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Amendment of Schedule 2 of the principal Regulations (Medical and dental practitioners)

4.—(1) In paragraph 1 of Schedule 2 (Additional definitions used in this Schedule)—

(a)in the definition of “assistant practitioner” for the words “a practitioner” there shall be substituted the words “a registered medical practitioner or registered dentist, being a practitioner,”;

(b)in the definition of “associate general practitioner” for the words “a medical practitioner” there are substituted the words “a registered medical practitioner other than a trainee practitioner”;

(c)the following definition shall be inserted at the appropriate place—

“locum practitioner” means—

(a)

for the period beginning with and including 1st April 2001 to 31st March 2002, a registered medical practitioner other than a trainee practitioner who—

(i)

is not a principal practitioner, associate general practitioner, an assistant practitioner or a person who is being treated as a practitioner under regulation 83A (participants in pilot schemes); and

(ii)

is engaged under a contract for services with a practitioner otherwise than in pursuance of a commercial arrangement with an agent, to deputise or assist in the provision of general or personal medical services under Part IV of the 1972 Order.

(b)

From the period beginning with and including 1st April 2002 to 31st March 2004, a registered medical practitioner, other than a trainee medical practitioner, who is engaged under a contract for services with a practitioner, otherwise than in pursuance of a commercial arrangement with an agent, to deputise or assist in the provision of general medical services or personal medical services under Part IV of the 1972 Order.

(c)

From 1st April 2004 a registered medical practitioner (other than a trainee practitioner) whose name is included in a medical performers list and who is engaged, otherwise than in pursuance of a commercial arrangement with an agent, under a contract for services to deputise or assist temporarily in the provision of primary medical services, except for out of hours services under Part IV of the 1972 Order..

(d)for the definition of “principal practitioner” there shall be substituted—

“principal practitioner” means a registered medical practitioner or registered dentist who is included in a list prepared in accordance with Regulations made under Article 57G of the 1972 Order(1);.

(2) In paragraph 2(1) of Schedule 2 (Application of Regulations with modifications)—

(a)after the word “Agency” in both places where it occurs there shall be inserted “or, in the case of a locum practitioner, the relevant Health and Social Services Board”;

(b)after paragraph 2(1) there shall be inserted a new sub-paragraph—

(1A) In sub-paragraph (1) “relevant Health and Social Services Board” means the Health and Social Services Board in whose medical list the practitioner with whom the locum practitioner is engaged under a contract for services is included or the relevant Health and Social Services Board for the purposes of regulation 83A;

(c)at the end of paragraph 2(2) insert the words “(unless and to the extent that paragraph 2A applies in any particular case, any remuneration in respect of locum practitioner work concurrent with practitioner service is excluded from being superannuable earnings).”;

(d)in paragraph 2(2) omit the words following “as a practitioner”.

(3) After paragraph 2 there is inserted—

Membership: locum practitioners

2A.(1) Regulation 6 (Membership of the scheme) does not apply to locum practitioners.

(2) A locum practitioner may apply to join the scheme by sending an application to the employing authority and submitting such evidence relating to his service as a locum practitioner and the contributions payable in respect of it as are required by the authority.

(3) On receiving such an application, such evidence and such contributions, the employing authority must submit the application to the Department.

(4) If a locum wishes to apply to join the scheme from a date earlier than 16th December 2005 he must submit an application under paragraph (2)—

(a)in a case where immediately before 16th December 2005 he is engaged under a contract for services with a practitioner, by virtue of which he is a locum practitioner, not later than twenty weeks after he ceases to be so engaged, and

(b)in any other case, before 31st August 2006.

(5) Except where sub-paragraph (4) applies, no application may be made under sub-paragraph (2) in respect of a period of engagement as a locum practitioner ending earlier than ten weeks before the date of application..

(4) In paragraph 3 (Meaning of “superannuable earnings”)—

(a)in sub-paragraph (1) for the words “from the beginning” to “means” there shall be substituted the words “in the case of a principal practitioner “superannuable earnings” means”.

(b)in sub-paragraph (2)(a) after “general ophthalmic services” insert “locum services”;

(c)after sub-paragraph (3) insert the following sub-paragraph—

(4) In sub-paragraph (2)(a) locum services shall have the same meaning as for the purposes of paragraph 6..

(5) In paragraph 6 (Meaning of superannuable earnings in relation to other practitioners)—

(a)at the end of sub-paragraphs (2)(a) and (b) there shall be inserted the words “or any payment made to the practitioner in respect of the provision of locum services.”;

(b)after sub-paragraph (2) there is inserted the following sub-paragraphs—

(3) In the case of a locum practitioner “superannuable earnings” means all fees and other payments made to the locum practitioner in respect of the provision of locum services (but excluding payments made to cover expenses or for overtime), less such expenses as are deductible in accordance with guidance laid down by the Department.

(4) In this paragraph references to the provision of locum services, in relation to a locum practitioner, are to—

(a)before 1st April 2004, general medical services or personal medical services, and

(b)after 1st April 2004, primary medical services, except for out of hours services,

provided by a locum practitioner when engaged under a contract for services with a practitioner, otherwise than in pursuance of a commercial arrangement with an agent, to deputise or assist in the provision of such services..

(6) In sub-paragraphs 9(1) and (8) (Officer service treated as practitioner service) after the words “a principal practitioner” there are inserted the words “or a practitioner providing piloted services under an agreement between that practitioner and a Health and Social Services Board”.”

(7) After paragraph 9 there is inserted the following paragraph—

Locum practitioners: breaks between contracts

9A.(1) Paragraph 4A of regulation 5 does not apply and this paragraph applies instead where a locum practitioner ceases to be engaged as such a practitioner and so ceases to be treated as being in superannuable employment and is re-engaged as such a practitioner before the expiry of a period not exceeding three months from the day on which he so ceases.

(2) For the purposes of these Regulations—

(a)he is treated as continuing to be in qualifying service during the period not exceeding 3 months whilst he is not so engaged and as not being required to rejoin the scheme at the time when he becomes so re-engaged, but

(b)that period does not count as practitioner service (or as a period in superannuable employment)..

(8) In paragraph 10 (Contributions)—

(a)in sub-paragraph (1) for “2 to 5” there shall be substituted “2 to 5B”, and

(b)after sub-paragraph (5) there is inserted—

(5A) Locum practitioners must pay their contributions to their employing authority.

(5B) Contributions paid by practitioners under sub-paragraph (4), (5) or (5A) must be paid to the Department no later than the 19th day of the month following that in which they are received from the practitioners..