Part II

Primary Care

Personal medical or dental services

Provision of personal medical or dental services.
21
1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
In the 1978 Act, after section 17B, insert—

Provision of personal medical or dental services

Personal medical or dental services.
17C
1
A Health Board may make one or more agreements with respect to their area, in accordance with the provisions of regulations under section 17E, under which—
a
personal medical services are provided (otherwise than by the Board); or
b
personal dental services are provided (otherwise than by the Board).
2
An agreement made under this section—
a
may not combine arrangements for the provision of personal medical services with arrangements for the provision of personal dental services; but
b
may include arrangements for the provision of services—
i
which are not personal medical services or personal dental services; but
ii
which may be provided under this Part.
3
Except to such extent as may be prescribed—
a
a patient for whom personal medical services are provided in accordance with an agreement made under this section is not to count as a person for whom arrangements must be made by the Health Board concerned under section 19;
b
a patient for whom personal dental services are provided under an agreement made under this section is not to count as a person for whom arrangements must be made by the Health Board concerned under section 25.
4
This Act (and in particular section 2) has effect, in relation to personal medical services or personal dental services provided under an agreement made under this section, as if those services were provided as a result of the delegation by the Secretary of State (by directions given under section 2) of functions of his under this Part.
5
Regulations may provide—
a
for functions which are exercisable by a Health Board in relation to an agreement made under this section to be exercisable on behalf of the Board by a Health Authority; and
b
for functions which are exercisable by a Health Authority in relation to an agreement made under section 28C of the National Health Service Act 1977 to be exercisable on behalf of the Authority by a Health Board.
6
For the purposes of this section—
- “Health Authority” has the same meaning as in the National Health Service Act 1977;
- “personal medical services” means medical services of a kind that may be provided by a general medical practitioner in accordance with arrangements made under Part II; and
- “personal dental services” means dental services of a kind that may be provided by a general dental practitioner in accordance with arrangements made under Part II.

Persons with whom agreements may be made.
17D
1
A Health Board may make an agreement under section 17C only with one or more of the following—
a
an NHS trust;
b
in the case of an agreement under which personal medical services are provided—
i
a qualifying medical practitioner;
ii
an individual who is providing personal medical services in accordance with section 17C arrangements or section 28C arrangements;
c
in the case of an agreement under which personal dental services are provided—
i
a qualifying dental practitioner;
ii
an individual who is providing personal dental services in accordance with section 17C arrangements or section 28C arrangements;
d
an NHS employee, a section 17C employee or a section 28C employee;
e
a qualifying body.
2
In this section—
- “the 1977 Act” means the National Health Service Act 1977;
- “NHS employee” means an individual who, in connection with the provision of services in the health service in Scotland or England and Wales, is employed by—
  1. an NHS trust;
  2. in the case of an agreement under which personal medical services are provided—
    1. a medical practitioner whose name is included in a medical list kept under this Act or in a corresponding list kept under the 1977 Act; or
    2. a medical practitioner who is providing personal medical services in accordance with section 17C arrangements or section 28C arrangements;
  3. in the case of an agreement under which personal dental services are provided—
    1. a dental practitioner whose name is included in a list prepared in accordance with regulations made under section 25(2)(a) of this Act or section 36(1)(a) of the 1977 Act; or
    2. a dental practitioner who is providing personal dental services in accordance with section 17C arrangements or section 28C arrangements;
- “qualifying body” means—
  1. a company which is limited by shares all of which are legally and beneficially owned by persons falling within paragraphs (a) to (d) of subsection (1); and also
  2. in the case of an agreement under which personal dental services are provided, a body corporate which, in accordance with the provisions of Part IV of the Dentists Act 1984, is entitled to carry on the business of dentistry;
- “qualifying dental practitioner” means a dental practitioner who satisfies the conditions imposed by regulations made under section 17E(2)(b) of this Act or section 28E(2)(b) of the 1977 Act;
- “qualifying medical practitioner” means a medical practitioner who satisfies the conditions imposed by regulations made under section 17E(2)(b) of this Act or section 28E(2)(b) of the 1977 Act;
- “section 17C employee” means an individual who, in connection with the provision of services in accordance with section 17C arrangements, is employed by an individual providing those services;
- “section 28C arrangements” means arrangements for the provision of services made under section 28C of the 1977 Act; and
- “section 28C employee” means an individual who, in connection with the provision of services in accordance with section 28C arrangements, is employed by an individual providing those services.
3
The Secretary of State may not make an order under section 41(3) bringing this section into force unless he is satisfied, having regard in particular to reviews of pilot schemes which have been conducted under section 7, that it would be in the interests of any part of the health service to bring this section into force.
S. 21 partly in force; s. 21 not in force at Royal Assent see s. 41; s. 21(2)(3) in force for S. for specified purposes at 5.3.2001 by S.S.I. 2001/58, art. 2
1977 c. 49.
1977 c. 49.
1984 c. 24.
S. 21(1)(3) in force at 1.3.2004 for specified purposes for E. by S.I. 2004/287, art. 2(1)
S. 21(1)(3) in force at 1.4.2004 for specified purposes for E. by S.I. 2004/287, art. 2(2)(a)
S. 21(1)(3) in force at 1.12.2005 for E. in so far as not already in force by S.I. 2005/2926, art. 2(a)
S. 21(1)(3) in force at 1.12.2005 for specified purposes for W. by S.I. 2005/2926, art. 3(a)
S. 21(1)(3) in force at 1.3.2007 for E.W., in so far as not already in force, immediately before the National Health Service Act 2006 comes into force by S.I. 2006/1407, art. 1(1), Sch. 1 para. 3 (with art. 4)
S. 21(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)