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National Health Service (Amendment) Act 1949

Status:

This is the original version (as it was originally enacted).

Part IIMinor Amendments of the Act of 1947

In subsection (2) of section five (which provides for the treatment, at hospitals providing hospital and specialist services, of the patients of medical practitioners on the staff of such hospitals), after the words " medical practitioner ", wherever they occur, the words " or dental practitioner " shall be inserted. At the end of section fifteen (which requires facilities at health centres to be available for inter alia the provision of general medical services) there shall be added the following subsection:—

(6)Any medical practitioner providing general medical services at a health centre, may, with the consent of the Secretary of State, make use of the facilities available at the centre for the provision of such other personal medical services on such terms, including terms as to the payment of charges by the practitioner, and such conditions as the Secretary of State may determine.

In subsection (2) of section twenty-two (which empowers a local health authority to recover from persons availing themselves of maternity and child welfare services charges in respect of articles provided by the authority) for the words from " the aforesaid " to " prescribed " there shall be substituted the words

under the aforesaid arrangements there is provided anything that may be prescribed including residential accommodation, food or any other thing;

for the words " so supplied " there shall be substituted the words

for whom such provision is made;

and for the words "of supply" there shall be substituted the words

of such provision

. In subsection (4) of section thirty-two (which empowers the Secretary of State to establish a joint committee for the areas of two or more Executive Councils and to provide, in relation to that committee, for any of the matters for which, in relation to an Executive Council, regulations made under the Sixth Schedule to the Act may provide), for the words " matters for which in relation to an Executive Council regulations made under the Sixth Schedule to this Act may provide " there shall be substituted the words

matters for which, in relation to an Executive Council, provision is or may be made by or under the supplementary provisions of the Sixth Schedule to this Act. In subsection (1) of section thirty-three (which relates to local representative committees) at the end of paragraph (c) there shall be inserted the words "or

(d)of the ophthalmic opticians and dispensing opticians providing supplementary ophthalmic services in that area",

after " Local Dental Committee " the word " or " shall be omitted, and after the words

Local Pharmaceutical Committee

there shall be inserted the words

or the Local Optical Committee.At the end of the said section thirty-three there shall be added the following subsections:—

(3)The Executive Council may, on the request of the Local Medical Committee or the Local Dental Committee or the Local Pharmaceutical Committee or the Local Optical Committee for their area, allot to that Committee out of the moneys available to the Council for the remuneration of persons of whom that Committee is representative and who provide general medical services, general dental services, pharmaceutical services, or, as the case may be, supplementary ophthalmic services under this Part of this Act, such sums for defraying the administrative expenses of the Committee, including travelling and subsistence allowances payable to members of the Committee, as may be determined by the Executive Council with the approval of the Secretary of State, and the amount of any such sums shall be deducted, in such manner as may be so determined with such approval, from the remuneration of the persons aforesaid.

(4)Any such Committee as aforesaid may, with the approval of the Secretary of State, delegate any of their functions, with or without restrictions or conditions, to sub-committees composed of members of the Committee.

In paragraph (d) of subsection (2) of section thirty-four (which provides for the issue by medical practitioners providing general medical services of certificates reasonably required under or for the purposes of any enactment) after the word " of" there shall be inserted the words

such certificates as may be prescribed, being

. In subsection (3) of section fifty-four (which provides for defraying out of moneys provided by Parliament payments made in respect of loss of remunerative time or travelling or subsistence expenses to members of any body constituted under the Act) for the words " any loss of remunerative time or any travelling or subsistence expenses" there shall be substituted the words

any loss of earnings or additional expenses (including travelling and subsistence expenses)

. At the end of paragraph (b) of subsection (1) of section sixty-six (which relates to the superannuation of, among others, officers of voluntary organisations providing services under certain enactments) there shall be added the words

or under Part III of the National Assistance Act, 1948.

In paragraph 2 of the First Schedule (which enables the Secretary of State to make regulations for the making of payments to members of the Health Services Council and of standing advisory committees constituted under the Act and of committees and sub-committees set up under that Schedule in respect of loss of remunerative time and travelling and subsistence expenses) for the words " any loss of remunerative time or any travelling or subsistence expenses" there shall be substituted the words

any loss of earnings they would otherwise have made or any additional expenses (including travelling and subsistence expenses) to which they would not otherwise have been subject, being loss or expenses necessarily suffered or incurred by them for the purpose of enabling them to perform duties as members of the Health Services Council or standing advisory committee, or committee or sub-committee set up as aforesaid.

In paragraph 3 of the Second Schedule (which enables the Secretary of State to make regulations for the making of payments to members of the Hospitals Endowments Commission in respect of loss of remunerative time and travelling and subsistence expenses) for the words " any loss of remunerative time or any travelling or subsistence expenses " there shall be substituted the words

any loss of earnings they would otherwise have made or any additional expenses (including travelling and subsistence expenses) to which they would not otherwise have been subject, being loss or expenses necessarily suffered or incurred by them for the purpose of enabling them to perform duties as members of the Commission.For sub-paragraph (c) of paragraph 2 of Part IV of the Fourth Schedule (which enables the Secretary of State to make regulations for the making of payments to members of Regional Hospital Boards, Medical Education Committees and Boards of Management in respect of loss of remunerative time, or, if special circumstances justify it, in respect of travelling or subsistence expenses) there shall be substituted the following sub-paragraph:—

(c)for the making of payments to members of those bodies or committees in respect of—

(i)any loss of earnings they would otherwise have made or any additional expenses (other than expenses on account of travelling or subsistence) to which they would not otherwise have been subject, being loss or expenses necessarily suffered or incurred for the purpose of enabling them to perform any approved duty; or

(ii)any travelling or subsistence expenses necessarily incurred for the purpose of enabling them to perform any approved duty required to be performed at a distance of more than three miles from their usual place of residence.

At the end of the said paragraph 2 there shall be added the following sub-paragraph:—

(e)for the payment by a Regional Hospital Board or Board of Management of such sums as may be approved by the Secretary of State, as subscriptions to the fund of any association whose objects are approved by the Secretary of State for the purpose of this sub-paragraph.

At the end of the said Part IV of the Fourth Schedule the following paragraph shall be added:—

5In this Schedule, the expression ' approved duty', in relation to a member of a body constituted under the foregoing provisions of this Schedule or any committee of that body, means any of the following duties, that is to say,—

(a)attendance at a meeting of the body or any committee thereof;

(b)the doing of any other thing approved by the body for the purpose of, or in connection with, the discharge of the functions of the body or any committee thereof;

(c)in the case of a member of the body, attendance as a representative of the body at a conference or meeting convened by one or more such bodies or by any association of such bodies.

Paragraph 1 of the Sixth Schedule (which relates to the constitution of Executive Councils) shall be amended as follows—

(a)for the words " a chairman appointed by the Secretary of State and twenty-four other members" there shall be substituted the words

twenty-five members;

(b)in sub-paragraph (b), for the word " four" there shall be substituted the word

five;

(c)at the end of the paragraph, the following words shall be added

The members of an Executive Council shall from time to time, in accordance with such procedure as may be prescribed, appoint one of their members to be chairman of the Council. After paragraph 3 of the said Sixth Schedule there shall be inserted the following new paragraph:—

3AThe term of office of the chairman of an Executive Council shall be such as the Council, when making the appointment, determine:

Provided that if the chairman ceases to be a member of the Council he shall also cease to be chairman. For sub-paragraph (c) of paragraph 4 of the said Sixth Schedule (which enables the Secretary of State to make regulations for the making of payments to members of Executive Councils or committees thereof in respect of loss of remunerative time, or, if special circumstances justify it, in respect of travelling or subsistence expenses), there shall be substituted the following sub-paragraph:—

(c)for the making of payments to members of the Council or any such committee in respect of any loss of earnings they would otherwise have made or any additional expenses (including travelling and subsistence expenses) to which they would not otherwise have been subject, being loss or expenses necessarily suffered or incurred for the purpose of enabling them to perform any approved duty." In sub-paragraph (e) of the said paragraph 4 the words " and for the payment at the prescribed rates of any expenses reasonably incurred by representatives in attending meetings of any such association " shall be omitted. At the end of the said paragraph 4 the following proviso shall be added:—

(i)a member of an Executive Council for the area of a local health authority who are the town council of a large burgh or a member of a committee appointed by such an Executive Council shall not be entitled to any payments under sub-paragraph (c) of this paragraph in respect of travelling or subsistence expenses in respect of a duty performed within the area of the Executive Council, except where the Secretary of State authorises such payments in the case of any individual; and

(ii)a member of an Executive Council for any area other than as aforesaid or a member of a committee appointed by such an Executive Council shall not be entitled to any payments under the said sub-paragraph (c) in respect of travelling or subsistence expenses in respect of a duty performed within the area of the Executive Council except in respect of duties performed at a distance of more than three miles from his usual place of residence

At the end of the said Sixth Schedule the following paragraph shall be added:—.

8In this Schedule, the expression ' approved duty', in relation to a member of an Executive Council or any committee thereof, means any of the following duties, that is to say—

(a)attendance at a meeting of the Council or any committee thereof;

(b)the doing of any other thing approved by the Council for the purpose of, or in connection with, the discharge of the functions of the Council or any committee thereof;

(c)attendance as a representative of the Council at a conference or meeting convened by one or more Executive Councils or by any association of Executive Councils whose objects are approved by the Secretary of State.

Table of Statutes referred to in this Act

Short TitleSession and Chapter
Lunacy (Scotland) Act, 186629 & 30 Vict. c. 51.
Arbitration Act, 188952 & 53 Vict. c. 49.
Partnership Act, 189053 & 54 Vict. c. 39.
Lunacy Act, 189053 & 54 Vict. c. 5.
Conciliation Act, 189659 & 60 Vict. c. 30.
Mental Deficiency Act, 19133 & 4 Geo. 5. c. 28.
Mental Deficiency and Lunacy (Scotland) Act, 19133 & 4 Geo. 5. c. 38.
Midwives (Scotland) Act, 19155 & 6 Geo. 5. c. 91.
Midwives Act, 19188 & 9 Geo. 5. c. 43.
Industrial Courts Act, 19199 & 10 Geo. 5. c. 69.
Midwives Act, 192616 & 17 Geo. 5. c. 32.
Midwives (Scotland) Act, 192717 & 18 Geo. 5. c. 17.
Mental Treatment Act, 193020 & 21 Geo. 5. c. 23,
Public Health Act, 193626 Geo. 5. & 1 Edw. 8. c. 49.
Cancer Act, 19392 & 3 Geo. 6. c. 13.
National Health Service Act, 19469 & 10 Geo. 6. c. 81.
National Health Service (Scotland) Act, 194710 & 11 Geo. 6. c. 27.
National Assistance Act, 194811 & 12 Geo. 6. c. 29.

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