior
North Wales National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Gogledd Cymru(71), and from 1st October 2009 Betsi Cadwaladr University Local Health Board(72)	Glan Clwyd Hospital	Obstetrics and Gynaecology	Junior and Senior
		Paediatrics	Junior and Senior
	Wrexham Maelor Hospital	Obstetrics and Gynaecology	Junior and Senior
		Paediatrics	Junior and Senior
North West Wales National Health Service Trust, also known as Ymddiriedolaeth Gwasanaeth Iechyd Gwladol Gogledd-orllewin Cymru(73), and from 1st October 2009 Betsi Cadwaladr University Local Health Board(74)	Ysbyty Gwynedd	Anaesthetics	Junior and Senior
		Obstetrics and Gynaecology	Senior
		Paediatrics/ Neo Natal	Junior and Senior”

Andy Burnham

Secretary of State,

Department of Health

25th June 2009

EXPLANATORY NOTE

(This note is not part of the Regulations)

These Regulations implement the third subparagraph of Article 17(5) of Directive 2003/88/EC of the European Parliament and of the Council of 4 November 2003 concerning certain aspects of the organisation of working time (OJ No. L299, 18.11.2003, p. 9).

Regulation 2 amends regulation 25A of the Working Time Regulations 1998. These amendments provide for the 48 hour working time limit for doctors in training to be increased to 52 hours for certain doctors in training until 31st July 2011. Regulation 3 inserts a new Schedule 2A into the Working Time Regulations 1998, which lists those categories of doctors in training to whom this 52 hour working time limit applies.

A full impact assessment has not been produced for these Regulations as they have no impact on the costs of business, charities or voluntary bodies.

(1)

1972 c. 68.

(2)

S.I. 1997/1174.

(3)

S.I. 1998/1833, amended by S.I. 1999/3372, S.I. 2003/1684 and other instruments not relevant to these Regulations.

(4)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 (c.43) with effect from 1^st July 2004. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006 (c.41), by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006 (c.43).

(5)

Established by SI 2006/782.

(6)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st February 2007. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(7)

Established by S.I. 2000/410, as amended by S.I. 2001/154.

(8)

Established by S.I. 1999/2921, as amended by S.I. 2003/2150.

(9)

Established by S.I. 1991/2329.

(10)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st July 2004. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(11)

Established by S.I. 2006/2072.

(12)

Established by S.I. 1993/823.

(13)

Established by S.I. 1992/2566.

(14)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st August 2006. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(15)

Authorised as an NHS foundation trust under section 35 of the National Health Service Act 2006 with effect from 1^st May 2008.

(16)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st July 2004. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(17)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st April 2004. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(18)

Established by S.I. 2000/732.

(19)

Established by S.I. 2000/1413, as amended by S.I. 2009/43.

(20)

Established by S.I. 1994/400.

(21)

Established by S.I. 1990/2418, as amended by S.I. 1999/1769.

(22)

Established by S.I. 2007/2755.

(23)

Established by S.I. 1990/2420.

(24)

Established by S.I. 1992/2510.

(25)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st June 2006. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(26)

Authorised as an NHS foundation trust under section 35 of the National Health Service Act 2006 with effect from 1^st August 2008.

(27)

Established by S.I. 2002/2073.

(28)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st April 2005. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(29)

Established by S.I. 2001/656, as amended by S.I. 2008/1775.

(30)

Established by S.I. 1994/3184.

(31)

Established by S.I. 1994/180.

(32)

Established by S.I. 1998/816, as amended by S.I. 2005/3493.

(33)

Established by S.I. 1991/2411, as amended by S.I. 1996/982.

(34)

Established by S.I. 2002/2419.

(35)

Authorised as an NHS foundation trust under section 35 of the National Health Service Act 2006 with effect from 1^st October 2007.

(36)

Established by S.I. S.I. 1992/2506, as amended by S.I. 2004/75.

(37)

Established by S.I. 1992/2509, as amended by S.I. 1999/884.

(38)

Established by S.I. 1992/2536, as amended by S.I. 2003/866.

(39)

Established by S.I. 2003/216, as amended by S.I. 2003/1063.

(40)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st April 2005. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(41)

Established by S.I. 2000/237.

(42)

Established by S.I. 1990/2442, as amended by S.I. 1996/2860.

(43)

Established by S.I. 1998/651.

(44)

Established by S.I. 2009/750.

(45)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st July 2004. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(46)

Established by S.I. 1999/625.

(47)

Authorised as an NHS foundation trust under section 35 of the National Health Service Act 2006 with effect from 1^st November 2007.

(48)

Authorised as an NHS foundation trust under section 35 of the National Health Service Act 2006 with effect from 1^st June 2008.

(49)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st February 2007. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(50)

Authorised as an NHS foundation trust under section 35 of the National Health Service Act 2006 with effect from 1^st November 2008.

(51)

Established by S.I. 1993/2551.

(52)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st April 2005. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(53)

Authorised as an NHS foundation trust under section 35 of the National Health Service Act 2006 with effect from 1^st February 2008.

(54)

Established by S.I. 2003/2346, as amended by S.I. 2004/2895.

(55)

Established by S.I. 1993/2574.

(56)

Established by S.I. 1992/2559, as amended by S.I. 1993/713 and S.I. 2003/792.

(57)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st July 2004. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(58)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st January 2005. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(59)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st August 2006. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(60)

Authorised as an NHS foundation trust under section 6 of the Health and Social Care (Community Health and Standards) Act 2003 with effect from 1^st June 2005. The authorisation under the 2003 Act has effect as if given under section 35 of the National Health Service Act 2006, by virtue of paragraph 1 of Schedule 2 to the National Health Service (Consequential Provisions) Act 2006.

(61)

Established by S.I. 2008/716.

(62)

Established by S.I. 2009/778 (W. 66). The workers will transfer to Abertawe Bro Morgannwg University Local Health Board on 1^st October 2009, by virtue of article 2 of the National Health Service Trusts (Transfer of Staff, Property, Rights and Liabilities) (Wales) Order 2009, which was made on 24^th June 2009.

(63)

Established by S.I. 1999/3451.

(64)

Established by S.I. 2009/778 (W. 66). The workers will transfer to Cardiff and Vale University Local Health Board on 1^st October 2009, by virtue of article 2 of the National Health Service Trusts (Transfer of Staff, Property, Rights and Liabilities) (Wales) Order 2009, which was made on 24^th June 2009.

(65)

Established by S.I. 2008/717.

(66)

Established by S.I. 2009/778 (W. 66). The workers will transfer to Cwm Taf Local Health Board on 1^st October 2009, by virtue of article 2 of the National Health Service Trusts (Transfer of Staff, Property, Rights and Liabilities) (Wales) Order 2009, which was made on 24^th June 2009.

(67)

Established by S.I. 1998/3321.

(68)

Established by S.I. 2009/778 (W. 66). The workers will transfer to Aneurin Bevan Local Health Board on 1^st October 2009, by virtue of article 2 of the National Health Service Trusts (Transfer of Staff, Property, Rights and Liabilities) (Wales) Order 2009, which was made on 24^th June 2009.

(69)

Established by S.I. 2008/712.

(70)

Established by S.I. 2009/778 (W. 66). The workers will transfer to Hywel Dda Local Health Board on 1^st October 2009, by virtue of article 2 of the National Health Service Trusts (Transfer of Staff, Property, Rights and Liabilities) (Wales) Order 2009, which was made on 24^th June 2009.

(71)

Established by S.I. 2008/1648.

(72)

Established by S.I. 2009/778 (W. 66). The workers will transfer to Betsi Cadwaladr University Local Health Board on 1^st October 2009, by virtue of article 2 of the National Health Service Trusts (Transfer of Staff, Property, Rights and Liabilities) (Wales) Order 2009, which was made on 24^th June 2009.

(73)

Established by S.I. 1998/3314.

(74)

The workers will transfer to Betsi Cadwaladr University Local Health Board on 1^st October 2009, by virtue of article 2 of the National Health Service Trusts (Transfer of Staff, Property, Rights and Liabilities) (Wales) Order 2009, which was made on 24^th June 2009.