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National Health Service Reform and Health Care Professions Act 2002

Appeals

Sections 30 to 34: Appeals

164.A professional has a right of appeal against the decisions of regulatory bodies on fitness to practise cases.  Under current law, some professions appeal to the Judicial Committee of the Privy Council, and some appeal to the High Court. The purpose of these sections is to introduce consistency across the professions.  The main effect of these five sections is to redirect appeals from doctors, dentists, opticians, osteopaths and chiropractors to the High Court.

165.In addition to dealing with appeals against fitness to practise decisions, these sections bring consistency to the route taken by appeals against registration decisions. At present the Osteopaths Act 1993, the Chiropractors Act 1994, the Medical Act 1983 and the Opticians Act 1989 provide for an appeal from decisions to remove registration on grounds of fraud or error to the Judicial Committee of the Privy Council.  These sections move this appeal to, in England and Wales, and in Northern Ireland, a county court and in Scotland to a sheriff court.

166.The Osteopaths Act 1993 and the Chiropractors Act 1994 currently provide for an appeal on points of law from decisions to refuse registration on more general grounds (section 29 of each Act) to a county court or the High Court at the appellant’s choice.  These sections remove this option to appeal to the High Court and restrict such appeals to a county court.  At the same time the basis of appeal is widened so that it can be on issues of fact and law, rather than solely on points of law as currently.

Section 30: Medical practitioners

167.Section 30 amends the Medical Act 1983.  Subsection (2) provides for appeals against decisions in ‘fitness to practise’ cases to be directed to the High Court or Court of Session in Scotland.  The relevant court is dependent on the address which the appellant has (or would have if he was registered) as his registered address with the regulatory body. If an appellant’s registered address is outside the United Kingdom the appeal will be to the High Court in England and Wales.  This subsection also provides for appeals on decisions to remove registration on grounds of fraud or error to be directed to a county court, or in Scotland, to the sheriff.  This subsection also sets out the appeal court’s order making powers.

168.Subsection (3) deals with consequential amendments to the Medical Act 1983.

Section 31: Dentists

169.Section 31 amends the Dentists Act 1984.  Subsection (2) provides for appeals against decisions in ‘fitness to practise’ cases to be directed to the High Court or in Scotland, the Court of Session.  The relevant court is dependent on the address which the appellant has as his registered address with the regulatory body.  If an appellant’s registered address is outside the United Kingdom, the appeal will be to the High Court in England and Wales. This subsection also sets out the appeal court’s order making powers.

170.Subsection (3) amends section 44 of the Dentists Act 1984 to provide for a body corporate to appeal to the High Court (or Court of Session in Scotland) against decisions to withdraw their privilege to practise as a body corporate.  The relevant court is dependent on the registered office address of the body corporate.

171.Subsections (5) to (8) make some consequential changes to the Dentists Act 1984, made necessary by the making of the Dentists Act 1984 (Amendment) Order 2001 (“the 2001 Order”) on 11 December 2001.  The 2001 Order made provisions for new requirements for continuing professional development for dentists. Failure to comply with continuing professional development requirements can lead to the dentist’s name being erased from the register.  The 2001 Order provides for an appeal against erasure to the new Continuing Professional Development Committee and thereafter to the Privy Council.  The 2001 Order amends section 29 of the Dentists Act 1984, which the present Act will itself amend.  These consequential changes are therefore now necessary to take account of the changes brought about by the 2001 Order.  The main effect is to substitute the High Court (and its equivalents throughout the UK) for the Judicial Committee of the Privy Council.  The date of coming into force of the relevant provisions of the 2001 Order has not yet been determined, so subsections (6) to (8) cater for the relevant provisions of the 2001 Order coming into force prior to the coming into force of this section in the Act, or alternatively, for this section in the Act coming into force prior to the relevant provisions in the 2001 Order.

Section 32: Opticians

172.Section 32 amends section 23 of the Opticians Act 1989.  Subsection (2) provides for appeals against decisions in ‘fitness to practise’ cases in respect of individuals or a body corporate, to be directed to the High Court or in Scotland, the Court of Session. For individual appellants the relevant court is dependent on the address which the appellant has as his registered address with the regulatory body.  For a body corporate the relevant court is dependent on the registered office address.

173.New section (1B) provides for a practitioner or body corporate to appeal against decisions to remove registration on grounds of fraud or error to a county court, or in Scotland to the sheriff.

174.Subsection (2) also sets out the appeal court’s order making powers.

Section 33: Osteopaths

175.Section 33 amends the Osteopaths Act 1993.  Subsection (2) provides for appeals on decisions to remove registration on grounds of fraud or error to be directed to a county court, or in Scotland, to the sheriff.  This subsection also provides that time for serving notice of appeal, runs for 28 days after notification of the order to remove is “served” rather than beginning on the date on which the order is made. Subsection (2) also sets out the appeal court’s order making powers.

176.Subsections (3) and (4) deal with consequential amendments to sections 22 and 23 of the Osteopaths Act 1993.

177.Subsection (5) amends section 29 of the Osteopaths Act 1993 to provide that appeals against refusal of registration on more general grounds are to be to a county court or in Scotland, the sheriff.  This removes the previous right of the appellant to choose whether to appeal to a county court or the High Court.  This subsection also extends the basis of appeals to issues of fact as well as issues of law and sets out the appeal court’s order making powers.

178.Subsection (6) provides for appeals against decisions in ‘fitness to practise’ cases to be directed to the High Court or Court of Session in Scotland.  The relevant court is dependent on the address which the appellant has (or would have if he was registered) as his registered address with the regulatory body. If an appellant’s registered address is outside the United Kingdom, the appeal will be to the High Court in England and Wales.

Section 34: Chiropractors

179.Section 34 amends the Chiropractors Act 1994 and makes corresponding provision for chiropractors.

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