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The Working Time (Amendment) Regulations 2009

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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 2ADoctors 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 HospitalAcute Medicine – Medical Assessment UnitF2, CT1 and CT2
AnaestheticsF2, ST3 to ST7
Anaesthetics – ObstetricsCT2, ST3 to ST7
Anaesthetics – Intensive CareCT1, CT2, ST3 to ST7
Anaesthetics – TheatresST3 to ST7
Clinical Oncology/ Haematology/ Palliative MedicineF2, CT1 and CT2
General MedicineF2, CT1, CT2, ST3 to ST7
General SurgeryST3 to ST8
General Surgery/ ENT/ UrologyF2, CT1 and CT2
Obstetrics and GynaecologyST3 to ST7
PaediatricsST3 to ST8
UrologyCT2, ST3 to ST7
Nottingham University Hospitals National Health Service Trust(5)Nottingham City HospitalNeonatologyST4 to ST8
Queens Medical Centre, NottinghamGeneral Surgery and Vascular SurgeryST4 to ST8
NeonatologyST4 to ST8
Sherwood Forest Hospitals NHS Foundation Trust(6)Kings Mill HospitalAnaestheticsF2, 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 HospitalGeneral MedicineF2, CT1 and CT2
Lincoln County HospitalAnaestheticsF2, CT1 and CT2
General MedicineST3 to ST7
Pilgrim HospitalGeneral MedicineST3 to ST7
University Hospitals of Leicester National Health Service Trust(8)Leicester Royal InfirmaryEmergency MedicineST3 to ST7
PaediatricsF2, ST1 to ST8
Leicester Royal Infirmary and Leicester General HospitalNeonatologyST4 to ST8

East of England Strategic Health Authority area

Bedford Hospital National Health Service Trust(9)Bedford HospitalCardiologyST3 to ST7
Care of the ElderlyST3 to ST7
Endocrinology and DiabetesST3 to ST7
RespiratoryST3 to ST7
Cambridge University Hospitals NHS Foundation Trust(10)Addenbrookes HospitalAdult Intensive CareF2, CT1, CT2 and ST3
TransplantationST3 to ST8
Cambridgeshire Primary Care Trust(11)Hinchingbrooke HospitalPaediatricsST3 to ST8
Hinchingbrooke Health Care National Health Service Trust(12)Hinchingbrooke HospitalGeneral SurgeryST3 to ST7
Ipswich Hospital National Health Service Trust(13)The Ipswich HospitalPaediatricsST3 to ST8
James Paget University Hospitals NHS Foundation Trust(14)James Paget University HospitalAnaesthetics (Obstetrics, Pain, ITU and Theatres)CT1, CT2, ST3 to ST8
Obstetrics and GynaecologyST3 to ST8
PaediatricsST3 to ST8 – on call
Norfolk and Norwich University Hospitals NHS Foundation Trust(15)Norfolk and Norwich University HospitalAnaestheticsCT1, CT2 and ST3
Emergency MedicineST3 to ST8 – Tier 2 (full shift rota – 24 hour service)
Trauma and OrthopaedicsCST1 and CST2 – Tier 2 (full shift)
Papworth Hospital NHS Foundation Trust(16)Papworth HospitalAcute Specialties (Chest Medicine)F2, CT1, CT2, ST3 to ST8
Cardiothoracic SurgeryF2, CT1 and CT2
Cardiothoracic Transplant SurgeryST3 to ST8
Peterborough and Stamford Hospitals NHS Foundation Trust(17)Peterborough District Hospital and Edith Cavell HospitalUrologyST3 to ST7
West Hertfordshire Hospitals National Health Service Trust(18)Hemel Hempstead HospitalObstetrics and GynaecologyST3 to ST7
St Albans City HospitalObstetrics and GynaecologyST3 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 HospitalEar Nose and ThroatF2, CT1 and CT2
Maxillo FacialF2, 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 ChildrenCardiothoracic SurgeryST4 to ST6
Hillingdon Hospital National Health Service Trust(21)Hillingdon HospitalGeneral Surgery (elective and non-elective) including Colorectal, Breast and VascularF2, CT1, CT2 and ST3

Imperial College Healthcare National

Health Service Trust(22)

Charing Cross HospitalNeurosurgeryST3 to ST7
Hammersmith HospitalCardiothoracic SurgeryST3 to ST7
St Mary’s HospitalCardiothoracic SurgeryF2, CT1, CT2, ST3 to ST7
Kingston Hospital National Health Service Trust(23)Kingston HospitalAnaesthesia and Intensive Care, ACCSCT1, CT2, ST3 to ST7
Whittington Hospital National Health Service Trust(24)Whittington HospitalAnaesthetics/ ITUST3 to ST7
Obstetrics and GynaecologyST3 to ST7
PaediatricsST4 to ST8
Paediatrics – NeonatesST1 to ST3

North East Strategic Health Authority area

The Newcastle Upon Tyne Hospitals NHS Foundation Trust(25)Newcastle General HospitalAnaestheticsST3 to ST7 – 1st on call
ST3 to ST7 – 2nd on call
Critical Care (ITU)ST3 to ST6
PaediatricsF2, ST1 to ST3 – 1st on call
ST4 to ST8 – 2nd on call
Paediatrics Intensive CareST4 to ST8

North West Strategic Health Authority area

Alder Hey Children’s NHS Foundation Trust(26)Alder Hey Children’s HospitalPaediatric Cardiothoracic SurgeryST3 to ST8, SpR
East Lancashire Hospitals National Health Service Trust(27)Royal Blackburn HospitalOtorhinolaryngology (ENT)F2, ST1, ST2, CT1 and CT2 – 1st on call
Royal Blackburn Hospital and Burnley General Hospital, Blackburn and Burnley Urgent Care CentresEmergency MedicineST3 to ST7, SpR
Royal Blackburn Hospital and Burnley General HospitalTrauma and OrthopaedicsF2, ST1 and ST2 – 1st on call
Lancashire Teaching Hospitals NHS Foundation Trust(28)Royal Preston HospitalNeurosurgeryF2, CT1 and CT2 – 1st on call
ST3 to ST7, SpR – 2nd on call
North Cumbria University Hospitals National Health Service Trust(29)Cumberland InfirmaryENT/ Trauma and Orthopaedics/ OMFSF2, ST1, ST2, CT1 and CT2
General Medicine and medical specialtiesF1 – Acute 1st on call
F2, CT1 and CT2 – Acute 2nd on call
ST3 to ST7, SpR – Acute 3rd on call
General SurgeryF1 – 1st on call
F2, CT1 and CT2 - 2nd on call
ST3 to ST7, SpR - 3rd on call
Obstetrics and GynaecologyF2, ST1 and ST2 – 1st on call
Trauma and OrthopaedicsST3 to ST7, SpR – 2nd on call
West Cumberland HospitalGeneral Medicine and medical specialtiesF1 – Acute 1st on call
F2, CT1, CT2, ST3 to ST7, SpR – Acute 2nd on call
General SurgeryF1 – 1st on call
F2, CT1 and CT2 – 2nd on call
Obstetrics and GynaecologyST3 to ST7, SpR – 2nd on call
PaediatricsF2, ST1 and ST2 – 1st on call
Trauma and OrthopaedicsST3 to ST7, SpR – 2nd on call
Royal Liverpool and Broadgreen University Hospitals National Health Service Trust(30)Royal Liverpool University HospitalRenal Transplant SurgeryST3 to ST7, SpR
Trafford Healthcare National Health Service Trust(31)Trafford General HospitalAnaesthesiaF2, CT1 and CT2 – 1st on call
University Hospitals of Morecambe Bay National Health Service Trust(32)Furness General HospitalPaediatricsF2, ST1 and ST2
Walton Centre for Neurology and Neurosurgery National Health Service Trust(33)Walton Centre for Neurology and NeurosurgeryNeurosciencesF2, CT1 and CT2
NeurosurgeryST3 to ST7, SpR

South Central Strategic Health Authority area

Buckinghamshire Hospitals National Health Service Trust(34)Wycombe Hospital and Stoke Mandeville HospitalObstetrics and GynaecologyF2, ST1 to ST7, FTSTA1 and FTSTA2
PaediatricsST3 to ST8
Milton Keynes Hospital NHS Foundation Trust(35)Milton Keynes General HospitalAnaestheticsST3 to ST7
Anaesthetics – ITUFT2, CT1 and CT2
Anaesthetics – TheatresCT2, ST3 to ST7
Emergency MedicineST3 to ST7
General MedicineST3 to ST7
PaediatricsF2, ST1 to ST8
SurgeryCT1, CT2, ST3 to ST7
Trauma and OrthopaedicsF2, CT1, CT2, ST3 to ST8
Portsmouth Hospitals National Health Service Trust(36)Queen Alexandra HospitalGeneral PaediatricsST3 to ST8
Obstetrics and GynaecologyST3 to ST7
Southampton University Hospitals National Health Service Trust(37)Princess Anne HospitalObstetrics and GynaecologyST3 to ST7
Southampton General HospitalAnaesthetics – Critical CareF2, 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 HospitalAnaestheticsCT1, CT2, ST3 to ST7
Princess Royal HospitalAnaestheticsCT1, CT2, ST3 to ST7
East Sussex Hospitals National Health Service Trust(39)Conquest Hospital and Eastbourne District General HospitalEmergency MedicineST4 to ST7
PaediatricsST4 to ST8
Frimley Park Hospital NHS Foundation Trust(40)Frimley Park HospitalAnaesthetics and Intensive Care (obstetric anaesthesia and critical care medicine)ST3 to ST7
Clinical HaematologyST3 to ST7
Maidstone and Tunbridge Wells National Health Service Trust(41)Kent and Sussex HospitalENTF2, CT1 and CT2
Pembury HospitalObstetrics and GynaecologyST4 to ST7
Royal Surrey County Hospital National Health Service Trust(42)Royal Surrey County HospitalHaematologyST3 to ST7
Trauma and OrthopaedicsST3 to ST8
UrologyST3 to ST7
Surrey and Sussex Healthcare National Health Service Trust(43)East Surrey HospitalAnaesthetics 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 HospitalGeneral MedicineF2, CT1 and CT2
Obstetrics and GynaecologyST3 to ST7
PaediatricsST4 to ST8
SurgeryF1, F2, CT1, CT2, ST3 to ST7
Trauma and OrthopaedicsF1, F2, CT1, CT2, ST3 to ST7
UrologyST3 to ST7

South West Strategic Health Authority area

Gloucestershire Hospitals NHS Foundation Trust(45)Gloucestershire Royal Hospital and Cheltenham General HospitalAnaesthetics and Critical Care ServicesF2, CT1, CT2, ST3 to ST7
North Bristol National Health Service Trust(46)Frenchay HospitalAnaestheticsCT1, CT2, ST3 to ST7 – 1st on call
CT1, CT2, ST3 to ST7 – 2nd on call
Trauma and OrthopaedicsCT1 and CT2 – 1st on call
Southmead HospitalAnaestheticsCT1, CT2, ST3 to ST7 – 1st on call
CT1, CT2, ST3 to ST7 – 2nd on call
Trauma and OrthopaedicsCT1 and CT2 – 1st on call
Poole Hospital NHS Foundation Trust(47)Poole HospitalAnaesthetics: TheatreCT1 and CT2 (16 hour full shift)
Anaesthetics: Critical CareST3 to ST5 (24 hour full shift)
AnaestheticsST3 to ST5 (full shift 24 hours cover for theatres, back up for Obstetrics and Critical Care)
Emergency MedicineST3 to ST7
ObstetricsST2 to ST4 (24 hour full shift)
PaediatricsST3 to ST8
Trauma and OrthopaedicsCT1 and CT2
University Hospitals Bristol NHS Foundation Trust(48)Bristol Heart InstituteCardiothoracic Surgery ServicesST3 to ST7
Bristol Royal InfirmaryCardiothoracic Surgery ServicesCT1 and CT2

West Midlands Strategic Health Authority area

Birmingham Children’s Hospital NHS Foundation Trust(49)Birmingham Children’s HospitalGeneral PaediatricsST4 to ST8
Paediatric EndocrinologyST4 to ST8
Paediatric GastroenterologyST4 to ST8
Paediatric Haematology/ OncologyST4 to ST8
Paediatric HepatologyST4 to ST8
Paediatric Inherited Metabolic DiseasesST4 to ST8
Paediatric NephrologyST4 to ST8
Paediatric NeurologyST4 to ST8
Paediatric NeurosurgeryST4 to ST9
Paediatric Respiratory MedicineST4 to ST8
Paediatric RheumatologyST4 to ST8
Burton Hospitals NHS Foundation Trust(50)Queen’s HospitalCritical Care AnaesthesiaST3 to ST7
General AnaesthesiaF2, CT1 and CT2
Obstetrics AnaesthesiaST3 to ST7
George Eliot Hospital National Health Service Trust(51)George Eliot HospitalPaediatricsST4 to ST8
Heart of England NHS Foundation Trust(52)Birmingham Heartlands HospitalGeneral MedicineST3 to ST7
Trauma and OrthopaedicsST3 to ST8
Solihull HospitalTrauma and OrthopaedicsF2, CT1, CT2, ST1 to ST6
Mid Staffordshire NHS Foundation Trust(53)Stafford Hospital and Cannock Chase HospitalAcute Medical Specialties and Medical SpecialtiesCT1, CT2 and ST3
Shrewsbury and Telford Hospital National Health Service Trust(54)Royal Shrewsbury HospitalGeneral SurgeryST3 to ST8
Trauma and OrthopaedicsF2, CT1, CT2, ST1 to ST3
The Princess Royal HospitalGeneral SurgeryST3 to ST8
Trauma and OrthopaedicsF2, CT1, CT2, ST1 to ST3
The Royal Wolverhampton Hospitals National Health Service Trust(55)New Cross HospitalPaediatrics including Neonatal ServicesST4 to ST8
University Hospital of North Staffordshire National Health Service Trust(56)City General Hospital and Royal InfirmaryAcute MedicineST3 to ST7
DiabetesST3 to ST7
Elderly CareST3 to ST7
GastroenterologyST3 to ST7
General MedicineST3 to ST7
Infectious DiseasesST3 to ST7
RespiratoryST3 to ST7
University Hospital Birmingham NHS Foundation Trust(57)Queen Elizabeth HospitalAnaesthetics and Critical Care – supporting Surgical Specialties and ObstetricsCT1, CT2, ST3 to ST7
Cardiothoracic SurgeryST3 to ST8

Yorkshire and the Humber Strategic Health Authority area

Barnsley Hospital NHS Foundation Trust(58)Barnsley HospitalAcute and Medical Specialties – Combined MAUF2, CT1, CT2, ST3 to ST8
PaediatricsST1 to ST8
Sheffield Children’s NHS Foundation Trust(59)Sheffield Children’s HospitalPaediatric SurgeryF1, CT1, CT2, ST3 to ST8, SpR
The Rotherham NHS Foundation Trust(60)Rotherham General HospitalAnaestheticsCT1, CT2, ST3 to ST7

General Surgery/ Urology

CT1 and CT2
Oral Maxillo Facial SurgeryCT1 and CT2
PaediatricsST1 to ST8
Trauma and OrthopaedicsCT1, 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 HospitalGeneral PaediatricsSenior
Paediatrics – Neo NatalJunior
Morriston HospitalGeneral PaediatricsSenior
Neuro SurgeryJunior and Senior
Neath Port Talbot HospitalGeneral Medicine (incorporating Endocrinology, Respiratory, Gastroenterology, Cardiology and Care of the Elderly)Junior
Princess of Wales HospitalPaediatricsJunior 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 WalesPaediatricsJunior 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
PaediatricsJunior and Senior
Royal Glamorgan HospitalNeo NatalJunior
PaediatricsJunior 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 HospitalCombined Paediatric/ Neo NatalJunior and Senior
Royal Gwent HospitalNeo NatalJunior and Senior
PaediatricsSenior
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 HospitalPaediatricJunior
West Wales General HospitalPaediatricJunior
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 HospitalObstetrics and GynaecologyJunior and Senior
PaediatricsJunior and Senior
Wrexham Maelor HospitalObstetrics and GynaecologyJunior and Senior
PaediatricsJunior 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 GwyneddAnaestheticsJunior and Senior
Obstetrics and GynaecologySenior
Paediatrics/ Neo NatalJunior 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.

(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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st November 2007.

(48)

Authorised as an NHS foundation trust under section 35 of the National Health Service Act 2006 with effect from 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 1st 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 24th 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 1st 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 24th 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 1st 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 24th 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 1st 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 24th 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 1st 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 24th 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 1st 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 24th June 2009.

(73)

Established by S.I. 1998/3314.

(74)

The workers will transfer to Betsi Cadwaladr University Local Health Board on 1st 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 24th June 2009.

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