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

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Certificates

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20.—(1) An agreement must contain a term which has the effect of requiring the provider to issue free of charge to a patient or a patient’s personal representatives any medical certificate of a description prescribed in column 1 of schedule 4 (list of prescribed medical certificates) of the GMS Contracts Regulations, which is reasonably required under or for the purposes of the enactments specified in relation to the certificate in column 2 of that schedule, except where, for the condition to which the certificate relates, the patient—

(a)is being attended by a medical practitioner or alternative provider for the relevant certificate who is not—

(i)employed or engaged by the provider;

(ii)a party to the agreement;

(iii)in the case where a partnership is a party to the agreement, a partner in such a partnership;

(iv)in the case where a limited liability partnership is a party to the agreement, a member of the limited liability partnership; or

(v)in the case where a company is a party to the agreement, a member of the company; or

(b)is not being treated by or under the supervision of a health care professional.

(2) The exception in paragraph (1)(a) must not apply where the certificate is a doctor’s statement issued in accordance with regulation 2(1) of the Social Security (Medical Evidence) Regulations 1976 (evidence of incapacity for work, limited capability for work and confinement)(1) or regulation 2(1) of the Statutory Sick Pay (Medical Evidence) Regulations 1985 (medical information)(2).

(3) The agreement must contain a term which has the effect of permitting the provider’s obligation to issue any medical certificate prescribed in column 1 of schedule 4 of the GMS Contracts Regulations to be discharged on behalf of the provider by an alternative provider for the relevant medical certificate.

(4) In this regulation, “alternative provider” means another health care professional(3) who falls within the description of alternative providers specified in column 3 of schedule 4 of the GMS Contracts Regulations in relation to the relevant medical certificate prescribed in column 1 of that schedule.

(1)

S.I. 1976/615. Regulation 2(1) was substituted by S.I. 2010/137.

(2)

S.I. 1985/1604. Regulation 2(1) was substituted by S.I. 2010/137.

(3)

“Health care professional” includes nurses and midwives registered with the Nursing and Midwifery Council.

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