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The National Health Service (Personal Medical Services Agreements) Regulations 2015

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  1. Introductory Text

  2. PART 1

    1. 1.Citation and commencement

    2. 2.Application

    3. 3.Interpretation

  3. PART 2

    1. 4.Conditions: general

    2. 5.General condition relating to all agreements

    3. 6.Notice of conditions not being met and reasons

    4. 7.Right of appeal

  4. PART 3

    1. 8.Pre-agreement disputes

  5. PART 4

    1. 9.Health service body status

    2. 10.Health service body status: variation of agreements

    3. 11.Cessation of health service body status

  6. PART 5

    1. 12.Health service contract

    2. 13.Agreements: general

    3. 14.Membership of a CCG

    4. 15.Certificates

    5. 16.Finance

    6. 17.Conditions about payments

    7. 18.Fees and charges

    8. 19.Circumstances in which fees and charges may be made

    9. 20.Patient participation

    10. 21.Publication of earnings information

    11. 22.Out of hours services

    12. 23.Sub-contracting

    13. 24.Variation of agreements

    14. 25.Variation of agreements: registered patients from outside practice area

    15. 26.Termination of agreements

    16. 27.Other required terms

  7. PART 6

    1. 28.Opt outs: interpretation

    2. 29.Opt outs: general

    3. 30.Opting out of out of hours service provision

    4. 31.Informing patients of opt outs

  8. PART 7

    1. 32.Right to a general medical services contract

  9. PART 8

    1. 33.Qualifications of performers: medical practitioners

    2. 34.Qualifications of performers: health care professionals

    3. 35.Conditional registration or inclusion in a primary care list

    4. 36.Clinical experience

    5. 37.Conditions for employment and engagement: medical practitioners

    6. 38.Conditions for employment or engagement: health care professionals

    7. 39.Clinical references

    8. 40.Verification of qualifications and competence

    9. 41.Training

    10. 42.Arrangements for GP Specialty Registrars

    11. 43.Doctors with provisional registration

    12. 44.Notice requirements in respect of relevant prescribers

    13. 45.Signing of documents

    14. 46.Level of skill

    15. 47.Appraisal and assessment

  10. PART 9

    1. 48.Prescribing: general

    2. 49.Orders for drugs, medicines or appliances

    3. 50.Electronic prescriptions

    4. 51.Nomination of dispensers for the purpose of electronic prescriptions

    5. 52.Repeatable prescribing services

    6. 53.Repeatable prescriptions

    7. 54.Restrictions on prescribing by medical practitioners

    8. 55.Restrictions on prescribing by supplementary prescribers

    9. 56.Bulk prescribing

    10. 57.Excessive prescribing

    11. 58.Provision of drugs, medicines and appliances for immediate treatment or personal administration

  11. PART 10

    1. 59.Supply of medicines etc. by contractors providing out of hours services

  12. PART 11

    1. 60.Patient records

    2. 61.Summary Care Record

    3. 62.Electronic transfer of patient records between GP practices

    4. 63.Clinical correspondence: requirement for NHS number

    5. 64.Patient online services

    6. 65.Confidentiality of personal data: nominated person

    7. 66.Provision of information on practice website

    8. 67.Provision of information

    9. 68.Inquiries about prescriptions and referrals

    10. 69.Provision of information to a medical officer etc.

    11. 70.Annual return and review

    12. 71.Practice leaflet

  13. PART 12

    1. 72.Complaints procedure

    2. 73.Co-operation with investigations

  14. PART 13

    1. 74.Local resolution of agreement disputes

    2. 75.Dispute resolution: non-NHS contracts

    3. 76.NHS dispute resolution procedure

    4. 77.Determination of dispute

    5. 78.Interpretation of this Part

  15. PART 14

    1. 79.Clinical governance

    2. 80.Friends and Family Test

    3. 81.Co-operation with the Board

    4. 82.Co-operation with the Secretary of State and Health Education England

    5. 83.Insurance

    6. 84.Public liability insurance

    7. 85.Gifts

    8. 86.Compliance with legislation and guidance

    9. 87.Third party rights

  16. PART 15

    1. 88.General transitional provision and saving

    2. 89.Consequential amendments

    3. 90.Revocations

  17. Signature

    1. SCHEDULE 1

      List of prescribed medical certificates

    2. SCHEDULE 2

      Other required terms

      1. PART 1 Provision of services

        1. 1.Services to registered patients

        2. 2.Premises

        3. 3.Telephone services

        4. 4.Cost of relevant calls

        5. 5.Attendance at practice premises

        6. 6.Attendance outside practice premises

        7. 7.Clinical reports

        8. 8.Storage of vaccines

        9. 9.Infection control

        10. 10.Duty of co-operation

        11. 11.Cessation of service provision: information requests

      2. PART 2 Patients: general

        1. 12.General provision

        2. 13.List of patients

        3. 14.Newly registered patients – alcohol dependency screening

        4. 15.Accountable GP

        5. 16.Patients aged 75 years and over: accountable GP

        6. 17.Application for inclusion in a list of patients

        7. 18.Inclusion in list of patients: armed forces personnel

        8. 19.Temporary residents

        9. 20.Refusal of applications for inclusion in list of patients or for acceptance as a temporary resident

        10. 21.Patient preference of a practitioner

        11. 22.Removal from the list at the request of the patient

        12. 23.Removal from the list at the request of the contractor

        13. 24.Removal from the list of patients who are violent

        14. 25.Removal from the list of patients registered elsewhere

        15. 26.Removal from the list of patients who have moved

        16. 27.Removal from list of patients whose address is unknown

        17. 28.Removal from the list of patients absent from the United Kingdom etc.

        18. 29.Removal from the list of patients accepted elsewhere as temporary residents

        19. 30.Removal from a list of pupils etc. of a school

        20. 31.Termination of responsibility for patients not registered with the contractor

      3. PART 3 List of patients: closure etc.

        1. 32.Application for closure of list of patients

        2. 33.Approval of an application to close a list of patients

        3. 34.Rejection of an application to close a list of patients

        4. 35.Application for an extension of the closure period

        5. 36.Re-opening of list of patients

      4. PART 4 Assignment of patients to lists

        1. 37.Application of this Part

        2. 38.Assignment of patients to list of patients: open and closed lists

        3. 39.Factors relevant to assignments

        4. 40.Assignments to closed lists: composition and determinations of the assessment panel

        5. 41.Assignments to closed lists: NHS dispute resolution procedure relating to determinations of the assessment panel

        6. 42.Assignments to closed lists: assignments of patients by the Board

      5. PART 5 Sub-contracting

        1. 43.Sub-contracting of clinical matters

      6. PART 6 Provision of information: practice leaflet

        1. 44.Information to be included in a practice leaflet

      7. PART 7 Notice requirements and rights of entry

        1. 45.Notices to the Board

        2. 46.Notice provisions specific to an agreement with a qualifying body

        3. 47.Notice of deaths

        4. 48.Notices given to patients following variation of the agreement

        5. 49.Entry and inspection by the Board

        6. 50.Entry and inspection by the Care Quality Commission

        7. 51.Entry and inspection by Local Healthwatch organisations

      8. PART 8 Variation and termination of agreements

        1. 52.Variation of an agreement

        2. 53.Termination by agreement

        3. 54.Termination on death of the contractor

        4. 55.Termination by giving notice

        5. 56.Late payment notices

        6. 57.Termination by the Board for the provision of untrue etc. information

        7. 58.Other grounds for termination by the Board

        8. 59.Termination by the Board where patients’ safety is at risk or where there is risk of financial loss to the Board

        9. 60.Termination by the Board for unlawful sub-contracting

        10. 61.Termination by the Board: remedial notices and breach notices

        11. 62.Termination by the Board: additional provisions specific to agreements with qualifying bodies

        12. 63.Agreement sanctions

        13. 64.Agreement sanctions and the NHS dispute resolution procedure

        14. 65.Termination and the NHS dispute resolution procedure

    3. SCHEDULE 3

      Consequential amendments

      1. 1.Amendment of the Primary Medical Services (Sale of Goodwill and Restrictions on Sub-contracting) Regulations 2004

      2. 2.Amendment of the Local Authority Social Services and National Health Service Complaints (England) Regulations 2009

      3. 3.Amendment of the National Health Service (Functions of the First-tier Tribunal relating to Primary Medical, Dental and Ophthalmic Services) Regulations 2010

      4. 4.Amendment of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013

      5. 5.Amendment of the National Health Service (Clinical Commissioning Groups – Disapplication of Responsibility) Regulations 2013

      6. 6.Amendment to the National Health Service (Procurement, Patient Choice and Competition) (No 2) Regulations 2013

      7. 7.Amendment of the National Health Service (Charges for Drugs and Appliances) Regulations 2015

    4. SCHEDULE 4

      Revocations

      1. 1.The enactments specified in column 1 of the Table to...

  18. Explanatory Note

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